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From the 4/30/2021 release of VAERS data:

Found 16,014 cases where Vaccine targets COVID-19 (COVID19) and Serious



Case Details

This is page 8 out of 1,602

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VAERS ID: 908401 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: C-reactive protein increased, Chills, Dizziness, Electrocardiogram abnormal, Fibrin D dimer normal, Sinus tachycardia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (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? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Junel Birth Control
Current Illness: COVID-19 Positive with past 30 days, symptoms resolved
Preexisting Conditions: anxiety, heart murmur
Allergies: No known allergies
Diagnostic Lab Data: D-Dimer 0.64 C Reactive Protein 6.98 EKG- Sinus Tachycardia 146-160''s
CDC Split Type:

Write-up: Vaccine administered at 0730. Pt went home and went to bed. Woke up at 0930 with shaking, chills and feeling like she was going to pass out. Evaluated in ER and noted to have sinus tachycardia in 140-160''s. Given 5mg IV Lopressor which took heart rate down to 110''s. Admitted to hospital 12/23/2020.


VAERS ID: 908448 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Illinois  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Hypoaesthesia, Influenza virus test negative, Magnetic resonance imaging normal, Muscular weakness, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D 50000 iu
Current Illness: None
Preexisting Conditions: Christi and syringohydromyelia, l eye scotoma
Allergies: Iodinated contrast dye dicloxicillin lidocaine nectar tape smo
Diagnostic Lab Data: Step test rapid COVID regular COVID influenza all negative 12/22/20 MRI 12/23/20 Blood work 12/23/20
CDC Split Type:

Write-up: Left arm leg and face numbness bilateral legweakness Vaccine given at 915 am Symptoms started at 11 am Called Pfizer to report at 1151 am Saw primary doctor at 2 pm Return to primary md again 12/22/20 Referral to neurosurgeon 11/22/20 Hospitalized 11/22/20 to 11/24/20 lepto Meningeal inflammation hospital


VAERS ID: 908663 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chest pain, Erythema, Feeling hot, Lung disorder, Paraesthesia, Pharyngeal swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Accutane Multivitamin
Current Illness: Acne has improved
Preexisting Conditions: Acne
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Within minutes I had lower chest pain and wired sensation in my lungs. My throat was swelling. I was very hot and red. I the gurney my right arm was tingling. Opposite arm from vaccine.


VAERS ID: 908685 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pharyngeal swelling, Supraventricular tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nuvaring
Current Illness: Chronic Tonsilitis Dysmenorrhea
Preexisting Conditions: N/A
Allergies: N.K.A
Diagnostic Lab Data:
CDC Split Type:

Write-up: throat swelling, SVT


VAERS ID: 908869 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood bilirubin increased, Blood creatinine increased, Contusion, Immunoglobulin therapy, International normalised ratio normal, Metabolic function test normal, Petechiae, Platelet count decreased, Platelet transfusion, Prothrombin time normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Accidents and injuries (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Comprehensive list displayed in additional information below. ascorbic acid daily, atorvastatin 40mg daily, cholecalciferol daily, docusate 100mg daily, levothyroxine 100mcg daily, losartan 100mg daily, zinc 50mg daily
Current Illness: Vague symptoms (anorexia, fatigue) 11/29/2020 - 12/6/2020; Received high-dose influenza vaccination on 11/25/2020 at employee health department. On 11/29/2020 patient began having generalized fatigue, anorexia, and occasional chills. Presented to Urgent care on 12/4/2020 and reported same symptoms for past 5 days with 10-12 lb weight loss and worsening fatigue. Pfizer rapid PCR COVID test negative. Patient''s symptoms improved and he returned to normal activities of daily living until 12/19/2020, 1 day after COVID19 vaccination.
Preexisting Conditions: HTN, Type II Diabetes
Allergies: NKDA
Diagnostic Lab Data: 12/21/2020 CBC: platelets of 1,000
CDC Split Type:

Write-up: 12/18/2020: COVID19 vaccine received. 12/19/2020: Patient noticed petechiae/bruising on arms, legs and face. Worsened over next 48 hours. 12/21/2020: Patient had blood drawn (CMP, PT/INR, CBC) at lab. 12/22/2020: Labs resulted; CMP and PT/INR WNL (exceptions: SCr 1.24, TBil 1.7); CBC with platelet count of 1,000 resulting in patient admission to Hospital. At admission he received 80 mg of prednisone, 40 g of IV Ig and a unit of platelets. 12/23/2020: Continued hospitalization. Patient''s platelets improved to 20,000 and he received another 35g of IV Ig. 12/24/2020: Patient discharged with platelets of 38,000.


VAERS ID: 908877 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Hypotension, Loss of consciousness, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

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

Write-up: He was fine ate lunch, in a room with a patient, felt light headed and dizziness, passed out, he became unresponsive, he was hypotensive, he is now in the ER.


VAERS ID: 908893 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute kidney injury, Blood creatine increased, Blood potassium increased, Blood urea increased, Chronic kidney disease, Electrocardiogram T wave peaked, Haemodialysis, Hyperkalaemia, Mental status changes, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (narrow), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine 10mg QD, atorvastating 10mg QD, brimonidione-timolol, cakcium acetate 667, plavix, diltiazem 30mg BID, hyralazine 100mg TID, labetalol 200mg BID, keppra 500mg , pantoprazole 20mg, latanoprost
Current Illness: Unknown
Preexisting Conditions: Hypertension, T2 Diabetes Mellitus, End Stage Renal Disease, Heart Failure with preserved ejection fraction, Coronary Artery disease s/p stent placement, COVID Pneumonia 4/2020
Allergies: NKDA
Diagnostic Lab Data: Temp 100.8, Potassium 7.8, BUN 35, Cr 8.81
CDC Split Type:

Write-up: Patient vaccinated at Nursing home. Transferred to ER the following day when patient developed fever and altered mental status. Found to have acute kidney injury on chronic kidney disease, hyperkalemia. Required emergent hemodialysis for hyperkalemia with ECG findings of peaked T waves.


VAERS ID: 908917 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Asthenia, Binocular eye movement disorder, Blood glucose normal, Dysarthria, Facial paralysis, Feeling abnormal, Gait disturbance, Grip strength decreased, Haemoglobin normal, International normalised ratio normal, Mobility decreased, Platelet count normal, Red blood cell count normal, Visual impairment, White blood cell count normal
SMQs:, 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), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Tendinopathies and ligament 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, Vitamin D3, citalopram, fluticasone nasal spray, tramadol, nicotine transdermal patch
Current Illness: No recent illnesses in the last 30 days
Preexisting Conditions: Tobacco dependency, depression, chronic low back pain, anxiety, vitamin D deficiency
Allergies: No known drug or food allergies
Diagnostic Lab Data: WBC: 8.1 RBC: 4.81 Hemoglobin: 15.2 Platelet Count: 188 INR: 0.9 PTT: 32 Blood Glucose: 108
CDC Split Type:

Write-up: Patient is a 47 y.o. female who arrived by Car presented to the emergency department for Stroke symptoms. Patient awoke at 6:15 this morning, some difficulty seeing out of the right eye and also was stumbling towards the left and to table. Concerned about things not being right so brought to the emergency department. Patient feels her speaking and swallowing are okay. She did drink a bit of coffee earlier. She denies headache or significant vision problems presently. Continues to not feel normal on her left side. No history of stroke and parents or siblings. She does give personal history of an occipital migraine many years ago at which time she did not have a headache but had some vision troubles. Physical Exam Vitals signs and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is not ill-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Right Ear: Tympanic membrane normal. Left Ear: Tympanic membrane normal. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: No oropharyngeal exudate or posterior oropharyngeal erythema. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Comments: Patient displays absence of left lateral movement Neck: Musculoskeletal: Normal range of motion. No muscular tenderness. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: No murmur. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Lymphadenopathy: Cervical: No cervical adenopathy. Skin: Findings: No rash. Neurological: Mental Status: She is alert. Cranial Nerves: Cranial nerve deficit (left facial droop, dysarthria) present. Comments: Patient''s speech seems a bit slurred to me. Absence of ocular movements towards left noted as well as upward movements. Tongue is midline. Patient is unable to shrug the left shoulder or lift the left arm off the bed. Grip strength is 4 out of 5 on the left. Left leg strength is 3 out of 5. Extremity strength on right arm and leg is 5 out of 5. After consultation with a neurologist, the patient is being transferred from the ED.


VAERS ID: 908918 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood glucose decreased, Bradycardia, Heart rate decreased
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Hypoglycaemia (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Bradycardia
Allergies: No known allergies
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: This resident received the first dose of the Pfizer Covid vaccine at the Covid vaccine clinic at medical Facility. He had a rapid response, experienced low blood glucose and low heart rate. NP and medical director were in attendance. Heart rate remained low despite all measures. He was transferred to Hospital for bradycardia.


VAERS ID: 908969 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Illinois  
Vaccinated:2020-12-19
Onset:2020-12-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Echocardiogram, Electrocardiogram abnormal, Laboratory test normal, Nausea, Pain, Palpitations, Pyrexia, Scan myocardial perfusion, Ventricular arrhythmia, Ventricular extrasystoles
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Aspirin 81mg
Current Illness: None
Preexisting Conditions: Myasthenia Gravis
Allergies: Vancomycin
Diagnostic Lab Data: Complete lab work Nuclear stress test Echo cardiogram Multiple EKG''s
CDC Split Type:

Write-up: Starting that night 12/19/20 at approx 8pm I became nauseous with a 100.8f fever. I felt achy for the 2 days with the fever subsided. On Monday 12/21/20 I was at work (Firefighter) when I started to have palpitations. I was able to obtain a 12 lead EKG right away which showed a ventricular rhythm lasting for approx 5 min. After that I was having multiple PVC''s / Ventricular beats. I was taken to Hospital where I was admitted. Over night the rhythm subsided, all my labs were good with other test''s being done. I was discharged home. I have not had any other episodes since Monday. I was cleared by our Occ Health Doc who suggested I fill this out.


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