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From the 9/10/2021 release of VAERS data:

Found 246 cases where Vaccine is COVID19 and Symptom is Cardiac ablation or Cardiac amyloidosis or Cardiac aneurysm or Cardiac arrest or Cardiac arrest neonatal or Cardiac assistance device user or Cardiac asthma or Cardiac complication associated with device or Cardiac contusion or Cardiac death or Cardiac device reprogramming or Cardiac discomfort or Cardiac disorder or Cardiac dysfunction or Cardiac electrophysiologic study or Cardiac electrophysiologic study abnormal or Cardiac electrophysiologic study normal or Cardiac enzymes or Cardiac enzymes increased or Cardiac enzymes normal or Cardiac failure or Cardiac failure acute or Cardiac failure chronic or Cardiac failure congestive or Cardiac fibrillation or Cardiac flutter or Cardiac function test or Cardiac function test abnormal or Cardiac function test normal or Cardiac hypertrophy or Cardiac imaging procedure or Cardiac imaging procedure abnormal or Cardiac imaging procedure normal or Cardiac index or Cardiac index decreased or Cardiac infection or Cardiac malposition or Cardiac massage or Cardiac monitoring or Cardiac monitoring abnormal or Cardiac monitoring normal or Cardiac murmur or Cardiac murmur functional or Cardiac neurosis or Cardiac operation or Cardiac output or Cardiac output decreased or Cardiac output increased or Cardiac pacemaker adjustment or Cardiac pacemaker evaluation or Cardiac pacemaker insertion or Cardiac pacemaker replacement or Cardiac perforation or Cardiac perfusion defect or Cardiac pharmacologic stress test or Cardiac procedure complication or Cardiac resynchronisation therapy or Cardiac sarcoidosis or Cardiac septal defect or Cardiac septal defect residual shunt or Cardiac septal hypertrophy or Cardiac stress test or Cardiac stress test abnormal or Cardiac stress test normal or Cardiac tamponade or Cardiac telemetry or Cardiac telemetry abnormal or Cardiac telemetry normal or Cardiac valve discolouration or Cardiac valve disease or Cardiac valve sclerosis or Cardiac valve vegetation or Cardiac vein dissection or Cardiac ventricular disorder or Cardiac ventricular thrombosis or Cardiac ventriculogram or Cardiac ventriculogram abnormal or Cardiac ventriculogram left or Cardiac ventriculogram left abnormal or Cardiac ventriculogram left normal or Cardiac ventriculogram normal or Cardio-respiratory arrest or Cardio-respiratory arrest neonatal or Cardio-respiratory distress or Cardioactive drug level or Cardioactive drug level decreased or Cardiogenic shock or Cardiolipin antibody or Cardiolipin antibody negative or Cardiolipin antibody positive or Cardiomegaly or Cardiometabolic syndrome or Cardiomyopathy or Cardiopulmonary bypass or Cardiopulmonary exercise test or Cardiopulmonary exercise test abnormal or Cardiopulmonary exercise test normal or Cardiopulmonary failure or Cardiorenal syndrome or Cardiospasm or Cardiothoracic ratio or Cardiovascular autonomic function test or Cardiovascular autonomic function test abnormal or Cardiovascular autonomic function test normal or Cardiovascular deconditioning or Cardiovascular disorder or Cardiovascular evaluation or Cardiovascular examination or Cardiovascular examination abnormal or Cardiovascular function test or Cardiovascular function test abnormal or Cardiovascular function test normal or Cardiovascular insufficiency or Cardiovascular somatic symptom disorder or Cardiovascular symptom or Cardioversion and Patient Did Not Die and Vaccination Date from '1992-01-01' to '2020-12-31'

Table

   
AgeCountPercent
17-44 Years7530.49%
44-65 Years10040.65%
65-75 Years208.13%
75+ Years208.13%
Unknown3112.6%
TOTAL246100%



Case Details

VAERS ID: 903229 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angina pectoris, Arthralgia, Burning sensation, Cardiac discomfort, Chest pain, Dizziness, Dysphonia, Flushing, Pain, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (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: Allegra, flonase, baby aspirin, multivitamin, gabepetin (300,mg TID),amlodipine, tylenol (arthritis -650mg TID), 50,000IU qweekly, Caltrate every day. albuterol inhaler, Benadryl- for two months.
Current Illness: asthma and allergies, environmental
Preexisting Conditions: broken bones (second metarsal) Two more broken bones.
Allergies: peanuts- anaphylaxis dairy- diarrhea, congestion fish- diarrhea, congestion Penicillin- anaphylaxis Sulfa drug- anaphylaxis
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reports it started as a tingling, pain and burning in the elbow and travelled up the shoulder and up the chest and to the heart. Pain felt like a cardio thump . Grabbed the epi. Sitting forward. Talked Dr. Doctor stated to sit back and uncross legs. Initiated slow breathing. Pain subsided to a tolerable amount. Not short of breath but tachycardic. Still dizzy. Stayed an hour sitting position, after injection. Felt there was an irritating sensation around the heart. Left and walked back to clinic. 10 minutes after arriving to the clinic, dizziness, flushing , came back and irritation around the heart was still noticed but tolerable. 2 minutes after, voice started cracking and drank some water. Intensity of dizziness increased and overall symptoms also intensified. Returned to COVID immunization clinic 15 minutes later. Patient was moved to direct observation in a chair. Given oral benadryl. Instructed to stay and would evaluate if new interventions would be deemed necessary. Benadryl helped. Symptoms were relieved in 15 mins. Patient has been in the clinic under direct observation for about 3.5 hours.


VAERS ID: 903532 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-16
Onset:2020-12-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest X-ray, Chest discomfort, Chest pain, Cough, Differential white blood cell count, Dysgeusia, Electrocardiogram, Fibrin D dimer, Full blood count, Laboratory test, Laboratory test normal, Lacrimation increased, Neck pain, Pain in extremity, Pain in jaw, Troponin, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Lacrimal disorders (narrow), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tobermate at night, zoloft 100mg at night, tylenol, ibuprofen
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa and bactrin, they don''t work on me they just mark it as an allergy
Diagnostic Lab Data: EKG, cardiac monitor , D-Dimer , blood clots, CMT, chest xray, CBC, troponin, auto differential Tested november 10 and 12th 2020 and results were both negative, Patient also has IUD
CDC Split Type: vsafe

Write-up: on 12/16 i was given the vaccine at noon and finished my day as usual, I had a beer before bed and fell asleep at 9pm, at about 1am on 12/17/2020 I woke up with severe chest pain like something was crushing me, like a car being crush it felt like. I went to the ER at 3am and I was told I had a severe reaction to the vaccine. I had a weird taste in my mouth, cough, watery eyes, pain in all limbs, jaw pain and neck pain. I am going to get tested today 12/18/2020 for covid


VAERS ID: 903581 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac discomfort, Immediate post-injection reaction
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, Synthroid, losartan, vitamin D, calcium.
Current Illness: none
Preexisting Conditions: hypothyroidism, diabetes type 11, hypertension, vitamin D and calcium deficient, lactose intolerant.
Allergies: sulfa drugs, cats
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after injection I felt a tiny pinch in what felt like my heart. I happened 2 more times within seconds and nothing else after that. I did not report this to anyone since it happened so quick and was over within a minute. I did stay a few stay in the area where I had the injection just in case. After about 15 minutes I left because I felt fine. No other effects afterwards.


VAERS ID: 903730 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Blood pressure increased, Cardiac monitoring, Electrocardiogram, Fatigue, Flushing, Headache, Heart rate increased, Hot flush, Laboratory test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Hypersensitivity (broad), Arthritis (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra
Current Illness: No
Preexisting Conditions: None
Allergies: environmental allergies, grass, tree, pollen, mold, pet dander, weeds,
Diagnostic Lab Data: Drew labs and EKG, not sure what kind of labs, monitored my oxygen saturation levels and BP. Also hook me up to a heart monitor
CDC Split Type: vsafe

Write-up: Flushing, hot flashes, elevated heart rate and high BP (never have a problem with that), Evaluated at the ER and received Benadryl immediately. After coming home (discharged around 1:30), felt fatigued and started with a mild headache. Also joint pain in my hips and my knees. Woke up this morning pretty fatigued and with headache feeling better this afternoon. Still have a mild headache.


VAERS ID: 904162 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Michigan  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1605 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium normal, Cardiac monitoring normal, Chest discomfort, Differential white blood cell count normal, Feeling hot, Full blood count normal, Limb discomfort, Metabolic function test normal, Muscular weakness, Neurological examination, Paraesthesia, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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: Wellbutrin XL 150mg daily Buspar 5mg BID Singulair 10mg daily OTC gummy Multivitamin daily
Current Illness: Was seen at my primary care provider for chronic upper abdominal pain but my lab work came back unremarkable.
Preexisting Conditions: Anxiety & depression.
Allergies: None
Diagnostic Lab Data: CBC with differential- 12/18/2020 CMP-12/18/2020 Magnesium-12/18/2020 Cardiac monitoring via bedside monitor.
CDC Split Type:

Write-up: I received my vaccine at 1615 down in our hospitals clinic, I work as a floor nurse, I returned back to my unit to resume work, I walked in to talk to my charge nurse and felt completely fine within a minute or to (approximately 15 minutes since the vaccine was given) my legs felt like very weak, they became tingly and extremely heavy, my face and chest felt warm and I had to sit down to drink water. The nurses working with me that day took my vital signs, my blood pressure was 157/101, heart rate 80-90s and temp was 97.5F. I notified the pharmacist working on our floor about my symptoms and he directed me toward the infection control line, the pharmacst on the phone directed me to go to the emergency department. When I was admitted to the emergency department via wheelchair, the pharmacist met me there along with the Emergency medicine MD, a neurological exam was done and general assessment. While I was in the ER my heart was monitored, my CBC with diff, Mag and BMP was monitored all of which were normal. I was given a 1L bolus of IV LR through an IV in my left antecubital. Gradually the tingling wore off over a few hours in my legs bilaterally however they still felt very heavy. I was admitted from approximately 1645 until approximately 1900 and returned home.


VAERS ID: 904377 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-20
Onset:2020-12-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood glucose normal, Cardiac flutter, Dizziness, Feeling abnormal, Headache, Oxygen saturation normal
SMQs:, Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Tachyarrhythmia terms, nonspecific (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: 28 minutes after PT. received vaccine she told RN on duty she felt funny"heart fluttery", , light headed, dizzy B/P 190/110 HR 70-80,98-99% RA per facility RN. 0932 182/105, HR 60-70, 99% RA per RN 0945 Continue to monitor 180/95, HR 60-72, 99%RA blood glucose 90( PT ate breakfast) RN @ bedside chair 0954 119/91, 99% RA , 60-73 HR feels better but has headache 10:00 ambulance called10:08 208/96, 68-76 HR 99.24% 10:13 Ambulance arrives,report given 40 Medic 10:20 210/112 per EMS monitor HR80 100% RA 10:28 Loaded onto stretcher left with EMS


VAERS ID: 904498 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardioversion, Ventricular tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin Levothyroxine Fenofibrate Fish oil Aspirin Losartan Lantus Trulicity
Current Illness: Covid-19 in November
Preexisting Conditions: Tetralogy of Fallot Defibrillator Artificial pulmonary valve Diabetes Hypertriglyceridemia
Allergies: NKDA
Diagnostic Lab Data: Interrogation of defibrillator showing VT at 230bpm
CDC Split Type: vsafe

Write-up: Ventricular tachycardia. Defibrillator paced me out of rhythm. I have had my ICD for 3 years. This is the first abnormal rhythm I have had where it delivered a therapy to abort it.


VAERS ID: 904854 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac flutter, Dizziness, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Dehydration (broad)

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

Write-up: Began complaining of dizziness shortly after getting hte vaccine. She did not eat anything since the day before. Gave juice and a granola bar. Shortly after finishing food, began complaining of her heart feeling fluttery, a medical emergency was called. She was evaluated and found to be tachycardic. Refused further medical treatment, then ate lunch, and returned to work. She was observed on site for an additional 30 minutes beyond the 15 minute observation period.


VAERS ID: 905583 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-19
Onset:2020-12-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac telemetry normal, Condition aggravated, Supraventricular tachycardia
SMQs:, Supraventricular tachyarrhythmias (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: adderal, albuterol, montelukast, vitamins
Current Illness:
Preexisting Conditions: hx of SVT history of ablation in 2008
Allergies: alclometasone topical, cefuroxime, chloroxine, eggs
Diagnostic Lab Data:
CDC Split Type:

Write-up: 39 yo male employee with history of Covid 3/2020, and SVT s/p ablation x 2 (2002, 2008) who came to hospital S/P Covid vaccination for recurrence of SVT. Given 50 mg IV benadryl prior to arrival to hospital. Prior to discharge had recurrence of SVT to HR 170. Placed in Obs overnight for telemetry monitoring. No events overnight. No dyspnea, fever, body aches, or hives. Discharge patient home with follow up with MD for possible holter monitor.


VAERS ID: 905634 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-19
Onset:2020-12-20
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac telemetry normal, Condition aggravated, Supraventricular tachycardia
SMQs:, Supraventricular tachyarrhythmias (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: adderal, albuterol, montelukast, vitamins
Current Illness:
Preexisting Conditions: hx of SVT history of ablation in 2008
Allergies: alclometasone topical, cefuroxime, chloroxine, eggs
Diagnostic Lab Data:
CDC Split Type:

Write-up: 39 yo male with history of Covid 3/2020, and SVT s/p ablation x 2 (2002, 2008) who came to urgent care S/P Covid vaccination for recurrence of SVT. Given 50 mg IV benadryl prior to arrival to urgent care. Prior to discharge had recurrence of SVT to HR 170. Placed in Obs overnight for telemetry monitoring. No events overnight. No dyspnea, fever, body aches, or hives. Discharge patient home with follow up with EP MD for possible holter monitor.


VAERS ID: 905930 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac discomfort, Dizziness, Muscle spasms, Myalgia, Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Herbalife Vitamins , Vitamin D, Goli ACV , Zyrtec, Amlodipine Besylate 2.5 mg
Current Illness: none
Preexisting Conditions: none
Allergies: shrimp
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 9:00 pm. heart palpitations and pressure in midline. Heart felt like it was beating out of my chest. A little light headed. Took antacids. Lasted about 60 minutes. Woke up around midnight with a painful muscle cramp down back of left leg. lasted about 5 minutes. woke the next morning and have felt fine since.


VAERS ID: 906569 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Hyperhidrosis, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Diaphoretic and tachycardic within 5 minutes of receiving vaccine. Rate up to 151 with BP 146/82. Rate would go down after 5 minutes sitting quietly and then return to 150. Back down and then 15 min later, up. gave 25 mg of po benadryl at 11:30 am. This continued and 911 called. Paramedics assessed. Patient brought to ed for additional monitoring and assessment in private car. D/C''d at 2:30pm with no other interventions.


VAERS ID: 906912 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Michigan  
Vaccinated:2020-12-19
Onset:2020-12-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiovascular evaluation, Diarrhoea, Electrocardiogram change, Fatigue, Heart rate increased, Palpitations, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 20 years ago I had a high fever after getting a flu shot this year no reactions
Other Medications: Centroid, Vitamin D and C
Current Illness: no
Preexisting Conditions: Hypothyroidism
Allergies: Shellfish
Diagnostic Lab Data: Cardiac Workup (EKG), at the vaccination site, in the ambulance en route to ER and at ED. Labs done at ED. My heart rate has calmed down but my EKG has had changes from my baseline and I have a FU appt wth a cardiologist in January. Still have fatigue and diarrhea.
CDC Split Type: vsafe

Write-up: About 5 min after I got the vaccine I was on observation and I started getting a rapid, pounding, heartbeat, they waited about 5 min and it started getting faster and stronger, so they called paramedics to take me to the ER. It seemed it could be a severe reaction, I had fast rate for several hours and also broke up in hives while I was at the ER. They did a cardiac workup and noticed I had change on my heartrate according to the EKG they had previously done.


VAERS ID: 907080 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest discomfort, Dysphagia, Pruritus, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, aspirin, bupropion, fluoxetine, hydrochlorothiazide, lisinopril, metoprolol, zolpidem
Current Illness: none listed
Preexisting Conditions: asthma, hypertension, SVT
Allergies: cephalosporins
Diagnostic Lab Data: Patient was placed on cardiac monitor and had normal sinus rhythm without ectopy; no evidence of hemodynamic instability; oxygenating well without airway compromise
CDC Split Type:

Write-up: Per patient, she had received the COVID vaccine at her workplace and developed 30-40 minutes later symptoms of throat tightness, chest tightness and difficulty swallowing and was given at her workplace in the ED oral Benadryl, oral Decadron and IM epi. About an hour and a half later she developed symptoms of recurrent throat tightness and was given another dose of IM Epi and was then transferred to this hospital for further evaluation as per the patient "all of her symptoms are pretty much "unchanged"". She was observed for many hours in the ED without evidence of recurrent symptoms and was later discharged with a 3 day prescription of prednisone and prn diphenhydramine for itching.


VAERS ID: 907293 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Cardiac discomfort, Chest discomfort, Condition aggravated, Erythema, Eye swelling, Fear, Gingival pruritus, Head discomfort, Hypertension, Impaired work ability, Pruritus, Sleep disorder
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Gingival disorders (narrow), Hypertension (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: High blood pressure medication
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:

Write-up: On the date of the vaccine that night my blood pressure went up to 143/130 which is higher than it has ever been. My blood pressure the bottom number would not go under 100. The entire night my head felt like I was in a tunnel and my heart and chest felt tight. I was unable to work the following day due to not getting any sleep out of fear of something tragic happening to me. In addition last night or early this morning at 3 AM I woke up and my body was itching all over. The palms of my hands were itching my gums were itching I had red marks on my body and had Not done anything out of the ordinary or eight anything out of the ordinary. I took two Benadryl?s and was able to fall back to sleep for a little while and now the itching has stopped but my eyes are swollen.


VAERS ID: 907374 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 4 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure orthostatic increased, Blood thyroid stimulating hormone normal, Cardiac telemetry, Dizziness, Electrocardiogram abnormal, Flushing, Full blood count normal, Heart rate increased, Metabolic function test normal, Sinus tachycardia, Tachycardia, Tachypnoea
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (broad), Infective pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: comprehensive metabolic panel, CBC, TSH WNL
CDC Split Type:

Write-up: 12 minutes after injection developed acute onset tachycardia with HR increase from 64 to 160s (monitored on apple watch), dizziness, flushing, tachypnea. No rash, no wheezing. BP 140s-150s/90s (baseline 110s/70s). HR improved to 100s-120s in ~30 minutes and remained elevated with symptomatic orthostatics for several hours. Monitored on telemetry for ~2 hours. EKG sinus tachycardia. Given 1L NS bolus, no further treatment required. HR 80s-90s upon discharge from ER ~4.5 hours after injection


VAERS ID: 907509 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Alabama  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cardiovascular evaluation, Haematology test normal, Laboratory test normal, Rash
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No known drug allergies
Diagnostic Lab Data: 12/23/20: Standard chemistry, hematology, and cardiac labs run. All either normal or not relevant.
CDC Split Type:

Write-up: Rash, generalized weakness


VAERS ID: 908508 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Idaho  
Vaccinated:2020-12-19
Onset:2020-12-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiovascular evaluation, Fatigue, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? 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: Fatigue and tachycardia (heart rate ranging from 70-140) within 2 hours after receiving vaccine. Cardiac workup done 12/21/2020- No treatment at this time, observation of symptoms.


VAERS ID: 909379 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest X-ray, Computerised tomogram abdomen, Computerised tomogram pelvis, Computerised tomogram thorax, Electrocardiogram, Hypotension, Laboratory test, Nausea, Presyncope, Tachycardia, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: mild near syncope at age 18 (2010) after Gardasil dose
Other Medications: bupropion PO 300mg daily fexofenadine PO 180mg daily Mirena IUD
Current Illness:
Preexisting Conditions:
Allergies: sulfa drugs, mango skin
Diagnostic Lab Data: 12/23/20 emergency department lab workup, chest x-ray, chest/abd/pelvis CT scan, EKG x3, inpatient hospital labs, cardiac monitoring
CDC Split Type:

Write-up: near syncope, hypotension, nausea/vomiting, tachycardia (120-150) within 5 minutes of administration. did not resolve and worsened within 1 hour. Pt went to ER for workups. Received IV benadryl without improvement. Admitted to hospital overnight for continuous cardiac monitoring. Improved overnight and discharged in the afternoon 12/24/20.


VAERS ID: 909447 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac discomfort, Chest discomfort
SMQs:, Anaphylactic reaction (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: vitamin D
Current Illness: recent dental surgery (cavity filling) -- 12/21/2020
Preexisting Conditions: grave''s disease
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine Vaccine administration was okay and without issue. Patient reports having sensation of "vice around heart" that spontaneously resolved less than 5 minutes after injection. No anaphylaxis or shortness of breath, but sensation of tightness in chest that subsequently resolved within the 10-15 minutes after injection.


VAERS ID: 909635 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Maryland  
Vaccinated:2020-12-21
Onset:2020-12-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion, Chest discomfort, Dyspnoea, Echocardiogram normal, Palpitations, Presyncope
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: metformin, Jardiance, Losartan, HCTZ
Current Illness:
Preexisting Conditions: DM, HTN
Allergies: Amoxicillin
Diagnostic Lab Data: Normal echocardiogram
CDC Split Type:

Write-up: Palpitations, shortness of breath, chest tightness, presyncope, which led to New onset atrial fibrillation with rapid ventricular response and required synchronized cardioversion and hospitalization. Discharged on anticoagulation and beta-blocker.


VAERS ID: 909690 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Dizziness, Feeling hot, Flushing, Hyperhidrosis, Hypertension, Rash, Tachycardia, Tremor, Visual impairment
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: BP monitoring O2 saturation Hr monitoring
CDC Split Type:

Write-up: Vision interference, tachycardia, hypertension, flush, rash, sweaty, hot, shakey, light headedness


VAERS ID: 909819 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiac flutter, Chills, Hemiparesis, Hypertension, Muscle spasms, Muscle twitching, Palindromic rheumatism, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Hypertension (narrow), Tachyarrhythmia terms, nonspecific (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Arthritis (narrow), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Plavix, metropolol, asa, lipitor, Plaquenil, sulfasalazine, methotrexate Folic acid, vitamin D3, vitamin C, paxil, Claritin
Current Illness:
Preexisting Conditions: CAD, stent at RCA and left circumfrex. Rheumatoid disease, shob, anxiety.
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Excessive thirst 15mins post Heart palpation with fluttering sensations 30mins post HTN 156/96, 80hr, 1hour post Chills 1hour post Muscle spasms with cramping throughout body 45mins post Muscle weakness to left side 2hour post Facial twitches Treated with tylenol and Gatorade and rest. Symptoms lasted 48hours post.


VAERS ID: 909911 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Alaska  
Vaccinated:2020-12-18
Onset:2020-12-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion, Echocardiogram, Electrocardiogram, Laboratory test
SMQs:, Supraventricular tachyarrhythmias (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCHLORIATHIAZIDE 25 MG 1/DAY, ALODAPRINE 5MG 1/DAY
Current Illness: HYPERTENSION
Preexisting Conditions: HYPERTENSION
Allergies: N/A
Diagnostic Lab Data: EKG ECHOCARDIOGRAM ''VARIETY LABS''
CDC Split Type: vsafe

Write-up: 12/20/2020 12:00 PM DEVELOPED LAPID ATRIAL FIB. WENT TO ER WHEN IT PERSISTED, MEDICAL CENTER. ADMITTED TO INPATIENT; 12/21/2020 - ELECTRICAL CARDIOVERSION. MONITORED OVERNIGHT. 12/22/2020 - DISCHARGED *ON CHRONIC BLOOD THINNER


VAERS ID: 910073 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-20
Onset:2020-12-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood test, Bronchospasm, Cardiac monitoring, Cough, Disorientation, Dizziness, Electrocardiogram, Feeling abnormal, Heart rate increased, Hypoaesthesia, Paraesthesia, Reaction to previous exposure to any vaccine, Tinnitus, Vision blurred, Visual impairment
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (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: FLU SHOT 2013/2014
Other Medications: MULTIVITAMIN/DAILY; PEPCID 20MG -AS NEEDED
Current Illness: N/A
Preexisting Conditions: SVT (DON''T TAKE MEDS ''STAY HYDRATED'')
Allergies: TERBUTALINE
Diagnostic Lab Data: HR MONITOR BELIEVE THEY RAN BLOOD PANEL EKG
CDC Split Type: vsafe

Write-up: 12/20/2020 WITHIN MINUTES, I STARTED TO FEEL PINS AND NEEDLES. RADIATED LEFT TO RIGHT SIDE OF ARMS, AND THEN UP TO HEAD. NUMBNESS AND TINGLING. SEVERE PROFOUND WEAKNESS, DIZZINESS AND ORIENTATION. VISION FELT ''FAR AWAY''. HR INCREASED, HX SVT. 3 MINUTES BP WAS ''OK'' BUT I BELIEVE IT BOTTOMED OUT. HR WAS 150. STRETCHER, TX TO ER. BLURRY, ''STAY WITH US''. ALERT, AWAKE, VERY IN AND OUT OF FOCUS. FEEL LIKE ''PTSD'' FROM THIS EXPERIENCE. ''WHOLE BODY WAS BUZZING''. IV STEROIDS, IV BENADARYL, IV FLUIDS, IV ATTIVAN (NO EPI AS NO DIFFICULTY BREATHING) STILL FEELING ''DAZED'' *FLU SHOT REACTION 2013 - BRONCHOSPASM, MILD. 2014 - BRONCHOSPASM, RINGING IN EARS, INCREASED HR, DRY HACKING COUGH, USED NEBULIZER AND TOOK BENADRYL. LASTED 4 HOURS. ALLERGIST APPT 2020 - ADMINISTERED FLU SHOT UNDER GUIDANCE; SCRATCH TEST; BROKEN UP INTO 2 DOSES. INFORMED NOT ALLERGIC TO FLU SHOW ''GOOD TO GET COVID SHOT''. *STILL HAVE TINGLING IN LEFT THUMB


VAERS ID: 910110 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Epistaxis, Feeling abnormal, Headache, Palpitations
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (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: none
CDC Split Type:

Write-up: One hour after administration, patient experienced a nose bleed. Approximately 2 hours after administration she noticed her heart rate fluttering which turned in to a strong throbbing feeling at the base of her sternum. This was regular rate, but very strong, intense feeling. This lasted until the next day when it decreased frequency and ended by afternoon. Also she experienced a mild headache the day after receiving the immunization. She states that she has a hx of seasonal allergies. Also states that she was very anxious about receiving the immunization prior to admin. She states that she was also a little dehydrated.


VAERS ID: 910560 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry, Dizziness, Electrocardiogram, Laboratory test, Nausea, Palpitations, Tachycardia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: heart rate; Result Unstructured Data: Test Result:60-120; Comments: heart rate from 60-120.
CDC Split Type: USPFIZER INC2020502915

Write-up: nausea; dizziness; Progressed to tachycardia; heart rate from 60-120; This is a spontaneous report from a contactable consumer. A 37-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), via an unspecified route of administration at left arm on 18Dec2020 at 07:45, single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient, approximately 15 minutes after shot, experienced mild nausea and dizziness. Progressed to tachycardia, heart rate from 60-120. Felt it racing and pounding. Went to emergency room for evaluation. The patient underwent lab tests and procedures which included heart rate: 60-120. Therapeutic measures were taken as a result of the events and included electrocardiogram (EKG) and telemetry monitoring.


VAERS ID: 910562 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac flutter, Chest discomfort, Cough, Electrocardiogram abnormal, Laboratory test normal, Neck pain, Pain, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypertension (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Arthritis (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: FLO
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Eczema; Food allergy (Known allergies: PCN, whey, glutamate, gluten, sulfites); Gluten sensitivity (Known allergies: PCN, whey, glutamate, gluten, sulfites); Penicillin allergy (Known allergies: PCN, whey, glutamate, gluten, sulfites); Reaction to food additive (Known allergies: PCN, whey, glutamate, gluten, sulfites); Reaction to sulfites (Known allergies: PCN, whey, glutamate, gluten, sulfites)
Allergies:
Diagnostic Lab Data: Test Date: 2020; Test Name: BP; Result Unstructured Data: Test Result:elevated 150/90; Test Date: 2020; Test Name: BP; Result Unstructured Data: Test Result:better; Test Date: 2020; Test Name: EKG; Result Unstructured Data: Test Result:read occasional PVC; Test Date: 2020; Test Name: Labs; Result Unstructured Data: Test Result:all within normal limits
CDC Split Type: USPFIZER INC2020502934

Write-up: Right neck pain radiates from shoulder blade to occiput.; Tightness of chest and fluttering in chest that made me cough persistently; Tightness of chest and fluttering in chest that made me cough persistently; BP elevated 150/90; I had EKG report read occasional PVC.; This is a spontaneous report from a contactable nurse reporting for herself. A 45-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular in the left arm on 18Dec2020 10:15 at single dose for covid-19 immunisation at hospital. Medical history included asthma, eczema, allergies to PCN (penicillin), whey, glutamate, gluten, sulfites. Concomitant medication included isosorbide mononitrate (FLO). On 18Dec2020 at 10:45 the patient experienced right neck pain radiates from shoulder blade to occiput. Tightness of chest and fluttering in chest that made her cough persistently. BP elevated 150/90, no prior history of hypertension. In ED for check-up, the patient had EKG report read occasional PVC. Labs all within normal limits and symptoms and BP better within 1.5 hours so discharged to home. The patient was not treated for the events. Prior to vaccination the patient was not diagnosed with COVID-19 and has not been tested for COVID-19. Information on the lot/batch number has been requested.


VAERS ID: 910641 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Maryland  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac monitoring, Chest X-ray, Computerised tomogram, Dizziness, Emotional distress, Fatigue, Feeling abnormal, Heart rate decreased, Hypersomnia, Injection site pain, Muscular weakness, Pain in extremity, Palpitations, Paraesthesia, Pulse abnormal, Scan with contrast, Ventricular extrasystoles, Vertigo
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20201222; Test Name: Blood pressure; Result Unstructured Data: Test Result:163/76; Comments: Normal base line is 130s/80s maybe lower; Test Date: 20201222; Test Name: cardiac monitor; Result Unstructured Data: Test Result:Results are pending; Test Date: 20201222; Test Name: Chest X-ray; Result Unstructured Data: Test Result:Unknown result; Comments: Result: Pending; Test Date: 20201222; Test Name: CT scan; Result Unstructured Data: Test Result:Unknown result; Comments: Result: Pending; Test Date: 20201222; Test Name: Heart rate; Result Unstructured Data: Test Result:80s-90s; Comments: 90s and then drop to 48; Test Date: 20201219; Test Name: pulse; Result Unstructured Data: Test Result:Thready; Test Date: 20201222; Test Name: Pulse oximetry; Result Unstructured Data: Test Result:97-99 %
CDC Split Type: USPFIZER INC2020508928

Write-up: Weakness and tingling down left arm; Weakness and tingling down left arm; Lightheaded; PVC''s every 3 beats; emotional too and just very tired; Can not read the vaccination card as she does not have her glasses; Palpitations; Fatigue; Slept a lot; Thready pulse and vertigo; Thready pulse and vertigo; Soreness in left arm at the injection site and down the left arm; Soreness in left arm at the injection site and down the left arm; This is a spontaneous report from a contactable nurse (patient). A 54-year-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, reason for no lot number of COVID Vaccine: Can not read the vaccination card as she does not have her glasses, Expiry Date unknown), via an unspecified route of administration in the left arm on 18Dec2020 at single dose for ''Work with COVID patients''. Medical history included none. There were no concomitant medications. The patient experienced weakness and tingling down left arm (hospitalization) on 22Dec2020, lightheaded (hospitalization) on 22Dec2020, PVC''s every 3 beats (hospitalization) on 22Dec2020, soreness in left arm at the injection site and down the left arm on 18Dec2020, thready pulse and vertigo on 19Dec2020, fatigue on 20Dec2020, slept a lot on 19Dec2020, palpitations on 21Dec2020. Details as follows: Caller says she received the vaccine, she is a nurse. She got the vaccine on Friday, 18Dec2020. She had soreness in her arm and at the injection site on Friday but that was it. On Saturday (19Dec2020) she noticed a thready pulse, but went on with her day with only a little arm pain. Sunday (20Dec2020) she was fatigued and the thready pulse continued. She slept a lot on Saturday (19Dec2020) and Sunday (20Dec2020). Yesterday (21Dec2020) she felt a little better, but had palpitations here and there. This morning (22Dec2020) she went into work, was very lightheaded, had tingling down her left arm, and had palpitations. So she hooked herself up to a monitor. Her pulse ox was between 97-99%. Her heart rate would be in the 90s and then drop to 48, so she went down to the ED. She has had a CT, and she is throwing PVC''s every 3 beets. She has not been admitted as they are still waiting for results. She is still in the ED. They did a CT to see if there was a possible clot. On 18Dec2020 she received the vaccine around 2 PM. She had soreness at the injections site and down the left arm, which went away by Sunday (20Dec2020). She now (22Dec2020) has weakness and tingling down the left arm. It was never red or anything at the injection site. Saturday, 19Dec2020, she had thready pulse and Vertigo which lasted until Sunday 20Dec2020. She would be laying in bed and try to flip to the other side and having vertigo. When the fatigue started on Sunday (20Dec2020) she did not feel like herself. She was very emotional too and just very tired. Since she went to the ED she has had a CT scan, one with contrast and one without. She had a chest X-ray, and she is on a cardiac monitor. Results are pending. She has Trigeminy PVCs. She says she never goes to the hospital. But she is not admitted yet (pending clarification). Can not read the vaccination card as she does not have her glasses. Unable to read off the NDC, lot, and expiration date. History: Has been on the same vitamins for two years with nothing new. Blood pressure: Normal base line is 130s/80s maybe lower. Heart rate: Currently within her normal limits of 80s-90s. Depending on what happens, it was asked if she should get the second dose. The patient underwent other lab tests and procedures which included blood pressure measurement: 163/76 on 22Dec2020, chest x-ray: unknown result on 22Dec2020 (Result: Pending), computerised tomogram (CT scan): unknown result on 22Dec2020 (Result: Pending), heart rate: 80s-90s on 22Dec2020, Pulse oximetry: 97-99 % on 22Dec2020, cardiac monitor: results are pending on 22Dec2020. The outcome of events weakness and tingling down left arm, pvc''s every 3 beats, lightheaded, palpitations and fatigue was not recovered. The outcome of the event soreness in left arm at the injection site and down the left arm was recovered on 20Dec2020. The outcome of the events thready pulse and vertigo was recovered on 20Dec2020. The outcome of the event slept a lot was recovered on 20Dec2020. The outcome of other events was unknown. Information on the lot/Batch number has been requested.; Sender''s Comments: Based on available information, a possible contributory role of the subject vaccine cannot be excluded for the reported events due to temporal relationship. There is limited information provided in this report. Additional information is needed to better assess the case, including complete medical history, diagnostics, counteractive treatment measures and concomitant medications. This case will be reassessed once additional information is available. 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: 910722 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Cardiac disorder, Dizziness, Dyspnoea, Electrocardiogram abnormal, Fatigue, Headache, Myocardial necrosis marker normal, Palpitations, Polyuria, Tachycardia, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tubulointerstitial diseases (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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: 10+ years ago ?Immune response to Pnuemomvac/Tetanus given at same time
Other Medications: Zero
Current Illness: Zero
Preexisting Conditions: 20+ years ago had CHF related to pregnancy x3 pregnancies 10+years ago had an immune response (overwhelmed immune system with dizziness, confusion, fall to floor) related to Pnuemovac and Tetanus booster
Allergies: Floxin-Hives/SOB Sulfa-Spine irritability/Headache/N-V (reaction not an allergy) Zoloft-Uncontrolled muscle movement/dizzy/difficulty walking (reaction not an allergy)
Diagnostic Lab Data: 12/22/2020 PNH ER, 3 EKG''s, Cardiac workup (all labs negative for cardiac event), monitoring for approximately 6 hours and fluids/given Cardiac consult Primary Care visit on 12/23/2020 for follow up given Xanax for anxiety with palipations Cardiac consult 12/24/2020 with EKG given Inderal to help with palpitations
CDC Split Type:

Write-up: Early morning hours 0100 of 12/19/2020, awoke with SOB/dizziness/polyuria/anxious/Heart palpitations/Tachycardia (no tx/went back to bed thought I was just anxious) Afternoon of 12/19/2020 Fatigue/dizziness/HA (Motrin) Early morning hours 0130 of12/22/2020 awoke with SOB/dizziness/Polyuria/anxious/Heart palpitations/Tachycardia 120-130/felt something wasn''t (right) (went to Hospital ER, cardiac workup, multiple PVC''s some couplets, tachycardia. Given a liter of fluids) Told it was a Large Catecholamine release related to my immune response to the vaccine, Told Heart was "irritated"


VAERS ID: 910812 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Cardiac monitoring, Feeling abnormal, Feeling hot, Flushing, Oropharyngeal discomfort
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: pepcid 20mg, metropolol 100mg, protonix 40mg, potasium 20meq
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin, prednisone
Diagnostic Lab Data: Cardiac monitor, SP02, BP
CDC Split Type:

Write-up: Pt. Administered vaccine at 1355 at 1358 she complained of throat warmth, anxiety and feeling flushed. Pt. offered Benadryl 50mg, refused but agreed to 25mg. VS''s at 1358, HR 84, resp.''s 16, BP148/102. at 1410 146/102, HR 76, resp. 16 1415 states feeling worse, can feel it in throat, to ER via wheel chair.


VAERS ID: 910867 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Sexual dysfunction (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: Vitamin D 1 tab(s) ORAL every week VITAMIN D (ERGOCALCIFEROL) 1.25 MG CAPSULE -- TAKE ONE CAPSULE BY MOUTH ONCE WEEKLY. pravastatin 40 mg ORAL every day.Entered brand: PRAVASTATIN SODIUM 40MG TABLET -- TAKE ONE TABLET BY MOUTH AT BEDTIME.
Current Illness: None
Preexisting Conditions: Multiple Sclerosis Hyperlipidemia
Allergies: No known drug allergies
Diagnostic Lab Data: Vital Signs, cardiac monitor, no labs, no med treatments
CDC Split Type:

Write-up: Patient reported numbness and tingling in lips and fingers on right hand at 5 minutes post vaccination. She was taken to the Emergency Room by Employee Health Nurse (walked) where tingling/numbness in lips had resolved upon arrival to ER and was decreasing in hand. She had full resolution after 1.5 hours. She was observed for 2 hours, no interventions, symptoms resolved, and then she returned to work.


VAERS ID: 910911 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Electrocardiogram normal, Flushing, Hypersensitivity, Livedo reticularis, Metabolic function test normal, Palpitations, Pruritus, Pyrexia, Rash erythematous, Rash macular, Rash pruritic, Troponin normal, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Got hives on back from flu shot several years ago. Took benadryl and went away after an hour.
Other Medications: none
Current Illness: None
Preexisting Conditions: None
Allergies: Mild allergies to fruits and vegetables, and outdoor seasonal allergies.
Diagnostic Lab Data: EKG normal 12/28 Troponin & BMP normal 12/28
CDC Split Type: vsafe

Write-up: I am a nurse and I received the Pfizer vaccine on 12/26 at 1030am. I do have a history of food and outdoor allergies. I once got hives on my back from the flu shot, but since have been fine with it if I take Benadryl before it. About an hour after the vaccine, I felt itchy on my upper half of my body. I took a Benadryl without relief. I had a 100.1 fever that afternoon so I took another Benadryl and ibuprofen. It broke my fever, but the itching continued. I also had a couple of hives and a red blotchy rash over my body. I took a hydroxyzine and was able to sleep that night. The next morning I once again felt flushed and itchy. I worked and came home to the same rash, almost mottled looking all over my body. I took a Benadryl and ibuprofen and woke up early this morning itching again. As I was driving into work today (Monday), I noticed my heart fluttering and having palpitations. This continued throughout the morning. My skin rash is still red like I have a bad sunburn all over and is itchy with some red spots. I went to the ER to get checked out. My ekg was normal. They advised me that this is an allergic reaction to the vaccine and to continue 50mg Benadryl q6h for a couple more days and to see a PCP for follow up if it?s not better. I never had respiratory issues or swelling. I will continue to monitor symptoms and reaction.


VAERS ID: 911548 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Cardiac flutter, Chills, Cold sweat, Feeling abnormal, Feeling hot, Hyperaesthesia, Influenza like illness, Nausea, Palpitations, Pyrexia, Restlessness, Tongue coated, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Akathisia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Women''s Multi-vitamin Vitamin D3 supplement 2 prescription drugs
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfur Dioxide Seasonal Allergies (grasses, trees, pollen)
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: On December 23rd, around 5:30-6:00 p.m. I received the Moderna COVID-19 Vaccine EUA at the Vaccination Site. I did not have any adverse symptoms until the night of December 24th around 11:30 p.m. It started that night with nausea. I initially thought it was something I had eaten. I went to bed feeling nauseous but fell asleep. I slept through the night, and work up the next morning, December 25th, still nauseous. I did not ever vomit, even though I very much thought I would. As the day progressed, I developed chills and a low-grade fever. This continued through the day. The nausea was terrible! I could not eat anything because the mere thought of food made me feel sicker. I drank very little as well. I also developed flu like symptoms. I could not stand to be touched, as my skin was highly sensitive to touch. (The same feeling you get if you have a bad case of the flu.) I used a cold wet washcloth all day, as I felt hot, but my fever never went over 99.7 degrees. I eventually fell asleep that night, but I was restless. I woke up several times to noises in my home. Each time it felt like my body was trembling or my heart was racing or fluttering, but these episodes did not last long, nor could I tell you for sure that was exactly what it was. I just felt shaky. Each time I fell back asleep. The next morning, December 26th, I awoke, and the nausea was gone, but the chills and the fever were still hanging on. I just felt bad! I used a cold wet washcloth on my forehead, face, and neck all day. I did eat maybe 5-10 dry saltine crackers and drank a glass or two of sprite. As the day progressed, I felt worse!! The nausea came and went all afternoon and into the night. I eventually fell asleep around 10-11:00 p.m. I slept all night. I awoke the next morning, December 27th, initially feeling nauseous again. I made it a point to drink a lot of Gatorade and sprite throughout the day. I found that I felt some better when I sat up but felt worse when I laid down. So, I sat for about an hour on the side of my bed. I eventually got up and walked around my house. I began to feel better and thought I might be able to shower and possibly eat. So, I did? and it was like my body did a 180! I quickly felt so much better. I ate some soup and drank some sprite. I didn?t completely go back to my normal routine, but I did stay up the remainder of the day and did not get sick. The next day, December 28th, I felt like myself again and pretty much went back to my normal routine. The most interesting side effects that I had that are not mentioned in the CDC COVID-19 Vaccine common side effects are: *My feet were ice cold, but they were wet with sweat (I put on socks to try to warm them up, but it did not help as my socks would get damp thus making my feet colder) *My tongue became coated white (I did not lose my sense of taste or smell) *My skin felt hot to me, even though it was not hot to the touch (I used a cold wet washcloth for 2-3 days straight)


VAERS ID: 911408 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / OT

Administered by: Work       Purchased by: ?
Symptoms: Cardiac monitoring abnormal, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LEXAPRO; ADDERALL
Current Illness: Chronic back pain
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201221; Test Name: BP; Result Unstructured Data: Test Result: No respiratory distress or other issues during thi; Test Date: 20201221; Test Name: heart rate; Result Unstructured Data: Test Result: No respiratory distress or other issues during thi; Test Date: 20201221; Test Name: pulse ox; Result Unstructured Data: Test Result:No respiratory distress or other issues during thi; Test Date: 20201221; Test Name: Respiratory; Result Unstructured Data: Test Result:No respiratory distress or other issues during thi
CDC Split Type: USPFIZER INC2020507798

Write-up: PVCs developed about 20 mins after administration of vaccine; This is a spontaneous report from a contactable Pharmacist. A 35-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/ lot number: EL0140), intramuscularly on 21Dec2020 13:45 at right arm, at SINGLE DOSE for covid-19 immunization. Medical history included ongoing chronic back pain. Concomitant medication included escitalopram oxalate (LEXAPRO), amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL). The patient was not pregnant at the time of vaccination. The patient experienced PVCs about 20 mins after administration of vaccine. Placed on Zoll cardiac monitor on 21Dec2020. Vitals to include BP, heart rate, respiratory, pulse ox several times during additional monitoring period. No respiratory distress or other issues during this monitoring period. No treatment was received for the adverse event. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of the event was recovered in Dec2020.No seriousness criteria: no Results in death, no Life threatening, no Caused/prolonged hospitalization, no Disabling/Incapacitating, no Congenital anomaly/birth defect.


VAERS ID: 911691 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Chest discomfort, Chills, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (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: Prenatal vitamins, BCP, and lexapro
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: About 2 minutes after I had chest flutters/ tightness. After sitting for the 15 minutes I felt fine. Right around 24 hours, I had a low grade temp 99.2. Severe chills, severe headache, body aches. I was able to take a nap and the symptoms went away.
CDC Split Type:

Write-up: Ibuprofen


VAERS ID: 911692 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Chest discomfort, Chills, Headache, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (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: Prenatal vitamins, BCP, and lexapro
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: About 2 minutes after I had chest flutters/ tightness. After sitting for the 15 minutes I felt fine. Right around 24 hours, I had a low grade temp 99.2. Severe chills, severe headache, body aches. I was able to take a nap and the symptoms went away.
CDC Split Type:

Write-up: Ibuprofen


VAERS ID: 911965 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chest discomfort, Electrocardiogram, Flushing, Hypoaesthesia, Palpitations, Tachycardia, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Dehydration (broad), Sexual dysfunction (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: Synthroid 125mcg daily Sertraline .25 mg.
Current Illness: none
Preexisting Conditions: Hypothyroidism
Allergies: NKA
Diagnostic Lab Data: Heart monitor and EKG''s.
CDC Split Type:

Write-up: within 2 minutes after receiving vaccine I became flush, tightness in base of my throat and chest and heart starting racing faster and faster. A few nurses came over and saw my fit bit heart rate going higher (max 136 BPM) my fingertips started to get numb. They quickly injected me with .05 epinephrine. They brought me up to the emergency room and put me on a heart monitor. The racing heart subsided after approx. 7 min then started again. It happened 3 times in the emergency room. They ran a few EKG''s to try to catch the tachycardia episodes. They started an IV and ran fluids. After 2 hours the symptoms stopped and they released me from the hospital.


VAERS ID: 912307 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Cardiac monitoring, Chest X-ray, Dyspnoea, Full blood count, Metabolic function test, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad)

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

Write-up: Tachycardia up to 160 with exertion. Some shortness of breath noted. Returns to normal heart rate with rest. Cardiac monitor, CXR, CBC, TSH, CMP in the Emergency Department and physician evaluation. Returned to work same day without restrictions. Will follow up with personal provider.


VAERS ID: 912340 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Ohio  
Vaccinated:2020-12-24
Onset:2020-12-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cardiac discomfort, Cardiac monitoring, Echocardiogram, Electrocardiogram, Fatigue, Palpitations, Sleep disorder
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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: armour thyroid
Current Illness: none
Preexisting Conditions: hypothyroid
Allergies: animals, mold
Diagnostic Lab Data: Saw cardiologist - EKG, cardiac ultra sound and 3-14 day cardiac monitor.
CDC Split Type:

Write-up: 12-26-2020 uncomfortable heart palpitations, tired and disruption of sleep x 2 days.


VAERS ID: 912381 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / -

Administered by: Work       Purchased by: ?
Symptoms: Cardiac monitoring abnormal, Electrocardiogram, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALEGRA; SINGULAIR; FLOVENT; AREDS
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Food allergy; Peanut allergy; Shellfish allergy; Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Comments: Monitored heart rate; Test Name: heart rate; Result Unstructured Data: Test Result:increased to 100BPM; Comments: and continued for 45 min
CDC Split Type: USPFIZER INC2020510684

Write-up: heart rate increased to 100BPM; This is a spontaneous report from a contactable Other Health Professional (patient). A 47-year-old female patient received 1st dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot EJ1685) via an unspecified route of administration on 18Dec2020 04:30 PM at single dose in left arm for COVID-19 immunisation. Medical history included Asthma, Known allergies: Sulfa, Peanuts, Shell Fish and Peas. Concomitant medications included cetirizine hydrochloride (ALEGRA), montelukast sodium (SINGULAIR), fluticasone propionate (FLOVENT) and ascorbic acid, tocopheryl acetate, xantofyl, zeaxanthin, zinc (AREDS) and Probiotics. The patient previously took Iodine and Erythromycin and experienced known allergies. At 18Dec2020 04:45 PM, her heart rate increased to 100BPM and continued for 45 min, and this result in Emergency room/department or urgent care. The patient underwent lab test and included EKG and heart rate count. Therapeutic measures were taken as a result of event and included treatment with Pepcid, Benadryl, EKG and Monitored her heart rate. Outcome of event was recovered on Dec2020.


VAERS ID: 912574 (history)  
Form: Version 2.0  
Age: 97.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Cardiac arrest, Endotracheal intubation, Intensive care
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: COVID-19 positive on 12/4/2020. Was still symptomatic at last check
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rushed to ER. Has now been tubed and put into the ICU and has had full-cardiac arrest less than 24 hours after receiving the vaccine.


VAERS ID: 912609 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring abnormal, Dizziness, Flushing, Heart rate increased, Supraventricular tachycardia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Dehydration (broad)

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

Write-up: Patient observed for 15 minutes in the clinic after vaccine with no issues. Patient is a NP and left clinic. 10 min after leaving, was in physician lounge and had tachycardia, dizziness, flushing. Hospitalist in lounge recorded pulse as 180 normal rhythm. Patient taken to ED. In SVT - heart rate eventually reduced. Patient released on cardiac monitor to home. Later that night, patient had increased heart rate again - 160''s - while in bed. Admitted to hospital.


VAERS ID: 912701 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Arizona  
Vaccinated:2020-12-18
Onset:2020-12-23
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730*CSU-C19 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angiogram abnormal, Aspartate aminotransferase increased, Blood albumin increased, Blood alkaline phosphatase increased, Blood creatinine increased, Blood glucose increased, Blood urea increased, COVID-19 pneumonia, Carbon dioxide decreased, Cardiopulmonary failure, Cognitive disorder, Dyspnoea, Eosinophil count decreased, Glomerular filtration rate decreased, Hypernatraemia, Hypoxia, Lymphocyte count decreased, Neutrophil count increased, Protein total increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: - glipizide 2.5 mg/d - metformin ER 2000 mg/d - insulin sliding scale - lisinopril 10 mg/d - amlodipine 2.5 mg/d - furosemide 20 mg/d - Na Bicarb 650 mg TID added 5/23 by nephrology - atorvastatin 20 mg/d - ASA 81 mg/d - levoth
Current Illness:
Preexisting Conditions: CKD 3 HNT Dementia DMII Hypothyroidism
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hospitalization 12/26 for Covid PNA


VAERS ID: 912766 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arrhythmia, Atrial fibrillation, Cardiac flutter, Cardiac telemetry, Dizziness, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OTC zinc, magnesium, and MVI
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: The client reports that he was hooked to telemetry. Any other tests/labs are unknown.
CDC Split Type:

Write-up: Client was vaccinated approx 10:00am at the Health Dept. Client left after 15min without incident. Client went to report to work and began feeling nauseated, dizzy, and feeling as if was going to faint. Client returned to Health Department approx 12:30. Client was diaphoretic, HR was 140bpm, and BP was 178/120. Client was given 50mg/20mL of diphenhydramine PO and EMS was called and client taken to local ER. Client remained A+Ox3 at time of EMS transport. Spoke with client evening of 12/28/2020. He reports he was transferred to another facility and was told was in a-fib. He reports that he is feeling much better but heart still fluttering. Spoke with client afternoon of 12/29/2020. He reports that he is being discharged in a few hours and is being sent home on metoprolol and a baby ASA. He reports they had been working on getting his BP down. He reports that he is feeling better and is going to be scheduled for a heart cath outpatient. He reports that he was initially in a-fib, then a-flutter, and then arrhythmia. He reports that he has been seen by Dr. a Cardiologist, while hospitalized.


VAERS ID: 912954 (history)  
Form: Version 2.0  
Age: 102.0  
Sex: Female  
Location: North Dakota  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time normal, Adjusted calcium, Alanine aminotransferase normal, Anion gap normal, Aortic valve calcification, Arteriosclerosis coronary artery, Aspartate aminotransferase normal, Atelectasis, Atrial enlargement, Basophil count normal, Basophil percentage, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin increased, Blood calcium, Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood potassium normal, Blood sodium normal, Blood urea nitrogen/creatinine ratio, Blood urea normal, Brain natriuretic peptide increased, C-reactive protein increased, Carbon dioxide decreased, Cardiac failure congestive, Cardioactive drug level, Cardiomegaly, Computerised tomogram thorax abnormal, Cough, Eosinophil count normal, Eosinophil percentage, Fibrin D dimer, Fluid overload, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin decreased, International normalised ratio increased, Intervertebral disc degeneration, Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased, Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage increased, Osteoarthritis, Platelet count normal, Pleural effusion, Protein total normal, Prothrombin time prolonged, Pulmonary oedema, Pyrexia, Red blood cell count decreased, Red cell distribution width increased, SARS-CoV-2 test positive, Serum ferritin increased, Spinal disorder, Staphylococcus test negative, Tachycardia, Tachypnoea, Troponin, White blood cell count normal
SMQs:, Cardiac failure (narrow), Liver related investigations, signs and symptoms (narrow), Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Haematopoietic erythropenia (narrow), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Biliary system related investigations, signs and symptoms (narrow), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Other ischaemic heart disease (narrow), Chronic kidney disease (broad), Arthritis (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: tylenol aspirin Atorvastatin B12 Folate Diltiazem Docusate Digoxin Furosemide Potassium Chloride Levothyroxine Lisinopril Protonix Vitamin D3 Warfarin Polyethylene Glycol
Current Illness: COVID-19 (Diagnosed 10/26/20)
Preexisting Conditions: Diabetes Type II Atrial Fibrillation Hypothyroidism CHF Hypertension Osteoporosis Anemia Cerebrovascular disease Aphasia
Allergies: ibuprofen Lactose
Diagnostic Lab Data: Troponin First 0.071, Second 0.054 BNP-398 Digoxin 1.2 SARS -COV-2 Detected MRSA not detected CTA- FINDINGS: Mild motion artifact somewhat limits the evaluation. No definite pulmonary emboli. ?Mild to moderate diffuse interstitial prominence suggesting edema. ?Small bilateral effusions with mild probable atelectasis in the bases. ?Mild to moderate cardiomegaly with biatrial enlargement. Aortic valvular and coronary artery calcification. ?No definite pathologic lymphadenopathy. Mild to moderate spinal curvature. ?Degenerative changes of the spine and both shoulders. ? IMPRESSION: 1. ?Mild to moderate cardiomegaly with biatrial enlargement. ?Mild to moderate diffuse interstitial prominence suggesting edema with small bilateral effusions. ?Findings suggest an element of fluid overload/congestive failure. 2. ?Additional nonacute/chronic findings, as detailed above. 3. ?No definite pulmonary emboli. Results for Patient as of 12/29/2020 17:25 12/29/2020 08:19 WBC: 8.3 RBC: 3.09 (L) Hemoglobin: 10.3 (L) Hematocrit: 31.0 (L) MCV: 100.3 (H) MCH: 33.3 (H) MCHC: 33.2 RDW-CV: 15.4 RDW-SD: 57.2 (H) Platelet Count: 153 MPV: 11.5 Seg Neut Absolute: 6.9 Lymphocytes Absolute: 0.7 (L) Monocytes Absolute: 0.4 Eosinophils Absolute: 0.2 Basophil Absolute: 0.1 Neutrophils Percent: 83.5 Neutrophils Abs. (Segs and Bands): 6,900 Lymphocytes Percent: 8.8 (L) Monocytes Percent: 4.6 Eosinophils Percent: 2.1 Basophil Percent: 0.8 Glucose: 130 (H) Sodium: 138 Potassium: 4.0 Chloride: 103 CO2: 21 Anion Gap with K: 18 BUN: 17 Creatinine: 0.84 BUN/Creatinine Ratio: 20.2 Calcium: 8.8 Corrected Calcium: 9.0 Bilirubin Total: 1.1 Alkaline Phosphatase: 82 ALT - SGPT: 19 AST - SGOT: 25 Protein Total: 6.5 Albumin: 3.8 Ferritin: 168 CRP: 3.2 Lactic Acid: 1.3 eGFR African American: 75 eGFR Non-African American: 62 Protime: 17.5 (H) INR: 1.5 (H) APTT: 30.7 D-Dimer: 1.19 (H)
CDC Split Type:

Write-up: Fever, coughing, tachypnea, tachycardia


VAERS ID: 913014 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Cardiac monitoring, Dizziness, Flushing, Hypertension, Presyncope, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: December 2018 tetanus booster. I have been told that I have a history of reaction to pertussis vaccines and boosters, but never
Other Medications: Flonase
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclor
Diagnostic Lab Data: I was placed on a cardiac monitor and vitals were obtained.
CDC Split Type:

Write-up: I received my shot at a medical center. I had what is being described as a vasovagal response. Became flushed, weak, and lightheaded to the point of feeling faint. This was followed by a period of tachycardia and hypertension. HR 115 and BP 189/110. This began to fade after approx. 15-20 mins. I then tried to stand and walk and was again overcome by a wave of the same symptoms. I was then monitored for a period of an hour and released. I then had a third wave of the same symptoms after which I sought evaluation at the ER. I had a similar reaction to a tetanus booster in late 2018, but it was not nearly as intense as this was.


VAERS ID: 913092 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Cardioversion, Chest pain, Dyspnoea, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (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), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Previous cardioversion
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shortness of breath Chest pain Tachycardia Cardioversion


VAERS ID: 913303 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cardiac flutter, Erythema, Hot flush, Immediate post-injection reaction, Injection site warmth, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, Ibuprofen, Prilosec
Current Illness: Diarrhea
Preexisting Conditions: IBS/Diarrhea, Hypertension, Fatty liver, GERD
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Heat at injection site immediately after administered, red face, "hot flash", heart flutter, arm tremors. Did not take any medications. Symptoms have improved.


VAERS ID: 913602 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Anaphylactic reaction, Asthenopia, Cardiac monitoring, Dry throat, Dysphagia, Eye swelling, Palpitations, Pharyngeal swelling, Respiration abnormal
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Corneal disorders (broad), Hypersensitivity (narrow), Respiratory failure (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid and Cytomel
Current Illness: Denies
Preexisting Conditions: Hypothyroidism and exercise-induced anaphylaxis
Allergies: Denies
Diagnostic Lab Data: Cardiac monitoring. Does not recall other tests.
CDC Split Type:

Write-up: Was being monitored x 30 minutes after vaccination. Approximately 15 minutes after administration, eyes began to get heavy and swell. "My heart was racing." Wheelchair to ED. They could not get IV access. Throat was dry. They got an IV and gave Benadryl. "My throat starting swelling and I could not swallow." "I was panting and my heart was beating out of my chest." The ED staff administered epinephrine pen via IM injection. Anaphylaxis resolved and she was monitored x 4 hours in ED. Sent home on prednisone and fomatidine.


VAERS ID: 914444 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac flutter, Feeling abnormal
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Tachyarrhythmia terms, nonspecific (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: It was reported that the EE felt funny and heart was fluttering. EE was brought to the ED.


VAERS ID: 914655 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry, Chest discomfort, Dry mouth, Malaise
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (broad)

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

Write-up: She reports symptoms of chest pressure, dry mouth, abrupt feeling of not well. Treatment/intervention Patient placed on transport cart, BP 180/103, HR 110, 97% on RA. RRT called. 3 lead telemetry monitor placed on patient. Patient transported to ED with belongings by cart.


VAERS ID: 914798 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-18
Onset:2020-12-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bundle branch block right, Cardiac stress test normal, Chest X-ray, Chest pain, Depressed level of consciousness, Electrocardiogram abnormal, Full blood count, Heart rate decreased, Hyperhidrosis, Metabolic function test, Nausea, Pallor, Sinus bradycardia, Transcutaneous pacing, Troponin increased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Conduction defects (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine 10 mg daily
Current Illness: none
Preexisting Conditions: Hypertension
Allergies: No known allergies
Diagnostic Lab Data: EKGs, Chest X-rays, Serial Toponin Levels, CBC, CMP, Cariac Stress test
CDC Split Type:

Write-up: On Dec. 20, 2020 around 11:30 PM, 2 days after patient received her COVID-19 vaccination, she was found on the bathroom floor , obtunded, very pale, diaphoretic, nauseous, and complaining of severe chest pain. Paramedics was called and patient was transported to the nearest emergency room. According to paramedics, on the way to the ER while patient was in the ambulance,she was noted with a sudden drop in heart rate about 19 beats/minute and have to be given Atropine IV Push, oxygen and was connected to transcutaneous pacing which improves her heart rate. In the ER patient continued to have chest pain and she was given Morphine, Oxygen, Nitroglycerine and Aspirin. IM had an EKG which showed Sinus Bradycardia with a Right Bundle Branch Block. She had serial ekgs, a chest x-ray, laboratory testing which included Troponin. Her first Troponin level came back elevated prompting her hospital admission to Telemetry. Her next 2 Troponin level improved and return to normal range and her chest pain has resolved.. She underwent a Stress Test which came back negative. Patient was admitted for a total of 20 hours in the Telemetry unit with Cardiology consultation before being discharged home last . She was re-evaluated by the cardiologist yesterday which diagnosed her a chest pain of unknown origin.


VAERS ID: 914856 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac telemetry, Chest discomfort, Dyspnoea, Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

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

Write-up: Patient developed breathlessness, chest pressure and palpitations ~30 minutes after vaccination. She was directed to urgent care where she was placed on telemetry. Her symptoms abated within several hours while being observed without intervention


VAERS ID: 914945 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Asthenia, Cardiac monitoring, Computerised tomogram abdomen, Computerised tomogram thorax, Dizziness, Dyspnoea, Electrocardiogram, Headache, Heart rate increased, Impaired work ability, Laboratory test, Nausea, Pyrexia, Tachycardia, Vertigo, Visual impairment
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Daily medications: Sprintec, Nexium, Lexapro.
Current Illness: Tested positive for Covid-19 on 12/09/2020.
Preexisting Conditions: Anxiety/Depression Iron-deficiency anemia (hemoglobin 10.3)
Allergies: Cipro and Sulfa antibiotics.
Diagnostic Lab Data: EKG obtained, cardiac monitor applied, IV placed and labs drawn, IV tylenol, zofran, benadryl, reglan, and also one liter of normal saline given. CT scan of the abdomen and chest performed.
CDC Split Type:

Write-up: Approximately 12 hours after receiving the Moderna Covid -19 vaccine, I began to experience extreme nausea, fever of 102, headache, shortness of breath, tachycardia (Resting heart rate was mid 150''s), vertigo, and seeing spots like I was going to black out which has never happened to me before. I expected an immune response from the vaccine, but not one this extreme. I went to my local ER where I needed IV fluids and benadryl to bring my pulse down. It has now been about 48 hours since I went to the hospital and I am still very nauseous and weak. I have had to miss two (possibly three) days of work due to this reaction to the vaccine.


VAERS ID: 915087 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Kansas  
Vaccinated:2020-12-29
Onset:2020-12-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Arrhythmia, Arthralgia, Back pain, Cardiac monitoring abnormal, Headache, Heart rate increased, Migraine, Myalgia, Palpitations, Ventricular extrasystoles
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cardizem, plaquenil, lunesta, Soma, Neurontin, Adderall XR, Adderall, Elmiron, Lasix, Mirapex, Potassium, Lortab, Cymbalta,
Current Illness: Post Covid syndrome, Asthma mild
Preexisting Conditions: polyarthritis, Fibromyalgia, cardiac arrhythmias, PSVT, intermittent migraines, Gastroparesis- had Roux-en-Y to treat it.
Allergies: Sudafed, Norflex, Levaquin, NSAIDS,
Diagnostic Lab Data: none
CDC Split Type:

Write-up: woke up day after vaccination with headache, joint pain, back pain, muscle pain, started having heart palpitations. I have a link recorder in my chest, recorded some of the arrhythmias. Cardiovascular clinic reports frequent PVC''s, with some couplets, rapid heart rate, over 100. Took 2 excedrin migraine, drank water and went back to bed, woke up 90 minutes later, felt better, still not back to normal, Now at 8:30 pm headache, and muscle and Joint pain returning


VAERS ID: 915428 (history)  
Form: Version 1.0  
Age: 62.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 2020-12-24
   Days after onset:2
Entered: 2020-12-30
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 RA / -

Administered by: Other       Purchased by: Other
Symptoms: Aggression, Cardio-respiratory arrest, Intensive care, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (narrow), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

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

Write-up: Required code to be called and short MICU admission for observation, including neurology and psychiatry services. Seizures & PNEA (Psychogenic Non-Epileptic Attack)


VAERS ID: 916043 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood glucose normal, Cardiac flutter, Dyspnoea, Pruritus, Vertigo
SMQs:, Anaphylactic reaction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan/HCTZ 100/25 1 tab daily Levothyroxine 150 mcg 1 tab daily Naltrexone 50 mg 1 tab daily Wellbutrin 150 mg 1 tab bid
Current Illness: None
Preexisting Conditions: Hypertension Hypothyroidism
Allergies: Sulfa - rash
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient received Moderna vaccination at approximately 10:30 am. After about 10 minuts she started to feel vertiginous, short of breath, had heart fluttering and itchy. She was found to be neurologically intact. Her O2 was found to be 99% on room air, her blood sugar was normal and no labored breathing was observed. She was given solumedrol and benadryl IM and symptoms improved by 1 pm. Instructed patient not to get 2nd booster covid vaccination.


VAERS ID: 916295 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cardiac monitoring, Chest pain, Dizziness, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu shot-felt dizzy,muscle tightness
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Motrin, Flu shot
Diagnostic Lab Data: Medical director monitored Heart rate, which was increased at a time
CDC Split Type:

Write-up: Patient felt dizzy, shortness of breath and chest pain around 10minutes after receiving the vaccine.


VAERS ID: 916473 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac assistance device user, Dyspnoea, Headache, Loss of consciousness, Seizure, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: COPD, depression, pace-maker, diabetes, obesity, osteoarthritis, plantar fasciitis, localized edema, moderate persistent asthma, sleep apnea, and ovarian cyst.
Allergies: Penicillin and Blueberries
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient complained of a headache, then patient was losing consciousness and gasp for air. EpiPen was utilized due to being unresponsive then began to seizing. Patient started to flatline and an AED was used while a paramedic came. Patient was put on her side then facility gave something for seizures. Lastly, ,ambulance took her to the hospital.


VAERS ID: 916785 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Altered state of consciousness, Cardiac function test normal, Chest X-ray normal, Dyspnoea, Feeling of body temperature change, Full blood count normal, Influenza virus test negative, Metabolic function test normal, Polymerase chain reaction, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Seizure, Tachycardia
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ASA, Keppra, Verapamil, Flecainide, Eliquis, Depo-Provera, Ambien
Current Illness: Congenital Heart Disease
Preexisting Conditions: Congenital Heart Disease, History of Seizures
Allergies: Demerol, Nubain, Vancomycin, Morphine, Triamterene-HCTZ
Diagnostic Lab Data: BMP, CBC, Cardiac Profile, CXR, COVID, Influenza, RSV PCR-all negative (done 12/28/20)
CDC Split Type:

Write-up: After receiving the vaccine I began to feel lightheaded and short of breath. I felt tachycardiac and felt like passing out. I got transferred to the er where I received the epipen along with oxygen and antiseizure meds for my seizure. I was then transferred to Medical Center for further care where I was later discharged.


VAERS ID: 917861 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-22
Onset:2020-12-29
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure orthostatic abnormal, Cardiac stress test normal, Dizziness, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mogamulizumab Bactrim Acyclovir Synthroid
Current Illness: N/A
Preexisting Conditions: Cutaneous T cell lymphoma Ulcerative Colitis - has K-pouch Hypothyroidism
Allergies: NKDA
Diagnostic Lab Data: Nuclear stress test on the 30th, which showed a normal stress perfusion study and normal cardiac function. He was discharged from observation status. In discussion with treating physician, do not think this is an adverse event related to vaccination.
CDC Split Type:

Write-up: After eating lunch on 12/29, he felt nauseated and dizzy, vomited within 10 mins and felt dizzy, there was some orthostatic BP changes clinically, he was at work in the hospital on that day, he was taken to ED, kept under observation for 24 hours, cardiac workup was done, non specific EKG abnormality was noted and he got a stress test on the 30th, which showed a normal stress perfusion study and normal cardiac function. He was discharged from observation status. No further dizziness.


VAERS ID: 918200 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Blood chloride increased, Blood phosphorus decreased, Blood potassium decreased, Blood thyroid stimulating hormone normal, Cardiac telemetry normal, Chest X-ray normal, Computerised tomogram thorax normal, Condition aggravated, Dizziness, Echocardiogram normal, Ejection fraction normal, Electrocardiogram ambulatory, Fatigue, Feeling hot, Fibrin D dimer, Flushing, Gait disturbance, Haemoglobin decreased, Pallor, Palpitations, Presyncope, Tachycardia, Troponin normal
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Peripheral neuropathy (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Tubulointerstitial diseases (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Patient with history of syncope which was attributed to anemia (6-8 episodes in the past). No history of syncope with injections. patient reports increased stress at home and anxiety.
Allergies: None
Diagnostic Lab Data: D- Dimer - 0.5 CT Scan for pulmonary embolism - negative TSH - 2.892 BNP with low potassium (3.3), high chloride (108) and low phos (2.6). All other values within normal limits. Echocardiogram - normal with normal EF Chest xray - normal Troponin negative x3 Hgb 11.7
CDC Split Type:

Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA - Patient witnessed another patient with syncope prior to her injection. She was already anxious about receiving vaccination and this increased her anxiety, though she proceeded with immunization. Patient was in 15 min observation window in a chair and began to feel light-headed like she may pass out. A SWAT was called. With RN assistance, patient was lowered to the floor, with no loss of consciousness. Patient was pale and reported anxiety, racing /pounding heart, and felt hot with facial flushing. Patient was transferred to ED and was noted to be tachycardic (120s), but dropped to 80s. She noted that this episode felt different than her prior syncopal episodes associated with anemia. Patient was observed for 5 hours and discharged to home. Patient returned to ED roughly 2.5 hours later complaining of continued dizziness and unsteady gate. Patient was pale and anxious. Patient reported had not eaten/drank enough during her shift and received vaccine immediately post a stressful shift. Additionally, patient witnessed another patient have syncopal episode prior to her receiving her vaccine which made her anxious. Patient was given IV fluids and had electrolytes replacement. Patient additionally received diazepam. Patient was discharged at 2358 on 12/23. Patient returned to ED on 12/24 at 0239 complaining of near syncope and lightheadedness. Patient had tachycardia and self-reported palpitations. Received IV fluids and observation on telemetry with no rhythm disturbance. Patient discharged 1428 on 12/24. On 12/29, patient returned to ED at 0326 for continued dizziness, fatigue and near syncope. Was admitted for cardiac evaluation. Noted to have unprovoked tachycardia and was discharged with a Halter Monitor to evaluate cardiac symptoms. patient was discharged 12/31 at 1619


VAERS ID: 918570 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac disorder, Dizziness, Hot flush, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Sexual dysfunction (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: Started with hot flashes , light headed, partial facial numbness on the ride side. Light heart problems


VAERS ID: 918747 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-20
Onset:2020-12-01
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / UNK LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure increased, Blood test, Cardiac telemetry, Chest X-ray normal, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram normal, Fatigue, Feeling hot, Fibrin D dimer normal, Flushing, Injection site warmth, Limb discomfort, Pallor, Palpitations, Peripheral coldness, Tinnitus, Troponin normal
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma (Diagnosed as a teenager with sports asthma and uses an inhaler.)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201220; Test Name: blood pressure; Result Unstructured Data: Test Result:134/100; Test Date: 20201220; Test Name: blood work; Result Unstructured Data: Test Result:Unknown Results; Comments: On Sunday 20Dec2020, blood work and IV fluids.; Test Date: 20201222; Test Name: Chest X-ray; Test Result: Negative ; Test Date: 20201220; Test Name: EKG; Result Unstructured Data: Test Result:normal; Test Date: 20201222; Test Name: D-dimer; Test Result: Negative ; Test Date: 20201220; Test Name: Troponin; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2020510831

Write-up: Flushing; she noticed that there was a ringing in her left ear; Experienced a weird heaviness on her upper chest and arms/ heavy legs and arms/really heavy arms and legs; experienced a weird heaviness on her upper chest and arms; really cold hands; felt really hot at the injection site/really hot sensation at injection site; lightheadedness/Light-headed; Palpitations; Feeling faint; shortness of breath; Her blood pressure went up to 134/100; paleness; went up to her face; felt tired/She was really tired and slept it off; This is a spontaneous report from a contactable nurse, who is also the patient. This 34-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number EK5730) intramuscular in the left deltoid on 20Dec2020 at single dose for COVID-19 immunisation. Relevant medical history included ongoing asthma (diagnosed as a teenager with sports asthma and uses an inhaler). There were no concomitant medications. The patient experienced lightheadedness/light-headed (medically significant) on 20Dec2020 with outcome of recovering, palpitations (medically significant) on 20Dec2020 with outcome of recovered on 20Dec2020, feeling faint (medically significant) on 20Dec2020 with outcome of recovered on 22Dec2020, flushing (medically significant) on 21Dec2020 with outcome of recovered on 22Dec2020, she noticed that there was a ringing in her left ear (medically significant) on 21Dec2020 with outcome of recovering, shortness of breath (medically significant) on 20Dec2020 with outcome of recovering, her blood pressure went up to 134/100 (non-serious) on 20Dec2020 with outcome of recovered on 20Dec2020, she experienced a weird heaviness on her upper chest and arms (non-serious) on 21Dec2020 with outcome of recovering, really cold hands (non-serious) on 21Dec2020 with outcome of not recovered, paleness (non-serious) in Dec2020 with outcome of unknown, felt really hot at the injection site/really hot sensation at injection site (non-serious) on 21Dec2020 with outcome of recovered on 23Dec2020, went up to her face (feeling hot) (non-serious) in Dec2020 with outcome of unknown, heavy legs and arms/really heavy arms and legs (non-serious) on 21Dec2020 with outcome of not recovered and felt tired/she was really tired and slept it off (non-serious) in Dec2020 with outcome of unknown. The patient specified that she experienced a moderate reaction after having the COVID-19 vaccine. She had the vaccine last Sunday morning 20Dec2020. She was told to wait 20 minutes before leaving. In the waiting area, she felt lightheaded, had palpitations and was feeling faint. After 20 minutes she started feeling better. Then she started to have more intense light headedness. She went to the ER and was given oxygen. Her blood pressure was 134/100 on 20Dec2020. She had an EKG on 20Dec2020 that was normal. They gave her steroids and Benadryl. She had another episode while being injected with the steroids. On Monday 21Dec2020, she experienced a weird heaviness of her upper chest and arm. She had really cold hands and flushing. On Monday night 21Dec2020 she went to work. She experienced a really hot sensation to the injection site that went to her neck and face. Her left ear was ringing. This lasted until Tuesday 22Dec2020. She took Benadryl again on Tuesday 22Dec2020. She had shortness of breath which started on 20Dec2020 and on 22Dec2020 she had shortness of breath that lasted until 11am. She had really heavy legs and arms and went back to the ER. She had a chest X-ray and D-dimer on 22Dec2020 that were normal per the ER. The night before the report, she had some of the same symptoms. She was really tired and slept it off. She didn''t take anything. The morning of the report, she was feeling good and better. She still has heavy feeling on upper chest and arms. Caller clarifies that she did not have a heavy feeling in her legs. Her arms feel heavy if she holds her phone too long. She continues to have ringing in her ear. The flushing went up to her face. The patient specified that she developed sports asthma as a child and uses an inhaler. She gets short of breath if she overexerts herself. Additional laboratory investigations on 20Dec2020 included blood work with unknown results and Troponin which was normal. She was provided with a general steroid. She did not know the name of it. She was also given Benadryl and monitored on telemetry. She was given IV fluids again on 22Dec2020.; Sender''s Comments: Based on the compatible temporal association and the known pattern of response, the Company considers the reported events are possibly related to vaccination with BNT162B2. 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: 918765 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK - / OT

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Cardiac flutter, Face oedema, Joint swelling, Oedema, Oedema peripheral, Paraesthesia, Peripheral swelling, Poor peripheral circulation, Throat irritation, Throat tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Fibromyalgia; High cholesterol; Hypertension; Penicillin allergy; Sulfonamide allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020513758

Write-up: 26Dec2020 continued decreased perfusion added bilateral knee joint pain; 26Dec2020 continued decreased perfusion added bilateral knee joint pain; 25Dec2020 added facial edema; 24Dec2020 ++6 pitting edema on ankles and feet +3 pitting legs and abdomen; 24Dec2020 ++6 pitting edema on ankles and feet +3 pitting legs and abdomen; throat scratchy and tight; throat scratchy and tight; 23Dec2020 slight swelling on feet and ankles; 23Dec2020 slight swelling on feet and ankles; Tingling and best flutter 5 minutes after administration; Tingling and best flutter 5 minutes after administration; This is a spontaneous report from a contactable nurse (patient). A 48-year-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot/batch number: EJ1685, expiration date: Mar2021), intramuscularly on 22Dec2020 at 09:45 at single dose for COVID-19 immunization in hospital. The patient medical history included known allergies: Sulfa, Penicillin; fibromyalgia; hypertension; high cholesterol. Prior to vaccination, patient was not diagnosed with COVID-19. The patient''s concomitant medications included other medications was received within 2 weeks of vaccination. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced on 22Dec2020 09:45 tingling and best flutter 5 minutes after administration; 23Dec2020 slight swelling on feet and ankles; 24Dec2020 ++6 pitting edema on ankles and feet +3 pitting legs and abdomen, throat scratchy and tight; 25Dec2020 added facial edema; 26Dec2020 continued decreased perfusion added bilateral knee joint pain. Since the vaccination, patient had not been tested for COVID-19. Therapeutic measures were taken as result of the events included diphenhydramine hydrochloride (BENADRYL) 50 mg every 6 hours. The outcome of the events was not recovered. The report was reported as non-serious, with seriousness criteria-Results in death: No; Life threatening: No; Caused/prolonged hospitalization: No; Disabling/Incapacitating: No; Congenital anomaly/birth defect: No.; Sender''s Comments: Flutter occurred 5 minutes after vaccination; a possible causal association between administration of the suspect vaccine bnt162b2 and the serious event onset cannot be fully 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: 918783 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Texas  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Aphasia, Balance disorder, Cardiac assistance device user, Cardiac disorder, Cerebrovascular accident, Computerised tomogram, Dyskinesia, Dysphemia, Echocardiogram, Ejection fraction decreased, Hemiparesis, Hypoaesthesia, Impaired work ability, Magnetic resonance imaging, Muscle fatigue, Neurological examination abnormal, Occupational exposure to SARS-CoV-2, Paraesthesia, Speech disorder, Ventricular tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Vestibular disorders (broad), COVID-19 (narrow), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Name: CT; Result Unstructured Data: Test Result:Unknown result; Test Name: Echocardiogram; Result Unstructured Data: Test Result:Unknown result; Test Name: Ejection fraction; Test Result: 25 %; Test Name: MRIs; Result Unstructured Data: Test Result:Unknown result
CDC Split Type: USPFIZER INC2020516120

Write-up: left sided weakness; it has weakened his heart; stutter; severe stroke like symptoms; Ventricular tachycardia/help keep his heart rate at bay; Loss of balance; extreme numbness and tingling in left hand and foot; tingling in left hand and foot; oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily; Issues finding words and trouble speaking; Issues finding words and trouble speaking; Ejection fraction down to 25%; The initial case was missing the following minimum criteria: adverse event. Upon receipt of follow-up information on 28Dec2020, this case now contains all required information to be considered valid. This is a spontaneous report from a contactable other healthcare professional (HCP). A 29-years-old male patient received bnt162b2 (lot number: EJ1685), intramuscular (deltoid left) on 21Dec2020 at 05:30 at 0.3 mL single (first dose) for Covid. Medical history was reported as "none". Concomitant medications were not reported. The patient previously received Flu vaccine in Oct2020 for immunization. The patient is an Occupational Therapist, and he called to report an adverse event that he experienced with the first dose of the COVID Vaccine. He received the vaccine last Monday, 21Dec2020 at 5:30AM before his shift at work, then 20 minutes later, he was having severe stroke like symptoms. He experienced severe left sided weakness, loss of balance, extreme numbness and tingling in his left hand and foot, he had issues finding his words and he couldn''t speak, and he had an oral motor impairment where his mouth was weak and not coordinated. The staff at the hospital did a neurological exam on him, and he failed, so he had to go to the emergency room (ER). The patient added that he was already in the hospital when this happened, and the ER doctors suspected that he had a CVA, and they gave him TPA to prevent any permanent brain damage and it worked. The patient then added that due to the shock of this whole event, from everything that happened, it has weakened his heart. Reportedly, he is a healthy 29 year old man, with no preexisting conditions, and he works out, and he has no heart conditions, but he had to get a cardiology follow up a few days after he got the vaccine, because he started going in to Ventricular Tachycardia, which he had never had in his life. So, the doctors at the hospital went ahead and did an Echocardiogram and an EKG, and he was told that his Ejection Fraction is down to 25%. He stated his heart is so weak, that he cannot work right now, but the structure of his heart is fine and has not had any damage. The hospital staff thought that maybe the patient had a chronic heart issue that he just did not know about, and that the stress of this event maybe made it kick into overdrive, but he states that the cardiologist said that was not the case, because the structure of his heart is fine, and the only thing they can see is that the heart is pumping weak. One physician even suggested that due to the shock of the event, he might have Takotsubo Cardiomyopathy, which is a broken heart, but because the structure of his heart is okay, it should be reversible. He stated that he is hoping he will heal up good, because he is young and has no pre-existing conditions. He added that his heart is in such a state right now; he has to wear an external defibrillator. The patient stated that all these happened about 20 minutes after he received the vaccine, and he was admitted to the hospital from 21Dec2020 to 25Dec2020. His neurological symptoms have resolved except that he has a stutter that he did not have before and his mouth is fatigued easily, so he has to slow down when he is eating, but now he can eat regular for the most part. The patient confirmed that he was not specifically prescribed the product; it was administered to him at his place of work, but it was optional. He stated he considered how he is working with COVID patients every day, and given the circumstance, he thought that it would be a best practice for him to get the vaccine. He had not gone to his primary care doctor in a while because he had been fine and healthy, but he called them and found out that his primary care had retired, so he has to find a new one now. Regarding the issues finding words and trouble speaking, he stated that he has improved, but it is still ongoing, he is just stuck in a plateau zone. With the Ventricular Tachycardia, he stated that this is an ongoing issue, as he has to wear the life vest even though he has no need to activate it yet. He did have one minor bought of the VTach, but because he is a therapist, he knows how to take care of it with relaxation techniques, he knows how to manage it. He had one bought of VTach the evening prior, but he was able to get it under control. The doctors have him on medication to help keep his heart rate at bay. He has never had to use medication before and is on the following medications to help keep his heart rate at bay: Metoprolol 25mg one tablet once daily by mouth and Lisinopril 5mg one tablet once daily by mouth. The VTach has improved, it was good enough he was able to discharge home, but it is still a concern. His cardiologist said that, basically his hope, is that once his body recover from the whole shock of everything, then his ejection fraction will heal, and his heart will heal. He again stated that the doctor told him that the structure of his heart is perfectly fine; he has thick walls in his heart, no leaking valves, and the heart was not conducting any abnormal signals. The doctor just said that right now, his heart is super weak and that it is an acute problem. With the Takotsubo Cardiomyopathy, he states that two doctors mentioned this diagnosis, but he confirmed that he was not actually diagnosed with this issue, he was just diagnosed with Ventricular Tachycardia. The outcome of the ejection fraction down to 25% was unknown to the patient at this time as he has not had another EKG or echocardiogram, but the cardiologist told him that the cardiologist expects that this will not be resolved quickly anyway. The patient confirmed that he did not receive any other vaccines on the same day he received the COVID vaccine. The only other vaccine he had this year was the flu vaccine which he got back in Oct2020. He has gone on to his online portal and there are the bloodwork results and all the imaging results on there from his CTs and MRIs, but he did not see the EKG or Echocardiogram results yet. He does not have this pulled up at this time, but he does have access to this stuff and can provide it later, if requested. He is curious about the next steps from here to how his case is processed. He is also curious if this information would help Pfizer make modifications to the vaccine if it is found that a lot of people are having the same reaction as he did. He is also wondering, given his situation, that probably he is not going to get the second dose, for his safety, but he is wondering what percentage of effectiveness the first dose does having just covered. The events left sided weakness, loss of balance, extreme numbness and tingling in left hand and foot resolved on 25Dec2020; severe stroke like symptoms and oral motor impairment; mouth weakness and not coordinated/mouth is fatigued easily resolved in 2020. The events ventricular tachycardia/help keep his heart rate at bay and issues finding words and trouble speaking were resolving, stutter had not resolved while the outcome of the events it has weakened his heart, and ejection fraction down to 25% was unknown.; Sender''s Comments: The reported information is unclear and does not allowa meaningful assessment of the case. It will be reassessed upon receipt of follow up information. 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: 919620 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: Washington  
Vaccinated:2020-12-01
Onset:2021-01-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER EL0140 / 1 UN / -

Administered by: Senior Living       Purchased by: ?
Symptoms: Body temperature increased, Cardiac failure, Pyrexia
SMQs:, Cardiac failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mucus Relief Tablet 400 MG (GuaiFENesin) Give 1 tablet by mouth every 8 hours as needed for congestion Prescriber Entered Active01/02/202101/04/2021 Omeprazole Capsule Delayed Release 40 MG Give 1 capsule by mouth in the morning for GERD Ph
Current Illness: N/A
Preexisting Conditions: Dementia, Urinary Incontinence, depression, Edema
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Decompensation and temp 103.6.


VAERS ID: 921053 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / OT

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring abnormal, Flushing, Heart rate increased, Supraventricular tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201228; Test Name: heart rate; Result Unstructured Data: Test Result:180''s earlier in the day; Test Date: 20201228; Test Name: heart rate; Result Unstructured Data: Test Result:increased to 160''s
CDC Split Type: USPFIZER INC2020518671

Write-up: Patient had SVT; flushing; hives; heart rate increased to 160''s (had been 180''s earlier in the day); This is a spontaneous report from a contactable pharmacist. A 46-year-old female patient received the first dose of BNT162B2 (lot number: EK5730), via intramuscular, on 28Dec2020 at single dose for COVID-19 immunization. Facility where the most recent COVID-19 vaccine was administered was hospital. The patient was not pregnant at the time of vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, it''s unknown if the patient was tested for COVID-19. No other vaccines were received within 4 weeks prior to the COVID vaccine. The patient''s medical history and concomitant medications were not reported. The patient had SVT, flushing, hives 20 min after receiving vaccine on 28Dec2020. Patient was taken to ED and evaluated. SVT resolved. Patient sent home on heart monitor. Later that night while in bed, heart rate increased to 160''s (had been 180''s earlier in the day) and patient was admitted to hospital. Patient is a NP. Treatment received for the adverse event included cold water to face, vagal massage. The outcome of the event"Patient had SVT" was recovered on 28Dec2020 and of other events was recovering.; Sender''s Comments: A causal association between BNT162B2 and the reported events supraventricular tachycardia, flushing, hives, heart rate increased cannot be excluded based on the compatible temporal relation. 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: 921182 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Nebraska  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH DJ1685 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Dyspnoea, Laboratory test, Palpitations, Supraventricular tachycardia
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril Calcitrol Urolic Lexapro Sodium Bicarb
Current Illness: Gout
Preexisting Conditions: Polycystic Kidney disease Prostate CA
Allergies: NKA
Diagnostic Lab Data: Heart monitor Labs
CDC Split Type:

Write-up: SVT, significant palpitations, Shortness of breath


VAERS ID: 921336 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / OT

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Cardiac disorder, Chills, Decreased appetite, Fatigue, Feeling hot, Headache, Myalgia, Oropharyngeal pain, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 (Field Name: If covid prior vaccination Field Value: yes); Mitral valve prolapse (Mvp)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020520276

Write-up: Headache; Fatigue; Muscle and joint pain; joint pain; Chills; heat surges; Sore throat; Not wanting to eat; Sore; Heart bothered me a little today; This is a spontaneous report from a contactable other Health Professional (Other HCP) (patient). A 35-year-old female Patient (no pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: Ek9231) on 29Dec2020 10:30 AM, Intramuscularly, (vaccine location: Left arm) at single dose (first dose) for COVID-19 immunization. Medical history included Mitral valve prolapse (Mvp) and covid (patient had covid prior vaccination). Concomitant medication included naproxen a week before. Patient was allergic to Azithromycin. Patient received no other vaccine in four weeks. Patient experienced Headache, Fatigue, Muscle and joint pain, Chills and heat surges, Sore throat, Not wanting to eat, Sore, Heart bothered me a little today (29Dec2020 11:15). Patient did not receive any treatment. Patient did not have had covid tested post vaccination. The outcome of the events was unknown. This case was assessed non-serious by reporter. The events did not result in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


VAERS ID: 922095 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Dyspnoea, Headache, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu shot; usual flu like symptoms on occasion when received in the past.
Other Medications: none
Current Illness: none
Preexisting Conditions: obese, cholesterol, borderline blood pressure,
Allergies: bleach (severe skin rash if touches skin), penicillin as a kid.
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Sore arm beginning in the evening which got progressively worse for a couple of days then subsided completely. Some heart fluttering and some slight shortness of breath beginning a couple of days after. More a nuisance. No other symptoms I''m aware of although every little thing I feel now I think may or may not be a symptom like slight head throb but not consistent pain. Not sure because of vaccine.


VAERS ID: 923394 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-20
Onset:2020-12-24
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood thyroid stimulating hormone, Cardiovascular evaluation, Electrocardiogram, Electrocardiogram ambulatory, Full blood count, Physical examination, Tachycardia, Thyroxine
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG, CBC, P7, TSH, T4 - 12/24/2020
CDC Split Type:

Write-up: Patient describes tachycardia starting on day 4 following the vaccination. Required emergency room visit along with primary care and cardiology evaluation. Currently undergoing holter monitor study. As of 1/6/2021 patient clinical status improving.


VAERS ID: 924066 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2020-01-06
Onset:2021-01-06
   Days after vaccination:366
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Blood test, Cardio-respiratory arrest, Chest discomfort, Dyspnoea, Erythema, Hypersensitivity, Laboratory test, Urticaria
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 2018 flu shot/ allergic reaction- flucelvax
Other Medications: Ibuprofen 400 mg to help with the vaccine taken the night before. Was given 2 shots of epi, soul-medrol and Benadryl via IV.
Current Illness: Migraines
Preexisting Conditions: Anaphylaxis
Allergies: Peanuts, tetanus, shellfish
Diagnostic Lab Data: Drew blood and normal allergic reaction work up all today 1/6/2021
CDC Split Type:

Write-up: Trouble breathing. Chest tightness, hives, redness, started at 10:08 and it was called as a code at 10:15 and they administered epi


VAERS ID: 924348 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Alaska  
Vaccinated:2012-01-05
Onset:2021-01-06
   Days after vaccination:3289
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Chills, Hypoaesthesia oral, Paraesthesia oral, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (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: albuterol 90mg 2 puffs every 4-6 hours as needed for sob/ wheezing Multivitamin 1 tablet by mouth once daily Omega -3 1200 mg 1 capsule by mouth twice daily Aspirin 81 mg 1 tablet by mouth once daily Levothyroxine 150 mcg 1 tablet by mouth
Current Illness: The patient has had no other viral illnesses 1 month prior to this immunization his past medical history does include cardiomyopathy and asthma.
Preexisting Conditions: His past medical history does include cardiomyopathy and asthma
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:

Write-up: This is a late entry note regarding adverse reaction status post Pfizer COVID-19 vaccine which was given to the patient yesterday at 9:45. Secondary to the patient''s past medical history he was advised that he would wait and observance for approximately 1/2-hour instead of 15 minutes. At approximately 10:15, 30 minutes after receiving his vaccine, the patient did report tingling and numbness in his lips and mouth, this progressed to tightness in his throat at 10:45, the patient denied any shortness of breath or wheezing and was constantly monitored by emergency medical services as a vaccine clinic to take place at our local fire hall. Secondary to throat tightness, and chills, and ongoing tingling numbness in his lips and mouth. #18 IV was started in the right AC, normal saline 1000 cc was up open, the patient received 25 mg of IV Benadryl per protocol, as well as 125 mg of IV Solu-Medrol at 1055. Vital signs at that time 168/95, pulse was 73, and O2 saturation was 100%. Physical exam did not reveal any indication of blockage within the throat, there was no shortness of breath or wheezing. Lung sounds are clear but diminished to auscultation bilaterally, heart rate regular. Temp 98.2. Approximately 10 minutes after receiving medication blood pressure 161/100, pulse-73, sat remained 100. Assessment of patient''s symptoms patient does report that the throat feels slightly thicker, he denied any shortness of breath or wheezing, there was no oral or facial edema throughout the entire episode. The patient received 1000 mg of IV Tylenol at 1125. Continued observation for the next hour, the patient did report improvement in his symptoms, lip tingling and numbness dissipated, along with throat tightness. Vital signs at 1236 122/74, pulse 79 oxygen saturation 100%. The patient was placed on a cardiac monitor the entire time of this incident. Follow-up phone call to patient on 01/06/2021 at 8:00 patient reportedam that he did have 1 further episode of tingling in the tip of his tongue and around his lips yesterday afternoon at 16:00 he did take Benadryl as instructed and this dissipated, he reports throughout the night he has had no further episodes of tongue or lip tingling, throat tightening shortness of breath or wheezing difficulty swallowing. He was instructed prior to leaving the vaccine administration site to continue with Benadryl 25 mg every 6 hours, along with Tylenol alternating with ibuprofen per box instructions to aid with chills and rigors for the next 24 hours. He reports that he is had an improvement in his symptoms, We will follow-up again in 1 day.


VAERS ID: 932399 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Cardiac monitoring, Hot flush, Impaired work ability, Migraine, Paraesthesia, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: UrticariaPruritus HOT flashes, prickly skin of jaw line to chest EMP was injected in the ER due to a previous flu vax reaction 2 years. She did consequently have a migraine headache upon awakening this AM which prevented her from working. Treated with Benadryl 25mg PO in the ER, monitored via cardiac monitor and then she was discharged with 25mg of Benadryl that she took when she got home at 1630.


VAERS ID: 925078 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-29
Onset:2020-12-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cardiac arrest, Hypotension, Oxygen saturation decreased
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Reglan 5mg, Maalox Advance 20mg, Prednisone 2.5 mg, Metoprolol succinate ER 25mg, Prednisone Lisinopril 2.5 mg, Eliquis 5mg, Atorvastatin 80mg, Gabapentin300mg, Tylenol 325mg x2, multivitamin, iron 325mg, magnesium oxide 400mg, zinc 220mg,
Current Illness: N/A
Preexisting Conditions: acute cerebral vascular insufficiency, aphasia, cerebral infarction, gastro reflux, vitamin deficiency, long use systemic steroid, central pain syndrome, dermatitis, cardiomyopathy, crones disease, SOB
Allergies: N/A
Diagnostic Lab Data: Inpatient
CDC Split Type:

Write-up: 12/29/2020 2 hr after vaccination patient became hypotensive, decreased oxygen levels was transferred to Hospital currently inpatient at hospital - admitted for cardiac arrest


VAERS ID: 926061 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood magnesium decreased, Cardiac monitoring, Exposure during pregnancy, Paraesthesia oral, Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypokalaemia (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: Triamterene Hydrochlorothiaz (Maxzide) Pre-Natal Vitamin
Current Illness:
Preexisting Conditions: Tinnitis
Allergies: No known allergies
Diagnostic Lab Data: Full Chemistry Lab: 12/31/20 Low magnesium, is on medications to increase levels.
CDC Split Type: 1636357

Write-up: Pt. was vaccinated on 12/31/20 @ 11:07 a.m. with Moderna Vaccination. Pt. experienced some tingling on the tip of her tongue. She did not have any difficulty swallowing or breathing. She was noted to have some PVC''s and because of the PVCs and the tingling in the tongue she was transported to the Emergency Room. Pt is 28 weeks pregnant with due date 03/24/21. Pt. was placed on heart monitor and noted to have PVCs , no runs noted.


VAERS ID: 926401 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-21
Onset:2020-12-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Blood test, Cardiac monitoring, Chills, Cough, Dizziness postural, Fatigue, Oropharyngeal pain, Pain, Paraesthesia, Pyrexia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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? Yes
Hospitalized? No
Previous Vaccinations: 3 years ago after my flu shot I got the flu.
Other Medications: fluid pill, potassium.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Took me to the ER and took blood, heart monitor.
CDC Split Type: vsafe

Write-up: I had some aches and pains. I was tired the next morning. I started having chills and became dizzy. My hands started to tingle and remained that way for three days. I developed a cough, sore throat, and fever. The fatigue was really bad for a few days.


VAERS ID: 926823 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: North Dakota  
Vaccinated:2020-12-29
Onset:2021-01-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry, Chest discomfort, Dyspnoea, Electrocardiogram, Malaise, Troponin increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: troponin checked on both days. Troponin elevated on both days. 1st day higher than 2nd day. EKG and Telemetry done and monitored.
CDC Split Type:

Write-up: Patient wasn''t feeling well on Jan 2nd. felt like someone is pushing on his chest and is Short of breath. b/p 119-69 P 62 R 26 no temp. patient evaluated in ED symptoms subsided quickly and returned to normal environment. Same similar symptoms occurred again on Jan 6th. symptoms again subsided quickly. NO previous history of any cardiac disease.


VAERS ID: 927004 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-30
Onset:2021-01-06
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Angiogram, Arthralgia, Cardiovascular evaluation, Dizziness, Electrocardiogram, Fatigue, Headache, Injection site pain, Laboratory test abnormal, Mobility decreased, Muscular weakness, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan Potassium 50mg, Escitalprolam 20 mg, Xyzal 5mg, Flonase, Anastrazole 1mg, Multivitamin, Vitamin D, CoQ10, Glucosamine Chrondoitin, Olopatadine .1%
Current Illness: lymphedema R arm from breast cancer surgery and radiation treatment
Preexisting Conditions: HTN, breast cancer (R), partial hysterectomy in 1/2020, radiation treatment 3/2020, lymphedema, anxiety, seasonal allergies/hay fever
Allergies: Allergic to adhesive glue in tape and bandaids, pollen, dust, pet dander, grass, Atovastatin
Diagnostic Lab Data: Went to the ER and they did a cardiac work up, EKG,CTA. Blood clot protein level was elevated 1/7/2021
CDC Split Type:

Write-up: Site injection pain (days 1-3) 12/30/2020, Days 6-present (1/6/2021-present) nausea, dizziness/headaches, muscle pain, joint pain, arm weakness/unable to lift my arm, fatigue/tiredness


VAERS ID: 928670 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac stress test normal, Chest pain, Electrocardiogram normal, Laboratory test, Pain in extremity, Pain in jaw, Palpitations, Panic attack
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Over the counter Vit, Allegra,Biotine,V6, V12, Zinc, Aspirin, Losartan, Topamax, Singular, Myrbetriq Metformin, Blood Thinner, Folic Acid, Calcium, Garlic, Vertex, Glucosamine with Vit D, 2 Nasal sprays, Flonase, Azelastine
Current Illness: No
Preexisting Conditions: Blood pressure, Hypertension, Pre Diabetic
Allergies: Jelly Beeswax, Januvia, Baclofen, Latex (Band-Aids)
Diagnostic Lab Data: Lab work, EKG, Stress Test
CDC Split Type: vsafe

Write-up: I started few hours later started feeling thought it was stress. The next morning around 9am high moderate pain left leg jaw, chest hurt, sudden panic attack and I had to calm down for minutes. I informed my coworker I was having a reaction and then it stopped. Then I scheduled an appt with my PCP had lab work, EKG results was normal. On 12/24 still exp high mild left jaw pain, heart racing and chest pain .I was scheduled stress test on 12/30 was normal.


VAERS ID: 928773 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2020-12-18
Onset:2020-12-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Cardiomegaly, Chest X-ray, Dyspnoea, Headache, Neck pain, Pain, Pneumonia, Productive cough
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? No
Previous Vaccinations:
Other Medications: Augmentin, metformin, pravastatin, tizanidine, testosterone, glimepiride, MgOx, escitalopram, diclofenac, fluticasone INH, Montelukast, fenofibrate, ASA, omeprazole, losartan, fish oil
Current Illness:
Preexisting Conditions: See meds
Allergies: Skin adhesives, latex (topical reactions)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intermittently productive cough, dyspnea, body aches, HA, neck pain 3 days after dose. CXR in ED found LLL pneumonia and enlarged heart; given ABX and isolation.


VAERS ID: 929573 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Georgia  
Vaccinated:2020-12-24
Onset:2020-12-28
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test abnormal, Cardiac monitoring, Chest X-ray, Echocardiogram normal, Electrocardiogram, Tachycardia, Troponin increased
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EKG 12/30/2020, 1/05/2021 ECHO 1/05/2021 wearing heart monitor for 30 days starting 1/05/2021
CDC Split Type:

Write-up: Tachycardia on 4th day after vaccine, the onset started in the morning while at rest, heart rate returned to normalcy after an hour but had intermittent episodes of tachycardia. I went to the ER on 12/30/2020 due to continued tachycardia. An EKG, chest xray, and blood was drawn, which showed slightly elevated troponin, stayed most of the night in the EC with second lab draws. I was given a prescription of metropolol 12mg to be taken twice a day for 14 days. Went to see a cardiologist on 1/05/2021, another EKG was preformed along with an ECHO which was normal but was placed on a heart monitor to be observed for 30 days


VAERS ID: 932525 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-24
Onset:2020-12-28
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac function test normal, Chest pain, Cough, Dyspnoea, Fatigue, Pyrexia, SARS-CoV-2 test negative, Viral infection, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Cardiac work-up negative.
CDC Split Type:

Write-up: Fever, cough, chest pain, SOB, vomiting, and fatigue 4 days post vaccination. Seen in ER - Covid-19 test negative, diagnosis viral syndrome.


VAERS ID: 934239 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-30
Onset:2020-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac discomfort, Chest discomfort, Cough
SMQs:, Anaphylactic reaction (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, CBD oil, zinc, calcium, magnesium, ibuprofen, votaren gel
Current Illness: n/a
Preexisting Conditions:
Allergies: IVP dye
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: States developed a dry cough and a feeling in her chest that her valve "was sticking". approximately 24 hours after receiving the vaccine. Patient compared it to feeling like when you have blood "dragged out of your heart" she feels this in her chest -- states it''s aggravated by leaning on her left side. Denies it being constant. She was advised to follow up with her PCP.


VAERS ID: 934975 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-27
Onset:2021-01-07
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial flutter, Cardioversion, Chest X-ray, Electrocardiogram abnormal, Full blood count, Heart rate irregular, Metabolic function test, Troponin
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Flonase, Vit D
Current Illness: N/A
Preexisting Conditions: H/O SVT, s/p ablation in 2018
Allergies: NKDA
Diagnostic Lab Data: Labs (troponin, CBC, CMP and some others I am unaware of) were done at both ED visits as was an EKG and chest Xray. I was told the only issue was found on my EKG which showed atrial flutter. ED visit #1 was on 1/7/21 and ED visit #2 was on 1/8/21. I was cardioverted on 1/8/21 and sent home on Eliquis. I have follow up with a cardiologist on 1/13/21 and with my PCP today at 1400.
CDC Split Type:

Write-up: On day 11 post vaccine administration, I started to experience an irregular heart rhythm. I went to the ED at my place of employment and was found to be in atrial flutter. Just prior to them administering a medication (metropolol), I spontaneously converted back to sinus rhythm. I was sent home and told to follow up with my PCP or go to the ED should it return. The following evening around 515 pm, I went into the same type of rhythm so went to the ED for evaluation. I was again found to be in atrial flutter after a repeat EKG was done. About two hours after arriving, I was cardioverted and my rhythm returned to sinus rhythm. I was discharged home and continue to be in sinus rhythm and am now on blood thinners.


VAERS ID: 935760 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-30
Onset:2021-01-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac flutter, Fatigue, Pain in extremity
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow), Tendinopathies and ligament disorders (broad)

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

Write-up: Heart fluttering intermittently and fatigue. (From 1/1/21 -1/11/21. Soreness in right arm for 2 days only From 12/30/20-1/2/21 Received moderna COVID 19 vaccine at on 12/30/2021


VAERS ID: 937367 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 UN / IM

Administered by: Private       Purchased by: ?
Symptoms: Body temperature increased, Cardiac monitoring, Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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: HEART MONITOR APPLIED PER DR AND DR RECOMMENDED THAT SHE KEEP HER APPOINTMENT FOR THE SECOND DOSE. SECOND DOSE OF VACCINE GIVEN ON 1/12/2021.
CDC Split Type:

Write-up: A COUPLE OF HOURS AFTER VACCINE, PALPITATIONS AND TACHYCARDIA. THIS LASTED FOR 5 DAYS, SO SHE WENT TO SEE A HEART DR. LATER THAT EVENING, TEMP OF 101.


VAERS ID: 938412 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-29
Onset:2020-12-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac monitoring, Chest discomfort, Cold sweat, Dizziness, Headache, Heart rate irregular, Limb discomfort, Throat tightness, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Ventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Hypokalaemia (broad)

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

Write-up: Dizzy Clammy Heavy legs Frequent PVC on monitor Irregular heartbeats Headache Tightness in throat and chest


VAERS ID: 939186 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated:2020-01-03
Onset:2020-01-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac monitoring abnormal, Chills, Electrocardiogram, Flushing, Heart rate increased, Nausea, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Dehydration (broad), Hypokalaemia (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: Multivitamins Vit D3 Omega Three Oils Evening Primrose Oil Vitamin C Dovonex Ointment
Current Illness: None
Preexisting Conditions: Psoriasis
Allergies: Bee Stings
Diagnostic Lab Data: EKG Follow up with allergist will be antibody testing on 1/20/2020
CDC Split Type:

Write-up: Upon my 30 min observation , At about 5 minutes of receiving the vaccination I had a flush sensation from head to toe, increased HR that persisted, I informed RN at injection clinic. I was then hooked up to monitor , hr continued to sustain at 118 and bp increased to 150/90. For the next two hours I had continuous waves of increased hr to 118 and increased bp with nausea, chills and flushing. The duration of the episodes lengthend as time progressed, the episodes lasted anywhere from 2-4 minutes. The amount of episodes I had was 4-5. I was admitted to to the ER where I was administered Famitodine, steroids and Zofran, I had a EKG and was monitored for 8 hours . I continued on steroids for 4 days. The following day I had PVC''s and flushing.


VAERS ID: 963164 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac failure congestive, Diabetes mellitus, Hyperglycaemia, Hypertension, Pyrexia, Tachycardia, Tachypnoea
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Tachypnea, HYPERtension, Tachycardia & HYPERglycemia Narrative: Was inpatient overnight in a telemetry until. DC with diagnosis of DM and CHF


VAERS ID: 1402179 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac failure chronic, Cardiac telemetry, Diabetes mellitus, Hyperglycaemia, Hypertension, Pyrexia, Tachycardia, Tachypnoea
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever, Tachypnea, HYPERtension, Tachycardia & HYPERglycemia Narrative: Was inpatient overnight in a telemetry until. DC with diagnosis of DM and CHF


VAERS ID: 940367 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac monitoring, Chest discomfort, Dizziness, Feeling abnormal, Headache, Laboratory test normal, Malaise, Muscle spasms
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Hypertension (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: FIORICET, SUMATRIPTAN
Current Illness: NONE
Preexisting Conditions: CLUSTER MIGRAINES,
Allergies: NONE
Diagnostic Lab Data: CARDIAC WORK AND LAB RESULTS ARE NOT AVAILABLE-PATIENT REPORTS ALL TESTS AND LABS WERE NORMAL.
CDC Split Type:

Write-up: 12/23/2020-RECEIVED VACCINE AT 9:52 AM. REPORTS NOT FEELING WELL IN THE AFTERNOON, LIGHTHEADED AND DIZZY, THROBBING HEADACHE. CRAMPING/ACHING IN BACK OF CALVES. 12/24/2020 CONTINUED WITH DIZZINESS, THROBBING HEADACHE, BLOOD PRESSURE ELEVATED, CHEST PRESSURE 8:00 PM REPORTED FEELING THAT SHE WAS GOING TO DIE, WENT TO LAKE CITY MEDICAL CENTER- BLOOD PRESSURE ON ARRIVAL 184/101 HR. 117. GIVEN NITRO AND MEDICATIONS. ADMITTED, DISCHARGED 48 HOURS LATER ON 12/26/2020. DISCHARGED ON BLOOD PRESSURE MEDICATION 12/27/2020-LESS THAN 24 HOURS AFTER BEING DISCHARGED SHE WAS READMITTED TO MEDICAL CENTER WITH SAME SYMPTOMS. 36 HOURS AFTER ADMISSION, TRANSFERRED TO MEDICAL CENTER. FOR CARDIC WORKUP AND HIGHER LEVEL OF CARE.


VAERS ID: 941080 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Florida  
Vaccinated:2020-12-28
Onset:2021-01-02
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Antiphospholipid antibodies negative, Antithrombin III, Arteriosclerosis, Beta-2 glycoprotein antibody negative, Cardiolipin antibody negative, Coagulation time, Computerised tomogram abdomen abnormal, Diarrhoea, Full blood count normal, Lipase normal, Localised oedema, Metabolic function test normal, Protein C, Protein S normal, Red blood cell sedimentation rate normal, Renal cyst, SARS-CoV-2 test negative, Scan with contrast abnormal, Thrombosis
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Labs done on Jan 3, 2021. Covid Nasal Swab PCR (-). CBC, Comprehensive Chem profile and Lipase were (-). Abd CT with contrast done on Jan 3, 2021 demonstrated a non calcified plaque/thrombus in the celiac artery. There was stranding and local edema, consistent with acute event. Liver, spleen, pancreas, Gall Bladder, retroperitoneum were nl. Aorta and bowel were unremarkable. Kidney''s has non significant cysts. Subsequent labs done 1/4/2021 to rule out hypercoagulable state and antiphospholipid Syndrome (APS) . Anticardiolipin (-); Beta-2-GPI (-), Lupus anticoag (-), LA DRVVT (-), Protein C and Protein S (-), Antithrombin III Activity (-); Silica Clot Cnfrm ratio 1.26 (elevated). 2D echo pending. ESR 8
CDC Split Type:

Write-up: 5 days after Moderna vaccine, developed severe abd pain, mid epigastrium. No Nausea or vomiting. No fever. Mild diarrhea. after 48 hrs with no improvement went to ED


VAERS ID: 941556 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1284 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Axillary pain, Cardiac disorder, Supraventricular tachycardia
SMQs:, Supraventricular tachyarrhythmias (narrow)

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

Write-up: Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Supraventricular tachycardia (pt has prior hx of this): ambulance to hospital. Pt assessed & released same day. Pt is free from that symptom now. Also experienced painful knot under arm lasting 5 days


VAERS ID: 941581 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Cardiac disorder, Lymph node pain, Lymphadenopathy, Supraventricular tachycardia
SMQs:, Supraventricular tachyarrhythmias (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Systemic: Cardiac Disorder (diagnosed by MD)-Severe, Systemic: Supraventricular tachycardia (pt has prior hx of this): ambulance to hospital. Pt assessed & released same day. Pt is free from that symptom now. Also experienced painful knot under arm lasting 5 days


VAERS ID: 1416785 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-27
Onset:2020-12-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac flutter, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (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: Palpitations palpitations/flutter lasted approx 1 week intermittently Narrative:


VAERS ID: 944712 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Cardiac monitoring, Echocardiogram, Electrocardiogram, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, progesterone, vivelle dot, multivitamin, tylenol extra strength. naproxen, preservision, hyralonic acid
Current Illness: none
Preexisting Conditions: I have asthma and seasonal allergies
Allergies: only pineapple get hives
Diagnostic Lab Data: i had blood work on 1/8/2020 and an ECG, I also had a holter monitor for 24 hours placed on Friday 1-8-2021 at 11;04am and took off 24 hours later. and then o 1/13/2021 had an ECHO
CDC Split Type:

Write-up: about an hour and a half after the injection I noticed my heart was beating very fast and hard. it was waking me up at night due to the pounding. It has remained this way since i have had the injection on Dec 30, 2020.


VAERS ID: 947246 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac murmur, Condition aggravated, Echocardiogram, Hyperhidrosis, Lip swelling, Rash erythematous, Supraventricular tachycardia, Swelling face, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Pulmonary hypertension (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: history SVT/MVP asymptomatic/no rx in prior year
Allergies: none
Diagnostic Lab Data: echo ordered 1/14/21 not yet completed
CDC Split Type:

Write-up: Hours after first COVID vaccine 12/18 developed facial and lip swelling then urticaria on arms and nonpruritic, erythematous rash chest to thighs. Woke that night with tachycardia to 220''s. Tachycardia of varying degree and severe diaphoresis was constant through the next 72 hours. Did not seek care. Since then, for 3 weeks she has had multiple runs of SVT. Last one was Saturday 1/9 - went to ER, episode recorded. Given rx of xanax which did not resolve her tachycardia. Established care with me 1/14/2021 and noted to have 3/6 systolic murmur. Patient (who is a PA) states it is significantly louder than it was prior to vaccination. Given rx of prn propranolol for home, outcome pending


VAERS ID: 948165 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Kansas  
Vaccinated:2020-12-22
Onset:2020-12-23
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Cardiac monitoring, Cardiac stress test, Electrocardiogram, Palpitations, Ultrasound scan
SMQs:, Arrhythmia related investigations, signs and symptoms (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: Estarylla
Current Illness: None
Preexisting Conditions: Mild Asthma
Allergies: None
Diagnostic Lab Data: Pending
CDC Split Type:

Write-up: The following day, 12/23/20, I kept feeling like I was having brief waves of anxiety, with nothing to be anxious about. The anxious feeling kept occuring, but it wasn''t until a week later than I realized that each time I felt that anxiety, my heart was actually palpitating. I had a 12 lead EKG done via local EMT to confirm that it was actually happening, then made an appt with a local cardiologist. Stress test, cardio sonogram, and 24 hour heart monitor tests were completed on 1/13/21. My follow up is on 2/3/21. Fortunately, I have not felt a palpitation since 1/10/21.


VAERS ID: 950000 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac monitoring, Dizziness, Heart rate increased, Immediate post-injection reaction, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-Vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: Current On a Zio Heart Monitor
CDC Split Type:

Write-up: Increased Heart Rate and Tingling in the Arm and Dizzyness right after the vaccine. Dizzyness continuted through out the day Increased Heart Rate had continued off and on, went to ER and have seen Cardiologist


VAERS ID: 950966 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-12-22
Onset:2021-01-09
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac telemetry abnormal, Chest discomfort, Dyspnoea, Postural orthostatic tachycardia syndrome, SARS-CoV-2 test negative, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID test is negative. 24hr Telemetry proves PVCs. positive orthostatic vitals
CDC Split Type:

Write-up: On 1/9/2021 started to have Postural Orthostatic Tachycardia Syndrome and PVCs associated with SOB and chest tightness and not recovered yet.


VAERS ID: 951560 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Florida  
Vaccinated:2020-12-19
Onset:2021-01-03
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time prolonged, Antiphospholipid antibodies positive, Beta-2 glycoprotein antibody negative, Cardiolipin antibody negative, Chest pain, Computerised tomogram thorax, Dyspnoea, Fibrin D dimer increased, Gene mutation identification test negative, Muscle spasms, Protein C, Protein S normal, Pulmonary embolism, Pulmonary infarction, Russell's viper venom time normal
SMQs:, Anaphylactic reaction (broad), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ibuprofen, Tylenol
Current Illness: None
Preexisting Conditions: Migraine, Hyperlipidemia
Allergies: Sulfa Drugs, Chloroquine
Diagnostic Lab Data: 1/6/2021 D-Dimer- Elevated CT angiogram- Multiple bilateral segmental and subsegmental pulmonary emboli with the largest clot burden in right lower lobe with associated pulmonary infarction. Factor V mutation- negative Protein C and S antigen and activity- Normal 1/8/2020 Glycoprotein B2 antibody- negative Cardiolipin antibody- negative Lupus antibody- positive Hexagonal phase confirm - positive PTT-LA- elevated DRVVT screen- normal
CDC Split Type:

Write-up: Severe Right sided chest pain, right sided muscle spasms and difficulty breathing two weeks after vaccine was administered Diagnosis of bilateral pulmonary embolism was made on presentation to ER. No personal or family history of clots in arteries or deep veins or any risk factors in patient. Received heparin drip, pain medications, muscle relaxants inpatient. Pain progressively improved over days. Was discharged after 6 days on admission. Was discharged on oral anticoagulant (Rivaroxaban aka xarelto)


VAERS ID: 952497 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Illinois  
Vaccinated:2020-12-19
Onset:2021-01-08
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal distension, Cardiac failure, Cardiomegaly, Cardiomyopathy, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal, Constipation, Cytomegalovirus test, Cytomegalovirus test negative, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction decreased, Epstein-Barr virus antibody negative, Hepatitis viral test negative, Hilar lymphadenopathy, Hypertension, Left ventricular dysfunction, Lymphadenopathy mediastinal, Magnetic resonance imaging heart, Myocarditis, Obesity, Pain in extremity, Pericardial effusion, Pleural effusion, Pulmonary oedema, Respiratory viral panel, Right ventricular ejection fraction decreased, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sleep apnoea syndrome, Ventricular hypokinesia
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nexium 20mg po daily Duloxetine 60mg po daily Ibuprofen as needed Vitamin D
Current Illness:
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: Echo with severe diffuse LV hypokinesis 1/12 Hepatitis panel negative, EBV/CMV IgG positive/IgM negative, 1/12 COVID antibody: negative 1/9 RVP negative 1/8 COVID PCR negative RADIOLOGY: MRI cardiac 1/11: 1. There is linear mid myocardial late gadolinium enhancement in the inferoseptal wall of the left ventricle in a nonischemic pattern. This may represent sequela of myocarditis. Findings do not appear to be acute. 2. The left ventricle is dilated with global hypokinesis and significantly reduced LV systolic function. The calculated left ventricular ejection fraction is 25%. There is also diastolic dysfunction. 3. The right systolic function is also reduced with ejection fraction of 30%. 4. There is a moderate-sized pericardial effusion without evidence of pericarditis or constrictive physiology. CT chest 1/8: 1. No evidence of pulmonary embolism. 2. Mild cardiomegaly with small/moderate-sized pericardial effusion that appears mildly increased in size from the earlier abdominal CT. There are findings of mild pulmonary edema which are greatest in the lung bases and are new from the earlier abdominal CT. 3. Small/moderate right and small left pleural effusions which have mildly increased in size from the earlier abdominal CT. 4. Nonspecific mediastinal and right hilar lymphadenopathy CT A/P 1/8: 1. No evidence of acute abdominal/pelvic abnormality. 2. Small/moderate-sized pericardial effusion. 3. Small right and trace left pleural effusions.
CDC Split Type:

Write-up: Patient with PMH of depression and GERD who presented 1/8 with constipation, abdominal discomfort and worsening dyspnea. Symptoms began around 12/29. COVID vaccine 12/19. Previously quite active, marathon runner, gained some weight over last couple years but was still in good enough shape to complete 10K in New Orleans in early February. In late February, had a flu-like illness, as did one of his friends from church. 2020 was hard on him - weight gain, decreased activity, stress, overall deconditioning. No issues apart from sore arm after COVID vaccine 12/19 but then starting getting abdominal fullness/discomfort around 12/29, which steadily worsened, also develop worsening dyspnea on slight exertion. No known sick contacts.. Work-up notable for pericardial effusion, pleural effusions. Echo with severe diffuse LV hypokinesis, concern raised for myocarditis. COVID PCR negative, serology negative. RVP negative. . Concern raised that COVID vaccine may have played a role in myocarditis. He was found to have the following conditions Acute heart failure with reduced EF NYHA FC II, non-ischemic cardiomyopathy. Myocarditis appears subacute per MRI hypertension obesity small pericardial effusion- asysmptomatic no pericarditis suspected obstructive sleep apnea. .Started on the following medications. Continue Carvedilol 12.5mg BID, Farxiga 5mg daily, Digoxin 0.125mg daily, Entresto 97-103mg BID, and Spironolactone 25mg daily. Per MD note. While it remains uncertain, team is doubtful COVID vaccine played a role in his cardiac issues. Given the MRI findings are not acute, more likely that the cardiac insult occurred weeks to months ago - potentially in the setting of the February 2020 illness. Perhaps his "deconditioning" in 2020 was related to worsening cardiac function. Nevertheless, will hold on 2nd COVID vaccine dose given absence of a clear explanation for his myocarditis. conversation with team will continue to determine if candidate for second covid vaccine. If consensus is that myocarditis pre-dated vaccine, might be able to proceed with dose 2 of vaccine.


VAERS ID: 953078 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-31
Onset:2021-01-04
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Chest discomfort
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sulfonamide allergy (Known allergies: Biaxin, Flagyl, sulfa, bactrim)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021014658

Write-up: Heart fluttering; chest pressure; This is a spontaneous report from a contactable nurse (patient). A 55-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EK5730; expiration date: not known), via an unspecified route of administration in the left arm at hospital on 31Dec2020 10:00 at at single dose for COVID-19 immunization. Medical history included known allergies with sulfa. The patient is not pregnant. The patient''s concomitant medications were not reported. The patient previously took clarithromycin (BIAXIN), metronidazole benzoate (FLAGYL), and sulfamethoxazole, trimethoprim (BACTRIM), and all but experienced allergies (reported as "known allergies: Biaxin, Flagyl, sulfa, Bactrim"). No COVID prior to vaccination and no COVID tested post vaccination. The patient experienced heart fluttering and chest pressure on 04Jan2021. There was no treatment received for the reported events. The outcome of the events was not recovered.; Sender''s Comments: A causal relationship between the reported heart fluttering and the use of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) cannot be completely excluded due to temporal relationship. The case will be reassessed should additional information become available. 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: 953888 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Texas  
Vaccinated:2020-12-22
Onset:2021-01-09
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac telemetry abnormal, Chest discomfort, Dizziness, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Orthostatic hypotension, Palpitations, Scan myocardial perfusion normal, Ventricular extrasystoles, Vision blurred
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: A day following COViD vaccine on 12/23/2020 had arm soreness, chills and generalized body aches.
Other Medications:
Current Illness:
Preexisting Conditions: Prediabetes
Allergies:
Diagnostic Lab Data: Urgent care visit with EKG showing PVCs Hospitalized on 1/13/2021 complaining of palpitations, SOB and chest tightness when 24 hours telemetry was obtained and confirmed PVCs. Nuclear stress test did not show any CAD. Transthoracic echo didn?t show structural abnormality. Orthostatic vitals was strongly positive. Was discharged on 1/14/2021 and started on Diltiazem, Asprin, and Statin. Till today, I still have the symptoms despite have been taking all my medications. I have never diagnosed with any cardiac disease in the past.
CDC Split Type:

Write-up: PVCs with compensatory pauses, postural orthostatic hypotension associated with chest tightness, shortness of breath, dizziness and blurry vision


VAERS ID: 957586 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-30
Onset:2021-01-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiovascular evaluation, Palpitations, Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: In process of cardiac evaluation
CDC Split Type:

Write-up: Have tachycardia to 120s when I stand with palpitations. When sitting normal heart rate. Currently being evaluated by cardiologist


VAERS ID: 958208 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-28
Onset:2020-12-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037R20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure congestive, Condition aggravated, Diarrhoea, Feeling abnormal, Pain in extremity, Peripheral swelling, Pyrexia, SARS-CoV-2 test positive, Vomiting
SMQs:, Cardiac failure (narrow), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: Shingles-2016
Other Medications: Levothyroxine 125mg, Simvastatin 40mg, Estradiol .05mg, Potassium Chloride 20mg, Furosemide 20mg, Metroprol 100mg., Asminex 1puff bid, Gavipitman, Ferrous Sulfate 324mg, Vit C, Fish Oil 1000 mg bid, Lexapril 20mg.,
Current Illness: no
Preexisting Conditions: COPD, Congestive Heart Failure, Asthma
Allergies: oranges, watermelon, chicken
Diagnostic Lab Data: COVID-19-positive
CDC Split Type: vsafe

Write-up: My arm was a little sore after the vaccination but no other symptoms. And on 12/30 I woke up with a sever fever, vomiting and diarreah. Went to the ER and was diagnosed with CHF because my feet were so swollen and was given lasix and released. I continued to feel bad so on that Sunday 1/3 I went back to the hospital and was admitted and tested positive for COVID-19. I spent from Sun-Wed in the hospital


VAERS ID: 958997 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J202A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blood test, COVID-19 pneumonia, Cardiovascular examination, Chest discomfort, Computerised tomogram thorax abnormal, Cough, Dehydration, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Feeling abnormal, Headache, Impaired work ability, Influenza like illness, Mobility decreased, Nausea, Ocular discomfort, Pain, Pain in extremity, Palpitations, Peripheral swelling, Pneumonitis, SARS-CoV-2 test positive, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: Cardiac - bypass X2 and a pacemaker Heredity hypolipidemia
Allergies: Tramadol - confusion; out of body experience
Diagnostic Lab Data: EKG Blood work O2 - 83 Blood Pressure 140/90 CT -ruled out pulmonary embolism; showed I had severe inflammation from COVID and nasty looking lumps and COVID Pneumonia; lungs looked severely inflamed.
CDC Split Type: vsafe

Write-up: 12:00 noon my arm was super sore and swollen and I could barely raise it. By the evening on the 24th I was super tired. Christmas , the 25th,I was really fatigued. 26th, I was very fatigued and no energy - like I almost had the flu. 27th - the same - couldn''t get out of bed. 28th - started getting a dry, hacky cough and then it went away. 29th - tried to go to work and I didn''t feel good at all and I just wasn''t feeling myself. Had brain fog. Went to work - things that I know that Know wasn''t there because of brain fog. Felt really like flu symptoms that night. 30th - body aches; headache and eyes felt like pressure behind them. Sent me to COVID and it was positive - was out 2 weeks from work. Went to back to work last week - but I still had shortness of breath, brain fog and fatigue and cough on Moday the11th; super tired still and I kept pushing myself to try to work and by Friday, 15th, I was just done. Exhausted. 16th - still having fatigue and 17th I thought I felt better when I woke up but still had my shortness of breath, cough and brain fog. At 2:00 pm I started feeling dizzy and faint like. I ate and within 20-30 min after food started throwing up, pounding headache. Every time I started trying to drink I would throw up. Monday, 18th, I went to work and I noticed whenever I moved around I was dizzy and short of breath and I couldn''t eat or I would throw up. So slept the rest of the day. About 4:pm on Monday I thought I was going to pass out. 02 level at 86. Heartrate - Palpitations at 130. It was bouncing. Hving chest pressure, dizzy, pounding heart - 02 86 and Heartrate145. ER at 5:00 pm at Medical Ctr. Nausea medicine: Phenergan and Zofran. Did IV to hydrate me as I was dehydrated. Gave me Pepsid. I was a direct admit. They kept giving me hydration and nausea med and med for headaches and cardio workup - cardio came back normal. Severe lung inflammation. Was in the hospital until evening of 19th.


VAERS ID: 959261 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardio-respiratory arrest, Feeling abnormal, Paraesthesia oral, Throat tightness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (broad)

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

Write-up: Patient received vaccine @ 1735, after receiving vaccine patient reported "feeling funny" & tingling to lips. After 5 minutes of receiving vaccine patient then reported "feeling worse" & having a tightness to throat, Code Blue called, code cart & epi present. VSS, O2 sat 100%, BP 176/116, HR 88 bpm. ED code team arrived, patient stable and transported patient to ED via wheelchair for further evaluation.


VAERS ID: 962689 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Blood pressure increased, Cardiac monitoring, Chest discomfort, Electrocardiogram, Metabolic function test, Muscle tightness, Palpitations, Paraesthesia, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLEGRA Singulair TriNessa
Current Illness: NA
Preexisting Conditions: NA
Allergies: Seasonal Allergies Penicillin
Diagnostic Lab Data: Ekg Heart monitor Basic metabolic panel
CDC Split Type: vsafe

Write-up: Right at the 15 min mark there were squeezing in the abdomen, chest and neck area My heart rate was over 150 Heart rate slowed down then I started having Palpitations I started to feel shaky, My hands and feet felt like Pins and needles Doctors checked my Blood pressure and it was elevated everything last 3 hours


VAERS ID: 966218 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA U25J20A / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiac flutter, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Tachyarrhythmia terms, nonspecific (narrow)

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

Write-up: Within one minute of receiving the vaccine I experienced a very brief "fluttering" of my heart, resolved quickly. No other reactions during the 15 minute monitoring period. Within approx 25 minutes of receiving the vaccine, I experienced tingling and slight numbness of my lips. This progressed to numbness and tingling of both cheeks. No swelling. No progression or worsening of described symptoms. This numbness/tingling continued for approximately 40 minutes then self-resolved.


VAERS ID: 966364 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac flutter, Dizziness, Dyspnoea, Fatigue, Heart rate increased, Hyperhidrosis, Nausea, Palpitations, Tachycardia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

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

Write-up: Pt received dose #1 Moderna COVID vaccine 12/28/20 @ Clinic. About 3 hours after had 30 minutes of rapid heart rate, and fluttering. Laid down, went to sleep, and it resolved. She didn''t seek emergency care. Did not have chest pain or shortness of breath. Continued to have palpitations occasionally, fatigue, tachycardia. Presented to PCP on 1/7/21 for symptoms and was transferred to ED for additional cardiac workup and treatment after capturing SVT on EKG. Also diaphoretic, dizzy, nauseous, SOB with palpitations. Given IV metoprolol in ED with conversion to NSR. Per ED "Suspect that the vaccine may have been her trigger." Able to discharge without escalation of care. Entered for tracking.


VAERS ID: 966991 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-22
Onset:2020-12-29
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Atrial fibrillation, Blood test, Cardiac ablation, Cardioversion, Electrocardiogram
SMQs:, Supraventricular tachyarrhythmias (narrow)

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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastatin, vitamin D, multivitamins,
Current Illness: None
Preexisting Conditions: Osteoarthritis
Allergies: None
Diagnostic Lab Data: EKG, cardioversion times two, multiple blood tests, diuretic drugs and antiarrhythmic drugs and then ablation
CDC Split Type:

Write-up: One week after first Covid vaccine I was diagnosed with atrial fibrillation. Needed treatment. Four hours after second Covid vaccine atrial fibrillation recurred


VAERS ID: 970497 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Cardiac monitoring, Chest discomfort, Feeling hot, Flushing, Headache, Pruritus
SMQs:, Anaphylactic reaction (narrow), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan/HCTZ 100/25
Current Illness:
Preexisting Conditions: Asthma, ADHD, Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itching bilateral hands, feeling warm for 2-3mins, anxiety, flushed ,Headache received Benadryl 25mg orally and chest tightness and heaviness received 2nd dose Benadryl 25mg . EMS /cardiac monitored and was transferred to a Hospital.


VAERS ID: 973110 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-31
Onset:2021-01-08
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Acute respiratory failure, Cardiac failure congestive, Computerised tomogram
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (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: Fludrocortisone, alprazolam
Current Illness: IDA, hypotension, anxiety
Preexisting Conditions: None
Allergies: Codeine
Diagnostic Lab Data: Ct chest
CDC Split Type:

Write-up: A cute resp failure, chf


VAERS ID: 973839 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac stress test, Chest discomfort, Electrocardiogram, Flushing, Headache, Hypoglycaemia, Laboratory test, Pain, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Stress test, ekg, blood sugars checked regularly, labs, cards and endocrine consults.
CDC Split Type:

Write-up: The first covid vaccination I had symptoms of being flush and a heaviness in my chest. This lasted 4 3-4 days. I did seek medical attention at the emergency room day 3 and was hospitalized 1 day. I was found to have unexplained and unregulated hypoglycemia. The second shot I had body aches, headache, fever. I was able to manage my symptoms with Tylenol and Advil.


VAERS ID: 975367 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2020-12-29
Onset:2020-12-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac monitoring, Cold sweat, Diarrhoea, Hyperhidrosis, Nasopharyngitis, Pulse abnormal, Shock
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 5 mg, Htcg 12.5 mg, Aspirin 80 mg twice weekly, AREDS2 2twice a day, Magnesium with Vitamin D
Current Illness: No
Preexisting Conditions: Stroke y rs ago 2020 inside the eye infection which cause blindness in Left eye and glaucoma
Allergies: No
Diagnostic Lab Data: Heart monitor and normal rhythm, checked oxygen states 96 , blood glucose was 112 ,
CDC Split Type: vsafe

Write-up: Next day diarrhea all morning, imodium , he was cold, clammy, wet with sweat, week pulse at 40 , in profound shock, Stimulated him by shaking and hitting and had him take deep breaths . Pulse was 120/82 pulse up to 60 20 minutes into the event he was stable and alert .


VAERS ID: 975654 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-29
Onset:2021-01-03
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Cardiac function test normal, Diarrhoea, Laboratory test
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

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

Write-up: Vaccinated on Tuesday. Experienced severe symptoms the following Sunday (5 days later). Symptoms included a sense of impending doom and diarrhea. Paramedics called. Upon examination, HR was 50 and SBP less than 100. Pt taken to ER. Cardiac tests and labs within normal limits. Patient does NOT have a history of similar episodes or anxiety attacks.


VAERS ID: 976964 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-22
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Cardiac disorder, Chest pain, Headache
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial disorder; Asthma; Gastroparesis; Rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021050910

Write-up: Headache with the first COVID-19 Vaccine; A little bit of chest pain; Heart Troubles; This is a spontaneous report from a contactable consumer. This 56-year-old female consumer reported that she the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685) at single dose for vaccination on 22Dec2020. Relevant medical history included Rheumatoid, Asthma, Artery disease, Gastroparesis. Relevant concomitant drugs were unknown. The patient had a headache with the first COVID-19 Vaccine and a little bit of chest pain. Stated she has heart troubles. Outcome of events was unknown.


VAERS ID: 977750 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Blood pressure increased, Cardiovascular examination, Chest pain, Decreased appetite, Dizziness, Dyspnoea, Feeling abnormal, Headache, Heart rate increased, Joint stiffness, Musculoskeletal stiffness, Pain, Pulmonary function test, Pyrexia, X-ray
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C
Current Illness: Covid in October 2020
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lung test Heart
CDC Split Type: vsafe

Write-up: Around 730-8 I got a really bad headache. Throughout the night my back tightened up and my hips. I got up tp get ready to go to work, I felt really light headed while I was brushing my teeth but went in to work. I started felling shortened of breathe and achy. I started feeling bad and told my Head Nurse and he took my BP and I have a fever. My heart beat was rapid. I went home, slept and had no appetite . The I ended up going to the Hospital my chest was hurting bad in my lung area, everything about me just hurt I couldn''t take it anymore. They did xray on my lungs, they were clear, my BP was still high, my heart rate had calmed down. They had me sit and relax. The next day I woke up and was ready to put my scrubs on, it was like nothing has ever happened to me. I felt worse with the vaccine then I did when I got the Covid, all I had with Covid headache. Everything hit so rapid and fast after the shot.


VAERS ID: 978069 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-19
Onset:2020-12-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Arthralgia, Back pain, Blood test normal, Cardiac stress test normal, Chest pain, Cough, Diarrhoea, Dyspepsia, Electrocardiogram normal, Eructation, Exposure to SARS-CoV-2, Fatigue, Headache, Hyperhidrosis, Impaired work ability, Inappropriate schedule of product administration, Myalgia, Nausea, Oropharyngeal pain, Pain in jaw, Pyrexia, Troponin normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteonecrosis (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: no
Current Illness: nothing
Preexisting Conditions: nothing
Allergies: penicillin; cheap metal - like nickel; bees
Diagnostic Lab Data: EKG - fine Troponin levels and my blood work - fine Did stress test the next morning - was fine; was suppose to go back to see cardiologist after that day but didn''t make it there because I got COVID. COVID test Dec 27th
CDC Split Type: vsafe

Write-up: About 5:30 or so and I was going to go to lunch at work - I felt like a heartburn and I was looking for a tums. I didn''t have any. I asked a coworker because my chest felt like I had heartburn. It was really bad. Protonic - a coworker gave it to me to see if that would help. And I took it. Diaphoretic - sweating - coworker noticed that I was sweating. I had pain in my jaw. I thought I was showing signs of a heart attack. A doctor came over and we told her what was happening with me. He recommended that I should be seen right away. Next thing I know, nurse is wheeling me down to ER in wheelchair as my chest pains weren''t going away but ER told me I had to go through triage and wait. Finally got seen and I had an EKG - which was good. CDU unit - was admitted to and checked Troponin levels and did blood work. Everything came back fine. My EKG was being monitored all night. At one point I was feeling something and they gave me a dose of Nitro. It gave me a headache. There all night and then I did a stress test in the morning. And I was released that day. That was my day off so I was off all work. I went back to the work the day after. My granddaughter came to stay with me over Christmas and she started having symptoms of COVID. She wasn''t feeling well. /She tested positive.Symptoms for COVID began for me on December 26th and was tested for COVID on December 27th - cough; sore throat; headache, fever, not got chills or lose my taste or smell (until after those symptoms were finished); belching - lots; diarrhea; upset; nausea. Extremely tired and muscles aches, joint pain - settled in my lower back and my hip. I still struggle with those joint pain and tiredness today. They put me off work until January 12 2021. I was scheduled to get the dose 2 at 9th but didn''t get it that day because of COVID illness.


VAERS ID: 978138 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MODERNA/5-11-21 / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Back pain, Blood test, Cardiomegaly, Condition aggravated, Dyspnoea, Electrocardiogram, Impaired work ability, Mobility decreased, Peptic ulcer, Pleurisy, X-ray
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Gastrointestinal ulceration (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pravastatin Omeprazole
Current Illness: Peptic Ulcer Acid Reflux
Preexisting Conditions: Peptic Ulcer Acid Reflux
Allergies: Cotrimoxazole
Diagnostic Lab Data: X-ray EKG Blood tests
CDC Split Type:

Write-up: I have existing peptic ulcer and acid reflux I have been dealing with for years. I also have elevated cholesterol level for which I am being treated. Within 24 hours of receiving the first dose of the Moderna vaccine, the pain from my peptic ulcer went from 2 to 10 on a scale of 10. It became so severe that I could not sit at work. I had to leave work and went back home. Then on January 13, 2021, I started noticing a back pain that radiates throughout my left back side. On January 15, 2021, I went to the ER because the pain was so severe that I could not not lie down, sit, or breath. I was diagnosed with pleurisy (inflammation of the lung linings). The X-ray also showed enlarged heart but the ER doctor said my heart is fine. They also performed EKG on me. I did not mention receiving the vaccine to the ER doctor because I never thought the vaccine could result in such side effects. I did not mention it to my PCP also because I believe the vaccine is safe. But recently I went through the sequence of events myself and the only thing that happened regarding my health was the vaccine. Nothing else. After vaccination, I went to ER on Jan 15, 2021 at around 11:30PM due to severe back pain and was diagnosed with pleurisy through X-ray. My X-ray also showed an enlarged heart but I suspect that was due to the fact that I could not breath properly when the x-ray was taken. I will repeat the X-ray in a couple of weeks. Never experienced pleurisy or heart enlargement in my life prior to the vaccine. Not sure the vaccine was responsible but the coincidence is suspicious.


VAERS ID: 986735 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Back pain, Cardiac monitoring, Computerised tomogram spine, Hypoaesthesia, Intervertebral disc protrusion, Magnetic resonance imaging spinal abnormal, Musculoskeletal chest pain, Pain, Pain in extremity, Paraesthesia, X-ray limb normal
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: XeRALTO
Current Illness: none
Preexisting Conditions: Lupus anticoagulant taking Xeralto
Allergies: solu-cortif
Diagnostic Lab Data: Admitted to hospital - 1/22/2021 to 1/24/2022
CDC Split Type:

Write-up: First Moderna vaccine administered 12/23/2020. On or about 12/24/2020 paresthesia began in forearm and upper. On or about 12/28/2020 mild to moderate 5/10 began of left shoulder radiating down to left arm, x-rays were done on left shoulder and humerus. No acute findings noted. Few days later Medrol dose pak was ordered due worsening pain of left upper back, left arm and hand. 01/19/2021 telemedicine with MD to get stronger pain medication. Norco 10/325 mg was prescribed. 1/20/2021 second Moderna was given. ~pain 8/10 started morning of 1/21/2021. I used heat/ice therapy and Norco pain decreased to 7/10. Morning of 1/22/2021 pain ( upper back entire left arm and left chest wall) became unbearable thus, went to ER to rule out heart attack. I was admitted for pain management and cardiac monitoring. CT of the c-spine and t- spine was ordered. No acute findings. Discharged to home. Discharge to home with carbamazepine. My PCP, ordered MRI of c- spine and t- spine. Multiple levels of small herniations in c-spine reported. Appt with ortho physician 1/27/2020. He recommended neck injections which is pending at this point. Continue with pain 7/10 and numbness of digit 4 and 5 left hand


VAERS ID: 989333 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-31
Onset:2021-01-13
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Blood test normal, Cardiac stress test normal, Echocardiogram normal, Electrocardiogram normal, Hypertension, Insomnia, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Rosuvastatin-20mg, Fish oil-1000mg, Aspirin-low dose, Cinnamon-1000mg.
Current Illness:
Preexisting Conditions: High Cholesterol
Allergies: Lipitor
Diagnostic Lab Data: EKG - NEG., STRESS TEST-NEG, ECHO CARDIOGRAM-NEG. Multiple blood tests-all good.
CDC Split Type:

Write-up: Out of know where on 1-13-21 awoke at 3:00 AM with severe anxiety which has continued to date, 1-31-21 but not as severe. Unable to sleep, no matter what medication given. At beginning had high blood pressure which is unusual for me and heart palpitations. Had two trips to the ER , 1-13-21 9:00 PM, released and 1-15-21 10:00 PM and admitted, kept for one day. Heart palpitations decreased within the first week and blood pressure came down to normal. Unable to sleep, after being given Hydroxyzine Hydrochloride-25mg and later Alprazolam-.5 mg. Tried taking herbs before taking Alprazolam due to the addiction factor. Took Kava , Deep Sleep and CBD. Took Alprazolam after herbs didn''t seem to help but it made me feel bad and didn''t help with the sleep so went to over the counter sleep aid.


VAERS ID: 992915 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-01-10
Onset:2020-01-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac stress test abnormal, Chest pain, Dyspnoea, Echocardiogram, Full blood count, Hyperhidrosis, Ischaemia, Metabolic function test, Nausea, Salivary hypersecretion, Troponin
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (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), Other ischaemic heart disease (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? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine
Current Illness: None
Preexisting Conditions: Hashimoto''s Thyroid Fibromyalgia
Allergies: NKDA, NKA
Diagnostic Lab Data: CMP, CBC, Triponin x 3, January 10, 11, 12. Echocardiogram and Stress Test on January 11, 2021. Cardiac Cath on January 12, 2021.
CDC Split Type:

Write-up: Severe, unprovoked, sudden onset nausea followed by severe chest pain, diaphoresis, shortness of breath and excessive salivation., with no prior cardiac history. EMS was called, I was placed on a Life Pack Monitor. ECG was borderline. Advised to go to hospital. Enroute to hospital, 20g Angio IV in right AC was established. Administered 4 Baby Aspirin and 1 Nitroglycerine. Nitroglycerine relieved chest pain. At hospital labs were ordered. CMP, CBC and Triponin were normal. Advised by physician to remain for monitoring overnight and further Triponin testing. On 01/11/2021, I had a Stress Test and Echocardiogram. Stress Test showed areas of ischemia. On 01/12/2021 I had a Cardiac Cath through my right wrist. Results were negative. Discharged to home from hospital with follow up appt with Cardiologist scheduled. Every person that I came into contact with was informed that I had had the Moderna Vaccine 7 hours prior to onset of symptoms.


VAERS ID: 999902 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: California  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac murmur, Chest discomfort, Electrocardiogram, Vision blurred
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pulmonary hypertension (broad), Glaucoma (broad), Hypertension (narrow), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (No reported medical history)
Allergies:
Diagnostic Lab Data: Test Date: 20201226; Test Name: Blood pressure; Result Unstructured Data: 190/105 mmHg
CDC Split Type: USMODERNATX, INC.MOD20200

Write-up: Heart murmur; Increase in her blood pressure 190/105; Tightness in chest when breathing; Blurry vision; A spontaneous report was received concerning a female patient, who received Moderna''s COVID-19 vaccine (mRNA-1273) and experienced an increase in blood pressure 190/105, blurry vision, tightness in the chest when breathing and a heart murmur. The patient''s medical history was not provided. No relevant concomitant medications were reported. On 26 Dec 2020, approximately 30 minutes prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 037K20A) intramuscularly for prophylaxis of COVID-19 infection. On 26 Dec 2020, the patient received the Moderna vaccine and after 30 minutes, she experienced an increase in her blood pressure (190/105), blurry vision and tightness in the chest when breathing. She remained at the site for an hour for observation and then was brought to the urgent care. An electrocardiogram (EKG) was performed and treatment included oral lisinopril. She was sent home, and she also stated that she had a heart murmur. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events, increase in blood pressure 190/105, blurry vision, tightness in the chest when breathing, and a heart murmur, were not reported.; Reporter''s Comments: This case concerns a female patient, who experienced a serious unexpected event of blood pressure increased, and non-serious unexpected event of chest discomfort, vision blurred, and cardiac murmur. The events occurred 1 day (15 min) after first dose of mRNA-1273, lot # 037K20A. Treatment included lisinopril. Based on the current available information and temporal association between the use of the product and onset of the events a causal relationship cannot be excluded.


VAERS ID: 1000206 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / OT

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Blood test normal, Breast tenderness, Cardiac flutter, Electrocardiogram normal, Incorrect dose administered, Malaise, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Tachyarrhythmia terms, nonspecific (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: B12 [CYANOCOBALAMIN]; ZINC; BELL DE NUIT PRECIOUS MAGICAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Spice allergy (known allergies cinnamon)
Allergies:
Diagnostic Lab Data: Test Name: Blood pressures; Result Unstructured Data: Test Result:155/95; Test Name: Blood pressures; Result Unstructured Data: Test Result:135/85; Test Date: 20210120; Test Name: Blood pressures; Result Unstructured Data: Test Result:117/68; Test Name: blood work; Result Unstructured Data: Test Result:normal; Test Name: EKG; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2021071815

Write-up: Elevation of Blood pressures proceeded with high 155/95; heart flutter; extreme breast tenderness; axillary swelling; felt general unwell feeling; This is a spontaneous report from a contactable healthcare professional reporting for self. This 49-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number= EL0140) via intramuscular on 18Dec2020 12:00 PM at right arm at single dose for COVID-19 immunization. Medical history included known allergies: cinnamon. Patient did not have COVID prior vaccination. Concomitant medications included cyanocobalamin (B12), zinc, 4-(4-hydroxyphenyl)butan-2-one, crocus sativus, magnesium oxide (BELL DE NUIT PRECIOUS MAGICAL). It was reported that first day approx 6 hours after injection patient felt general unwell feeling, next day (19Dec2020) extreme breast tenderness and initiation of axillary swelling. At day 10 post injection (28Dec2020) she experienced some type of heart flutter. Elevation of Blood pressures proceeded with high 155/95 on unspecified date. PCP visit with normal EKG and blood work following week. BP in office 135/85 (from memory). Patient did not receive second dosage at day 21 and BP has currently returned to normal this a.m. (20Jan2021) 117/68. There was no treatment received for events. Patient did not test COVID post vaccination. The outcome of events was recovered.; Sender''s Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. 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: 1017685 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-12-23
Onset:2021-01-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardio-respiratory arrest, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion, Coronary artery occlusion
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), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Respiratory failure (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Angina MI Narrative: Employee presented to ED with chest pain. Cath showed 99% blockage of LAD and diagonal. Employee transferred to another hospital for w/u for CABG. Prior to assessment for CABG, employee coded. Urgent cath. with multiple stents placed. At time of reporting of event, employee was recovering. Cardiologist instructed employee to complete COVID vaccination series which was done on 1/20/2021.


VAERS ID: 1006671 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-28
Onset:2020-12-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood lactate dehydrogenase, Blood thyroid stimulating hormone, Cardiovascular evaluation, Computerised tomogram, Electrocardiogram, Electrocardiogram ambulatory, Full blood count, Headache, Red blood cell sedimentation rate, Ultrasound scan
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: mild intermittent asthma
Allergies: none
Diagnostic Lab Data: cbc for night sweats 12/30/2020 EKG, cbc, tsh, ldh, esr for night sweats and tachycardia and lymphadenopathy 1/11/21. Neck ultrasound showing reactive lymphadenopathy 1/12/21 CT scan to evaluate for night sweats and lymphadenopathy 1/15/21 Holter monitor to evaluate tachycardia 1/19-1/21 2021 Cardiology appointment 2/1/21 for evaluation of cardiology. Discussed possibly as SE from covid vaccine
CDC Split Type:

Write-up: Few days after vaccine noted significant night sweats--soaking the bed. 13 days after vaccine (1/10) I noted supraclavicular lymphadenopathy (L sided). 14 days later (1/11) I had onset of exertional tachycardia. Heart rate would increase to 120-130 with simple activities like cooking dinner or taking a shower. This was sometimes prolonged with standing and associated with shortness of breath. The night sweats continued for the next 6 weeks until time of submission. The lymphadenopathy was also noted L axilla and R supraclavicular and has also persisted. 2nd covid moderna vaccine received 1/30/21 with only mild headache.


VAERS ID: 1012766 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Maryland  
Vaccinated:2020-12-23
Onset:2021-01-11
   Days after vaccination:19
Submitted: 0000-00-00
Entered: 2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / SC

Administered by: Senior Living       Purchased by: ?
Symptoms: COVID-19, Cardiomyopathy, Condition aggravated, Death
SMQs:, Cardiomyopathy (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: COVID Infection on 12/28/2020 , mild asymptomatic infection
Preexisting Conditions: Chronic congestive heart failure, DM II with complications, Cardiomyopathy, Hypertension, Chronic Atrial Fibrillation, Past history of cerebral Vascular accident. She did not have any symptoms of allergies from the vaccine, her recovery from COVID virus was uneventful. Her death appeared to be due to her chronic illnesses not from the COVID infection or the vaccine. She was COVID negative on 1/21/21.
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient did not have any adverse events. She tolerated vaccine, Developed COVID infection 12/28/20 and recovered 01/21/21 She died due to her cardiomyopathy


VAERS ID: 1020170 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2020-12-23
Onset:2020-12-31
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Cardiac stress test, Chest discomfort, Echocardiogram, Electrocardiogram, Headache, Heart rate increased, Impaired work ability, Neck pain, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Arthritis (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxin, Hyzaar
Current Illness: None
Preexisting Conditions: HTN, Hypothyroidism
Allergies: None
Diagnostic Lab Data: Blood tests, EKG, Echo, stress test
CDC Split Type:

Write-up: On Dec 31, 2020 I began having pressure in chest, neck and headache and rapid heart rate. Normal B/P was now 150''s/ diastolic 100''s for 7 days. Saw PCP, referred to Cardiologist. Had Echo, EKG and stress test. EKG changes noted, "probably normal" stress test. B/P normalized by January 7 2021, tachycardia improved January 9. Missed several days of work due to symptoms.


VAERS ID: 1024582 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-31
Onset:2020-12-31
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Arthralgia, Back pain, Cardiac monitoring normal, Chest pain, Echocardiogram normal, Fatigue, Headache, Magnetic resonance imaging normal, Muscle spasms, Neuropathy peripheral, Pain in extremity, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Completed echocardiogram, heart monitor, and MRI.
CDC Split Type:

Write-up: Shock-like pains in back and abdomen started on the day of first dose of Moderna COVID-19 vaccine. Also had fatigue, headache, extreme right arm pain. Fatigue, headache, and arm pain subsided, but shock-like pains continued over several weeks and have traveled to other parts of the body. These pains have been felt in the back, abdomen, chest, legs, feet, ankles, toes, fingers, and wrist. They occur on and off throughout the day and in the last two weeks, tingling has also been noticed in legs and feet. Muscle spasms have also occurred in feet and legs in the last week. I have seen a cardiologist and a neurologist. I completed an echocardiogram, heart monitor, and MRI. Those results have returned normal, but neurologist believes this is neuropathy that was triggered by the vaccine.


VAERS ID: 1025464 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-18
Onset:2020-12-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Cardiac flutter, Dizziness, Headache, Hypertension, Insomnia, Malaise, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Vitamin D Mutli vitamin
Current Illness:
Preexisting Conditions: Asthma
Allergies: Sulfa Keflex Nickel
Diagnostic Lab Data: EKG
CDC Split Type: vsafe

Write-up: First Dose: On Monday the 21st I started getting a Fever and not feeling good. I found out that day my boss was home with Covid. I did a Saliva test (covid test), while waiting for my test above my collar bone was swollen. I was generally not feeling well. I got my results on the 25th and it was negative. On the 30th I got heart fluttering, feelin racy. It went away. On the 1st, I felt so wiped out and heart was going nuts, and I went to get a EKG that was normal but my BP was high140/high 80. On the 4th I went back to work again and still felt horrible, dizzy and they sent me to the ER and had High BP and two normal EKG'', and the hooked me up to a heart monitor for a week. With both shots I had insomnia of the walls. Second Dose: it was much better than 1st dose. The Monday after the 2nd dose I got a really bad headache. I drank some Pedialyte and took a 12 hour nap and felt great after.


VAERS ID: 1026322 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-31
Onset:2021-01-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Burning sensation, Cardiac monitoring normal, Chest pain, Echocardiogram normal, Electrocardiogram normal, Fatigue, Headache, Injection site pain, Magnetic resonance imaging normal, Muscle spasms, Neuralgia, Neuropathy peripheral, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Congenital Heart Defect
Allergies:
Diagnostic Lab Data: MRI, ECG, ECHO, Heart monitor study. Caregiver has meet with Cardiologist and Neurologist.
CDC Split Type:

Write-up: I received the Moderna vaccine on December 31, 2020. That day (Thursday) and Friday, I had expected side effects such as fatigue, headache, and extreme pain on the injection-site arm. I also experienced sharp, shooting pains though in my back, chest, and abdomen. The expected side effects subsided, but the sharp pains continued and still do. I saw my cardiologist because I have a congenital heart defect. They completed an ECG, Echocardiogram, and heart monitor study. All came back normal. After a week of the first vaccine, the shooting pains were mainly in my back and I experienced back pain. Shortly after that, I started experiencing shock-like and burning pains in my feet, ankles, legs, toes, right hand fingers, and right hand wrist. These pains continue to happen on and off and I also continue to have pains in my back and abdomen on and off. I saw a neurologist who ordered an MRI. The MRI came back normal, but the pains persist. Within the last two weeks, I have also experienced tingling in my legs and feet and muscle spasms in my feet and calves. I saw my neurologist again today and she believes I am experiencing neuropathy which was likely induced by the vaccine. She recommended holding off on getting the second dose until we know more about how this might progress. She also reported that she has seen some others in her clinic now with the same symptoms following the COVID-19 vaccine. She is unsure if this will resolve or not and we are planning to monitor the condition.


VAERS ID: 1033327 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Texas  
Vaccinated:2020-12-22
Onset:2021-01-09
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cardiac stress test normal, Cardiac telemetry abnormal, Chest discomfort, Computerised tomogram thorax normal, Condition aggravated, Dizziness, Dyspnoea, Electrocardiogram abnormal, Electrocardiogram ambulatory, Electrocardiogram ambulatory abnormal, Inappropriate schedule of product administration, Palpitations, Postural orthostatic tachycardia syndrome, SARS-CoV-2 test negative, Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Medication errors (narrow), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin, Diltiazem, Fludrocortisone, Aspirin and Atorvastatin; Multivitamins
Current Illness: None
Preexisting Conditions: Prediabetes, newly diagnosed with premature ventricular contractions and Postural Orthostatic tachycardia syndrome on 1/13/2021
Allergies: None
Diagnostic Lab Data: EKG, 12-Jan-2021, Premature ventricular contractions; TELEMETRY MONITORING, 13-Jan-2021, Premature ventricular contractions; ORTHOSTATIC VITALS, 14-Jan-2021, Postural Orthostatic Tachycardia; 24 HOLTER MONITOR, 22-Jan-2021, Premature ventricular contractions, tachycardia
CDC Split Type:

Write-up: I received first dose of Pfizer COVID vaccine on 12/22/2020. On 1/9/2021, I have started to have palpitations, chest tightness, shortness of breath and Dizziness. On 1/12/2021, I received the second dose of Pfizer COVID vaccine. On 1/12/2021, I visited an urgent care for these symptoms where they did EKG which Premature Ventricular contractions and rapid COVID test nasal swab was negative. On 1/13/2021, my symptoms got worse and went to the hospital where have been admitted for observation for telemetry. Telemetry showed premature ventricular contractions. I had nuclear stress test on 1/14/2021 which did not show ischemia. I had CT chest which was normal. I had repeat COVID nasal swab PCR which was negative. During that hospital stay, I was diagnosed with premature ventricular contractions and Postural Orthostatic tachycardia syndrome. I was discharged from the hospital on 1/14/2021 on Diltiazem. I felt temporary improvement in my palpitations. I had a 24 hours holter cardiac monitor on 1/22/2021 which shows PVCs. I have been seen by electrophysiologist after the hospital discharge who prescribed me Fludrocotrisone for the postural Orthostatic tachycardia syndrome in addition to the Diltiazem for the PVCs. On 2/5/2021, my symptoms happened again with the same severity when it started on 1/9/2021 despite been very compliant with the prescribed medications. I will have follow up with electrophysiologist to discuss the treatment plan including the option for electrophysiology study and possible ablation. I have not been diagnosed with any heart disease in the past. I believe these heart problems happened as side effects to the Pfizer COVID vaccine.


VAERS ID: 1040266 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-28
Onset:2021-01-03
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cardiac monitoring, Laboratory test, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (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: Vitamin C, nyacicin, prerenolactone (acne)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Labs and wore a heart monitor for 4 days.
CDC Split Type: vsafe

Write-up: One week after the shot, I started having heart palpitations. Still continues. After the second shot it increases in frequency.


VAERS ID: 1041596 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Georgia  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Cardiac flutter, Headache, Pain
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow), 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: Eliquis Amlodipine Tyrosine Colcrys Metoprolol lovastatin atorvastatin Albuterol inhaler Tylenol Arthritis
Current Illness:
Preexisting Conditions: knee pain Blood clots Hypertension High cholesterol over weight
Allergies: Aspirin - upset stomach
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: All of a sudden the flutters would come and I would have headaches when I first got up in the morning. I had body aches, would last all day and I already had pain in the knees but seem more than usual. The pain in the knees come and go.


VAERS ID: 1049705 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Illinois  
Vaccinated:2020-12-30
Onset:2021-01-06
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / 1 - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Atrial fibrillation, Blood magnesium, Blood potassium, Brain natriuretic peptide, Cardiac monitoring, Chest X-ray, Condition aggravated, Drug screen, Dysphagia, Dyspnoea, Electrocardiogram, Epistaxis, Full blood count, Metabolic function test, Nasal cavity packing, Packed red blood cell transfusion, Prothrombin time, SARS-CoV-2 test, Troponin
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Drug abuse and dependence (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Myelodysplastic syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Current Outpatient Medications on File Prior to Encounter Medication Sig Dispense Refill ? albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulizer solution Take 1 vial (2.5 mg) by nebulization every 6 hours as needed for Wheezing 120 ampule 2 ?
Current Illness: HPI: Patient 69 y.o. male presents for hospital follow up (12/07/2020-12/24/2020) where GI was consulted for anemia He presented to ED for worsening shortness of breath No s/s active GIB since admission; Hgb relatively stable Accompanying 70 lbs weight loss since September Cardiology requesting anemia work up prior to heart cath/need for anticoagulation During hospitalization had EGD/colonoscopy with results below RUQ US reviewed; Isolated TB elevation 1.2 indirect; concern for ?hemolysis given Haptoglobin normal/LDH significantly elevated at 440 hemoglobin has improved to 9 Having normal bowel movements He is having issues with epigastric pain and concerned he may have a hernia or abnormality with gallbladder Declines wireless capsule endoscopy at this time EGD/Colon on 12/21/2020 with Dr. -mild ascending and sigmoid diverticulosis - medium to large internal hemorrhoids - two ascending colon polyps 12mm and 3 mm - mild gastritis - 3-4 duodenal AVMs in bulb and 2nd part SP APC Colon polyps: Tubular adenoma.
Preexisting Conditions:
Allergies: nka
Diagnostic Lab Data: Hospitalized Discontinue IV PRIOR TO DISCHARGE, Status: Canceled 01/10/21 1019 Follow Up Appointment Schedule Appointment in: 1 Week; Reason for Follow Up Appointment? Hospital Follow Up Dr. per Nursing home protocol; Specialty: Family Medicine PRIOR TO DISCHARGE, Status: Canceled 01/10/21 1019 DISCHARGE PATIENTon Discharge Date: 1/10/2021 ONE TIME 01/10/21 1013 CBC w Auto Diff TOMORROW 0500 ONCE 01/09/21 0930 Basic metabolic panel TOMORROW 0500 ONCE 01/09/21 0930 dilTIAZem (CARDIZEM) injection 10 mg ONCE, Status: Discontinued 01/10/21 0050 diltiaZEM (CARDIZEM) 30 MG tablet 4 TIMES DAILY, Status: Discontinued 01/10/21 1013 doxycycline (VIBRAMYCIN) 100 MG capsule 2 TIMES DAILY 01/10/21 1013 metoprolol succinate (TOPROL-XL) 25 MG XL tablet DAILY, Status: Discontinued 01/10/21 1013 May Substitute Generic Equivalent Drugs 01/10/21 1019 Activity 01/10/21 1019 Physician/Nurse Practioner Authorization 01/10/21 1019 Full code 01/10/21 1019 Advance diet as tolerated 01/10/21 1019 CBC W AUTO DIFF 01/10/21 1019 CBC w Auto Diff TOMORROW 0500 ONCE 01/08/21 0824 Comprehensive metabolic panel TOMORROW 0500 ONCE 01/08/21 0824 remove nasal packing, wet with saline ONE TIME, Status: Canceled 01/08/21 0824 CBC w Auto Diff TOMORROW 0500 ONCE 01/07/21 0740 Comprehensive metabolic panel TOMORROW 0500 ONCE 01/07/21 0740 UPDATE PATIENT CLASS ONE TIME Comments: I.V. Therapy more than 48 hour... 01/07/21 1540 Diet type: Dysphagia, Supplements; Dysphagia Level: 4 - Mechanically Soft; Fluid consistency: THIN; Nutritional Supplements: Mighty Shake; Frequency: Twice per Day DIET EFFECTIVE NOW, Status: Canceled 01/07/21 1218 Melatonin tablet TABS 5 mg AT BEDTIME PRN, Status: Discontinued 01/07/21 1106 CBC w Auto Diff ONE TIME 01/07/21 0741 Comprehensive metabolic panel ONE TIME 01/07/21 0741 Urine Drug Screen Medical - 10 Panel ONE TIME 01/07/21 0740 CBC w Auto Diff TOMORROW 0500 ONCE, Status: Canceled 01/06/21 1752 Comprehensive metabolic panel TOMORROW 0500 ONCE, Status: Canceled 01/06/21 1752 Cardiac Monitoring CONTINUOUS, Status: Canceled 01/07/21 0120 doxycycline (VIBRAMYCIN) 100 mg in dextrose 5 % 250 mL IVPB EVERY 12 HOURS, Status: Discontinued 01/06/21 2249 traZODone (DESYREL) tablet 150 mg AT BEDTIME, Status: Discontinued Note to Pharmacy: OP SIG:take ONE-HALF TO ONE ta... 01/06/21 1759 atorvaSTATin (LIPITOR) tablet 40 mg AT BEDTIME, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet (40 mg) b... 01/06/21 1759 alcohol (NOZIN) nasal sanitizer 2 TIMES DAILY, Status: Discontinued 01/06/21 1343 QUEtiapine (SEROQUEL) tablet 25 mg 2 TIMES DAILY, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 tablet (25 mg) b... 01/06/21 1759 doxycycline (VIBRAMYCIN) 100 mg in dextrose 5 % 250 mL IVPB EVERY 12 HOURS, Status: Discontinued 01/06/21 1802 dexamethasone (DECADRON) injection 6 mg Daily, Status: Discontinued 01/06/21 1802 diltiaZEM (CARDIZEM) tablet 30 mg 4 times per day, Status: Discontinued 01/06/21 1752 ipratropium-albuterol (DUO-NEB) 0.5-2.5 (3) MG/3ML nebulizer solution 3 mL EVERY 4 HOURS WHILE AWAKE, Status: Discontinued Note to Pharmacy: OP SIG:Take 3 mL by nebulizati... 01/06/21 1759 citalopram (CELEXA) tablet 40 mg DAILY, Status: Discontinued Note to Pharmacy: OP SIG:TAKE ONE TABLET BY MOUT... 01/06/21 1759 0.9% NaCl infusion CONTINUOUS, Status: Discontinued 01/06/21 1759 melatonin capsule 5 mg AT BEDTIME PRN, Status: Discontinued Note to Pharmacy: OP SIG:Take 5 mg by mouth at b... 01/06/21 1759 NOVEL CORONAVIRUS SARS-COV-2 BY PCR ONE TIME 01/06/21 1759 albuterol (PROVENTIL) (2.5 MG/3ML) 0.083% nebulizer solution 2.5 mg EVERY 2 HOURS PRN, Status: Discontinued Note to Pharmacy: OP SIG:Take 1 vial (2.5 mg) by... 01/06/21 1759 CONTRAINDICATIONS TO PHARMACOLOGIC PROPHYLAXIS ONE TIME 01/06/21 1752 Place Sequential Compression Device ONE TIME, Status: Canceled 01/06/21 1752 PUMP ATHROMBIC KENDAL PER DAY DAILY SSP, Status: Canceled 01/06/21 1752 Maintain Sequential Compression Device UNTIL DISCONTINUED, Status: Canceled 01/06/21 1752 Transfuse RBC Transfusion 01/06/21 1752 Have Consent Signed For: Blood Administration ONE TIME, Status: Canceled 01/06/21 1752 TYPE & SCREEN Blood - Once, Status: Canceled 01/06/21 1752 Full code Continuous, Status: Canceled 01/06/21 1752 Vital Signs Per Unit Standard of Care, Status: Canceled 01/06/21 1752 Diet type: General DIET EFFECTIVE NOW, Status: Canceled 01/06/21 1752 Insert peripheral IV ONE TIME, Status: Canceled 01/06/21 1752 TYPE AND CROSS RBC, 1 Units Blood - Once 01/06/21 1752 Maintain IV access CONTINUOUS, Status: Canceled 01/06/21 1752 naloxone (NARCAN) 2 MG/2ML injection 0.2 mg PRN, Status: Discontinued 01/06/21 1752 dilTIAZem (CARDIZEM) 125 mg in sodium chloride 0.9 % 125 mL infusion CONTINUOUS 01/06/21 1600 dilTIAZem (CARDIZEM) injection 10 mg ONCE 01/06/21 1517 INCENTIVE SPIROMETER Q2H While awake EVERY 2 HOURS WHILE AWAKE, Status: Canceled 01/06/21 1343 Misc Ref Lab ONE TIME 01/06/21 1343 ADMIT TO HOSPITAL ONE TIME 01/06/21 1234 metoprolol (LOPRESSOR) injection 5 mg ONCE 01/06/21 1152 sodium polystyrene (KAYEXALATE) 15 GM/60ML suspension 15 g ONCE 01/06/21 1125 digoxin (LANOXIN) injection 250 mcg DAILY, Status: Discontinued 01/06/21 1126 EKG ONE TIME 01/06/21 1133 phenylephrine (NEOSYNEPHRINE) 0.5 % nasal spray 2 spray ONCE 01/06/21 1033 Potassium ONE TIME 01/06/21 1035 sodium chloride 0.9 % bolus 500 mL ONCE 01/06/21 1026 Brain Natriuretic Peptide (BNP) ONE TIME 01/06/21 1010 XR Chest Portable RAD ONE TIME 01/06/21 1010 sodium chloride 0.9 % bolus 1,000 mL ONCE 01/06/21 0948 CBC w Auto Diff ONE TIME 01/06/21 0948 Comprehensive metabolic panel ONE TIME 01/06/21 0948 Magnesium ONE TIME 01/06/21 0948 Protime (Prothrombin Time) ONE TIME 01/06/21 0948 Troponin Series ONE TIME 01/06/21 0948 EKG ONE TIME 01/06/21 0948
CDC Split Type:

Write-up: The patient is a 69 y.o. male with a past medical history notable for atrial fibrillation, CHF, COPD, history of GI bleed, coronary artery disease. The patient presents for evaluation of worsening issues with nose bleeds and shortness of breath. Patient is found in the ER to have a significant nose bleed which required packing. Patient was also found to be in atrial fibrillation. Patient was previously at skilled care facility undergoing care and it is unclear patient had been using illicit substances. Patient''s past medical history, past surgical history, social history, family history, medications allergies were reviewed.


VAERS ID: