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From the 7/16/2021 release of VAERS data:

Found 479,813 cases where Vaccine is COVID19 and Patient Did Not Die



Case Details (Reverse Sorted by Onset Date)

This is page 87 out of 4,799

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VAERS ID: 1433363 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433367 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433370 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433371 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 1 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433373 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-05-12
Onset:2021-06-20
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

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

Write-up: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction


VAERS ID: 1433375 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433382 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433387 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433393 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 1 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433399 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433403 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 RA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433408 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product storage error, Product use issue
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 received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433413 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product storage error, Product use issue
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 received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433417 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433421 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433425 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: Illinois  
Vaccinated:2021-06-20
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

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

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

Write-up: Patient received the dose after the manufacturer recommended freezer storage duration.


VAERS ID: 1433457 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-03-25
Onset:2021-06-20
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Cardiac stress test normal, Chest pain, Dizziness, Headache, Laboratory test normal, Vision blurred
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNJARDY 5-1000 MG 1 X DAILY, OZEMPIC 1 X A WEEK, CENTRUM MULTIVITAMIN
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: STRESS TEST, LAB WORK, ALL NEGATIVE
CDC Split Type:

Write-up: HEADACHES, SOMETIMES BLURRED VISION, AND SLITHG PAIN IN THE STOMACH, ALONG WITH SOMETIMES LIGHTHEADED (DIZZINESS) C.HEST PAINS


VAERS ID: 1433955 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-16
Onset:2021-06-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Other       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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Quetiapine 50 mg [twice a day], Dicyclomine 10 mg
Current Illness: CIDP, Asthma
Preexisting Conditions: CIDP, Asthma
Allergies: Penicillin, Codeine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swelling under right arm pit for 3 to 4 days. Self apply pain relieving patches that contains Methyl salicylate 10.0%, Menthol 6.0%, Camphor 3.1% for 4 days before the swelling slowly disappear.


VAERS ID: 1434013 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Injection site swelling, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal, Lithium Carbonate
Current Illness: None
Preexisting Conditions: Celiac Disease, Bipolar, IgA, IgG, IgM deficiency
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache from 6/20/21-6/24/21, Fever of 99.5-100.2, nausea, vomiting, chills, aches, arm still swollen around injection site. Symptoms were gone by 6/25/21


VAERS ID: 1434265 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Oedema, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: RED HOT LUMP, DID NOT HURT . AFTER FEW WEEKS OF NOT GOING AWAY WENT TO EMERGENCY WHERE THEY PRESCRIBED CEPHALEXIN FOR CELLLULITIS SAID WILL HEAL IN FEW DAYS


VAERS ID: 1434516 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-19
Onset:2021-06-20
   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 EW0180 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: C-reactive protein increased, Chest pain, Dyspnoea, Electrocardiogram abnormal, Pyrexia, Red blood cell sedimentation rate increased, Sinus tachycardia, Troponin I increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: atopic dermatitis allergic rhinitis
Allergies: peanut shellfish
Diagnostic Lab Data: 2 days after covid vaccine #2 given, EKG showed: Sinus tachycardia Low voltage QRS Nonspecific intraventricular conduction delay ;Borderline ECG ; CRP 1.8, ESR 16. On following day, troponin I = 0.80.
CDC Split Type:

Write-up: fever of 102.5F the morning after covid vaccine #2 given. Also had chest pain and shortness of breath. Tylenol given which helped with symptoms. The following day, all symptoms had resolved.


VAERS ID: 1435860 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2021-06-20
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, 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: Test Date: 202106; Test Name: Body temperature; Result Unstructured Data: 98.5F to 101F; Test Date: 20210624; Test Name: Body temperature; Result Unstructured Data: 101 F
CDC Split Type: USJNJFOC20210660188

Write-up: PERSISTING BODYACHE; PERSISTING FEVER; HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A expiry: UNKNOWN) dose was not reported, administered on 19-JUN-2021 to Left Arm for prophylactic vaccination. No concomitant medications were reported. On JUN-2021, Laboratory data included: Body temperature (NR: not provided) 98.5F to 101F. On 20-JUN-2021, the subject experienced persisting bodyache. On 20-JUN-2021, the subject experienced persisting fever. On 20-JUN-2021, the subject experienced headache. On 24-JUN-2021, Laboratory data included: Body temperature (NR: not provided) 101 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache, and had not recovered from persisting fever, and persisting bodyache. This report was non-serious.


VAERS ID: 1437320 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

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

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

Write-up: Patient developed rash on left arm initially within 24 hours of receiving the injection. Rash progressed to right arm, abdomen, back, and bilateral lower extremities. Rash was red and itchy.


VAERS ID: 1437402 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 2 - / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Hot flush, Hyperhidrosis, Malaise, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Paroxetine, levothyroxine, vitamins
Current Illness: None
Preexisting Conditions: Advanced degenerate disc disease. Mitral valve prolapse, allergic rhinitis, IBS, heart murmur.
Allergies: Vistaril, amitriptalyne, Luvox, Zoloft, fentanyl, morphine, plastic tape
Diagnostic Lab Data: None yet, going to contact my doctor tomorrow.
CDC Split Type:

Write-up: 24 hours after second dose I started feeling sick with, fever, chills, hot/cold flashes, body aches, very sore arm. Except for my arm, the chills, intense body aches and hot/cold flashes with sweating have continued, now at day 10 after 2nd injection.


VAERS ID: 1437543 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-03-01
Onset:2021-06-20
   Days after vaccination:111
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Chest pain, Computerised tomogram abnormal, Dyspnoea, Oxygen saturation decreased, Pulmonary embolism, Thrombectomy
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad)

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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: gabapentin, symbicort, albuterol, singulair, metoprolol, famotidine, ortho-novum1-35 vitamin C, zinc, calcium, vitamin D, multivitamin, fiber allegra D, tylenol, excedrin, ibuprofen, robitussin
Current Illness:
Preexisting Conditions: long-covid, asthma, migraine, heart palpitations
Allergies: Dimetapp
Diagnostic Lab Data: CT Scan, multiple blood tests
CDC Split Type:

Write-up: Pulmonary embolism - significant drop in pulse ox, short of breath, pain in chest Thrombectomy - six clots removed, remained in hospital four days


VAERS ID: 1437606 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-05-13
Onset:2021-06-20
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023C21A / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Cystitis, Pyrexia, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Melatonin, 5mg
Current Illness: None
Preexisting Conditions: Dominant Dystrophic Epidermolysis Bullosa
Allergies: Latex, sulfa drugs, walnuts
Diagnostic Lab Data: A test at the Clinic verified it was a standard UTI.
CDC Split Type:

Write-up: I don''t know if it was related to the vaccine or not, but V-Safe recommended I report it. Anyway, I had a UTI /Bladder infection. Fever, back ache, and all the usual symptoms of a UTI.


VAERS ID: 1437662 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Feeling abnormal, Headache, Hypersensitivity, Hypoaesthesia, Injection site pain, Nausea, Pain, Paraesthesia, Pruritus, Pyrexia, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xhance, Singulair, Zyrtec, multivitamin, vitamin C, vitamin B12, vitamin D3
Current Illness: None
Preexisting Conditions: Migraines
Allergies: IV Phenergan
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: After the vaccine 2nd dose, I noticed the actual injection was painful (as compared to the 1st injection). An hour later, I started to feel really tired. In the evening, my whole body started to hurt. I had a headache and full body aches and pain from head to toe. I did not take any medications. The next several days, I was still fatigued, my body still in pain, nausea, numbness and tingling on the right side of body (right hand and foot). I also felt feverish. On day 3, I noticed a rash which started in the center of both my palms going towards the wrists. The rash looked like hives and it was very itchy. I had itchiness on your hands, arms and legs. On 6/23/2021, I went to see my doctor. I was given Prednisone, Benadryl, triamcinolone ointment, Motrin 800mg and was diagnosed with an allergic reaction possibly to the vaccine. I am still feeling under the weather, but the rash has resolved.


VAERS ID: 1437854 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-03-06
Onset:2021-06-20
   Days after vaccination:106
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805029 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral infarction
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? 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


VAERS ID: 1437862 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-14
Onset:2021-06-20
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Echocardiogram, Electrocardiogram, Pericarditis
SMQs:, Systemic lupus erythematosus (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: DTaP, age 4 months old, rash at injection site, inconsolable crying
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Bloodwork, EKG, Echocardiogram
CDC Split Type:

Write-up: Acute pericarditis


VAERS ID: 1437870 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-03
Onset:2021-06-20
   Days after vaccination:109
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6200 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident
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? 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 - CVA (cerebral vascular accident)


VAERS ID: 1438016 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-05-02
Onset:2021-06-20
   Days after vaccination:49
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction, Cardiac arrest, Myocardial infarction
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), 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), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Panicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Cardiac Arrest/Heart Attack/STEMI


VAERS ID: 1438458 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Gout
SMQs:, Arthritis (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: GOUT ATTACK 1 WK PRIOR TO VACCINATION
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: GOUT ATTACK THAT CAME 1 WK PRIOR WAS HEALING AND RECOVERED 1 DAY PRIOR, AND AFTER VACCINATION, GOUT ATTACK EXACERBATED AND HAVE BEEN PROLONGED OVER A WEEK. STILL IN PAIN.


VAERS ID: 1439594 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-23
Onset:2021-06-20
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Decreased appetite, Dysstasia, Heart rate, Heart rate increased, Influenza like illness, Myalgia, Nausea, Pyrexia, Syncope, Vaccination complication
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (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), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: body temperature; Result Unstructured Data: high; Test Date: 20210620; Test Name: body temperature; Result Unstructured Data: high; Test Date: 20210620; Test Name: heart rate; Result Unstructured Data: high
CDC Split Type: USMODERNATX, INC.MOD20212

Write-up: fainted; mildly ill; couldn''t stand on her own; flu-like symptoms; no appetite; heart rate of 116; sore arm; nausea; fever; This spontaneous case was reported by a consumer and describes the occurrence of SYNCOPE (fainted) in a 26-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 024C21A and 036C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-May-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 20-Jun-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 20-Jun-2021, after starting mRNA-1273 (Moderna COVID-19 Vaccine), the patient experienced PYREXIA (fever). On 21-Jun-2021, the patient experienced SYNCOPE (fainted) (seriousness criterion medically significant), VACCINATION COMPLICATION (mildly ill), DYSSTASIA (couldn''t stand on her own), INFLUENZA LIKE ILLNESS (flu-like symptoms), DECREASED APPETITE (no appetite), HEART RATE INCREASED (heart rate of 116), MYALGIA (sore arm) and NAUSEA (nausea). The patient was treated with IBUPROFEN at a dose of 1 dosage form. At the time of the report, SYNCOPE (fainted), VACCINATION COMPLICATION (mildly ill), DYSSTASIA (couldn''t stand on her own), INFLUENZA LIKE ILLNESS (flu-like symptoms), DECREASED APPETITE (no appetite), HEART RATE INCREASED (heart rate of 116), MYALGIA (sore arm) and NAUSEA (nausea) outcome was unknown and PYREXIA (fever) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 20-Jun-2021, Body temperature: 103 High and 101.6 High. On 20-Jun-2021, Heart rate: 116 High. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The action taken with mRNA-1273 in response to the event was not applicable. The patient temperature reached 103 degrees that fever was last measured at 101.6 (unspecified unit). The patient fainted around 3:30 AM, couldn''t really stand on her own, had a sore arm, flu-like symptoms, nausea, no appetite, and a heart rate of 116 (unspecified unit). The patient heart rate was usually 60-80. The patient took two ibuprofen that morning which lowered her fever, but did not feel much improved. 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: 1440062 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:2021-06-16
Onset:2021-06-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: heart rate; Result Unstructured Data: Test Result:elevated heart rate during exercising
CDC Split Type: USPFIZER INC2021757117

Write-up: Elevated heart rate during exercising; This is a spontaneous report from a contactable consumer (patient). A patient of an unknown age and gender received 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EW0180) at single dose via an unknown route on 16Jun2021 for Covid-19 immunization. Historical vaccine included 1st of dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for Covid-19 immunization. Medical history and concomitant drug were not provided. Patient experienced elevated heart rate during exercising on 20Jun2021. The clinical course was reported as follows: just over a week ago (as of 22Jun2021), patient had 1st experience exercising after that and had an extremely elevated heart rate which was very unusual for him/her. Patient stated, right now (as of 22Jun2021) other than the elevated heart rate during exercising there was no other side effect. No treatment for event. No investigation assessment. Outcome of the event was unknown. Information about lot/batch number was requested.


VAERS ID: 1440227 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Axillary pain, Chest discomfort, Chest pain, Heart rate increased, Lymphadenopathy, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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

Write-up: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Lymph Node Swelling-Medium, Systemic: Tachycardia-Mild, Additional Details: pt mom called 4 days post vaccination. i recommended going to urgent care or er. she said chest and armpit swollen with pain and pt thought heart was beating faster than normal.


VAERS ID: 1440397 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-05-26
Onset:2021-06-20
   Days after vaccination:25
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Herpes zoster
SMQs:, Opportunistic infections (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: One month later, I developed shingles. I relate this to the vaccine being 38 and healthy nothing should have triggered a shingles outbreak at this age. It was a very mild case, and was treated early.


VAERS ID: 1440471 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Chest discomfort, Hypoaesthesia, Photophobia, Pruritus
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan-HCTZ
Current Illness: High Blood Pressure
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None done. They ruled out diabetes, got my blood pressure under control but the adverse events continue.
CDC Split Type:

Write-up: Numbness in hands and feet during the day but most sever at nights when trying to sleep. Constant itchiness in forearms all day on and off. The only thing that I found to help relieve the itchiness is Aloe Vera gel. Sensitivity to outdoor lighting when I go outside. I have to where sunglasses. Anxiety when driving. It feels like a tense pressure is put on my chest.


VAERS ID: 1440664 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH GW078 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest discomfort, Cough, Dyspnoea, Fatigue, Feeling abnormal, Lymphadenopathy, Nausea, Pain in extremity, Pharyngeal swelling, Swelling face, Throat tightness, Vomiting, Wheezing
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Asthma/bronchospasm (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin ( 300mg 3xday ) Miloxacin ( 15mg 1xday ) Ibuprofen ( 200mg 3xday ) Migraine store Brand ( 250mg 1xday as needed )
Current Illness: NA
Preexisting Conditions: Seizures
Allergies: Geodon Macrobid
Diagnostic Lab Data: NA
CDC Split Type: vsafe

Write-up: I waited 15 minutes after I had the vaccine, and I was fine. Around 930PM I was feeling bad arm was sore and hurting so I went on to bed. I woke up I had nausea spells and felt fatigued. I felt bad for the next two weeks. I was throwing up at work and was taking ibuprofen. I had swollen lymph nodes under my arm and back of my neck. My throat and side of jaw started swelling. I kept icing the swelling. I went and saw my doctor and he advised me to not take the Miloxacin. My MD ordered an EPI pen in case I needed it if I was having an allergic reaction. He advised to take Benadryl and Ibuprofen. I laid on my couch and around 930PM my ribs and throat started feeling restricted like I was suffocating. I ended up having to sleep sitting up because I couldn?t breathe. I talked to my MD Monday and he ordered oral steroids. I felt fine Tuesday and Wednesday and today I haven?t felt good. I have also been suffering with joint pain and a wheezing cough.


VAERS ID: 1440668 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-06
Onset:2021-06-20
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 AR / -

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Dyspnoea, Electrocardiogram normal, Inflammation, Musculoskeletal chest pain, Odynophagia
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: buspiron and fluoxetine
Current Illness:
Preexisting Conditions: Asthma, allergies, depression, anxiety
Allergies: popcorn?
Diagnostic Lab Data:
CDC Split Type:

Write-up: Inflamed heart and chest wall pain. Went to dr. when breathing and drinking became painful, ekg and chest x-ray were normal. given steroids to reduce inflammation and sent home


VAERS ID: 1440712 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Bacterial infection, Blood culture positive, Blood lactic acid increased, Body temperature increased, Chills, Cholecystitis, Drain placement, Headache, Hypotension, Intensive care, Klebsiella infection, Pain, Procalcitonin increased, Sepsis, Tachycardia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Lactic acidosis (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Infectious biliary disorders (narrow), Gallbladder related disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aripiprazole 15 mg, acetaminophen 650 mg tablet, lidocaine 5% patch, cyclobenzaprine 5 mg tablet, enoxaparin 40 mg inj, oxacillin 2 g IV, oxycodone 10 mg tablet
Current Illness: MSSA bacteremia, endocarditis of tricuspid valve, septic pulmonary embolism, intravenous drug user
Preexisting Conditions: hypertension, episodic mood disorder, bipolar affective disorder
Allergies: No known allergies
Diagnostic Lab Data: Blood Culture 6/21/21: Klebsiella oxytoca Procalcitonin 6/21/21: 57.89, 111.66 Lactic acid 6/21/21: 2.7 Lactic acid 6/22/21: 2.3, 3.0, 4.0, 2.8 Procalcitonin 6/23/21: $g200
CDC Split Type:

Write-up: 24 hours: Chills and mild tachycardia (HR 111) 48 hours: Continued mild tachycardia (HR 105-117), tmax 100.2,chilles, headache and bodyaches 72 hours: tmax 102.4, tachycardic (HR 141), hypotensive (low SBP 73), sepsis trigger from MEWS 7 at 0545 on 6/21, procalcitonin increased to 111.66 ng/mL right upper quadrant pain. Blood cultures drawn. 96 hours: ongoing hypotension, lactic acid increased to 4.0. Admit to hospital for pressor support. Suspected cholecystitis w/drain placement. Blood cultures drawn at 72 hours showing GNR. Eventually confirmed as Klebsiella oxytoca


VAERS ID: 1440820 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 2 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance, Hallucination, visual, Laboratory test, Urinary tract infection, Urine analysis normal, Walking aid user
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisiniprol Lovastatin folic acid
Current Illness: N/A
Preexisting Conditions: High cholesterol, high blood pressure, vertigo. Dx of dementia in April 2021, Dx of osteoporosis in May 2021, Dx of Alzheimers by neurologist in June 2021.
Allergies: NKDA
Diagnostic Lab Data: I do not have comprehensive list of tests; she is still hospitalized and you may access her record as needed.
CDC Split Type:

Write-up: Two days following the vaccination, patient (my mom) began to have hallucinations of seeing family members in her home that weren''t there, and it was exasperated throughout the week. The first noticeable hallucination was on a Sunday (6/20) and she was sent to the hospital that Thursday evening (6/24). As of today (7/1) she is still in the hospital and experiencing hallucinations. Mom/Patient was recently diagnosed with alzheimers and although there has been confusion over the last few months, the onset and intensity of delusions did not start until the 20th. Patient was initially put on antibiotics thinking hallucinations were caused by a UTI but stopped less than 48 hours later as she did not show bacteria in her urine. Additionally, mom was able to walk with assistance (a cane) prior to hospitalization and now is having trouble with very short distances.


VAERS ID: 1440864 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-02
Onset:2021-06-20
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Gait disturbance, Magnetic resonance imaging, Walking aid user
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin 20 mg, pregabalin 300 mg, Valacyclovir 500 mg
Current Illness: N/A
Preexisting Conditions: degenerative disk disease, back pain, sleep apnea.
Allergies: Aloe, Penicillin, poison oak, egg intolerance
Diagnostic Lab Data: not sure what they have run besides three MRI tests.
CDC Split Type:

Write-up: Pt was a regular hard working person at work and doing work around the house and outside of his house. Approximately three weeks (06/20/2021) after he received the first dose of the Pfizer vaccine he started having complications walking. From June 20 through June 23rd he used a cane to get around to help him but was still struggling to walk. After those three days and it getting worse he went in to an urgent care where his Primary works at. They referred him to the Emergency room . He went to the emergency room on June 23rd where he was receiving treatment and was moved to inpatient on the morning of June 24th. The Hospital has run multiple tests including three MRIs, provided physical therapy, and none of the tests they have performed have all come back normal. This is not normal for the Pt not to be able to walk, he has always been very self sufficient even with having a hurt back.


VAERS ID: 1442310 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2021-06-20
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Chills, Fatigue, Hypokinesia, Pain, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USJNJFOC20210661519

Write-up: TIRED; ACHY; SHAKES; COULD NOT MOVE; CHILLS; ZERO ENERGY; This spontaneous report received from a patient via a company representative concerned a patient of unspecified age and sex. The patient''s height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 19-JUN-2021 13:00 for prophylactic vaccination. The batch number was not reported. The company is unable to perform follow up to request batch/lot numbers. No concomitant medications were reported. On 20-JUN-2021, the subject experienced achy. On 20-JUN-2021, the subject experienced shakes. On 20-JUN-2021, the subject experienced could not move. On 20-JUN-2021, the subject experienced chills. On 20-JUN-2021, the subject experienced zero energy. On 21-JUN-2021, the subject experienced tired. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from chills, achy, zero energy, shakes, and could not move, and had not recovered from tired. This report was non-serious.


VAERS ID: 1443064 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-23
Onset:2021-06-20
   Days after vaccination:58
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private       Purchased by: ?
Symptoms: Transient ischaemic attack
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: A-fib ( heart doesn''t have a regular heart beat).
Allergies: No
Diagnostic Lab Data: Hospitalized
CDC Split Type: vsafe

Write-up: Had pia ( mini stroke ).In the hospital for two days and has blockage on both sides of her brain.


VAERS ID: 1443082 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-04-01
Onset:2021-06-20
   Days after vaccination:80
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6204 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

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

Write-up: Afflicted with Bell?s Palsy on 06/20/2021. Out of nowhere!


VAERS ID: 1443159 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chest pain, Chills, Computerised tomogram abnormal, Condition aggravated, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer, Heart rate increased, Magnetic resonance imaging abnormal, Migraine, Myocarditis, Painful respiration, Pericardial effusion, Pyrexia, Red blood cell sedimentation rate increased, Sinus tachycardia, Syncope, Troponin increased
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: Migraine
Preexisting Conditions: Hypothyroidism (Hashimoto''s thyroiditis) and migraines
Allergies: Benzoyl peroxide, nickel, shellfish
Diagnostic Lab Data: 6/20/2021 - positive D-dimer, CT negative for embolism, but trace pericardial fluid. 6/21/2021 - Troponin elevated, sedimentation elevated, ekg sinus tachycardia 6/23/2021 - mri showed evidence of myopericarditis
CDC Split Type:

Write-up: Around 10 pm chills, fever (102?F around 1am) and migraine exacerbated to pain level 10, chest pain with every breath at around 11 am day after shot. Feeling faint. Chest pain worsened the next day after ER visit, pain with every breath, accelerated heart rate, shortness of breath with mild activity, feeling weak and faint.


VAERS ID: 1443202 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: South Dakota  
Vaccinated:2021-06-11
Onset:2021-06-20
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Anger
SMQs:, Hostility/aggression (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: Pt stated that in addition to the expected side effects of the vaccine, he experienced extreme anger and rage for about3 days after the vaccine. The anger resolved after that period and the proximity of the anger to the vaccine made him feel the two were related.


VAERS ID: 1443209 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pyrexia, Vulval ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi Vitamin
Current Illness: Headcold late May
Preexisting Conditions: None
Allergies: Peanut
Diagnostic Lab Data: Several doctor''s appointments
CDC Split Type:

Write-up: Lipschutz Ulcer High fevers


VAERS ID: 1443363 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-16
Onset:2021-06-20
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Cardiac stress test, Echocardiogram, Fatigue, Gingivitis, Heart rate increased, Malaise, Night sweats, Oral discomfort, Pain, Pyrexia, Stomatitis, Urine analysis
SMQs:, Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal infections (narrow), Gingival disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Loratadine 10mg. ( allergy''s ) Tadalafil, Omega 3''s and multi-vitamins.
Current Illness: None
Preexisting Conditions: None
Allergies: No. I am only allergic to pollen and animal dander.
Diagnostic Lab Data: Heart stress tests, Heart ultrasound, many blood teats, urine tests.
CDC Split Type:

Write-up: On Sunday June 20th I was feeling sick, Fever, body aches, head ache, fatigue. I also had an infection in my gums around my teeth that was burning as if someone poured hot coffee in my mouth non-stop. especially the roof of my mouth and right behind my upper front teeth. After 4 days of trying to sweat it out the night sweats stopped. But my heart rate was at 161 beats per minute but I could not feel my heart beating at all. We went to an urgent care that immediately sent me by ambulance to the hospital. Right away they got my heart rate under control but they spent 4 more days trying fight the infection. Finally on June 29th I was well enough to go home.


VAERS ID: 1443403 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-03-10
Onset:2021-06-20
   Days after vaccination:102
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood glucose normal, Blood thyroid stimulating hormone normal, COVID-19, Chest X-ray normal, Condition aggravated, Disorientation, Dry mouth, Echocardiogram normal, Hypertension, Hypertensive urgency, Palpitations, Renal function test normal, SARS-CoV-2 test positive, Troponin T increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: amlodipine 5mg daily atorvastatin 20mg daily metoprolol 50mg daily minocycline 50mg daily Epi Pen prn bee sting
Current Illness: none
Preexisting Conditions: hyperlipidemia hypertension
Allergies: Bee venom sulfa
Diagnostic Lab Data: 6/20/21 NP Swab + SARS-CoV-2 Troponin T 40 TSH normal, Normal electrolytes, normal renal function, glucose 142 6/20/21 CXR No acute heart or lung disease identified. 6/21/21 echocardiogram Summary 1. Left ventricular systolic function is normal with an ejection fraction of 65 70%. 2. There is no comparison study available. 3. This was a limited study without valve interrogation.
CDC Split Type:

Write-up: Patient is a 71 y.o. male w PMH HTN, HLD, OSA who presented from home on 6/20/2021 with palpitations, dry mouth, and feeling disoriented. Patient has been previously fully vaccinated but found to be be positive for COVID-19 infection. Discussed with ID team and recommended full 10-day isolation to and on 6/30/2021. Patient was also noted to have an elevated troponin and seen and evaluated by cardiology. Patient''s echocardiogram was normal and subjectively improved. Patient was hypertensive and recommended increase his home amlodipine to 10 mg daily and continue his home Toprol-XL. Plan for close outpatient follow-up with cardiology next Tuesday on 6/29/2021. Discharge Diagnosis and Associated Hospital Course Elevated troponin Possible myocarditis -Unclear etiology, suspect possible myocarditis or type II demand ischemia from hypertensive episode, troponin 40, 65, 64, 1612 and 48 on recheck, suspect spurious 1612 result -Patient asymptomatic on discharge without chest pain or shortness of breath -Seen and evaluated by cardiology, echocardiogram without significant findings, no evidence of heart strain, was temporarily on heparin drip but no need for further anticoagulation with plans for close outpatient follow-up with cardiology next week, with strenuous job cardiology wishes to see you prior to return to work COVID-19 infection Date of symptom onset: Unclear, possibly 1 week ago Symptoms: Fatigue, muscle cramping, dry mouth and palpitations Date of positive COVID-19 test: 6/20/2021 Location of positive COVID-19 test: RMH Oxygen status: Not requiring, saturating well on room air DVT prophylaxis: Temporarily on heparin drip, no further needed Decadron/remdesivir: No, not meeting criteria -Recommend 10-day isolation until June 30th, close outpatient telehealth visit plan with PCP Hypertensive urgency -History of essential hypertension, on home amlodipine and Toprol-XL -Continue home Toprol dosing, will temporarily increase amlodipine to 10 mg daily, did have episode of hypertensive urgency per EMS with BP 240/40, currently stable SBP around 150s


VAERS ID: 1443940 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Angiogram, Antiacetylcholine receptor antibody, Bulbar palsy, Computerised tomogram head, Computerised tomogram neck, Magnetic resonance imaging head, Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: BPH, dyslipidemia, prediabetes, R knee osteoarthritis, hx right hip replacement
Allergies: none
Diagnostic Lab Data: MRi brain, CTA head and neck, myasthenia gravis antibody panel
CDC Split Type:

Write-up: Myasthenic syndrome with bulbar weakness.


VAERS ID: 1446118 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 - / SYR

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Gait disturbance, Headache, Muscle spasms, Musculoskeletal stiffness, Somnolence, Vertigo
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu vaccination,10/26/18
Other Medications: Baclofen 10 mg 1 dose per day, Lorazepam 1mg 1 dose per day, Nature-Throid 32.5 mg 1 dose per day.
Current Illness:
Preexisting Conditions: I have Multiple Sclerosis and had an Ischemic Stroke in the left pontine area of my brain in January.
Allergies: Multiple medication allergies: Amantadine, Carbomazepine, Ciprofloxacin, Epinephrine, Ephedra, Gabapentin, Levothyroxine, Macrobid, Nitrofuantoin, Sulfa Drugs, Drugs made from Porcine products. Yeast, Latex.
Diagnostic Lab Data: None done
CDC Split Type:

Write-up: Symptoms: Headache, a 5 out of ten with ten being the worst. Legs cramping and going stiff. Hips and legs severely fatigued and unable to walk more than five minuted. Vertigo Severe fatigue, difficulty staying awake even after a full nights sleep. This lasted two weeks after the vaccine and is continuing.


VAERS ID: 1446139 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-06-15
Onset:2021-06-20
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 2009 H1N1 - age 45 - continuous rash/Hives
Other Medications: None
Current Illness: None
Preexisting Conditions: Rash/Hives from H1N1 2009 Vaccine
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: Don?t know

Write-up: Rash/Hives


VAERS ID: 1446296 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-04
Onset:2021-06-20
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Delivery, Exposure during pregnancy, SARS-CoV-2 test negative
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal
Current Illness:
Preexisting Conditions:
Allergies: Codeine
Diagnostic Lab Data:
CDC Split Type:

Write-up: Healthy pregnancy, due June 18th, gave birth June 20th. Healthy delivery. Negative covid test. Mothers birth weight: 185lb. Baby''s birth weight: 8lb 5oz


VAERS ID: 1446569 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Cellulitis, Erythema, Fatigue, Headache, Injected limb mobility decreased, Injection site nodule, Injection site swelling, Pain in extremity, Peripheral swelling, Skin warm
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlopidine 10mg once a day Amitriptyline 25mg once a day
Current Illness: none
Preexisting Conditions: high blood pressure
Allergies: magnesium sulfate
Diagnostic Lab Data: none
CDC Split Type: vsafe

Write-up: Starting on the next morning after the vaccine, I had a knot at the injection site and I could not move my arm, mild headache, fatigue and loss of energy. I took some Ibuprofen and rested. I could not go to work that Monday and the next day everything started to improve and get better. By day 3 , I was feeling completely better. On day 6, I noticed the injection site having a squishiness around the injection site which resolved by the next day. Then on day 8, I woke up with arm pain, swollen arm, red, and hot to the touch. I called the pharmacy and was advised to go to the Urgent Care. I went to the Urgent Care and was diagnosed with cellulitis and gave me a RX for Keflex 500mg four times a day and Motrin 600mg three times a day for 7 days and follow up with PCP. I saw my PCP who also confirmed cellulitis and to continue the medications prescribed at Urgent Care. I feel much better. I still have a little redness on my arm and will follow up my PCP. My doctor will reach out to Infectious Disease to see if I should get my 2nd dose.


VAERS ID: 1446582 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-05-29
Onset:2021-06-20
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Chills, Computerised tomogram, Condition aggravated, Dizziness, Electroencephalogram, Headache, Magnetic resonance imaging, Nightmare, Seizure
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 15 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: Seizures, dizziness, headache
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data: Electroencephalography, tomography, magnetic resonance
CDC Split Type:

Write-up: Dizziness, Seizure, chills, nightmares and headache


VAERS ID: 1446671 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       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: none
Current Illness: none
Preexisting Conditions: none
Allergies: penn.
Diagnostic Lab Data:
CDC Split Type:

Write-up: my ears or hearing have a humm or ringing


VAERS ID: 1446913 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-14
Onset:2021-06-20
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050L21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Joint stiffness, Musculoskeletal stiffness, Pain in extremity
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Pain and stiffness in left index finger joints - first and second knuckle.


VAERS ID: 1447071 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-01
Onset:2021-06-20
   Days after vaccination:170
Submitted: 0000-00-00
Entered: 2021-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test normal, Postmenopausal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Prozac
Current Illness: None
Preexisting Conditions: None
Allergies: Torridol
Diagnostic Lab Data: Tests in June and July 2021 show all uterus, cervix, endometrial lining as normal. Bleeding occurred on June 20 and 21.
CDC Split Type:

Write-up: Post menopausal bleeding 4 months after 2nd shot


VAERS ID: 1449493 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: heart beat rate; Result Unstructured Data: Test Result:109; Comments: the heart beat rate and this afternoon with 109 and then I just check it again increasing to 116; Test Date: 20210620; Test Name: heart beat rate; Result Unstructured Data: Test Result:116; Comments: the heart beat rate and this afternoon with 109 and then I just check it again increasing to 116
CDC Split Type: USPFIZER INC2021742095

Write-up: heart beat little bit fast/at this point he is on 119 and he is on he is been risking all day; This is a spontaneous report received from a contactable consumer (patient''s parent). A 13-year-old adolescent male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), Solution for injection, via an unspecified route of administration on 19Jun2021 (at the age of 13-year-old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient''s historic vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported) received on 28May2021 (at the age of 12-year-old) for covid-19 immunisation. On 20Jun2021, the patient experienced heart beat little bit fast/at this point he was on 119 and he had been risking all day. It was reported that patient was 13 years old just yesterday, he had the second dose of Pfizer for COVID and today he had been feeling the little bit like a with a heartbeat little bit fast. Heartbeat rate was checked and on the day of this report (reported as this afternoon) with 109 and then just checked again increased to 116, so for somebody on his age the range should be in between the 60 and 100 and at this point he was on 119 and he had been risking all day. The patient underwent laboratory tests and procedures which included heart rate: 109 on 20Jun2021 and heart rate: 116 on 20Jun2021. The outcome of event was reported as not re-solved. Information on the lot/batch number had been requested.


VAERS ID: 1449494 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-11
Onset:2021-06-20
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Deafness transitory, Discomfort, Dizziness, Head discomfort, Photophobia, Tinnitus
SMQs:, Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), 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: WELLBUTRIN; MULTIVITAMIN [VITAMINS NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021742140

Write-up: I''ve never experienced sudden hearing loss as frequently or tha''s lasted as long as it has now.; It gets muted and starts ringing; Eyes became a little more sensitive to light; I felt slightly dizzy; A pressure/tickle sensation in my head; I wouldn''t describe it as tingle as it was more of a tickle back of my left eyeball and a little of the back of my left upper arm & left wrist; This is a spontaneous report from a contactable other HCP (patient). A 29-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- unknown) via an unspecified route of administration in left arm on 11Jun2021 as dose 1 single (at the age of 29-year-old) for COVID-19 immunization at Pharmacy or Drug Store. Medical history was not reported. Patient previously took sulfa product used for unknown indication and experienced drug allergy. Concomitant medications within 2 weeks of vaccination included bupropion hydrochloride (WELLBUTRIN), vitamins nos (MULTIVITAMIN [VITAMINS NOS]). Patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20Jun2021, patient hearing had been going out intermittently in her left ear. Specifically, this past time it went out twice in 10 min and the second time it lasted for about a whole minute. It gets muted and starts ringing. She knew Wellbutrin had tinnitus as a side effect, but she had been on Wellbutrin for years with no changes in her dose. She had never experienced sudden hearing loss as frequently or that''s lasted as long as it has now. This evening on 20Jun2021, experienced three episodes of hearing loss/ringing in my left ear. The longest episode lasted for probably about a minute (which is way longer than she had ever experienced before). After the hearing loss, she noticed her eyes became a little more sensitive to light and she felt slightly dizzy and a pressure/tickle sensation in her head which then became more focused towards the back of my left eyeball and a little of the back of my left upper arm & left wrist (very strange). No pain or numbness. She would not describe it as tingle as it was more of a tickle. Since the vaccination, the patient had not been tested for COVID-19. No treatment was received for the adverse events. The outcome of the events was not recovered. Information on the lot/ batch number has been requested.; Sender''s Comments: Based on the information in the case report and a plausible temporal relationship, a possible causal relationship between the event Deafness transitory and suspect drug BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1449499 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AUROVELA 1.5/30
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: blood pressure; Result Unstructured Data: Test Result:117/53; Comments: diastolic blood pressure was low.
CDC Split Type: USPFIZER INC2021747744

Write-up: I was standing up for less than 5 mins, and ended up fainting. I took my blood pressure a few hours later, and my diastolic blood pressure was low: 117/53; I was standing up for less than 5 mins, and ended up fainting. I took my blood pressure a few hours later, and my diastolic blood pressure was low: 117/53; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 36-years-old female patient (patient was not pregnant at the time of vaccination) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 19Jun2021 at 10:45 am (age at vaccination was 36 years) as 2nd dose, single for COVID-19 immunization. The patient''s medical history was not reported. Concomitant medication the patient received within 2 weeks of vaccination included ethinylestradiol, norethisterone acetate (AUROVELA 1.5/30) taken for an unspecified indication. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 29May2021 at 11:00 am as 1st dose, single for COVID-19 immunization and did not experience any adverse event. The patient previously took nuts and experienced food allergy. The facility where the most recent COVID-19 vaccine was administered was Pharmacy or Drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 20Jun2021 at 17:15 pm, the patient was standing up for less than 5 mins, and ended up fainting. She took her blood pressure a few hours later, and her diastolic blood pressure was low: 117/53. The patient underwent lab tests which included blood pressure: 117/53 on 20Jun2021. No treatment was received for the adverse events. The device date was reported as 21Jun2021. The outcome of events was resolved on an unknown date in 2021. Information on Lot/Batch number was available. Additional information has been requested.


VAERS ID: 1449528 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Hyperhidrosis, Pallor, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: CANNABIS
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 INC2021750937

Write-up: temporary loss of vision; sweating; pale skin; shacking; This is a spontaneous report from a non-contactable pharmacist. A 27-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: Unknown), intramuscularly, administered in left deltoid on 20Jun2021 15:00 (at 27-year-old) as dose 1, single, for COVID-19 immunization. The patient had no medical history. No unknown allergy. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included cannabis. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20Jun2021 at 15:00, the patient experienced temporary loss of vision, sweating, pale skin, and shacking. The events resulted in emergency room/department or urgent care. It was unknown whether treatment was received. The outcome of the events was unknown. Since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible, information about batch/lot number cannot be obtained.; Sender''s Comments: Based on the temporal relation, the association between the event blindness and vaccination cannot be completely ruled out. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1449987 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1450075 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-11
Onset:2021-06-20
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (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: Glucosamine Sulfate, Pre/Post Natal Minerals
Current Illness: None
Preexisting Conditions: None
Allergies: Velosef, Zpack
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I had a slight ache where the needle was placed after I was given the shot. It was not severe. Next 10 days I did not have any symptoms. At the night of the 10th day, I had a little chill, fatigue and joint pain on the fingers and the toes. Next 14 days, My joint pain on the same area and fatigue continued about at the same rate from the 10th night. On the 15th day, my joint pain was almost gone, a little bit of tiredness remains, I would not call this fatigue anymore. On the 16th day, joint pain was gone. and after 30 minutes of nap, the tiredness is gone.


VAERS ID: 1450169 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Unknown  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1450217 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bulbar palsy, Immunoglobulin therapy, Laboratory test, Myasthenic syndrome
SMQs:, Malignancy related conditions (narrow), Guillain-Barre syndrome (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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: Obesity (BMI 30.5)
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Myasthenia gravis-like presentation. Serum MG panel still outstanding (send out). Started on IVIG, prednisone, pyridostigmine with some improvement though currently w/ persistent bulbar symptoms.


VAERS ID: 1450306 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Antiacetylcholine receptor antibody, Dysarthria, Dysphagia, Eyelid ptosis, Facial paralysis, Full blood count, Immunoglobulin therapy, International normalised ratio normal, Laboratory test normal, Liver function test, Myasthenia gravis
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), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Omeprazole 20mg delayed release daily
Current Illness: None
Preexisting Conditions: GERD
Allergies: NKDA
Diagnostic Lab Data: Myasthenia gravis antibodies have been collected. On initial laboratory evaluation he had no abnormal findings on serum chemistry profile, liver profile are complete blood count. PTT and INR were normal.
CDC Split Type:

Write-up: Two days after Vaccination patient reported right eye drooping. Following that he had progressive bilateral ptosis followed by progressive dysphasia and dysarthria. He was admitted to the hospital on 6/30/21 and treated as myasthenia gravis. He has promising clinical response to IVIG 2g/kg, steroids and pyridostigmine however he is still in the hospital for dysphasia.


VAERS ID: 1450308 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-03-28
Onset:2021-06-20
   Days after vaccination:84
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cheilitis, Hypoaesthesia oral, Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Dehydration (broad), COVID-19 (broad)

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

Write-up: I started with a really bad sore throat that lasted 7 days. I had to live off ice chips for those 7 days. I also had were my lip had tiny white bumps on it. I had no other symptoms. I went to the urgent care clinic. They did a rapid a cultured strep test they were negative. They also did a COVID test that were negative. I had a shingles vaccine about 6 weeks after the second dose of the COVID vaccine. I did also travel right before my symptoms started. My lip is still a little numb.


VAERS ID: 1450469 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: Had a serious of blood tests, no significant issue found.
CDC Split Type:

Write-up: Got shingles, nerve pain after 1st dose of Pfizer (May 18, 2021) Got serious rash all over the body after 2nd dose of Pfizer (June 18, 2021)


VAERS ID: 1450568 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / UNK UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: ?Patient without significant medical history presenting with complaint of discomfort in his central chest described as an aching like "bricks on my chest" since Saturday 2 days ago. Pain has been intermittent. Denies pleuritic pain or hemoptysis. Patient denies cough, sore throat, fever, shortness of breath, diarrhea, loss of smell or taste or any known exposure to somebody positive for coronavirus. Patient states onset of symptoms after his second coronavirus vaccination. Denies leg pain or swelling. No abdominal pain or vomiting. No history of similar problem in the past. No DVT/PE or ACS risk factors.?


VAERS ID: 1450656 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-03-25
Onset:2021-06-20
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Deafness bilateral, Ear infection
SMQs:, Hearing impairment (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: I am not taking any prescriptions, over the counter meds or other.
Current Illness: No other illnesses.
Preexisting Conditions: No chronic or long standing health conditions.
Allergies: No allergies.
Diagnostic Lab Data: No medical or lab tests.
CDC Split Type: vsafe

Write-up: I had a painful double ear infection and hearing loss in both ears.


VAERS ID: 1450697 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-17
Onset:2021-06-20
   Days after vaccination:123
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELDZ61 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebral infarction, Cerebrovascular accident
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? 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 - Acute CVA (cerebrovascular accident) (CMS/HCC) I63.9 - Acute cerebral infarction (CMS/HCC)


VAERS ID: 1450719 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1450934 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-20
   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 - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Heart rate irregular, Sleep disorder, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypoglycaemia (broad)

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

Write-up: Extra and extremely strong heart beating, makes me hard to sleep and feel tired during the day.


VAERS ID: 1452580 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymphadenopathy, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (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: Montelukast 10 mg Triple Action Joint Health
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis
Allergies: Grapefruit
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swollen lymph node next to the clavicle on the right side. Pain to touch. Swelling.


VAERS ID: 1453726 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Dizziness, Nausea, Ovarian cyst ruptured, Pain, Ultrasound scan
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL; ALBUTEROL HFA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: bloodwork; Result Unstructured Data: Test Result:unknown; Test Date: 20210620; Test Name: ct scan; Result Unstructured Data: Test Result:ovarian cyst rupture; Comments: They said it was an ovarian cyst rupture; Test Date: 20210620; Test Name: ultrasound; Result Unstructured Data: Test Result:ovarian cyst rupture; Comments: They said it was an ovarian cyst rupture
CDC Split Type: USPFIZER INC2021749590

Write-up: They said it was an ovarian cyst rupture; Around 8 pm she started screaming in pain; feeling nauseous; feeling nauseous and dizzy; This is a spontaneous report from a contactable consumer (patient). A 15-years-old female patient (not pregnant) received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 20Jun2021 12:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 2, SINGLE for covid-19 immunisation. Administered is Pharmacy or Drug Store. Medical history included asthma and no known allergies. Historical vaccine included bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 30May2021 11:00 at age of 15 years old (Batch/Lot Number: EW0196) as Dose 1, SINGLE for covid-19 immunisation. After her 1st covid shot on 30May2021 and then had her period on 02Jun2021. It was 4 days early and was the worse period she has experienced in 3 years. She was bleeding excessively and extreme cramps. It maybe a coincidence. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Concomitant medication(s) included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported; salbutamol (ALBUTEROL HFA) taken for an unspecified indication, start and stop date were not reported. After her 2nd covid shot on 20Jun2021 around 12 noon. Around 8 pm she started screaming in pain, hunched over, feeling nauseous and dizzy. Patient had clinic visit, ended up taking to ER where they gave her morphine for pain. They started IV, did bloodwork, ultrasound and ct scan with contrast all on 20Jun2021. They said it was an ovarian cyst rupture. Patient was only 15 years old and has had her period for 3 years and has never experienced anything like what she has in the last month. She is due for her next period on 29Jun21 and pray it''s not as bad as last month after the shot. They do believe in science, but also think should study menstrual cycles with this shot. They pray this was just a fluke, but patient has never experienced pain or severe periods like this until shot. Treatment received for all events. The outcome of events was not recovered. Information on Lot/Batch number was available. Additional information has been requested


VAERS ID: 1453754 (history)  
Form: Version 2.0  
Age: 13.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Myocarditis, SARS-CoV-2 test
SMQs:, Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210620; Test Name: PCR; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021757422

Write-up: Myocarditis; This is a spontaneous report from a contactable physician. A 13-year-old male patient received second dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0185, Expiration date: Unknown), via an unspecified route of administration in an unspecified anatomical location on 18Jun2021 (at the age of 13-year-old), as single dose for COVID-19 immunisation. Medical history reported as none. The patient had no known allergies. The patient had no COVID prior vaccination. The patient''s concomitant medications were not reported. The patient previously received the first dose of bnt162b2 ((PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0185, Expiration date: Unknown), via an unspecified route of administration in an unspecified anatomical location on 27May2021 (at the age of 13-year-old), as single dose for COVID-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and did not receive other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination the patient was tested for COVID-19 with PCR with nasal swab: negative on 20Jun2021. On 20Jun2021, the patient experienced myocarditis. The patient was hospitalized for 3 days and hospitalization was prolonged as a result of the event. The patient underwent lab tests and procedures which included PCR with nasal swab: negative on 20Jun2021. Patient received treatment for event with IVIG and pulse of corticosteroids. The outcome of event was resolved on an unspecified date in Jun2021.; Sender''s Comments: As there is temporal relationship in the case provided, the causal association between the event Myocarditis and the suspect drug cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.


VAERS ID: 1454212 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1454448 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1454474 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Unknown  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation 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: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1454509 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / SC

Administered by: Pharmacy       Purchased by: ?
Symptoms: Postmenopausal haemorrhage, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

Write-up: Vaginal bleeding similar to a period that lasted 2-3 days. I am post menopausal. I have not had a period in at least 5 years. The exact thing happened after the second vaccination.


VAERS ID: 1454585 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Unknown  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation issue
SMQs:, Medication errors (broad)

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

Write-up: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1454587 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product preparation 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: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.


VAERS ID: 1454603 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Georgia  
Vaccinated:2021-06-18
Onset:2021-06-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Work       Purchased by: ?
Symptoms: Cardiac assistance device user, Cardiac dysfunction, Cardiac failure, Cardioversion, Catheterisation cardiac, Dyspnoea, Echocardiogram, Electrocardiogram, Fatigue, Heart rate increased, Intensive care, Myocarditis, Pain, Parainfluenzae virus infection, Vaccination complication
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
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: Zoloft 50 mg QD
Current Illness: NA
Preexisting Conditions: NA
Allergies: NA
Diagnostic Lab Data: Defibrillator, echocardiogram, cath, ecg
CDC Split Type:

Write-up: Within 2 days, he had shortness of breath, rapid heart rate, body aches, fatigue. Sought treatment at the ER on 6/24. Heart rate was 220 bpm upon arrival. Had to be defibrillated back into normal rhythm. Was admitted to ICU for 6 days and diagnosed with myocarditis caused by Moderna vaccine and parainfluenza virus 3. Was in heart failure with heart function below 40%. Was released home on 6/29 with a life vest and 3 prescription medications to treat myocarditis.


VAERS ID: 1454740 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Fatigue, Headache, Platelet count decreased
SMQs:, Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10 mg prednisone 40 mg pantoprazole 5 mg lisinopril 20 mg atorvastatin
Current Illness: ITP
Preexisting Conditions: ITP
Allergies: n/a
Diagnostic Lab Data: Blood work 06/22/2021 06/272021 07062021
CDC Split Type:

Write-up: The vaccine was recommended to the patient by his hematologist. After receiving the first dose the patient experienced fatigue, headache and his thrombocytes level dropped from 111,000 to to 91,000, then fro 91,000 to 61,000. At that point his doctor increase the prednisone from 10mg to 20mg daily. The patient will continue to be monitored closely by his doctor.


VAERS ID: 1457095 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-17
Onset:2021-06-20
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute coronary syndrome, C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Electrocardiogram repolarisation abnormality, Injury, Myocarditis, Pericarditis, Pleurisy, Pneumonia, Pneumothorax, Pulmonary embolism, Troponin increased
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (narrow), Conduction defects (narrow), Embolic and thrombotic events, venous (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none listed
Preexisting Conditions: BMI 34.7
Allergies: none
Diagnostic Lab Data: TROPONIN 6.130 C REACTIVE PROTIEN 71.7 EKG - normal sinus rhythm with ST elevation, consider early repolarization, pericarditis or injury
CDC Split Type:

Write-up: The differential diagnosis for this patient''s chest pain includes PE, ACS, Dissection, Pericarditis, Pneumothorax, Pleurisy, Pneumonia and musculoskeletal strain. Given the above history, physical exam and ancillary tests, the patient''s symptoms are most consistent with: Acute myopericarditis. Should be noted the patient is post 2nd COVID 19 vaccine by 3 days ago. Case reviewed with the pediatric emergency medicine physician at healthcare facility who will accept the patient in transfer. Because this is highly likely a post vaccination myopericarditis will hold on aspirin or other treatments at this time. Patient was given Motrin 400 mg p.o. in the ED for pain.


VAERS ID: 1457384 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-05-18
Onset:2021-06-20
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / SYR

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bupropion
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: nickel
Diagnostic Lab Data: CT scan 06/20/21
CDC Split Type:

Write-up: Extreme abdominal pain, went to ER at 10pm after hours of pain with no relief. CT scan revealed appendicitis, emergency appendectomy performed 4:00pm 06/21/2021


VAERS ID: 1457387 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-05
Onset:2021-06-20
   Days after vaccination:76
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6198 / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cerebrovascular accident
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? 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 - CVA (cerebral vascular accident) (CMS/HCC) I63.9 - Cerebrovascular accident (CVA), unspecified mechanism (CMS/HCC)


VAERS ID: 1457425 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-27
Onset:2021-06-20
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: School       Purchased by: ?
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Fibrin D dimer, Headache, Palpitations, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin , birth control
Current Illness: No prior illness
Preexisting Conditions: No chronic health condition prior to vaccine
Allergies: Sulfa, ciprofloxacin
Diagnostic Lab Data: Chest X-ray, 2 EKG?s , d-dimer blood test, blood test to check thyroid and other blood levels,
CDC Split Type:

Write-up: Chest pain, chest pressure, shortness of breath, dizziness, heart racing when I try to do any form of physical activity , headaches, lightheaded when standing up, extreme fatigue, lump feeling in my throat


VAERS ID: 1457465 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Colonoscopy, Diarrhoea, Haematochezia, Pain, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: lose bloody stools, fever, aches


VAERS ID: 1458369 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Dyspnoea, Painful respiration, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Biotin, prozac
Current Illness: NA
Preexisting Conditions: NA
Allergies: Imitrex, morphine, latex, acetaminophen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives all over body, chest super painful having a hard time breathing, sharp pains when I took deep breaths


VAERS ID: 1461488 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: California  
Vaccinated:2021-06-20
Onset:2021-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Blindness transient, Pallor
SMQs:, Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad)

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

Write-up: Within less than 5 min after administration, the patient looked pale, temporary lost of vision, and weak to sit up straight. After asking more questions about his health and mediations, he informed about taking cannabis before the vaccination. By the paramedics came, he looked better and his vision came back. He was communicating and able to walk around.


VAERS ID: 1461882 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-16
Onset:2021-06-20
   Days after vaccination:65
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blindness, Optic nerve disorder, Rash
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Optic nerve disorders (narrow), Retinal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: about 3 weeks ago, the patient experienced a swollen optic nerve that continues as off 7-10-21. loss of vision. Also 3 days ago, he developed a whole body rash


VAERS ID: 1462101 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-05-20
Onset:2021-06-20
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0180 / 2 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alopecia, Chills, Dyspnoea, Hypoaesthesia, Menstruation irregular, Nausea, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Fertility disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: High fever, extreme chills, body aches, numbness in my arms and legs, nausea, difficulty breathing lasted for 4 days after second dose. After the second dose I am still missing my period and my hair is falling out in large clumps.


VAERS ID: 1463247 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pyrexia, SARS-CoV-2 test
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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CYTOMEL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Illness; Lyme disease (Lyme disease in the past)
Allergies:
Diagnostic Lab Data: Test Date: 20210623; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Pending; Comments: covid test result Pending
CDC Split Type: USPFIZER INC2021776848

Write-up: 5 days later, still have a fever; This is a spontaneous report from a contactable consumer, the patient. A 22-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: EW0191), via an unspecified route of administration, administered in left arm on 19Jun2021 at 15:00, as dose 2, single (age at vaccination: 22 years), for covid-19 immunization. Medical history included lyme disease in the past from an unknown date and unknown if ongoing, biotoxic illness from an unknown date and unknown if ongoing. Concomitant medication included liothyronine sodium (CYTOMEL) taken for an unspecified indication, start and stop date were not reported. The patient previously took sulfa [sulfanilamide] and experienced allergies (known allergies: Sulfa meds). Previously, the patient also received first dose of bnt162b2 (lot number: EW0191, age at vaccination: 22 years), as dose 1 single on 29May2021 at 14:00, administered in left arm. The patient stated that, on 20Jun2021, at 08:00 AM, he started experiencing fever and 5 days later, he still had a fever. Reportedly no other vaccine was administered on the same day of COVID vaccine and also no other vaccine within 4 weeks. The adverse event resulted in Doctor or other healthcare professional office/clinic visit. The patient was not diagnosed with COVID-19, prior to vaccination. On 23Jun2021, the Nasal Swab sample was taken from the patient to test for COVID-19 and the test result was pending. No treatment was received for fever. The outcome of the event was recovered.


VAERS ID: 1463522 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-13
Onset:2021-06-20
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026D21A / 1 - / IM

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

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

Write-up: patient experienced itchy rash and small bumps near the injection site area about one week after the vaccine


VAERS ID: 1463721 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast pain, Breast swelling, Fatigue
SMQs:, Angioedema (broad), Lipodystrophy (broad)

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

Write-up: 1- Extremely sore breasts following the vaccination which hasn''t subsided, and in fact have become painful as they''re very sore and even swollen. 2 - I have also become increasingly fatigued and it seems to be getting worse. None of this was an issue prior to the second vaccine dose and these two worrying symptoms appear to be worsening each day rather than subsiding. I have yet to seek out a doctor as I''m worried about cost and dismissiveness. I will by week''s end if nothing changes.


VAERS ID: 1463964 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-19
Onset:2021-06-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anti-neutrophil cytoplasmic antibody positive vasculitis, Chest pain, Dyspnoea, Laboratory test, Pyrexia, Systemic inflammatory response syndrome, Tachycardia, Troponin increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vasculitis (narrow), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sepsis (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: synthroid 25 mcg daily
Current Illness: long covid
Preexisting Conditions: long covid
Allergies: pcn
Diagnostic Lab Data: inpatient hospitalization due to j and j vaccine. reaction severe multiple lbas and test spent 5 days hospitalized treated with high dose steroids
CDC Split Type:

Write-up: tachycardia,sob, cp, fevers, SIRS, elevated troponin anca vasculitis


VAERS ID: 1466476 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-29
Onset:2021-06-20
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dyspnoea, Hot flush, Hyperhidrosis, Thyroid function test, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 150 mg Zoloft 400 mg Bactrim pill Optimum multivitamin pill Fish oil omega pills Zinc pill Magnesium pill Probiotic pill Garlic pill Creatine Conjugated linoleic acid
Current Illness: None at all. Haven''t been sick in ages.
Preexisting Conditions: None at all.
Allergies: None that I am aware of.
Diagnostic Lab Data: Blood test -- early July X-ray -- early July Thyroid test -- early July
CDC Split Type:

Write-up: I went to bed just fine on the night of the vaccine. Woke up two hours later with extreme shortness of breath, sweating and hot flashes. Symptoms eventually disappeared within 48 hours. But they returned on June 20th, though more mildly. Mainly whenever I puff my cigarette, I start feeling a lack of breath -- not being able to breath deeply and fully. If I keep puffing, I eventually start having hot flashes and chest pain. It''s very bizarre, because I''ve been puffing 10+ years with no problems.


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