Found 210 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'

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.

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

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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

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

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.

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.

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.

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.

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

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.

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

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)

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

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.

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.

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.

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.

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"

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.

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)

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.

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.

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)

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.

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

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

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)

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.

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.

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.

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.

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.

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.

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

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.

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), 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

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.

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

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.

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.

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.

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.

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.

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

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.

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

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)

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.

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.

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.

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.

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.

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

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)

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

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.

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.

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)

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