|
| VAERS ID: |
902479 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-14 |
| Onset: | 2020-12-14 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-15 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Chest pain,
Feeling abnormal,
Flushing,
Intensive care
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: No
Preexisting Conditions: unknown
Allergies: No
Diagnostic Lab Data: Unknown but sent to SICU for monitoring
CDC Split Type:
Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90 |
|
| VAERS ID: |
902665 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EZ5730 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Cold sweat,
Condition aggravated,
Dizziness,
Panic attack,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), 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? No
Previous Vaccinations:
Other Medications: vitamin C Lipitor calcium with vitamin d cyanocobalamin Lisinopril fish oil loratadine
Current Illness: denies
Preexisting Conditions: high cholesterol hypertension panic attacks IgA nephropathy
Allergies: mucinex cough (dizziness) Surgical tape
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt. became lightheaded, and clammy. noted heart rate to be 51, oxygen saturation 100%. after sitting for a few minutes, she felt better, but then became dizzy and had some chest tightness and bilateral hand tingling. Pt. noted to have respiratory rate 22-26 with deep breath, but other vital signs were stable. (Blood pressures 108-138/70''s to 80''s) Heart rate remained stable in the 70-90''s range, lungs remained clear to auscultation through out. No rash or swelling noted anywhere. No itching, no throat tightness. Pt. repeatedly stated "I think I am having a panic attack". Due to the continued complaint of chest tightness, pt. sent to the emergency department for evaluation. |
|
| VAERS ID: |
902925 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Atelectasis,
Chest X-ray abnormal,
Chest pain,
Computerised tomogram thorax normal,
Dizziness,
Electrocardiogram normal,
Fatigue,
Headache,
Heart rate increased,
Laboratory test normal,
Lung hyperinflation,
Nausea,
Pain,
Pyrexia,
Vomiting
SMQs:, Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: Vitamin C, Vitamin D, Fish Oil, Singular 10 MG, Panelor 30mg, Maxalt 10mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Iodine
Diagnostic Lab Data: CT Chest -- normal, EKG -- normal, Lab test-- normal. Xray Chest results -- basilar atelectasis, Hyperinflation of lungs.
CDC Split Type:
Write-up: 02:45 PM walking , dizzy, rapid heart rate, mild chest pain. Directed to ER in hospital, CT Chest -- normal, EKG -- normal, Lab test-- normal. Xray Chest results -- basilar atelectasis, Hyperinflation of lungs. Blood pressure 171/109. No treatment given in ER -- f/u with PCP 12/18/20. 08:00PM nausea, headache, vomit 1x. 10:00PM fever 104.00; Tylenol extra strength dose. 12/17/20 6:00am temp 99.00, Tylenol dose extra strength; body aches, fatigue, mild headache. |
|
| VAERS ID: |
903094 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Fatigue,
Feeling cold,
Heart rate increased,
Hypertension,
Incoherent,
Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3, C, Zinc
Current Illness: Had COVID in the beginning of 11/2020. (Tested on 11/03 results came on 4th - positive)
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: None
CDC Split Type: vsafe
Write-up: 40 min after shot experienced dizziness, feeling like was going to pass out, not coherent, BP high, fast heart rate, light headed. Got chills, freezing cold, shivering, and later in the day my ears were ringing. Extremely fatigued. |
|
| VAERS ID: |
903095 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Chest discomfort,
Dizziness,
Heart rate increased,
Hyperhidrosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, escitalopram, hydroxychloroquine, Breo Ellipta, Singulair, Celebrex, Lyrica
Current Illness:
Preexisting Conditions: Asthma Rheumatoid arthritis
Allergies: Sulfa allergy
Diagnostic Lab Data:
CDC Split Type:
Write-up: Approximately 10 minutes after receiving the vaccine in the left arm, the patient began feeling lightheaded and had some chest heaviness. They became diaphoretic and at this point blood pressure and heart rate were checked. HR was elevated to 90 bpm from patient''s baseline of approximately 60-65 bpm. Blood pressure was elevated at 150/100 mmHg. Pt was provided water and symptoms resolved. Patient was monitored an additional 30 minutes and did not have any recurrence of symptoms. Blood pressure and heart rate returned to baseline. |
|
| VAERS ID: |
903112 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Arkansas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Electrocardiogram abnormal,
Flushing,
Heart rate irregular,
Palpitations,
Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (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: solifenacin, fluticasone, loratadine
Current Illness:
Preexisting Conditions:
Allergies: codeine
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient felt flushed, heart racing. Had irregular rhythm. Transported to Emergency Department. Treated with epinephrine. EKG performed, having pre-ventricular contractions. Checked in to ED for further evaluation. |
|
| VAERS ID: |
903135 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Puerto Rico |
| Vaccinated: | 2020-12-15 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysstasia,
Fatigue,
Injection site pain,
Malaise,
Muscle spasms,
Nausea,
Palpitations
SMQs:, Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Centrum for women, imotidine, albuterol as needed
Current Illness: None
Preexisting Conditions: asthma, GERD, hypoglicemic
Allergies: Crab
Diagnostic Lab Data: None
CDC Split Type: vsafe
Write-up: woke up the next day and felt nauseated, could not stand up, my heart started racing, I had to lay down, felt cramping, extreme fatigue, felt overall sick, and the pain at the injection site. No fever. Just lasted that day. Feel better today. |
|
| VAERS ID: |
903154 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: After receiving the injection, patient felt flushed and lightheaded. Began to feel like heart was racing and chest tightness. The patient''s heart rate was checked, the patient was provided with Tylenol and water, and observed for an additional 15 minutes. Symptoms resolved during this time. |
|
| VAERS ID: |
903159 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 1450 COVID19 vaccine given. 1503 Patient verbalized a racing heartbeat. 1504 Vital signs obtained, BP & HR were elevated. 1507 Physician paged. 1509 Patient reports feeling much better. 1511 Physician arrived to evaluate. 1516 Patient no longer had symptoms. Vital signs improving. Verbalized understanding to seek medical attention if symptoms reoccur or new symptoms begin. Patient left. |
|
| VAERS ID: |
903162 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Hypersensitivity,
Paraesthesia oral,
Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Acyclovir 800 mg Oral 2 TIMES DAILY Patient taking differently: Take 800 mg by mouth as needed. amLODIPine Besylate 2.5 mg Oral DAILY Atenolol 25 MG TAKE ONE TABLET BY MOUTH EVERY DAY prn Calcium Carbonate-Vitamin D 500-400 MG-UNIT Or
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Allergies as of 12/17/2020 Reviewed by RN on 12/15/2020 Updated Reaction Type Reactions Bactrim [sulfamethoxazole-trimethoprim] 10/17/2018 ? 1:14 PM Other (See Comments) Causes Acute Kidney Injury Covid-19 (mrna) Vaccine 12/17/2020 ?12:21 PM Allergy Other (See Comments) Tingling of lips and tongue Decadron [dexamethasone] 01/11/2020 ?11:28 AM Palpitations Multiple PVCs
Diagnostic Lab Data:
CDC Split Type:
Write-up: Allergic reaction to vaccine +1 more Dx Referred by MD Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Physician Assistant Cosign Needed ? Patient was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer-Biontech (lot: EH9899) vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience oral tingling (upper lip and then into the lower lib) It then progressed to the tongue and she reported tingling to the tip of the tongue and further back to the middle of tongue. She thought there might be some mild swelling to the tip of the tongue. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling and lip swelling. ? This Staff member was notified of patient reaction and she was then assessed in the emergency bay area. ? PMH: Hx hypertension but did not take her medication today. Patient had recovered from the COVID-19 virus about 2 weeks ago. ? Vitals Time 1130 BP 170/90 HR 86 s/r RR 14 nl O2 97 % ? Physical Exam Constitutional: She is oriented to person, place, and time. She appears well-developed and well-nourished. No distress. HENT: Head: Normocephalic and atraumatic. Right Ear: Hearing and external ear normal. Left Ear: Hearing and external ear normal. Eyes: Conjunctivae are normal. Right eye exhibits no discharge. Left eye exhibits no discharge. No scleral icterus. Neck: Normal range of motion. Cardiovascular: Normal rate, regular rhythm and normal heart sounds. Pulmonary/Chest: Effort normal and breath sounds normal. No stridor. No respiratory distress. She has no wheezes. She has no rales. Musculoskeletal: Normal range of motion. Neurological: She is alert and oriented to person, place, and time. No sensory deficit. Gait normal. Skin: Skin is warm and dry. She is not diaphoretic. Psychiatric: She has a normal mood and affect. Her behavior is normal. Judgment and thought content normal. Cognition and memory are normal. Vitals reviewed. ? ? Treatment included antihistamines. Patient was given 50 mg of benadryl at 1138. ? Vitals Time 1147 BP 160/100 HR 90 S/R RR 14 nl O2 98% ? Response to care: Patient states the upper lip resolved but the lower lip and tongue sensations remained but did not worsen. Patient was recommended to go to the hospital given her sudden response with concern of tongue swelling. Patient did agree to this. COVID staff was made aware that the patient would be leaving her SUV in the parking lot. ? Patient was transfer by Response team to the hospital at 11:53 AM. ? ? |
|
| VAERS ID: |
903211 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Dysarthria,
Palpitations,
Rash,
Swelling face,
Taste disorder
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexplanon, Nutri powder
Current Illness: Denies
Preexisting Conditions:
Allergies: amoxicillin, azithromycin, Bactrim, Bees, ceftriaxone, Clindamycin, erythromycin, Hydromorphone Hcl Injection, Keflex, Latex, Levaquin, Levicyn Antipruritic, morphine, PENICILLINS, Rocephin, ROSEMARY, seafood, SULFA (SULFONAMIDE ANTIBIOTICS), tomatoes, Xanax, z pack
Diagnostic Lab Data: Employee asked to go to ED to be evaluated
CDC Split Type:
Write-up: Facial swelling, slurred speech, taste in mouth (medicine like), heart palpitations, rash to chest and face. |
|
| VAERS ID: |
903224 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: obesity, cardiac disease with internal monitor/defibrillator
Allergies: unknown
Diagnostic Lab Data:
CDC Split Type:
Write-up: Heart rate increase, flushed for about 20 minutes. She has an internal monitor/defibrillator. States "it feels like when they do a dvice check." |
|
| VAERS ID: |
903229 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Angina pectoris,
Arthralgia,
Burning sensation,
Cardiac discomfort,
Chest pain,
Dizziness,
Dysphonia,
Flushing,
Pain,
Paraesthesia,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Arthritis (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra, flonase, baby aspirin, multivitamin, gabepetin (300,mg TID),amlodipine, tylenol (arthritis -650mg TID), 50,000IU qweekly, Caltrate every day. albuterol inhaler, Benadryl- for two months.
Current Illness: asthma and allergies, environmental
Preexisting Conditions: broken bones (second metarsal) Two more broken bones.
Allergies: peanuts- anaphylaxis dairy- diarrhea, congestion fish- diarrhea, congestion Penicillin- anaphylaxis Sulfa drug- anaphylaxis
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient reports it started as a tingling, pain and burning in the elbow and travelled up the shoulder and up the chest and to the heart. Pain felt like a cardio thump . Grabbed the epi. Sitting forward. Talked Dr. Doctor stated to sit back and uncross legs. Initiated slow breathing. Pain subsided to a tolerable amount. Not short of breath but tachycardic. Still dizzy. Stayed an hour sitting position, after injection. Felt there was an irritating sensation around the heart. Left and walked back to clinic. 10 minutes after arriving to the clinic, dizziness, flushing , came back and irritation around the heart was still noticed but tolerable. 2 minutes after, voice started cracking and drank some water. Intensity of dizziness increased and overall symptoms also intensified. Returned to COVID immunization clinic 15 minutes later. Patient was moved to direct observation in a chair. Given oral benadryl. Instructed to stay and would evaluate if new interventions would be deemed necessary. Benadryl helped. Symptoms were relieved in 15 mins. Patient has been in the clinic under direct observation for about 3.5 hours. |
|
| VAERS ID: |
903235 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling cold,
Flushing,
Heart rate increased,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: beta blocker
Current Illness: none
Preexisting Conditions: obesity, immunocompromised, heart condition
Allergies: adhesives
Diagnostic Lab Data: Pulse oximetry monitoring until recovered
CDC Split Type:
Write-up: elevated heart rate 102, flushed, cold, tingly fingertips |
|
| VAERS ID: |
903248 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Male |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Burning sensation,
Feeling abnormal,
Flushing,
Paraesthesia,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclor (childhood allergy)
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Approximately 5 minutes after receiving vaccine I noted an intense flushing and burning sensation from my waist up followed by tachycardia with heart rate in 150s elevated BP 150/100. These symptoms subsided after approximately 10 minutes but were then followed by a ?cloudy? feeling in my head as well as tingling in bilateral hands that lasted the rest of the day but had resolved by the next morning. The next morning I felt very well until 2 pm when I had a short period (approximately 2 minutes) of elevated heart rate (120s) that then resolved. |
|
| VAERS ID: |
903263 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
UNKNOWN / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dysgeusia,
Feeling cold,
Headache,
Hyperhidrosis,
Pallor,
Palpitations,
Tachycardia,
Taste disorder
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D 4000 IU per day Magnesium 250 mg per day
Current Illness: None
Preexisting Conditions: Paroxysmal SVT
Allergies: Latex
Diagnostic Lab Data: None
CDC Split Type:
Write-up: 5 minutes after I received the injection, I experienced a mild headache and metallic taste in my mouth, with very slight dizziness for a couple seconds. I reported the mild headache and taste disturbance to the RN in the Covid vaccine room before I left for her information. I stayed 15 minutes , then walked to my car. I sat in my car, then began to feel cold, dizzy, and my heart began to race. I walked back to the Neurology clinic where I work as an NP, and sat in the Neurologist''s office, who observed me to be pale and sweating. I continued to feel dizzy with tachycardia for about 7 minutes until this resolved. The only symptom remaining after this was a headache and metallic taste. |
|
| VAERS ID: |
903282 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Injection site erythema,
Injection site nodule,
Palpitations,
Throat irritation
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: denies
Preexisting Conditions: Denies
Allergies: Bee stings, hair dye- Severe Has to use hypoallergenic laundry soap or will get rash. Wine causes red face
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Racing heart, itching throat. Heart racing resolved in 45 minutes, Itching throat never worsened and resolved after taking Benadryl and sleeping. Woke up 12/17 feeling fine, but also has a golf ball size knot and redness at injection site. |
|
| VAERS ID: |
903352 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Male |
| Location: |
Missouri |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Cough,
Dyspepsia,
Fatigue,
Headache,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (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: Effient, lantus, humalog, lisinopril, metoprolol, jardiance, metformin, lipitor, aspirin, aldactone
Current Illness: None
Preexisting Conditions: History of myocardial infarction with stent, diabetes type 2
Allergies: Amoxicilin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Fever with max of 101.9, headache, chills, heartburn, cough, fatigue. |
|
| VAERS ID: |
903418 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Male |
| Location: |
Texas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Balance disorder,
Dizziness,
Paraesthesia
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: Sulfa
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Employee presented to the Emergency Department for dizziness. Patient received COVID-19 vaccination today. About an hour and half later he started experiencing dizziness and lightheadedness. Patient was normotensive with regular heart rate at the time. Patient reports when he would get up to go patient room he would start to feel unsteady. Patient has history of orthostatic hypotension intermittently in the past. Patient reports he had some tingling to his bilateral hands. |
|
| VAERS ID: |
903433 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Inappropriate schedule of product administration,
Paraesthesia oral,
Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Medication errors (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: Medication List As of 12/17/2020 ?3:24 PM Calcium Citrate-Vitamin D 315-200 MG-UNIT Oral 3 TIMES DAILY Patient taking differently: Take 1 tablet by mouth 2 (two) times daily. DULoxetine HCl 30 MG TAKE 3 CAPSULES(90 MG) BY MOUTH DAILY
Current Illness:
Preexisting Conditions: She has a past medical history of Cirrhosis of liver with ascites (2008), Depression, Diabetes mellitus type I, Double vision, GERD (gastroesophageal reflux disease), Hearing loss, History of liver transplant, History of stroke (2008), Hyperlipidemia, Obstructive sleep apnea, OSA (obstructive sleep apnea), Osteoporosis, Pain, chronic, Psoriasis (2015), Psoriatic arthropathy, and Squamous cell skin cancer (07/10/2019). She has a past surgical history that includes Liver transplant (2008); Breast reduction surgery; reduction mammoplasty; Colonoscopy (2009); pr colonoscopy w/biopsy single/multiple (2014); knee surgery; Cholecystectomy; Incisional hernia repair (2015); and Breast biopsy (Right, 2015).
Allergies: Sulfa antibiotics
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She reports that she also had a shingles and pneumonia vaccination on Monday 12/14/2020. She confirmed with both her PCP and transplant specialist that okay to receive all vaccinations. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience tongue tingling and swelling specific to the left side of her tongue. She denied rash, difficulty breathing, difficulty swallowing, wheezing, throat tightness, dizziness and lip swelling. She reports similar reactions after receiving other vaccinations. States that those symptoms always resolved with time and never required any treatment. ? This APP was notified of patient reaction and she was then assessed in the emergency bay area. ? Vitals Vitals: ? 12/17/20 1545 12/17/20 1555 12/17/20 1620 BP: 128/85 116/72 126/73 BP Location: Left arm Left arm Left arm Patient Position: Sitting Sitting Sitting Pulse: (!) 109 100 99 Resp: 12 12 12 SpO2: 99% 97% 98% Physical Exam Constitutional: She is oriented to person, place, and time. She appears well-developed and well-nourished. No distress. HENT: Nose: Nose normal. Mouth/Throat: Oropharynx is clear and moist. Neck: No tracheal deviation present. Cardiovascular: Normal rate, regular rhythm and normal heart sounds. Pulmonary/Chest: Effort normal and breath sounds normal. No stridor. No respiratory distress. She has no wheezes. She has no rales. Musculoskeletal: General: No edema. Neurological: She is alert and oriented to person, place, and time. Skin: Skin is warm and dry. No rash noted. She is not diaphoretic. No erythema. Psychiatric: She has a normal mood and affect. Her behavior is normal. Thought content normal. ? Patient''s health history, medications and allergies were reviewed. She denied any further symptoms and the tongue numbness/swelling resolved in 30 minutes. She specifically denied any difficulty swallowing or breathing. No treatment was required. Pharmacy responded and did advise that current recommendations include no other vaccinations within two weeks of COVID. Discussed with patient. She is advised to notify staff of this reaction when receiving her 2nd dose. Patient release after 45 minutes of observation. ? |
|
| VAERS ID: |
903438 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dysgeusia,
Dyspnoea,
Feeling abnormal,
Heart rate increased,
SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Symbicort 80/4.5 mcg inhaler, Singulair 10 mg tablet
Current Illness: Nov 15th started upper respiratory symptoms and sinus symptoms. Sinus congestion for 1 week, sore throat for 3 days, headache for 3 days, productive cough started on day 4 and lasted for 2 weeks, wheezing for started on day 4 and lasted 3 days. COVID negative on day 4 of symptoms. No prescribed medicines. Treated with otc products.
Preexisting Conditions: asthma
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Within minutes of receiving the vaccine I experienced a metallic taste in the back of my throat (while I had mint gum in my mouth), dizziness, increased heart rate, labored breathing, and a floating feeling. These symptoms lasted no more than 10 minutes except the floating feeling lasted about an hour. |
|
| VAERS ID: |
903467 (history) |
| Form: |
Version 2.0 |
| Age: |
22.0 |
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / - |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Heart rate increased,
Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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: Sprintec oral Birthcontrol, Paraguard IUD, Claritin daily (had 12/16/), Sub-Q q28 days (emgality for migraines), Effexor 187.5mg, Lamictal 100mg (use for mental health), Propenol 60mg (migrane prevention)
Current Illness: none
Preexisting Conditions: Migraines Reoccuring UTI (last took early October)
Allergies: allergy to nickel
Diagnostic Lab Data: blood pressure auscultated lungs and heart Palpated HR
CDC Split Type:
Write-up: Felt a lump in her throat 5 minutes after vaccination. BP and HR elevated slightly, no swelling in lips or tongue, denies lightheaded or dizziness, Alert/oriented x3. Vaccination site WNL. Listened to lungs and heart (WNL). Lungs clear throughout and able to move air without difficulty. Within 15 minutes slight improvements in Vital Signs, decreased feeling of lump in her throat, no swelling in lips or tongue, site WNL, alert/oriented x 3. Listened to lungs and heart (WNL). Lungs clear throughout and able to move air without difficulty. 30minutes later 50% improvement of feeling of lump in her throat, cont. improvements in VS, no swelling in lips or tongue, Listened to lungs and heart (WNL). Lungs clear throughout and able to move air without difficulty. 75 minutes post vaccination back to normal, Vital signs back to WNL, Alert/oriented x3, no swelling in lips or tongue. Listened to lungs and heart (WNL). Lungs clear throughout and able to move air without difficulty. Resolved on own without medications |
|
| VAERS ID: |
903470 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure abnormal,
Dizziness,
Electrocardiogram normal,
Eosinophil percentage,
Heart rate abnormal,
Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Synthroid, protonix, vitamin, calcium, carafate
Current Illness:
Preexisting Conditions: hypothyroidism, GERD, acoustic neuroma (2002), trigger finger, vitamin d deficiency, arthritis, hypercholesterolemia
Allergies: penicillins (hives) - pt states tolerates cephalosporin
Diagnostic Lab Data: EKG unremarkable, percent eosinophils: 2.2 (12/16, 18:37)
CDC Split Type:
Write-up: lightheaded; "funny feeling" in throat; systolic BP in the 80''s; given famotidine and loratadine @ 12/16 (2 hrs later); pressure and heart rate improved greatly (3.5 hrs later) |
|
| VAERS ID: |
903478 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Feeling hot,
Flushing,
Skin warm
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: Medication List As of 12/17/2020 ?2:46 PM Cetirizine HCl 10 mg Oral PRN Cyclobenzaprine HCl 10 mg Oral 3 TIMES DAILY PRN Levothyroxine Sodium 50 MCG Take 1/2 tablet (25 mcg total) by mouth every morning before breakfast. LORazepam 0.5 M
Current Illness:
Preexisting Conditions:
Allergies: Lisinopril
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She does report a history of similar reaction that occurs fairly regularly after drinking beverages containing alcohol. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience flushed, warm face and ears. She denied rash, difficulty breathing, difficulty swallowing, wheezing, throat tightness, lightheadedness, lip swelling and tongue swelling. ? This APP was notified of patient reaction and she was then assessed in the emergency bay area. ? Vitals Vitals: ? 12/17/20 1450 12/17/20 1500 12/17/20 1515 BP: (!) 153/73 120/60 138/70 BP Location: Right arm Right arm Right arm Patient Position: Sitting Semi-fowlers Sitting Pulse: 84 79 78 Resp: 14 14 14 SpO2: 100% 98% 98% Physical Exam Constitutional: She is oriented to person, place, and time. She appears well-developed and well-nourished. No distress. HENT: Nose: Nose normal. Mouth/Throat: Oropharynx is clear and moist. Neck: No tracheal deviation present. Cardiovascular: Normal rate, regular rhythm and normal heart sounds. Pulmonary/Chest: Effort normal and breath sounds normal. No stridor. No respiratory distress. She has no wheezes. She has no rales. Musculoskeletal: General: No edema. Neurological: She is alert and oriented to person, place, and time. Skin: Skin is warm and dry. No rash noted. She is not diaphoretic. No erythema. Psychiatric: She has a normal mood and affect. Her behavior is normal. Thought content normal. ? Patient was observed x 35 minutes after receiving vaccination. All symptoms resolved within 20 minutes. No treatment was required. She reports some mild history of anxiety and questions if perhaps she was having a panic attack. She has medication to treat this at home if needed. She was observed x 35 minutes and then released. ? |
|
| VAERS ID: |
903481 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: heart disease, has a pacer/defibrillator
Allergies: no allergies
Diagnostic Lab Data:
CDC Split Type:
Write-up: 5-7 min after injection she felt flushed face and "as if they were checking my pacer" "so my heart rate revved up a little" She sat down and the feeling resolved within 15 min |
|
| VAERS ID: |
903525 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: none known
Preexisting Conditions: none known
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Patient experienced heart palpitations. Pulse was 135 SpO2 99. Calmed patient to pulse 70. BP 132/84. Patient reported to feel better after 10 min. No other intervention needed. |
|
| VAERS ID: |
903581 (history) |
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cardiac discomfort,
Immediate post-injection reaction
SMQs:, Hypersensitivity (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, Synthroid, losartan, vitamin D, calcium.
Current Illness: none
Preexisting Conditions: hypothyroidism, diabetes type 11, hypertension, vitamin D and calcium deficient, lactose intolerant.
Allergies: sulfa drugs, cats
Diagnostic Lab Data:
CDC Split Type:
Write-up: Immediately after injection I felt a tiny pinch in what felt like my heart. I happened 2 more times within seconds and nothing else after that. I did not report this to anyone since it happened so quick and was over within a minute. I did stay a few stay in the area where I had the injection just in case. After about 15 minutes I left because I felt fine. No other effects afterwards. |
|
| VAERS ID: |
903592 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 3/2021 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anaphylactic reaction,
Cough,
Discomfort,
Dizziness,
Dysphagia,
Dysphonia,
Dyspnoea,
Hypoaesthesia,
Hypoaesthesia oral,
Paraesthesia,
Sensation of foreign body,
Tachycardia,
Tachypnoea,
Throat tightness,
Tongue discomfort
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives
Diagnostic Lab Data: Ask physicians
CDC Split Type:
Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes. |
|
| VAERS ID: |
903599 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / SC |
Administered by: Work Purchased by: ?
Symptoms: Extrasystoles,
Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Tachyarrhythmia terms, nonspecific (narrow), 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: Trazadone 100mg nightly, Melatonin 10mg nightly, Zoloft 25mg daily
Current Illness: none
Preexisting Conditions: migraines, raynauds disease
Allergies: none
Diagnostic Lab Data:
CDC Split Type:
Write-up: felt some skipped heart beats about 2 hours after shot and then my arm has started hurting at site about 4 hours after |
|
| VAERS ID: |
903611 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Headache,
Increased appetite
SMQs:, Hyperglycaemia/new onset diabetes mellitus (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: Influenza vaccine
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Headache, increased heart rate (115) for approx 30 min. |
|
| VAERS ID: |
903630 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Male |
| Location: |
Mississippi |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Chest X-ray,
Dizziness,
Electrocardiogram,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (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: Hydrochlorothiazide, Zyrtec, Multivitamin with Iron
Current Illness: Seasonal allergies, Mild hypertension
Preexisting Conditions:
Allergies: Penicillin, Doxycycline
Diagnostic Lab Data: Admitted to ED. EKG, Chest x-ray, IV meds given.
CDC Split Type:
Write-up: lightheaded,dizzy,increased heart rate, increased blood pressure |
|
| VAERS ID: |
903631 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Male |
| Location: |
Mississippi |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Chest X-ray,
Dizziness,
Electrocardiogram,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (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: Hydrochlorothiazide, Zyrtec, Multivitamin with Iron
Current Illness: Seasonal allergies, Mild hypertension
Preexisting Conditions:
Allergies: Penicillin, Doxycycline
Diagnostic Lab Data: Admitted to ED. EKG, Chest x-ray, IV meds given.
CDC Split Type:
Write-up: lightheaded,dizzy,increased heart rate, increased blood pressure |
|
| VAERS ID: |
903668 (history) |
| Form: |
Version 2.0 |
| Age: |
22.0 |
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Chest pain,
Headache,
Heart rate increased,
Pain,
Pyrexia,
SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Obesity
Allergies: no known allergies
Diagnostic Lab Data: Negative rapid test on 12/18
CDC Split Type:
Write-up: Fever 101, Headache, body aches, increased heart rate 140-160, chest pain. |
|
| VAERS ID: |
903673 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Heart rate increased,
Hypertension,
Hypoaesthesia,
Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (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: Pramoprexole zyzal singulair lasix oxy-ir 5mg clindamycin
Current Illness:
Preexisting Conditions: Systemic mastocytosis
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 5 minutes of receiving the COVID vaccine, patient experienced face numbness, flushing of face, lightheadedness, nausea, elevated heart rate, elevated blood pressure. Patient had premedicated with 25mg benadryl 25 minutes prior to receiving the vaccine due to having had previous adverse reactions to vaccinations. At 1010, 15 minutes after receiving the COVID vaccine, patient was given Benadryl 25mg PO. She was then evaluated and monitored by her primary care physician. |
|
| VAERS ID: |
903682 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Vermont |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Heart rate increased,
Paraesthesia,
Rash,
Rash erythematous,
Rash macular,
Tearfulness
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Pt has history of extreme anxiety
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 2 minutes after injection, patient started to feel very hot and with increased heart rate. Pt states that she feels "tingly" and is tearful. Pt denies difficulty breathing. Patient then started to have a red blotchy rash on her neck and chest. No redness at injection site. Pt brought to Emergency room for evaluation/observation. Pt able to talk in full sentences. Pt states that she has a history of anxiety and has gone into SVT because of anxiety in the past. Pt received steroids in ER. |
|
| VAERS ID: |
903683 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Electrocardiogram,
Hyperhidrosis,
Impaired work ability,
Palpitations,
Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), 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: Sometimes when I get the flu shot I get fever and muscle aches
Other Medications: Zoloft, fenofibrate for cholesterol, lisenopril for HBP, nexium, food allergies, multivitamin, vitamin D, calcium, turmeric,
Current Illness: No
Preexisting Conditions: cerebral palsy, high cholesterol
Allergies: highly allergic to shellfish and seafood, many kinds of trees, grasses, leather, latex, several kinds of grains, did the scratch allergy test and from all the items being checked I was only not allergic to 4 of them.
Diagnostic Lab Data: EKG
CDC Split Type: vsafe
Write-up: After the shot I felt dizzy, sweating profusely, felt throat tightness, my heart was racing. They gave me an epinephrine shot in the leg and I was sent to the ER at Hospital. By the time I got to the ER m symptoms were gone. They did monitor me, put me on oxygen and hooked me up and around 2:45 I got up to use the restroom and they did not have to hook me up anymore. I took the day off because after the Benadryl and epinephrine I just feel groggy for about 24 hrs. |
|
| VAERS ID: |
903694 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Alabama |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EM98Q9 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Chest pain,
Dyspepsia,
Heart rate increased,
Injection site pain,
Pain
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: 5 min into the vaccine my heart began to beat faster. 30-40min later I began to have heart burn (mild midsternal chest pain) that lasted 3 hrs. I also have mild body aches and pain at the insertion site. |
|
| VAERS ID: |
903711 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Male |
| Location: |
Florida |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Fatigue,
Headache,
Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: UTI
Preexisting Conditions: good health
Allergies: none
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: Took the vaccine at 2:55 pm on Dec 17th. Went home at slept at 8:00 PM, felt fine. Woke up at 12:00 AM feeling low-grade fever, tired, mild headache. Took 15ml day quill 40 minutes before going to doctor''s office at 2:30 PM on Dec 18th. Calculated temperature was 100.5 at the entrance. Heart rate was 122 inside the office. No treatments/medications given yet. |
|
| VAERS ID: |
903720 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / UNK |
LA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Dizziness,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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: Methotrexate
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Dizziness, Rapid Heart Rate |
|
| VAERS ID: |
903722 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Dysgeusia,
Feeling hot,
Flushing,
Palpitations,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, vit d
Current Illness: None
Preexisting Conditions: Svt
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Hot, flushing, tingling, metallic taste, pounding heart rate. |
|
| VAERS ID: |
903730 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Blood pressure increased,
Cardiac monitoring,
Electrocardiogram,
Fatigue,
Flushing,
Headache,
Heart rate increased,
Hot flush,
Laboratory test
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Hypersensitivity (broad), Arthritis (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra
Current Illness: No
Preexisting Conditions: None
Allergies: environmental allergies, grass, tree, pollen, mold, pet dander, weeds,
Diagnostic Lab Data: Drew labs and EKG, not sure what kind of labs, monitored my oxygen saturation levels and BP. Also hook me up to a heart monitor
CDC Split Type: vsafe
Write-up: Flushing, hot flashes, elevated heart rate and high BP (never have a problem with that), Evaluated at the ER and received Benadryl immediately. After coming home (discharged around 1:30), felt fatigued and started with a mild headache. Also joint pain in my hips and my knees. Woke up this morning pretty fatigued and with headache feeling better this afternoon. Still have a mild headache. |
|
| VAERS ID: |
903741 (history) |
| Form: |
Version 2.0 |
| Age: |
56.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate irregular,
Palpitations,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Cardiac arrhythmia 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, astorvaswtiatis, lodipine, ozwempic, traceba, humulog, asa, zerolto, singardi, vitamen D, Vit b12
Current Illness: na
Preexisting Conditions: htn, diabetes, cholesterol, cloting issue, dvt, PE, portal vein clot
Allergies: na
Diagnostic Lab Data: na
CDC Split Type:
Write-up: Palpitatations, shaky, lightgheaded, irregular heartbeat |
|
| VAERS ID: |
903753 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: famotidine albuterol
Current Illness: none known
Preexisting Conditions:
Allergies: Apple, avocado, cantalope, contrast media, kenalog, peach, tetanus, vicodin,
Diagnostic Lab Data: She was sent to the ED for monitoring
CDC Split Type:
Write-up: She felt a little warm in the chest and stomach area. She felt her heart was racing. She didn''t have shortness of breath or difficulty swallowing. She felt it was the same reaction as when she had her TDap vaccine |
|
| VAERS ID: |
903754 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: famotidine albuterol
Current Illness: none known
Preexisting Conditions:
Allergies: Apple, avocado, cantalope, contrast media, kenalog, peach, tetanus, vicodin,
Diagnostic Lab Data: She was sent to the ED for monitoring
CDC Split Type:
Write-up: She felt a little warm in the chest and stomach area. She felt her heart was racing. She didn''t have shortness of breath or difficulty swallowing. She felt it was the same reaction as when she had her TDap vaccine |
|
| VAERS ID: |
903769 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / UNK |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Heart rate increased,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Just birth control
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type: vsafe
Write-up: 5 minutes after receiving vaccine I felt like I was going to pass out. They took me to the ER. Heart rate went up to 160 at one point. Was given steroids, Benadryl, and Pepcid and that helped. This helped and then heart rate went up again. Tremors and BP was up. |
|
| VAERS ID: |
903775 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Male |
| Location: |
Georgia |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood test,
Chills,
Dry mouth,
Dysstasia,
Feeling abnormal,
Hypertension,
Palpitations,
Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), 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: Miralax daily and 25 mg of benadryl in the morning
Current Illness: No - Covid in July 2020
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Blood was drawn but I have no idea what they were looking for. Just kept monitoring me.
CDC Split Type: vsafe
Write-up: I initially had to sit down for about 15 min and felt my mouth dry, my tongue was kind of tingling, not swollen. I was checked for anaphylactic shock. I felt like an adrenaline shock, and felt my heart racing, my BP was high - stayed in the ER for an hour for observation. I felt the same kind of sensation when I had COVID in July. This morning, had chills early in the morning around 1AM but it is all gone now. |
|
| VAERS ID: |
903787 (history) |
| Form: |
Version 2.0 |
| Age: |
61.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Erythema,
Flushing,
Palpitations,
Skin warm
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prilosec
Current Illness: none
Preexisting Conditions: none
Allergies: morphine
Diagnostic Lab Data: none
CDC Split Type:
Write-up: About 20 min after injection she reports feeling flushed, heart racing. Face, neck chest and upper arms are red and warm to touch. Initial Vs-198/106, HR 113, SpO2 100% on RA. Lungs CTA. Given 25mg Benadryl with HR decreased to 100 and BP 161/92 after 25 minutes of observation. Left after 30 minutes of observation to return to work, stating "I feel much better". |
|
| VAERS ID: |
903809 (history) |
| Form: |
Version 2.0 |
| Age: |
56.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Dyspepsia,
Gastric disorder,
Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ACETAMINOPHEN 325MG TAB ALBUTEROL 90MCG HFA MDI (YELLOW) 6.7 gm ACTIVE FLUTICASONE 220MCG HFA MDI (NF) Qty: 12 ACTIVE LEVOTHYROXINE 75MCG TAB Qty: 30 for 30 ACTIVE MONTELUKAST 10MG TAB Qty: 30 for 30 ACTIVE
Current Illness: N/A
Preexisting Conditions: Chronic Problems: 1)Hyperthyroidism - SPI1-131 Radiodine 8-10-10 2)Menorrhagia - 3)Eczema - 4)Seasonal asthma - 5)Alopecia - 6)Hypothyroidism - 7)Asthma - Moderate persistent asthma 8)Osteoarthritis -
Allergies: CEPHALEXIN, PENICILLIN, RED DYES, NUTS, LATEX, CIPROFLOXACIN, MOMETASONE SULFA DRUGS
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: A 56 year old FEMALE who has been waiting at monitoring area after Covid 19 vaccination, provided called to evaluate patient c/o: Chief Complaint: Patient was being checked at 1039 for final 15 min wait time after Covid-19 vaccine. Patient states she is feeling light headed and nauseated Doctor was informed. Took patients vitals. 11:06 patient was put on 6 liter of O2 with face mask 11:08 patient was out on to 4 liters 11:10 patient states "I''m feeling better, flutter in my stomach" 11:17 Doctor instructed RN to give Solumedrol (IM) injection to patient 11:22 Patient states "I''m having a heartburn feeling, tightness in my chest. I put patient in a sitting position. 11:31 Patient states "I''m feeling better" 11:35 Employee came and gave patient solumedrol injection (IM) RT Deltoid @11:36 11:41 Patient states "I''m feeling better, heartburn is going away slowly, I can breath now" 11:49 Patient states "I''m feeling better" 11:50 Doctor states "I will be putting in an order for epi pen for patient and she can pick that up from pharmacy when she leaves" |
|
| VAERS ID: |
903810 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zoloft, seroquel, norethidrone, mobic, corticosteriod
Current Illness: 11-8-20 COVID
Preexisting Conditions: anxiety/depression
Allergies: myacin antibiotics, penicillin
Diagnostic Lab Data: None initially
CDC Split Type:
Write-up: Racing heart rate, 101 at rest, palpitations |
|
| VAERS ID: |
903815 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Chest discomfort,
Dizziness,
Dry mouth,
Dysgeusia,
Feeling hot,
Heart rate increased,
Hypoaesthesia,
Nausea,
Paraesthesia,
Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Patient taken to emergency department and oxygen provided; blood pressure checked; patient observed; discharged to home after 40 min.
CDC Split Type:
Write-up: Dizziness, nausea, dry mouth; felt hot; later developed chest tightness sour taste in mouth; rapid heart rate; tingling on same arm vaccinated (L arm) some numbness in same arm L arm; felt shaky for 15 min; Blood pressure elevated |
|
| VAERS ID: |
903826 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Headache,
Nausea,
Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Back pain
Preexisting Conditions: Back pain
Allergies: Anaphylaxis to onions. Reports nausea and vomiting with diazepam and hydrocodone.
Diagnostic Lab Data: None performed
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA: Approximately 15 minutes after receiving Pfizer-BioNTech COVID-19 vaccine patient complained of dizziness, nausea, and headache. Vomited once but remained awake and alert. No rash, no evidence of respiratory distress or respiratory compromise, and no loss of consciousness. Patient was transported to the emergency department where vital signs were blood pressure: 114/71 mmHg, heart rate 96 beats per minute, temperature 36.6 degrees Celsius, respiratory rate 20 breaths per minute, and oxygen saturation 97% on room air. Lungs were clear to auscultation bilaterally without wheezing. One dose each of intravenous (IV) diphenhydramine 25 mg, oral ibuprofen 600 mg, and IV ondansetron 4 mg were administered. Patient''s symptoms resolved and no new symptoms developed. Patient was discharged from the emergency department to home approximately two and a half hours after receiving the medication. On follow-up telephone encounter the next morning at 10:44 am patient reports improvement and only symptom is a slight headache controlled with acetaminophen. Patient denies shortness of breath, angioedema, or other concerns. |
|
| VAERS ID: |
903840 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysphagia,
Palpitations,
Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: none
Preexisting Conditions: none
Allergies: Lavendar
Diagnostic Lab Data: none
CDC Split Type:
Write-up: throat swelling, heart palpitations, trouble swallowing |
|
| VAERS ID: |
903863 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dysstasia,
Hot flush,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt complaint: "heart racing, hot flash, feeling like fainting if I stand up" approx. 10 mins post 16:30 vaccine admin. RN & another RN checked pt''s vitals & BS. 16:45- BP 130/105, HR 160, O2 100%. 16:48- BP 148/93, HR 96, O2 98%. 17:00- BP 123/86, HR 68, O2 100%. 17:20- BP 122/86, HR 97, O2 92%. BS 83 @17:15. Pt received H2O, ice pack & elevated feet on chair. Pt noted symptom resolution & MD evaluated & walked pt back to work site. |
|
| VAERS ID: |
903875 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Unknown |
| Location: |
Illinois |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Feeling abnormal,
Palpitations,
Panic attack
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Not known but has an EPI-PEN
Current Illness: No
Preexisting Conditions: Environmental allergies
Allergies: Food, but not sure as she is under a dr. care for this
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient did well the vaccine, then during the observation period almost 15 minutes patient stated, she felt like she was have a panic attack. Felt like her heart was racing and felt like she wanted to cry, Took vital signs and gave her a beverage and pudding. She called her mother. She felt better after she spoke with her mother. Took another set of vitals and pt. stated, "I feel better and the staff handed patient off to her mother. Time it took was maybe 25 minutes after receiving the vaccine. |
|
| VAERS ID: |
903878 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: No known allergies
Diagnostic Lab Data: None performed
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA: Approximately 10 minutes after receiving vaccine patient reported itching in her right arm and back and traveled to the rest of her body. Patient sat in chair with vital signs: blood pressure 133/70 mmHg, oxygen saturation 96%, temperature 97.3 degrees Fahrenheit, respiratory rate 18 breaths per minute, and heart rate of 62 beats per minute. Diphenhydramine 25mg oral liquid administered and at 6:54 am patient stated reaction started to go away. Repeat vital signs: blood pressure 128/68 mmHg, heart rate 68 beats per minute, respiratory rate 16 breaths per minute, oxygen saturation 97%. Patient left vaccine clinic independently in stable condition. |
|
| VAERS ID: |
903879 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Utah |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Abdominal pain upper,
Eye discharge,
Heart rate increased
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: insulin, atorvastatin, sertraline, ambien
Current Illness: none
Preexisting Conditions: diabetes, graves disease
Allergies: gluten
Diagnostic Lab Data: None.
CDC Split Type:
Write-up: stomach ache, elevated heart rate, eye drainage. No treatment. Stomach pain is continuous. |
|
| VAERS ID: |
903884 (history) |
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Fatigue,
Palpitations
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: Influenza vaccine causes weakness. 2010
Other Medications: Vitamin B, C, Multi , Ca, Zinc Albuterol INH PRN
Current Illness: none
Preexisting Conditions: asthma environmental triggers (flowers, perfume, chemicals, soil, grass) breast cancer Left 2005 9had radiation and tamoxifen)
Allergies: Penicillin, ampicillin- rash Mussels bronco constriction, itch figs - nausea, vomiting, dizziness, elevated heart rate grass - welts
Diagnostic Lab Data: Vital signs physical assessment
CDC Split Type:
Write-up: Employee states that after one hr she felt her heart pounding and took her pulse and it was 158 and no other symptoms. Denies chest pain. Staff took her R BP and it was151/113 on a machine. Recheck 10 minutes later BP 151/112, P 126. Patient was brought to the Occupational Medicine Dept. Recheck at 20 min BP 125/68 and an apical pulse of 88. HR regular, rate and rhythm. Employee states she feels fatigued currently, denies shortness of breath, chest pain, itching, swelling of oral cavity. |
|
| VAERS ID: |
903892 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Electrocardiogram,
Palpitations,
Paraesthesia,
Pruritus,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (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), Vestibular disorders (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal allergies
Diagnostic Lab Data: EKG
CDC Split Type:
Write-up: Light headed, Itchy Chest, Chest tightness, Heart racing, Throat tightness, Tingling legs |
|
| VAERS ID: |
903928 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness,
Flushing,
Heart rate decreased,
Hypoaesthesia,
Nausea,
Paraesthesia,
Tremor,
Wheelchair user
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (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), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (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: Patient began feeling numbness/tingling in left hand. Began to feel nauseated, dizzy, flushed, and light headed. Symptoms would come in waves. Felt shaky. A few nurses and pharmacist on duty came to assess her. Heart rate was 110, SpO2 was 99. Assisted her into a wheelchair and brought her to a separate room so she could lay flat and elevate legs Checked blood pressure, 122/58. 10 minutes after reactioni started heart rate had lowered to 87. Once she was laying down she did not experience any additional dizziness, flushing, or nausea. After she sat up for a couple minutes, ambulated in the hall with nurse she was released at 6:20pm and a friend drove her home. |
|
| VAERS ID: |
903948 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Tachycardia,
Ventricular extrasystoles
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Dehydration (broad), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: None
Preexisting Conditions: Bronchiolitis Obliterans; Ulcerative Colitis
Allergies: Rifampin
Diagnostic Lab Data: None
CDC Split Type:
Write-up: PVCs, tachycardia from 6:30pm to 12:00am. Took diphenhydramine, omeprazole, acetaminophen at 8:30pm. Went to sleep at 11:30. Heart rate normalized. PVCs continued. All symptoms resolved by 4am on 12/18/20. |
|
| VAERS ID: |
903999 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
- / IM |
| UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / UNK |
LA / - |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness postural,
Dyspnoea,
Heart rate increased,
Immediate post-injection reaction,
Injection site pain,
Oral discomfort,
Oropharyngeal pain,
Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Saxenda, lamictal, lexapro
Diagnostic Lab Data:
CDC Split Type:
Write-up: Dizziness immediately after when I stood up. Within fifteen minutes increased heart rate and breathing, shortness of breath, and lips having a weird feeling. At 10 pm sore throat and injection site soreness. |
|
| VAERS ID: |
904037 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Body temperature increased,
Chills,
Dehydration,
Feeling cold,
Headache,
Hyperhidrosis,
Pain,
Palpitations
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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: Tylenol
Current Illness:
Preexisting Conditions:
Allergies: Lorabid
Diagnostic Lab Data:
CDC Split Type:
Write-up: Started having strong chills that lasted an hour and was sweating although I felt cold. Felt dehydrated and heart was reaching. Woke up in the morning and felt sweaty, had temperature of 100.9F axillary. Took Tylenol. Still having body ache and headache through all this. |
|
| VAERS ID: |
904048 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Ear discomfort,
Heart rate increased,
Muscle tightness
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (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: Oral contraceptive
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin, Sulfa
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA About 5 minutes after receiving the vaccine my heart rate increased and sustained in the 140s-150s for about 10 minutes, it then subsided. My jaw and ears felt tight, then subsided. After about an hour, I felt normal. |
|
| VAERS ID: |
904049 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Male |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations,
Paraesthesia
SMQs:, Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: none
CDC Split Type:
Write-up: tingling, heart racing |
|
| VAERS ID: |
904062 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Kentucky |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 PFIZER / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood alkaline phosphatase normal,
Blood creatine phosphokinase decreased,
Electrocardiogram,
Fatigue,
Haematoma muscle,
Heart rate increased,
Injection site pain,
Laboratory test,
Lymphocyte count decreased,
Muscle contractions involuntary,
Pain in extremity,
SARS-CoV-2 test,
Swelling,
Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Seasonique birth control, adderall, wellbutrin. PRN ambien
Current Illness: none
Preexisting Conditions: ADHD, insomnia, migraines
Allergies: Ginger
Diagnostic Lab Data: Basic lab work, EKG, covid swab, and markers related to covid were done. The abnormal results included CK<7, ALP was 30, lymphocytes were low at 0.6
CDC Split Type: EK 5730
Write-up: The evening of 12/17/2020 pain started in the left deltoid. Over night the muscles in the left arm contracted and would no release, a hematoma developed, and constant pain was through the entire left arm. The morning of 12/18/2020 the muscle contractions and hematoma were still present and tachycardia and fatigue developed. Highest heart rate at that time was 147 with a blood pressure of 148/82. Was a pt. in the ED and received benadry, dexamethasone, and pepcid. Swelling and muscle contraction subsided and heart rate was stable in the 100''s. Later in the evening tachycardia and fatigue started again with the highest heart rate being 210 (when resolved nearly immediately with rest). Heart rate was 110-130 until I went to bed. Heart rate waking up this AM was 110bpm. Injection sight is slightly painful. |
|
| VAERS ID: |
904067 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Male |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Electrocardiogram normal,
Full blood count normal,
Hyperhidrosis,
Metabolic function test normal,
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? 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: EKG test normal. Basic metabolic panel and CBC normal.
CDC Split Type:
Write-up: Patient experienced tachycardia and diaphoretic. His heart rate was in the 170s. He was taken to the hospital emergency room. He had an EKG - results normal. Lab work was performed - basic metabolic panel and CBC. All results normal. Symptoms resolved - he was discharged. No further treatment needed. |
|
| VAERS ID: |
904071 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Male |
| Location: |
Missouri |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Condition aggravated,
Heart rate increased,
Paraesthesia,
Sleep disorder
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intermittent anxiety
Preexisting Conditions: Intermittent anxiety
Allergies: None
Diagnostic Lab Data: NONE
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA Beginning approximately 10 minutes after the injection I felt increased anxiety and possible light headedness. This could have been anxiety about the injection and its short development and some unknowns. I felt quite stimulated through the evening on the day of vaccination and kind of tingly all over like I had too much caffeine (which I had not). The only real scary part was waking up the night of the vaccination with high anxiety, tingling, and an elevated heart rate around 100-120 bpm if I had to guess. This lasted about 1-2 hours until I was able to fall back asleep. I am now two days out from vaccination and still have increased anxiety over baseline and some diffuse tingling/hyperstimulation. |
|
| VAERS ID: |
904082 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Tachycardia,
Tunnel vision
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Optic nerve disorders (broad), Retinal disorders (narrow), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: was in waiting area and about 10 min after vaccine said she got tachycardiac and checked her heart rate on the apple watch and it was 140. She felt tunnel vision also did not alert staff in waiting area as did not want to call attention to herself. Symptoms subsided after 1-2 minutes. said she would have passed out if she stood up at the time. Went back to work and told coworker. Vaccine clinic staff called her this am and she is fine- no further symptoms. |
|
| VAERS ID: |
904094 (history) |
| Form: |
Version 2.0 |
| Age: |
61.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased,
Hyperhidrosis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa - angioedema
Diagnostic Lab Data: non e
CDC Split Type:
Write-up: feels elevated heart rate, sweaty, dizziness |
|
| VAERS ID: |
904100 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Electrocardiogram,
Flushing,
Palpitations,
Syncope,
Tachycardia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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:
Other Medications: Birth control
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: ECG, 12/18/20.
CDC Split Type:
Write-up: Pt received COVID-19 vaccine and approximately 4 minutes later patient began to feel flushed, racing heart, and faint. On exam, pt was slightly tachycardic with flushing to the face and anterior chest. Symptoms relieved after IV Benadryl. Symptoms improved after Benadryl with a resolution of racing heartbeat and flushing. Patient was then monitored for 2 hrs without recurrent in symptoms. Pt discharged home. |
|
| VAERS ID: |
904102 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations,
Paraesthesia oral,
Tachycardia
SMQs:, 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), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient reported racing heart, tachy 88-100, tingly lips following covid vaccination. Administering RN assessed, provided emotional comfort, provided water/snacks. Continued monitoring. Tachycardia did not resolve after continued observation. Patient escorted to ED by w/c for further observation. Patient discharged from ED in stable condition. |
|
| VAERS ID: |
904107 (history) |
| Form: |
Version 2.0 |
| Age: |
82.0 |
| Sex: |
Male |
| Location: |
Florida |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Probiotic Capsule, Macrobid Capsule 100 MG, Simethicone Tablet 80 MG, Meloxicam Tablet 7.5 MG, Asmanex HFA Aerosol 100 MCG/ACT (Mometasone Furoate), Incruse Ellipta Aerosol Powder Breath Activated 62.5 MCG/INH (Umeclidinium Bromide), Mirta
Current Illness: SEPSIS, UNSPECIFIED ORGANISM, THROMBOCYTOPENIA, ADULT FAILURE TO THRIVE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Preexisting Conditions: COPD, Adult failure to thrive
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Resident short of breath approximately 10 minutes post vaccination. Staff noted that his baseline upon activity and transferring is generally shortness of breath. Resident wears 2L NC, O2 saturation was 92%, increased to NC to 4 Liters O2 saturation up to 96%. 170/80, heart rate 94, regular rhythm. Sent to hospital. |
|
| VAERS ID: |
904112 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Palpitations,
Pharyngeal paraesthesia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: patient felt hot, sensation of tingling in her throat, sensation of heart racing, heart rate was 130. Rapid response called, patient received epi pen injection and IM Benadryl, sent to ED For evaluation with subsequent discharge home. |
|
| VAERS ID: |
904117 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Erythema,
Rash macular,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin c, l leucine, cal mag sup, probiotic, CBD gummie
Current Illness: none
Preexisting Conditions: SVT; tachycardia
Allergies: none
Diagnostic Lab Data: vital signs; please see above; patient escorted to ED
CDC Split Type:
Write-up: Patient received covid vaccination number one; about one minute post vaccination, patient became very light headed. Upon taking vitals, patient tachycardic at 145 bpm; patient''s neck turned red and splotchy; after about 60 seconds, the redness and splotchiness went away; patients blood pressure went up to 170''s/90''s and heart rate remained in the 130''s sustained. Patient was given cold rag and water with no improvement; she was transported to the ED upon request |
|
| VAERS ID: |
904119 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Rhode Island |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: NO allergies but does report the same elevated heart rate when she receive novocaine with epinephrine at the dentist
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: Pt presented to the monitor with c/o of racing heart rate (HR). Monitor referred pt to myself. Pt reports after feeling like her heart was racing she checked and noted a HR of 110. Pt was provided a seat in the more private monitoring location. Coat removed and water provided. 9:40am = HR now 6. Pt continued to be seated. 9:50am = HR of 80. 9:55 am = HR of 78. Pt has drank 6 ounces of water. No other changes noted on physical assessment. Asked pt to stand and no dizziness reported. Pt counseled to follow with her MD in anything was to happen and noted the V-safe information. Pt d/c. |
|
| VAERS ID: |
904121 (history) |
| Form: |
Version 2.0 |
| Age: |
69.0 |
| Sex: |
Male |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Palpitations
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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient felt sensation of being hot and heart racing, heart rate was 80 and pulse ox was 99%, denies resp symptoms, patient requested to go to ED to be evaluated, was seen in ED, observed, and discharged home |
|
| VAERS ID: |
904130 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dizziness,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient reported feeling lightheaded, dizzy, and anxious with early heart palpitations with covid vaccine administration. Patient observed and provided food and water, reported full recovery. |
|
| VAERS ID: |
904131 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
LA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Body temperature increased,
Dizziness,
Eye irritation,
Feeling hot,
Flushing,
Headache,
Pain,
Pain in extremity,
Palpitations,
SARS-CoV-2 test,
Skin warm
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Corneal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Norvasc, Metorpolol, Fenofibrate, Allopurinol, multivitamin, vitamin D
Current Illness: None
Preexisting Conditions: Seasonal allergies, hypertension, gout, polycystic ovarian syndrome
Allergies: None
Diagnostic Lab Data: Covid test- 12/18/20 at 5:30 pm.
CDC Split Type:
Write-up: At 1:10 pm, I felt warmth all over my body, face, my heart started racing up to 109 per minute. I felt dizzy soon after. The nurse observing checked my vital signs and found my blood pressure to be at 190/92. After 30 minutes, my face and ears felt really hot, my face was flushed, eyes were hot. My temperature was taken and it was 101.3. At around 6:30 pm, I developed mild headache and body aches. The next morning, my left arm was sore. |
|
| VAERS ID: |
904162 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1605 / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood magnesium normal,
Cardiac monitoring normal,
Chest discomfort,
Differential white blood cell count normal,
Feeling hot,
Full blood count normal,
Limb discomfort,
Metabolic function test normal,
Muscular weakness,
Neurological examination,
Paraesthesia,
Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin XL 150mg daily Buspar 5mg BID Singulair 10mg daily OTC gummy Multivitamin daily
Current Illness: Was seen at my primary care provider for chronic upper abdominal pain but my lab work came back unremarkable.
Preexisting Conditions: Anxiety & depression.
Allergies: None
Diagnostic Lab Data: CBC with differential- 12/18/2020 CMP-12/18/2020 Magnesium-12/18/2020 Cardiac monitoring via bedside monitor.
CDC Split Type:
Write-up: I received my vaccine at 1615 down in our hospitals clinic, I work as a floor nurse, I returned back to my unit to resume work, I walked in to talk to my charge nurse and felt completely fine within a minute or to (approximately 15 minutes since the vaccine was given) my legs felt like very weak, they became tingly and extremely heavy, my face and chest felt warm and I had to sit down to drink water. The nurses working with me that day took my vital signs, my blood pressure was 157/101, heart rate 80-90s and temp was 97.5F. I notified the pharmacist working on our floor about my symptoms and he directed me toward the infection control line, the pharmacst on the phone directed me to go to the emergency department. When I was admitted to the emergency department via wheelchair, the pharmacist met me there along with the Emergency medicine MD, a neurological exam was done and general assessment. While I was in the ER my heart was monitored, my CBC with diff, Mag and BMP was monitored all of which were normal. I was given a 1L bolus of IV LR through an IV in my left antecubital. Gradually the tingling wore off over a few hours in my legs bilaterally however they still felt very heavy. I was admitted from approximately 1645 until approximately 1900 and returned home. |
|
| VAERS ID: |
904166 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Flushing,
Heart rate increased,
Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine, Estradiol-norethindrone, fluticasone
Current Illness:
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Flushing, rash, dizziness, lightheadedness, slightly elevated BP and heart rate |
|
| VAERS ID: |
904182 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Male |
| Location: |
Idaho |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Feeling hot,
Hyperhidrosis,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Completed form prior to ED evaluation being completed.
CDC Split Type:
Write-up: performed 30 min observation, left to go back to work, said he felt like his heart was racing and looked at his smart watch and HR was 168. Upon arriving back at clinic, denies dyspnea or resp concerns. Reports feeling hot, anxious, heart racing, pt was sweating. HR 152 BP 150/100, Pulse ox 99%. Patient taken to ED to be evaluated. |
|
| VAERS ID: |
904191 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Feeling cold,
Palpitations,
Paraesthesia,
Salivary hypersecretion,
Throat tightness,
Tremor,
Vision blurred
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: None
Diagnostic Lab Data: Unknown, sent to Emergency Room.
CDC Split Type:
Write-up: Lightheaded, heart racing in initial monitoring station, placed supine, transported to triage via wheelchair. Initial pulse ox 98%, HR 76 at 1250, denied SOB, tingling, no rash. Pulse ox 98%, HR 91 at 1256, no SOB, tingling improved. At 1300, c/o lightheaded, fuzzy vision, shaky, some chest tightness, some throat tightness, increased saliva. Diphenhydramine 50 mg IM administered 1304. Pulse ox 98%, HR 92 at 1318. Solid food intake 1322. Continued lightheaded, bilateral arm tingling, still shaky, but less cold at 1327. Self-reported weight 130. 1339, throat tightness not resolved, no difficulty swallowing or breathing, pulmonary auscultation no stridor., continued body tingling, c/o throat tightness, Pulse ox 99, HR 96. 1343, continuous monitoring to Pulse ox 90%, HR 110. Medical director updated 1347, decision to move to ER and transport initiated 1352. |
|
| VAERS ID: |
904202 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5370 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Heart rate increased,
Hyperhidrosis,
Palpitations,
Panic reaction,
Paraesthesia,
Paraesthesia oral,
Tachycardia
SMQs:, Anaphylactic reaction (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), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (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: Ibuprofen, metronidazole, Zyrtec, lysine
Current Illness: None
Preexisting Conditions: None
Allergies: Only known allergies are to animal dander
Diagnostic Lab Data:
CDC Split Type:
Write-up: After receiving the vaccine, I waited in the facility for 15 minutes as instructed by my company and the staff who administered the vaccine. When I left and got a few miles down the road, I started to feel my heart increase and I became short of breath. My heart rate was fast and pounding. My mouth started tingling and then I started feeling the tingling on my chest and neck. I started sweating and then started to panic and called 911 because I didn?t think I would make it back to the vaccination site or to the hospital in time. When the ambulance got to me I was still experiencing tachycardia, mild shortness of breath and tingling. The symptoms started to subside after approximately 20-30 minutes after they started. The paramedics assessed me and my blood pressure was 170/90 and HR was in the 120?s. I declined to be sent to the hospital due to my symptoms subsiding |
|
| VAERS ID: |
904217 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Feeling hot,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 30 minutes of receiving vaccine patient reported feeling light headed, hot and heart palpitations. BP increased to 158/110, Pulse 100. Patient was CRNA working in ICU environment and was monitored by other staff present. Signs and Symptoms resolved over the following hour. |
|
| VAERS ID: |
904229 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Montana |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysgeusia,
Headache,
Hot flush,
Hyperhidrosis,
Hypoaesthesia,
Immediate post-injection reaction,
Pain in extremity,
Palpitations,
Paraesthesia,
Tachycardia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, multivitamin, vitamin c, vitamin D3
Current Illness: None
Preexisting Conditions: None, hypothyroidism but well controlled with levothyroxine
Allergies: Penicillin, sulfa, ceftin
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Approximately 30 seconds after the injection (which was painless), I suddenly developed tachycardia and felt like my heart was pounding out of my chest. My entire body was extreme tingling and I could not feel my hands or feet. I also got a sudden strong metallic taste in my mouth. I thought I was about to fall down, but right before I was going to ask for help, the symptoms stopped as suddenly as they came on. I probably should have said something then, but I felt fine so I walked back to my unit. About 20 minutes after my injection, I then developed an intense hot flash and soaked my clothes with sweat. I sat down with cool rags on my head and this subsided after about 10 minutes. I have felt fine ever since, other than a little bit of a sore arm and mild headache (expected). I?m not sure if my tingling, heart palpitations, and hot flashes with sweating are expected, but I thought I should report it just in case it would be helpful for the manufacturer to know. |
|
| VAERS ID: |
904236 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Maryland |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood glucose normal,
Dizziness,
Headache,
Heart rate increased,
Hyperhidrosis,
Impaired driving ability,
Palpitations,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol 12.5mg PO qD Spironolactone 100mg PO qD
Current Illness: None
Preexisting Conditions: Left ankle swelling- controlled by meds x17 years without issues
Allergies: None Known
Diagnostic Lab Data: Only vital signs and fingerstick glucose while in ambulance in parking lot.
CDC Split Type:
Write-up: I received the vaccine at 0915, was observed until 0936 and felt fine. While driving home, around 0949, began to feel heart racing/beating fast. I then felt very shaky and proceeded to get off the highway exit as the symptoms continued to worsen My daughter called 911 at 0953 at my request. No throat swelling, respiratory issues, or mouth or lip swelling. No rashes noted. I then began to feel sweaty and then became a little dizzy and proceeded to lean my car seat back. My daughter called 911 again as they instructed her to call if any new symptoms began prior to ambulances arrival. Ambulance crew arrived, I ambulated myself to the ambulance, felt a little lightheaded while walking. The feeling of my heart racing had started to lessen but still not normal at this point. Pulse ox was 98% on RA, no respiratory distress at all. I''m not exactly sure of what my HR was as I couldn''t see the monitor but I believe they said around 100, I''m normally in the 60''s. Systolic BP''s were 138, then 120''s, then 101 prior to me leaving ambulance. Finger stick was 140. I was in the ambulance for about 15 minutes and was feeling much better the last 5 minutes or so of that. I declined need to go to ER, my daughter then drove. I then went to a store and while walking around at 1105, began to feel my heart racing again but not as intense. Had slight feeling of being shaky but nothing like previously. After that, I have felt fine for the rest of the day. I took 400mg Ibuprofen for a slight HA around 1130 but not unusual for me, especially since the events that occured. I called the hospital where I was given the vaccine when I got home and informed one of the employee health MD''s who requested I report this here. |
|
| VAERS ID: |
904237 (history) |
| Form: |
Version 2.0 |
| Age: |
62.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Blood test,
Dizziness,
Erythema,
Palpitations,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine and avlimil
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: Penicillin
Diagnostic Lab Data: On 12/18 in the emergency room, blood work was drawn. I was given IV push benadryl, solumedrol and pepsid.
CDC Split Type:
Write-up: Approximately 45min after the injection, I started feeling dizziness, palpitations and racing heartbeat. Another 15min after that there was red hives that broke out on my upper chest but no where else on my body. |
|
| VAERS ID: |
904238 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Male |
| Location: |
South Dakota |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Ageusia,
Chills,
Feeling hot,
Heart rate increased,
Myalgia,
Nausea,
Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: COVID 19 tested positive sometime in 12/2020
Preexisting Conditions: no
Allergies: No
Diagnostic Lab Data: No. Just called the infectious disease specialist and spoke with him did not go see him or go to the ER. Still have persistent tachycardia, but not much at this time.
CDC Split Type: vsafe
Write-up: Woke up Friday morning around 5:30am and had significant fever and chills (100.8F). In the morning fever, during the day increased heart rate. Took tylenol about 3 times a day. Felt burning up all day. Felt like I was on fire. In the evening about 6PM very nauseous, muscle aches, laying down uncovered and I felt like I was burning up. Went to bed early. No taste in the evening. This morning I feel pretty good other than no taste and a little bit of nausea. |
|
| VAERS ID: |
904244 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Male |
| Location: |
Indiana |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: synthroid
Current Illness: no
Preexisting Conditions: hypothyroidism
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:
Write-up: heart rate increased feels that it is racing, |
|
| VAERS ID: |
904248 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Idaho |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased,
Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (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: No
Current Illness: No
Preexisting Conditions: No
Allergies: Ampicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Throat closing, feeling faint, fast heart rate. Was taken to er, was given epinephrine as well as steroids. Kept me on er for awhile to watch me. |
|
| VAERS ID: |
904260 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dysphagia,
Feeling cold,
Feeling hot,
Flushing,
Heart rate increased,
Hyperhidrosis,
Hypertension,
Livedo reticularis,
Palpitations,
Paraesthesia oral,
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), 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), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Symbicort, albuterol
Current Illness: Cervical radiculopathy with medrol dose pack on 11/24.
Preexisting Conditions: Asthma, migraines, Factor V Leiden, vitiligo, environmental/seasonal allergies
Allergies: Latex, Sulfa''s, dairy products, gluten
Diagnostic Lab Data:
CDC Split Type:
Write-up: 12 minutes after injection, I felt flushed and dizzy. They hooked me up to a vital sign monitor which showed my heart increasing to 133 bpm, SaO2 98%. A manual blood pressure check was 168/110. My heart felt like it was pounding, I was hot and sweating. After 10 minutes or so, I felt increasingly dizzy and my vision started fading. VS still showed tachycardia and hypertension. It became difficult to swallow and my tongue was feeling fat. A Rapid Response Team was alerted, they started and IV, and took me to the Emergency Department. I became very cold and shaky. My hands and feet became a little mottled. They gave me 50 mg IV benedryl, 20 mg IV pepcid, a dose of solumedrol, and IM epinephrine 0.3mg, and 1 Liter of fluid. My symptoms resolved and I was discharged home a couple hours later. |
|
| VAERS ID: |
904271 (history) |
| Form: |
Version 2.0 |
| Age: |
56.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Asthma,
Blood pressure increased,
Blood test,
Chest discomfort,
Chest pain,
Condition aggravated,
Cough,
Dizziness,
Dyspnoea,
Electrocardiogram abnormal,
Gastrooesophageal reflux disease,
Headache,
Heart rate increased,
Impaired work ability,
Mucosal disorder,
Muscle tightness,
Nausea,
Oropharyngeal discomfort,
Paraesthesia,
Sleep disorder,
Speech disorder,
Tongue discomfort,
White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; multivitamin; flovent; albuterol
Current Illness: thyroid ''has been off''; ''given 6 weeks to see if levels go back to normal'', ''only checking T4'', ''getting weird bruising'', blood panel testing a week prior to vaccination
Preexisting Conditions: Asthma, thyroid, osteothritis in knees (only take Tylenol)
Allergies: Cipro, Sulfa drugs, erythromycin, latex
Diagnostic Lab Data: ''little'' blood work/blood panel; elevated white blood count; 17 EKG; ''slightly abnormal but pretty normal''
CDC Split Type: vsafe
Write-up: 12/17/2020, 15 minutes after vaccination started to experience tingling on forehead and radiated on left side of face, nauseas, light headed, HR increased, ''funny on tongue'' , ''felt like going to faint''. The BP was 149/109. The medical crew tried to calm down. BP would not come down. Placed in gurney, administered oxygen, given a ''benadryl and some sort of shot'' to slow down the reaction. Given rest of the day off. ''I slept for a few hours'' and after 4 hours, my chest started to tighten, radiated to back ''tightness'' , felt like heartburn. I didn''t sleep that whole night, had to keep sitting with the tightness in the chest. By morning I was better, I went to work, took inhaler (flovent and albuterol). Headache at work, took Tylenol. At 12, I went to each lunch and felt there was a lot of mucous in throat / acid reflux feeling ; ''felt full in throat''. I went in a coughing spell, ''bubbly mucous''. I couldn''t talk, drank water, sat in car until I had to go back to work. I couldn''t breathe when I walked back into work. At approximately 2:15 they rushed me to urgent care, 25 childrens benadryl, administered oxygen and omeprezole for reflux. I stayed with the oxygen till 4:45; BP 140/98 and slowly came back down. ''At same time, co worker was experiencing same thing that just had had vaccination''. My asthma ''kicked in'', white blood count was elevated to 17. Work in urgent care and where i was rushed to. flu shot 2 months prior TB skin test one month prior; negative |
|
| VAERS ID: |
904273 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Heart rate increased
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), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin
Current Illness: None
Preexisting Conditions: Type 2 Diabetes
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Difficulty breathing, elevated heart rate, dizziness |
|
| VAERS ID: |
904293 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Male |
| Location: |
Rhode Island |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported
Current Illness: none reported
Preexisting Conditions:
Allergies: none reported
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient experienced a rapid heart rate measured at 100 BPM. Recovered shortly with no issue. |
|
| VAERS ID: |
904309 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling hot,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Warm flushed feeling, racing heart, dizziness that started about two minutes after injection. It dissipated after about 3-5 minutes. |
|
| VAERS ID: |
904312 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Dizziness,
Fatigue,
Injection site pain,
Myalgia,
Pain in extremity,
Palpitations,
Pruritus,
Rash,
Urticaria
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin
Current Illness: NA
Preexisting Conditions: NA
Allergies: cephalosporins
Diagnostic Lab Data: NA
CDC Split Type:
Write-up: 9 minutes after administration heart started racing, heart up to 154, lightheaded, dizzy, felt like I was going to pass out. Informed the medical team. Heart rate came down to 130s, started having chest itchiness, neck rash, and facial hives. 50mg IM Benadryl given. Heart rate came down to 90s and hives subsided. Started feeling normal but out of it. Discharged home. Slept for 24 hours. Injection site pain/leg muscle pain/joint pain/fatigue for 48 hours. |
|
| VAERS ID: |
904313 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / - |
Administered by: Work Purchased by: ?
Symptoms: Dyspnoea,
Feeling hot,
Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Diamox B12 Vitamin d Protonix Probiotics Multivitamins
Current Illness:
Preexisting Conditions: Lyme diseAse Intracranial pressure
Allergies: Topamax
Diagnostic Lab Data:
CDC Split Type:
Write-up: Elevated heart rate Warmth Shortness of breath |
|
| VAERS ID: |
904327 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-19 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / - |
Administered by: Public Purchased by: ?
Symptoms: Chest discomfort,
Heart rate increased,
Hot flush,
Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies: Sulfa medications
Diagnostic Lab Data:
CDC Split Type:
Write-up: Chest tightness Hot flash for 1 minute Tight throat High heart rate 120s-130s |
|
| VAERS ID: |
904343 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / SYR |
Administered by: Senior Living Purchased by: ?
Symptoms: Blood pressure increased,
Hypertension,
Hypoaesthesia oral,
Pharyngeal hypoaesthesia,
Pharyngeal paraesthesia,
Tachycardia
SMQs:, 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), Hypertension (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: None
Current Illness: None
Preexisting Conditions: Asthma (but haven?t had any issues is years-it was bad as a teenager)
Allergies: None
Diagnostic Lab Data: Vital signs, visual check of airway, interview of symptoms
CDC Split Type:
Write-up: I was monitored for 15 minutes and felt completely fine and left the location. On my way home approximately 25 minutes after my vaccination I felt a tingling and numbness in the back of my throat. I decided to call the center and let them know how I was feeling. They suggested I return. During the 10 minute ride back the tingling and numbness had progressed to the back of my tongue. Once I arrived there they continued to monitor me and my symptoms remained stable with numbness in my throat and back of my tongue. I was not having any difficulty breathing and felt otherwise fine. There was a concern that the symptoms would progress and they initiated EMS. I was taken via ambulance to Hospital where they continued to monitor me and check my airway.. In route to the hospital I was hypertensive with a BP of approx 190/100. I did not ask what my heart rate was. I was surprised my blood pressure was so high. They said it was probably because I was nervous however I was not feeling nervous because I knew since I could breathe I really was fine, and sending me to the hospital was simply out of an abundance of caution as this vaccine is new. Upon my arrival they took my blood pressure again and it was 140s/80s I believe with a heart rate of 106. My O2 sat we?re in the upper 90?s throughout the situation. My blood pressure tends to be in the 110s/70s with a heart rate in the upper 60s to mid 70s. So it was surprising to me that I was hypertensive and tachycardic despite not feeling like my heart was racing or that my blood pressure was high. I felt completely fine other than the numbness in the back of my throat and tongue. Since the symptoms remained stable and there wasn?t really anything for anybody to do they did release me. Between 6:30 and 7 PM I noticed the tongue numbness was subsiding. By 8 PM my throat felt completely back to normal. |
|
| VAERS ID: |
904357 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling jittery,
Heart rate increased,
Nausea
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), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None per patient
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient received vaccine 5 min prior, then left lightheaded, nausea, put head down, sat back up got worse then felt jittery and heart beating faster. Patient assisted to stretcher, cool cloth applied and vitals taken. Patient reassured and education given about vaccine and side effects. |
|
| VAERS ID: |
904373 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
AR / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Palpitations,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Hypersensitivity (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: Junel fe (birth control)
Current Illness: Nothing noted
Preexisting Conditions: None
Allergies: Iodinated contrast media - numbness of lips and tongue
Diagnostic Lab Data: ED vitals: BP - 132/81 HR - 93 (initial) Temp, respirations - WNL
CDC Split Type:
Write-up: Patient screened prior to vaccination for previous history of allergic reaction to other vaccine or injectable medication. Patient confirmed past history of "numbness of lips and tongue" secondary to iodinated contrast media. Patient was counseled and instructed to wait 30 minute observation period following vaccination. Following the injection, within 15 minutes the patient reported feeling flushed and heart was racing and felt that their throat was closing. Patient was triaged in the vaccine observation area with HR in 120''s and BP of 182/60. Upon evaluation by the hospital''s rapid response team she was administered 12.5 mg IM diphenhydramine and transferred to our ED for further evaluation. Upon evaluation by ED provider no additional treatments were administered and her symptoms abated. She was discharged home in stable condition without any further complications as those noted above. |
|
| VAERS ID: |
904377 (history) |
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / SYR |
Administered by: Senior Living Purchased by: ?
Symptoms: Blood glucose normal,
Cardiac flutter,
Dizziness,
Feeling abnormal,
Headache,
Oxygen saturation normal
SMQs:, Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:
Write-up: 28 minutes after PT. received vaccine she told RN on duty she felt funny"heart fluttery", , light headed, dizzy B/P 190/110 HR 70-80,98-99% RA per facility RN. 0932 182/105, HR 60-70, 99% RA per RN 0945 Continue to monitor 180/95, HR 60-72, 99%RA blood glucose 90( PT ate breakfast) RN @ bedside chair 0954 119/91, 99% RA , 60-73 HR feels better but has headache 10:00 ambulance called10:08 208/96, 68-76 HR 99.24% 10:13 Ambulance arrives,report given 40 Medic 10:20 210/112 per EMS monitor HR80 100% RA 10:28 Loaded onto stretcher left with EMS |
|
| VAERS ID: |
904379 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
HIV antibody negative,
Headache,
Heart rate increased,
Immediate post-injection reaction,
Palpitations
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), Vestibular disorders (broad), Hypersensitivity (narrow), 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: NO
Current Illness: None
Preexisting Conditions: None
Allergies: to bee''s
Diagnostic Lab Data: The patient was sent to the ER. The patient came back to the clinic 2 hours later to say that she was doing better.
CDC Split Type:
Write-up: On 12/18/20 @ 2:58 PM, the patient experienced a really bad headache directly after received the vaccine. Her heart rate elevated 135 with heart palpation. Her BP was 178/92. She was very dizziness, short of breath, her had a hives all over her chest. |
|
| VAERS ID: |
904386 (history) |
| Form: |
Version 2.0 |
| Age: |
63.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Electrocardiogram abnormal,
Palpitations,
Sinus tachycardia,
Supraventricular tachycardia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), 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? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol (VENTOLIN HFA) 108 (90 Base) MCG/ACT inhaler fluticasone NASAL (FLONASE) 50 MCG/ACT nasal spray escitalopram (LEXAPRO) 20 MG tablet
Current Illness: potassium 3.4 on day of vaccination
Preexisting Conditions: Hypertension, psoriasis
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient had vaccine at 1330 on 12/20. At around 1815 she began experiencing heart palpitations. She presented to the ED and she was found to have a heart rate in the 130s. EKG showed junctional tachycardia. She was given 6mg of adenosine and an EKG was repeated and showed sinus tachycardia. Eventually her heart rate decreased to the 70s-90s. She was noted to have a potassium of 3.4 which was repleted. She was admitted overnight for observation. In the morning her potassium was normal and she remained in sinus rhythm. She was discharged later that afternoon. |
|
| VAERS ID: |
904395 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Injection site erythema,
Injection site swelling
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Flu shots
Diagnostic Lab Data: The patient was sen t to the ER.
CDC Split Type:
Write-up: The patient experience tightness of her chest. She was hook up to be monitored. Her BP was 185/91. Her heart rate was 122. Her O2 level was 100. The nusre notice swelling at the area of the site with mild erythema (redness). |
|
| VAERS ID: |
904397 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Nausea, initial SBP is 155/87 and heart rate 101. Repeat BP was 134/84 and heart rate 94. |
|
| VAERS ID: |
904399 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Erythema,
Feeling hot,
Hypoaesthesia,
Oxygen saturation normal,
Palpitations,
Paraesthesia,
Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 8am EE noted fanning herself, states she feels warm but just got off nights. Ice pack given for neck. 8:03 C/O itchiness on chest, heart racing, neck and chest with mild redness. No SOB or tightness in throat. RN notified and came to assist. Left arm vaccine injection site asymptomatic. EE refused Benadryl. BP 143/105, P81 PO 100% 8:08am Continue to feel itchy on chest and neck BP 153/91 P-76 PO 100% continue to refuse Benadryl 8:10am Benadryl 25mg po given, juice and crackers 8:14am BP 151/86 P-65 PO 100% changed to reclining chair to elevate feet, no tightness in chest or throat. 8:20am EE c/o left arm tingling/numbness down to fingers, denies CP no SOB, states it is like she hit her funny bone. BP 151/86 P75 PO 100% RN notified and evaluated her. 8:35am EE feeling cool. BP 131/88 P-69 PO 100%. EE states she feels like the Benadryl is working , redness less on neck and states she feels more relaxed, continues to have left arm numbness. 9am EE states she feels better, a little itchy on neck but no redness. BP 123/87 P 73 numbness decreased and almost gone. OK to go home per RN and instructed to take Benadryl when she gets home and to call the Covid vaccine hotline if needed or 911 if any resp. distress or CP. Requested her to text or email RN when she arrives home. EE states she understands. RN states she heard from EE and she is home. RN |
|
| VAERS ID: |
904403 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Feeling hot,
Flushing,
Oxygen saturation normal,
Palpitations,
Rash
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 8:33am EE states she feels flushed and heart racing. BP 141/83 P-96 PO 100% Refused Benadryl. Denies SOB, chest or throat tightness, no itchiness. RN notified. 8:40am C/O warmth, no itchiness, no SOB, no tightness in chest or throat. BP 137/81 P-77 PO 100%. 8:50am 138/83 P-65 PO 98% abdomen with some light rash. 8:55am Benadryl 25mg given per RN 9:05am BP 129/87 P68 PO 100% c/o left eye feeling warm, no redness. 9:30am BP 127/84 P69 PO 100% denies heart racing, feels fine, Instructed to take Benadryl again if has reoccurrence and to call the Covid vaccine line or 911 if any resp distress. EE states she understands. RN |
|
| VAERS ID: |
904410 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Male |
| Location: |
Washington |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Discomfort,
Fatigue,
Lymph node pain,
Lymphadenitis,
Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin EC 81mg daily
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none. received vaccine on 2 days ago on friday evening. offices closed today.
CDC Split Type:
Write-up: Increased Fatigue on day one after 1st dose. mild Left axillary lymphadenopathy. Axillary swelling, and tenderness radiating into left breast and very mild into left anterior neck. . 2/10 on pain scale. Constant Dull discomfort. Not really worse with movement. Axillary lymphadenopathy and tenderness more noticeable on day 2 after receiving 1st dose of vaccine. NO SOB, dyspnea, fever, change in heart rate. |
|
| VAERS ID: |
904412 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
- / IM |
Administered by: Work Purchased by: ?
Symptoms: Feeling abnormal,
Ocular hyperaemia,
Oxygen saturation normal,
Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Glaucoma (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 9:50 am patient states she does not feel right, feels funny, leaning over in chair, denies SOB no CP c/o of heart racing, NKA RN and RN summoned to help. Patient laid down on floor. BP 192/103 P-112 PO 100%. Eyes noted to be pink, denies itchiness. RN called 911, advised not to give Benadryl. 9:55am BP 178/99 P-119 PO 100% patient continue to feel heart racing but no SOB, chest or throat tightness. 10am BP 177/100 P-114 PO 100% continues to be A&O x3 no resp. distress 10:03 EMS arrived and took her to the ER. Patient states her 15 min observation time was up at 10:05am. RN |
|
| VAERS ID: |
904431 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Erythema,
Feeling hot,
Flushing,
Headache,
Heart rate increased,
Myalgia,
Nervousness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None, monitored my HR prior to letting me leave vaccine location.
CDC Split Type:
Write-up: 4 minutes after injection I felt flushed and shaky, my resting heart rate went from 64-135 in <1 min and stayed over 130 for 16 minutes. It dropped to 100-111 after that and I felt fine. I was released after 20 min. It remained elevated 90-110 all day. I was able to see it all on my Apple Watch and pulse rate palpated at same number. 11hrs after injection my face became incredibly hot, it felt like a sunburn and I was red and flushed (face only) for 4hrs. I took naproxen and went to bed. Only myalgia and headache next morning. It resolved by 12/19/20 |
|
| VAERS ID: |
904448 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: cymbalta, aspirin, seroquel
Current Illness: aneurysm, stroke
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: No
CDC Split Type:
Write-up: The patient expericence lightheadness, flushed, heart palpation, and chest tightness. Her vital are BP 119/54, 62 heart rate, O2 was 99. The patient was monitored until the symptoms went away. It all passed within 20 minutes. The patient was walked to her car by employee. |
|
| VAERS ID: |
904451 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Dry mouth,
Fatigue,
Flushing,
Headache,
Heart rate increased,
Injection site pain,
Nausea,
Pain in extremity,
Respiratory tract congestion,
Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Generic flonase and allegra, vit D, vit B12
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Penicillin, dairy
Diagnostic Lab Data: Heart rate and SpO2 monitored at site and returned to normal after injection.
CDC Split Type:
Write-up: Burning at injection site, then elevated heart rate, flush, and light headedness. I was kept and observed for another 30 minutes at the hospital and everything returned to normal. Then, I developed severe dry mouth and congestion, post nasal drip, headache, and nausea. I drank 3 liters of water with continued dry mouth, intermittent feelings of flush and light headedness for the next 3 hours, but no fever. After that subsided, I had only chills and headache that were resolved by the next morning. Now I have only arm soreness and mild fatigue. |
|
| VAERS ID: |
904462 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Florida |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Feeling jittery,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamins Quercetin Transfer factor plus
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Mild dizziness followed by jitteriness and heart pounding. Increased blood pressure. Lasting for about 1-2 hours. |
|
| VAERS ID: |
904486 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dry throat,
Flushing,
Heart rate increased,
Immediate post-injection reaction
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), 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: Adderall Vitamin D supplement
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Augmentin
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: Slightly after injection I began to feel light headed, flushed, dry throat, and increase in heart rate. I was monitored after for about 15 minutes which the symptoms seem to have resolved on their own. No treatment was needed. I didn?t think much of it until I realized some people were getting same side effects. |
|
| VAERS ID: |
904500 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Puerto Rico |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / UNK |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Blood test normal,
Chest X-ray normal,
Chest pain,
Electrocardiogram normal,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 12/16/2020 Vital Signs: BP138/80, HR 78, RR 24, Sat 99%. I was sent to ER they blood samples, EKG, Chest X-ray and monitor my heart rate. All normal.
CDC Split Type:
Write-up: 12/16/2020 7:20am After the injection few later I felt my chest started to hurt gradually increased the pain and started to have palpitations it lasted hour and thrity. Vital Sigh the time of the event BP 138/80, HR 78, RR 24, Sat 99%. I was sent to ER they blood samples, EKG, Chest X-ray and monitor my heart rate.; all was normal. The same day I was discharged home. |
|
| VAERS ID: |
904503 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Male |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Oropharyngeal pain,
Rhinorrhoea,
SARS-CoV-2 test negative,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Novel COVID-19 test 12/19: Negative Plan to schedule appointment to undergo EKG at PCP?s clinic
CDC Split Type:
Write-up: 3pm developed sore throat and rhinorrhea. Concerned that I was positive, left work and scheduled symptomatic test next day. Noted on home pulse ox that my heart rate was in 140s (otherwise vital signs were normal and I was afebrile). Symptoms got better and after pushing fluids I was able to get my heart rate under 100 by end of the day. 12/20 woke up heart rate 140s now down to 105 at time of reporting. Sore throat and rhinorrhea are getting better but tachycardia is concerning and I am worried I may have developed an arrhythmia as my Apple Watch consistently marks my rhythm as inconclusive |
|
| VAERS ID: |
904506 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Condition aggravated,
Dyspnoea,
Electrocardiogram,
Fatigue,
Fibrin D dimer,
Full blood count,
Glycosylated haemoglobin,
Headache,
Heart rate increased,
Metabolic function test,
Palpitations,
Tachycardia,
Troponin
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No recent illnesses.
Preexisting Conditions: Hx SVT with ablation. Recent surgical correction of pectus excavatum.
Allergies: Allergy to palladium metal. NKDA No food allergies or other known allergies.
Diagnostic Lab Data: EKG CBC Comp metobolic panel D-Dimer Troponin HgA1C All testing done 12/20/2020
CDC Split Type:
Write-up: Approx. 10 minutes after vaccine administered I became suddenly tachycardic while sitting in a chair. Heart rate up to 140. I started to feel some chest heaviness with some difficulty breathing. Felt like my heart was galloping. Was transported to ER and monitored for 2 hours. I was orthostatic with talking, and walking. Heart rate to 135 walking to the bathroom despite having had a liter of IV fluid given. I was discharged home with instructions to follow-up with my doctor. I have an underlying problem with exercise intolerance with elevated heart rates. It seems that the elevated heart rate made my symptoms worse. Otherwise I have just a mild headache and mild fatigue. No previous adverse reactions to vaccines. |
|
| VAERS ID: |
904515 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Immediate post-injection reaction,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), 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: Escitalopram 10mg
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 45-60 seconds of receiving the vaccine, I experienced acute-onset of tachycardia of 130-140s BPM. For context, my resting heart rate is 65-80. At first, I assumed it was anxiety, however, I had no preconceived notions or negative thoughts regarding the vaccine. I took slow, deep breaths and performed a vagal maneuver which did not lower my heart rate. I took two Claritin pills, thinking this was a mild allergic reaction. 30 seconds later, I tried to vagal again and successfully slowed down my HR to approximately 100-105 BPM. The tachycardia resolved after 10-15 minutes. |
|
| VAERS ID: |
904516 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Dyspnoea,
Heart rate increased,
Palpitations
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), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (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: unknown
Current Illness: N/A
Preexisting Conditions: Patient stated that she is allergic to nuts with anaphylaxis-consented to vaccine verbally. Stated she wished to stay 45 minutes post vaccine for observation
Allergies: All nuts, flax seed, oats, penicillians
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt stated she felt dizzy/lightheaded while on her phone nearing the end of her observation period. She got up to leave stating she thought she just needed fresh air and promptly returned to the observation area with dizziness and palpitations. This was 45 minutes roughly post vaccine administration. B/P and heart rate were elevated. Pt began feeling short of breath and a rapid response was initiated. |
|
| VAERS ID: |
904517 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Male |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Flushing,
Heart rate increased,
Hot flush,
Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations: Was in Service in 2007 and had same reaction to Anthrax Vaccine.
Other Medications: unknown
Current Illness: none
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Recieved vaccine and sat to be observed. Noted flush from chest up to head of heat and then racing heart as well as increased blood pressure. First set of vitals @ 0445 pm 97.7, bp 167/89, hr 74, r 20 . Pulse felt fast but was normal per assessment. Second set of vitals @ 0458. 97.7, p68, BP 141/93, hr 92, O2 97. Pulse higher. Md saw him and stated was ok to discharge with follow up with primary care MD. Discharged at 5:10 pm. |
|
| VAERS ID: |
904534 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Blood glucose normal,
Chills,
Dizziness,
Electrocardiogram normal,
Fatigue,
Feeling cold,
Headache,
Hypotension,
Injection site pain,
Loss of consciousness,
Nausea,
Oropharyngeal pain,
Pallor,
Presyncope,
Syncope,
Urine analysis normal
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I had vaso vagal syncope after one or two vaccines as a child, maybe ages 12-13, but no other reactions to vaccines
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Had rash with sulfa drugs as a baby, and rash with Imodium
Diagnostic Lab Data: Normal EKG Normal urine test Normal finger stick glucose (all done in the ED after the syncopal episode)
CDC Split Type:
Write-up: About two to three minutes after the Covid vaccine was administered in the vaccine clinic at my hospital where I work, I began to experience pre-syncopal symptoms (mostly light-headedness and nausea). I stood up to get help and walked to the back of the auditorium where they were observing us for 15 minutes post-vaccine, and due to standing and walking, I became much more dizzy and lightheaded and then sat down on the floor and was eased to a lying-down position on the floor by a nurse as I briefly lost consciousness. I regained consciousness very quickly (maybe 10-20 seconds, but I''m not sure) and was taken care of by a set of nurses who noted me to be hypotensive and pale, with I think a bit of a lower heart rate, though I''m not sure what my vitals were exactly. They had me then stand to do orthostatic vitals and I was orthostatic. I was too dizzy to remain standing and felt very nauseas so I was taken to the ED (in the hospital where I work) to be observed. I had a normal EKG, blood glucose, and urine sample there. After having some juice and lying down, I felt better but was very cold and had some chills. After a little over an hour, they released me from the ED and it seems to have all been an episode of vaso-vagal syncope. I''ve had vaso-vagal responses before, but not in response to a vaccine since I was about 13, so I was surprised by how quick and severe the vaso vagal response was. Later in the day, I felt better but was fatigued and had a headache. I also had a lot of pain at the injection site. The day after the vaccine I felt tired and had a headache, and for part of the day a mild sore throat. Now two days after the vaccine, I feel much better, and the arm pain is more mild. |
|
| VAERS ID: |
904544 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Full blood count normal,
Headache,
Metabolic function test normal,
Palpitations,
Pruritus,
Tremor,
White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levonorgestrel (MIRENA) 20 mcg/24 hours (5 yrs) 52 mg UTRN IUD
Current Illness: Unknown
Preexisting Conditions: Migraine Noctural Muscle cramp Bilat hip pain Genital Herpes Simplex Presence of IUD
Allergies: Eggs-edible (not specified) Shrimp Agent (angioedema, itching)
Diagnostic Lab Data: CBC - WNL BMP - WNL WBC - WNL
CDC Split Type:
Write-up: received COVID-19 vaccine on 12/19 at approx 1750. At 1804 pt c/o headache, racing heart, itching, and shakiness. Vaccine Commander called rapid response team (RRT). Upon arrival of RRT pt c/o increasing sx. Pt escorted via wheelchair to ED. |
|
| VAERS ID: |
904548 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Oregon |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, Zyrtec otc , topical Prograf
Current Illness: Cold sores treated with acyclovir Sinus cold
Preexisting Conditions: Hypothyroid Dermatitis
Allergies: NKMA
Diagnostic Lab Data: None
CDC Split Type:
Write-up: 3 minutes after injection felt flushed and a rapid heart beat which self resolved within a few minutes . |
|
| VAERS ID: |
904553 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Heart rate increased,
Lip swelling,
Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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? No
Previous Vaccinations:
Other Medications: Albuterol, Symbicort, Spiriva
Current Illness: Pink eye
Preexisting Conditions: Asthma
Allergies: Soy
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within a few minutes of taking the vaccine, my lower lip began swelling. I was moved to the emergency department of Hospital and monitored and treated for four hours. Then I was released. At around 1:30 p.m. I felt my skin singling and started having difficulty breathing. Since I was no longer at my work (Hospital) I went to the closest hospital. This reaction was much worse. My husband drove. My heart rate increased. I was released at around 6:30 pm |
|
| VAERS ID: |
904571 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Injection site pain,
Limb discomfort,
Muscular weakness,
Neck pain,
Palpitations,
Paraesthesia,
Tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: OTC Vitamin D, Vitamin C, Zinc, Quercetin
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to Lamictal - mouth ulcers
Diagnostic Lab Data: None taken
CDC Split Type:
Write-up: I am the patient submitted this form, but also a physician. Within 3-4 minutes of receiving the vaccine, my left arm felt heavy/weak, and then began to tingle (full arm paresthesias). This was followed within probably 30-60 seconds by a sense of lightheadedness. Then acute tachycardia, heart pounding (I estimate around 130 BPM). I did deep breathing. Tachycardia was brief, lasting probably 2 minutes. Symptoms slowly got better. I was observed with vitals. All normal, except BP was high (140/90). Arm felt not entirely back to normal for about 30 minutes. Dull soreness in upper arm, left posterior neck/shoulder has persisted since vaccine. |
|
| VAERS ID: |
904583 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: codeine, egg
Diagnostic Lab Data: none
CDC Split Type:
Write-up: I had tachycardia within the first 5 minutes of receiving the vaccine. Heart rate increased to 151 |
|
| VAERS ID: |
904588 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-20 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ162B2 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Arrhythmia,
Blood pressure increased,
Chills,
Dyspnoea,
Eye movement disorder,
Fatigue,
Feeling hot,
Headache,
Heart rate increased,
Injection site reaction,
Laboratory test,
Nausea,
Pain in extremity,
Pyrexia,
Rash macular,
Vision blurred
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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Cardiac arrhythmia terms, nonspecific (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tula vitamins Zoloft 50mg
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin Seasonal allergies
Diagnostic Lab Data: All tests that were done so far were in the Emergency Department where i was treated and released.
CDC Split Type:
Write-up: Within minutes of receiving vaccination i had blurred vision, rapid heart rate, extreme nausea, rapid heart rate, shivering but a warm sensation that started in my abdomen that went into my chest. I became blotchy on left arm where injection was per nurse and my eye started to roll back in head per nurse. I was rushed down to Er where i was given water zofran and Benadryl and steroids. BLood pressure was high and pulse was elevated. Was sent home a few hours later w Epi pen and steroids to take over the course of four days. After coming home i developed at headache and fever and severe leg pain and fatigue that last until Saturday the 19th around the evening. I?m feeling better today Sunday the 20th. My main concern at this point is the arrhythmia and sometimes having shortness of breath. |
|
| VAERS ID: |
904711 (history) |
| Form: |
Version 2.0 |
| Age: |
54.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Fatigue,
Feeling hot,
Flushing,
Immediate post-injection reaction,
Palpitations,
Sensation of foreign body,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, placonel, maxide, vitamin D, generic advair inhaler, prilosec
Current Illness: No
Preexisting Conditions: Asthma (well controlled - mild intermittent) osteoarthritis (sero neg rheumatoid arthritis)
Allergies: latex, bee stings, peniciliin (rash), bextro (rash)
Diagnostic Lab Data: None
CDC Split Type: vsafe
Write-up: Started feeling hot and flush pretty immediately felt dizzy very shortly felt throat closing, like I had a golf ball my throat and my heart started heart racing. Staff provided medical treatment immediately put me on a pulse ox and my heart race was up, kept monitoring me. Pretty quickly I started feeling better in about 10 min. No tests were done or meds administered. After about 10 min all was better I just feel tired and a little bit dizzy. They monitored me about 30 min - I received gatorade and was observed for about 30 min and they let me go since I just felt tired. |
|
| VAERS ID: |
904834 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Alabama |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dyspepsia,
Injection site pain,
Nausea,
Pain,
Vomiting
SMQs:, Acute pancreatitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: HPV since 2016
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA 2 hours after injection: body aches and chills (duration approx. 8hrs) 9 hours after injection: nausea and vomiting 18 hours after injection: severe heartburn, nausea, and vomiting 24 hrs after injection: nausea and all over body soreness 48 hrs after injection: mild nausea and arm pain at injection site 72 hrs after injection: no symptoms present |
|
| VAERS ID: |
904848 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Within 15 minutes of receiving the vaccine, patient began complaining of rapid heart rate. RN came over to monitor, and found HR @130 BPM. Rapid response/medical emergency was called. Refused further medical treatment. Stayed 5-10 mins longer than the 15 minutes recommended observation period, and felt better before leaving. |
|
| VAERS ID: |
904854 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Other Purchased by: ?
Symptoms: Cardiac flutter,
Dizziness,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Began complaining of dizziness shortly after getting hte vaccine. She did not eat anything since the day before. Gave juice and a granola bar. Shortly after finishing food, began complaining of her heart feeling fluttery, a medical emergency was called. She was evaluated and found to be tachycardic. Refused further medical treatment, then ate lunch, and returned to work. She was observed on site for an additional 30 minutes beyond the 15 minute observation period. |
|
| VAERS ID: |
904984 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Hypertension,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: palpatations increased heart rate, slightly hypertensive 20 minutes after vaccination resolved on own |
|
| VAERS ID: |
904990 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Back pain,
Chills,
Dizziness,
Dyspnoea,
Fatigue,
Feeling abnormal,
Headache,
Heart rate increased,
Immediate post-injection reaction,
Injection site pain,
Injection site swelling,
Muscular weakness,
Myalgia,
Nausea,
Peripheral swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: injection site pain, tiredness, severe headache, muscle pain, chills, injection site swelling, nausea, not feeling myself, difficulty breathing, fast heartbeat, dizziness and weakness in lower extremity and excruciating lower back pain. Immediately after vaccine was given, I got the side affects. Felt a little better for 2-3 hours and then it hit me hard again and lasted till the next day. Currently my arm is swollen. |
|
| VAERS ID: |
904998 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Electrocardiogram,
Heart rate increased,
Hot flush,
Injection site warmth,
Muscular weakness,
Palpitations,
Peripheral coldness,
Sinus tachycardia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine 5mg Omeprazole 20mg Pravastatin 40 mg Fish oil 1290 mg Xtend BCAA drink (7g BCAA)
Current Illness: None
Preexisting Conditions: Hypertension Hyperlipidemia Acid Reflux SVT (started in 2018 and last episode was in March 2020)
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 vaccine EUA On Friday December 18th at 2:45 p.m. I received my first dose of the vaccine. After the injection while waiting in the observation area, I noticed my arm felt cold and felt weaker. I was able to move my hand and did not have tingling. I was cleared to leave after 15 minutes. While driving home approximately 35 minutes after the injection I had a quick onset hot flash (felt like it came from my left arm which is where I received the injection). Then my heart started pounding. I noticed my heart rate was climbing. It topped out at 170. I was having difficulty in breathing but that was related to my heart rate. I pulled over and called 911. I felt as if I was going to pass out. After 2 minutes or so my heart slowed and stayed at a rate between 120-130. I never lost consciousness. I canceled the ambulance and felt as if I could drive home. 30 minutes later the episode happened again. All the same symptoms as the first. The pounding felt harder and it was slightly harder to breath until the rate came down again. Again, I felt as if I was going to lose consciousness but never did. Each episode lasted about 2 minutes from hot flash to slower heart rate. This time the ambulance came. No rash. No hives. No swelling. BP-160/90 HR-120-130 Sinus Tachycardia on a 3 lead EKG I did not need transport to the hospital. I started feeling much better around 5:00 p.m. The coldness I felt in my arm was gone. My arm no longer felt weak. The hot flash, rapid heart rate and faint feeling did not return. I am a Paramedic with the Fire Department. Provided the Vaccine to EMS workers. I received my vaccine at the: Fire Department December 18, 2020 Injection time 2:45 p.m. |
|
| VAERS ID: |
905015 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ 1085 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Feeling hot,
Flushing,
Heart rate increased,
Palpitations,
Paraesthesia,
Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient reported feeling lightheaded, dizzy, tingling, itching, hot feet bilaterally, racing heart, and feeling flushed. Increased BP and heart rate were noted. This reaction lasted approx. 15 minutes. |
|
| VAERS ID: |
905034 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Male |
| Location: |
Georgia |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
E10140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Flushing,
Taste disorder
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Hypersensitivity (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: Multi Vit
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Felt Flush and hot around 3 min after vaccine given. Had a slight taste change that lasted for a second. Heart rate, normal 60s, increased into the 80s. |
|
| VAERS ID: |
905120 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ 1685 / 6 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Reported tongue tingling and increased heart rate from low 90s to 130. No airway compromise resulted and tongue tingling resolved after 1 hour. |
|
| VAERS ID: |
905131 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysphagia,
Feeling hot,
Heart rate increased,
Magnetic resonance imaging brain,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (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), 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:
Other Medications: Biotin Vitamin for hair growth
Current Illness: none
Preexisting Conditions: history of hypothyroidism
Allergies: none
Diagnostic Lab Data: MRI to rule out TIA
CDC Split Type:
Write-up: Sudden onset of intense rush of heat through body, intense increase in heart rate and inability to swallow, trembling and shaking. Employee was in car, returned to hospital ER. ER administered fluids, and diphenhydramine. |
|
| VAERS ID: |
905185 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Public Purchased by: ?
Symptoms: Anxiety,
Dry mouth,
Dyspnoea,
Feeling abnormal,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Other Medications:
Current Illness: had covid illness in October 2020
Preexisting Conditions:
Allergies: none
Diagnostic Lab Data: Rapid Response Team from the hospital was notified. Pt was transported to the ED. Benadry & Solumedrol was administered.
CDC Split Type:
Write-up: COVID vaccine was administered by local health department in hospital setting. Approximately 10 minutes after receiving the vaccine, the patient reports feeling "weird," short of breath, heart racing, dry mouth, & anxious. |
|
| VAERS ID: |
905253 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling abnormal,
Flushing,
Heart rate increased,
Palpitations,
Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, amlodipine, cholecalciferol, clonazepam, amitriptyline, lamotrigine
Current Illness: bipolar disorder, essential hypertension
Preexisting Conditions: bipolar disorder, essential hypertension, polycystic ovarian syndrome
Allergies: cozaar, lisinopril
Diagnostic Lab Data:
CDC Split Type:
Write-up: 08:15 am - Pt reports "feeling flushed and my heart is beating fast". HR 96 08:23 am - Pt states "I really don''t feel very good. I feel very dizzy". Assisted to supine position on cot. HR 100 08:26 am - No longer feeling dizzy, but still feeling flush. HR88 BP 156/93 (L) arm 08:30 am - HR 92 BP 161/101 (L) arm. Symptoms unchanged. 08:33 am - HR 97 BP 173/100 (L) arm. Symptoms unchanged. 0841 - HR 94 BP 170/98 (L) Pt reports "No longer feeling flush, but still shaky and still feeling my heart beating fast with palpitations. 0842 - HR reg 90 BP 164/95 (R) arm 0845 - HR reg 84 BP 163/93 (R) arm 0848 - Pt reports that she is still feeling like she has a rapid heart rate. 0850 - Pt sitting up on side of cot. HR reg 83. BP 163/95 (R) arm. |
|
| VAERS ID: |
905295 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Male |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dyspnoea,
Palpitations,
Pyrexia,
SARS-CoV-2 test
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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions:
Allergies: Unknown
Diagnostic Lab Data: Covid - result unknown
CDC Split Type:
Write-up: On 12/18/20 the next day at ~0830 he experienced SOB, heart palpitations, and fever. He was taken to the local hospital via ambulance. He was tested for Covid-10 at hospital. Unknown result. Discharged from hospital around 1545. |
|
| VAERS ID: |
905299 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Headache,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: na
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient associate stated later that evening she felt her heart was racing, she felt dizzy and had chills. This patient stated the evening she received the shot she developed a headache. Patient took advil and felt better |
|
| VAERS ID: |
905342 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Electrocardiogram,
Laboratory test,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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: Occasional Vitamin D, Claritin Daily and Flonase Daily
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: 12-20-2020 . EKG and Lab work. No medications. Recovered spontaneously
CDC Split Type:
Write-up: Patient had sudden onset of tachycardia - heart rate 120s - 140s. Felt lightheaded. |
|
| VAERS ID: |
905423 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 3 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Hyperhidrosis,
Hypoaesthesia,
Paraesthesia,
Presyncope,
Pruritus,
Tachycardia,
Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FloVent, docycycline, acyclovir, spironolactone
Current Illness: NA
Preexisting Conditions: asthma
Allergies: NA
Diagnostic Lab Data: None, MD appointment at 1600.
CDC Split Type:
Write-up: On 12/20 at 9am started having left sided facial numbness, tingling, flushing. Near syncope episode (tachycardia, diaphoretic, blurred vision) around 1130am. Took Benadryl seemed to help. On 12/21- around 7a near syncope episode, tachycardia, diaphoretic, facial flushing, itching. Took Benadryl-improvement in facial itching, decreased heart rate. |
|
| VAERS ID: |
905426 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Male |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Headache,
Heart rate increased,
Musculoskeletal chest pain,
Pyrexia,
Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlodipine 5 mg daily simvastatin 10 mg daily
Current Illness: none
Preexisting Conditions: HTN HLD
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Rash on chest pounding headache fever of 104 left side rib pain elevated heart rate 106 |
|
| VAERS ID: |
905480 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Fatigue,
Palpitations
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: I had heart palpitations and extreme fatigue for 48 hours. |
|
| VAERS ID: |
905485 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure abnormal,
Feeling hot,
Palpitations,
Pruritus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: adderal, albuterol PRN
Current Illness: none
Preexisting Conditions: ADHD, asthma
Allergies: NKA
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Pfizer/BioNTech COVID 19 vaccine EUA C/O "heart coming out of chest", itching, and hot feeling approximately 10-15 minutes after injection. She took 25mg Benadryl PO one hour before vaccine. Was given 25 mg oral Benadryl at 1410. HR and blood pressure returned to normal and pt was released within 20 minutes of reaction. |
|
| VAERS ID: |
905510 (history) |
| Form: |
Version 2.0 |
| Age: |
22.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Flushing,
Heart rate increased,
Pharyngeal paraesthesia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: tingling in throat, rapid heart rate, flushing |
|
| VAERS ID: |
905534 (history) |
| Form: |
Version 2.0 |
| Age: |
54.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Headache,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient was in observation. She stated she saw the room take a shift. She then got a headache in the back and on the top of her head. Her heart was also racing and she was dizzy. We got the patient some juice and her lay down. Symptoms resolved other than headache. She reported it was still 5/10 when she left. |
|
| VAERS ID: |
905552 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Heart rate increased,
Pruritus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prednisone 20 mg daily(5 dose regimen) soma flexeril vitamin C 500 mg vitamin D1000 units magnesium 400 md AZO cranberry daily AZO yeast prophylactically allegra today fish oil daily
Current Illness: COVID positive 11/25/2020
Preexisting Conditions: polycystic ovarrian syndrome
Allergies: gentamycin eye gtt, penicillin, Demerol, morphine, amoxicillin, ceftin (generic) latex, essential oils sensitivity to metals
Diagnostic Lab Data: none
CDC Split Type:
Write-up: 11started with intense itching in scalp and neck54:received COVID vaccine, within 3 min she felt flushed, dizzy and heart rate increased. 1205:she felt less lightheaded and heart rate was slowing 1208: she felt intense itching in scalp and neck 1215:itiching increasing, given Benadryl 50 mg IM 1245: itching not as intense, but itching had moved to arms, trunk and legs |
|
| VAERS ID: |
905556 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Feeling hot,
Flushing,
Nervousness,
Paraesthesia oral
SMQs:, Anaphylactic reaction (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Right when the patient sat down at observation she stated she was flushed and got hot in her head. She said her chest felt funny and her tongue was tingly. Her blood pressure was 169/95 and heart rate was 100. She stated she was nervous. We kept her in observation for 30 minutes. All symptoms resolved by the time she left. |
|
| VAERS ID: |
905557 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Cold sweat,
Cough,
Dyspnoea,
Dyspnoea exertional,
Fatigue,
Flushing,
Headache,
Heart rate increased,
Nausea,
Pain,
Pyrexia,
SARS-CoV-2 test negative,
Sleep disorder
SMQs:, Anaphylactic reaction (narrow), 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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3 Multivitamin
Current Illness: Covid 19 : positive result on 11/24/2020; symptoms began 11/20/2020 and lasted approximately 7 days
Preexisting Conditions: Sleep Apnea with cpap
Allergies: None known
Diagnostic Lab Data: covid test 12/21/2020: negative result
CDC Split Type:
Write-up: Symptoms began 12/18/2020 at 9pm with severe fatigue and chills. Woke up at 0030 12/19/2020 with severe shaking chills, headache, body aches, dry cough and nausea, temperature spiked to 103.2 @ 0230, took 600mg Motrin and 500mg Tylenol but fever stayed at 103 until 0600 and slowly came down to 98 by 0900 12/19/2020; symptoms were resolved except for fatigue until approx 5pm 12/19/2020 when fatigue increased and chills came back with headache and body aches, fever spiked to 102.3 and lasted until approx 9pm after taking 600mg Motrin and 500mg Tylenol, I was able to sleep well Saturday night. Woke up Sunday 12/20/2020 at 0730 feeling well but within an hour I developed a dry cough and shortness of breath with exertion and noted elevated heart rate (90-120bpm). This lasted all day. At 3pm 12/20 I began to get fatigued again. I felt very clammy and flushed and checked my temperature and it was back up to 101.6. Fever came down to 100 by 7pm and stayed there until approx 930pm. I woke up this morning feeling slightly better. I still have a cough and shortness of breath |
|
| VAERS ID: |
905592 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Abdominal discomfort,
Abdominal pain,
Back pain,
Chest discomfort,
Chills,
Cough,
Decreased appetite,
Diarrhoea,
Dyspnoea,
Fatigue,
Feeling abnormal,
Frequent bowel movements,
Headache,
Hyperhidrosis,
Loss of personal independence in daily activities,
Nasal congestion,
Nausea,
Oropharyngeal pain,
Pain,
Pain in extremity,
Pruritus,
SARS-CoV-2 antibody test,
SARS-CoV-2 test negative,
Sneezing,
Throat irritation
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Zyrtec, multivitamin, B12, Iron
Current Illness: no
Preexisting Conditions: wheezing, not quite asthma if I am around something that triggers it
Allergies: peanuts. hazelnuts, mango. some mystery ingredient on a root canal that I had as well.
Diagnostic Lab Data: COVID test on the 19th - rapid test negative, Waiting for antibody results.
CDC Split Type: vsafe
Write-up: Started with slight headache and sore arm, felt tired and diarrhea about 5 hours past vaccination - 3 bowel movements within 1 hour. That night around 1:30AM (next morning) I felt a little itchy all over with a throat irritation and I took some Benadryl. Just itchiness and sore throat, no fever. Had pretty bad fatigue on the 17th and had nasal congestion, cough, chills, sneezing. I worked on the 17th but felt terrible throughout the day. Got home and I could not eat anything , could not hold anything on my stomach. On the 18th at night woke up with sweats, no fever, dry cough, nausea. Chest discomfort (minor chest pain - was sure was not cardiac, could be acid reflux). Woke up with nausea and irritation and intermittently felt fatigued and would feel better, throughout the day. Also felt back pains on the 18. That same evening I felt a little better and then on the 19th I had some shortness of breath. I then decided to go to the UC on Saturday the 19th and got a COVID test. Sore throat was gone but still feel back pain and nausea. Around 11PM on the 19th I got itchy again in my arms and chest. Also got chest pains and took a Pepcid and Benadryl. On the 20th I am feeling a little better, still have a cough and some stomach upset and headache (in the AM). About 1:30PM diarrhea came back again. Had it 2X and low back pain and abdominal pain and also chills. There was a time I could not take care of my kids I just had to stay in bed (19 and 20th - I spent in bed most of the day). My heart rate has been good. The evening of the 20th I felt a little bit better and able to eat a little bit easier. This morning felling a little better. Had diarrhea this morning and a headache that I can''t get rid of. Took Tylenol but it has not helped. Also low back pain. |
|
| VAERS ID: |
905598 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Oregon |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Palpitations,
Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ceftrizine (Zyrtec), Cholecalciferol (vitamin D3), Cyanocobalamin (Vitamin B-12), Escitalopram Oxalate (Lexapro), Fluticasone (Flonase)
Current Illness: None
Preexisting Conditions: Depression, anxiety, hypertension
Allergies: Sulfamethoxazole-trimethropin
Diagnostic Lab Data: unknown
CDC Split Type:
Write-up: Swollen tongue, racing heart, lightheaded |
|
| VAERS ID: |
905611 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Heart rate irregular,
Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiac arrhythmia 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra daily juice Plus Calcium vitamin d Iron Melatonin 5 Mmg Colace Flexeril 10 mg
Current Illness: n/a
Preexisting Conditions: Asthma Allergies
Allergies: sunflower seed and oil Palm oil itching and diarrhea walnuts Hazel nut - Peanut -itching Environmental
Diagnostic Lab Data: None
CDC Split Type: vsafe
Write-up: 15 Mins after I started noticing tightness in chest, tongue swelling , heart rate 130 , 25 mg of Benadryl,, irregular heart |
|
| VAERS ID: |
905622 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased,
Malaise,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient said that she felt sick while in observation. She ended up dizzy, shaky, and a fast heart rate. We got her to get a drink and lay down for a bit. Her initial bp was 143/107 with a heart rate of 108. After resting for some time, she felt back to normal. |
|
| VAERS ID: |
905637 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cold sweat,
Dizziness,
Feeling hot,
Palpitations,
Vision blurred
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: only vitamins
Current Illness: denies
Preexisting Conditions: denies
Allergies: denies any allergies
Diagnostic Lab Data: unknown
CDC Split Type:
Write-up: Patient became dizzy, vital signs -10:32 am 162/101, P-96, sat 98% on room air, hot clammy, blurry vision, heart palpitations, repeat vitals 1036- 171/102 P-85 sat 98% on room air, transferred to Emergency Room 10:43 am |
|
| VAERS ID: |
905648 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dyspnoea,
Erythema,
Feeling hot,
Headache,
Heart rate increased,
Nausea,
Pruritus,
Rash macular
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Armour Throid, Omeprazole, Vitamin D3
Current Illness: none
Preexisting Conditions: PCOS, Hashimotos, Asthma
Allergies: Sulfa, Penicillin, Latex, Hornets
Diagnostic Lab Data: none
CDC Split Type:
Write-up: 10 minutes after injection started to feel hot, developed a headache and nausea. had blood pressure taken and it was elevated along with heart rate in the 120''s. Started feeling itchy and short of breath, along with red and blotchy on the arms and face. Was transferred to the ED and given IV fluids with Solu-Medrol, Benadryl, and Famotidine and released 1 hour and 30 minutes later with a prednisone prescription. |
|
| VAERS ID: |
905671 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Heart rate increased,
Rash
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall
Current Illness: none
Preexisting Conditions: none
Allergies: PCN
Diagnostic Lab Data: none
CDC Split Type:
Write-up: After receiving dose of COVID 19 vaccine patient reports the following: rash to both arms, right neck. Heart rate increased to 102. Reports slight shortness of breath. ER visit- administered Benadryl/Solumedrol IM |
|
| VAERS ID: |
905675 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blindness,
Bradycardia,
Cold sweat,
Dysphagia,
Fatigue,
Full blood count normal,
Hyperhidrosis,
Loss of consciousness,
Metabolic function test normal,
Mydriasis,
Paraesthesia,
Pulse abnormal,
Sensation of foreign body,
Throat clearing,
Tryptase
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nasonex inhaler that am
Current Illness: none
Preexisting Conditions: none
Allergies: nkda
Diagnostic Lab Data: CBC, CMP normal 12/21/20 Tryptase pending
CDC Split Type:
Write-up: 18 minutes post vaccine dose 1, Pfizer COVID vaccine, development of globus sensation without airway compromise or stridor. Frequent throat clearing and swallowing. Followed by diaphoresis, loss of vision, extreme neuropathic tingling over entire head non painful. Bradycardic event to heart rate 35 recorded by Apple watch. Loss of consciousness with pupil dilation. Weak pulses but no loss of pulse. Heart rate recovered quickly. Blood pressure after initiation of iv fluids was normal in upright position once loss of consciousness subsided. Continued globus sensation. 30 minutes after initial event, again developed clammy hands, head tingling and worsening globus sensation but again no stridor or airway compromise. Given PO Benadryl 25 mg which did resolve globus sensation in next 30 minutes. Monitored for one hour post event with no subsequent symptoms other than fatigue. |
|
| VAERS ID: |
905684 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Iowa |
| Vaccinated: | 2020-12-15 |
| Onset: | 2020-12-15 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / OT |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; SINGULAIR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to molds; Ragweed allergy
Allergies:
Diagnostic Lab Data: Test Name: COVID-19; Result Unstructured Data: Test Result:No; Comments: Prior to vaccination, was the patient diagnosed with COVID-19?:No; Test Name: COVID-19; Result Unstructured Data: Test Result:No; Comments: Since the vaccination, has the patient been tested for COVID-19?:No
CDC Split Type: USPFIZER INC2020496418
Write-up: Warm feeling throughout body, heart race last 10secs; Warm feeling throughout body, heart race last 10secs; This is a spontaneous report from a contactable other healthcare professional reporting for herself (patient). This 48-year-old female patient received the first dose of BNT162B2 vaccine (Lot number EK5730) via intramuscular route of administration in the right arm on 15Dec2020 at 12:30 at single dose for immunisation. Relevant medical history included allergy to mold and to ragweed. Concomitant medications included cetirizine hydrochloride (ZYRTEC) from 2020 and montelukast sodium (SINGULAIR); these medications were received by the patient within 2 weeks of vaccination. On 15Dec2020 at 12:30, the patient experienced warm feeling throughout body and heart race which lasted 10 seconds. The patient was not pregnant at the time of vaccination. The facility where the vaccine was administered was hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive corrective treatments for the reported events. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination she had not been tested for COVID-19. At the time of the report, the outcome of the events was unknown. |
|
| VAERS ID: |
905691 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Male |
| Location: |
Texas |
| Vaccinated: | 2020-12-15 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201216; Test Name: heart rate; Result Unstructured Data: Test Result:Fast
CDC Split Type: USPFIZER INC2020497931
Write-up: Fast heart rate; Leg numbness; Hand numbness; This is a spontaneous report from a contactable consumer (patient). This 21-year-old male patient received the first dose of bnt162b2 (BNT162B2) (Lot # EH9899), via an unspecified route of administration at single dose in the left arm on 15Dec2020 12:00 PM at hospital for immunisation. The patient medical history and concomitant medications were not reported. On 16Dec2020 04:00 AM, the patient experienced fast heart rate, leg numbness, hand numbness. No treatment required. The outcome of the events was unknown. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. |
|
| VAERS ID: |
905721 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Other Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol metformin
Current Illness: none history a fib
Preexisting Conditions: diabetes a fib
Allergies: percocet
Diagnostic Lab Data: BP 149/67
CDC Split Type:
Write-up: patient reports rapid heart rate 110-120 |
|
| VAERS ID: |
905774 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Male |
| Location: |
Indiana |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: Nurse reports that patient had no problems after receiving vaccination. Patient went home and EMS was called early the next morning and team administered vaccination was contacted physician that the associate works for stating the patient had a heart attack. |
|
| VAERS ID: |
905805 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Blood glucose normal,
Dizziness,
Dysphagia,
Hypoglycaemia,
Somnolence
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (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), Vestibular disorders (broad), Hypoglycaemia (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Date: 12/21/2020 ? Subjective Patient is a 33 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience feelings of hypoglycemia. She checked her blood glucose with her own monitor and had 77 at 1104. She chewed 1 glucose tab that she had in her purse. She noted some difficulty with swallowing it and notified clinic staff. Associated dizziness and was escorted by clinic staff to the emergency bay. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. She denied difficulty breathing and chest pain, history of adverse reactions with prior vaccinations or allergies to medications with the exception of spironolactone. ? Pateint had already been given a bottle of water by clinic staff and reported that the glucose tablet went down easier following the water. She took a second glucose tab sometime before 1113. She rechecked her sugar and had slight increase of 79. She did eat breakfast this morning about 0800 and had a protein bar right before her arrival today. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with dyspnea and increased work of breathing, vomiting, abdominal pain, hypotension and chest pain. ? Review of Systems HENT: Positive for trouble swallowing. Negative for facial swelling, hearing loss, rhinorrhea and voice change. Eyes: Negative for redness. Respiratory: Negative for cough, chest tightness and shortness of breath. Cardiovascular: Negative for chest pain. Skin: Negative for color change, pallor and rash. Neurological: Positive for dizziness. Negative for syncope and speech difficulty. Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious. ? Objective Vitals There were no vitals filed for this visit. ? ? Physical Exam Constitutional: General: She is not in acute distress. HENT: Head: Normocephalic and atraumatic. Nose: No rhinorrhea. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Skin: General: Skin is warm and dry. Coloration: Skin is not pale. Findings: No rash. Neurological: Motor: No weakness. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. ? ? ? Assessment/Plan Patient is a 33-year-old female who has a 15-year history of type 2 diabetes, and experienced a hypoglycemic event without complaint of chest pain or shortness of breath. ? Vital signs obtained at 1105 with blood pressure within normal limits at 132/88, heart rate 83 and 98% O2 saturation on room air. Patient continued to compensate appropriately and reported feeling slightly better. Glucose checks repeated by patient at 1117 was 84, vital signs were blood pressure 116/80, heart rate 89, O2 saturation of 98% on room air. She continues to deny chest pain, shortness of breath or difficulty swallowing at this time. ? At 1117 a 10 mg cetirizine was administered by mouth. Patient was able to swallow this with a small sip of water without any difficulty. ? 1121, patient continues to deny chest pain or shortness of breath. She continues to be compensating appropriately and sitting at the edge of the bed. She states that she is feeling better. ? Vital signs obtained at 1123 with blood glucose per the patient''s own meter, continuing to elevate at 103, blood pressure within normal limits at 116/91, heart rate at 85 and 100% O2 saturation on room air. ? At 1126, the patient continues to feel better. She is provided a granola bar to eat. She does note feeling sleepy though attributes this to this being the first day she has had off after working 4 days last week. She notes that she has been sleepy even prior to her arrival at the vaccine clinic today. She is able to eat the granola bar and continues conversing appropriately without difficulty. She continues taking small sips of water without issues. Continues to deny chest pain or shortness of breath. Blood sugar is rechecked at 1138 and continues to elevate to 116. She reports that her meter says her sugar is "stable." ? Final set of vital signs obtained at 1138 revealed blood glucose within normal limits at 116, blood pressure of 119/84, heart rate 83 and 100% O2 sats on room air. Patient denied complaints of chest pain, shortness of air, nausea, dizziness or blurred vision at this time. She felt much improved and we discussed her leaving the clinic and heading home to have lunch. She had no further complaints. She was able to rise to standing on her own without any further issues and ambulated out of the clinic without difficulty. ? She was advised with strict return precautions should she develop chest pain or shortness of breath to present to the ED or call 911. She expressed understanding of this. ? LPN, RN, PharmD present through this encounter and assisted as asked of the, by this provider. ? Follow up response to treatment:excellent. ? Patient discharge: Stable to go home and follow up with PCP. ? Orders Placed This Encounter Procedures ? COVID-19 MRNA LNP-S PF ? PA-C Electronically Signed 12/21/2020 11:17 AM ? ? |
|
| VAERS ID: |
905835 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Feeling jittery,
Flushing,
Palpitations,
Throat tightness,
Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: no
Current Illness: none
Preexisting Conditions: none
Allergies: I have some allergy to a cosmetic product. I have had a facial swelling, itching and hives but I don''t know what facial product that as done this to me. I stared have a reaction to facial reaction a couple years ago and it has come every year around December time frame for the past few years.
Diagnostic Lab Data: got vital signs done and for me the HR was 90''s that was after the palpitations stopped and my blood pressure was 130/82. My 02 saturations never dropped they were 97-98%
CDC Split Type:
Write-up: flushed face, shortness of breath, feeling like I was going to pass out, tightness in my throat but could still swallow, had heart palpitations and feeling like my heart was going to come out of my chest. Those symptoms lasted for about 5-10 minuets and slowly the flushed feeling went away and heart stopped racing after about 10 min. I was very shaky and still had a bit of tightness in my throat. I left the area out 40min but was still very jittery. Currently its 1510 and I still have some localized flush feeling in my cheeks and continued jitteriness but am breathing fine. |
|
| VAERS ID: |
905841 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / SYR |
Administered by: Unknown Purchased by: ?
Symptoms: Blood pressure increased,
Dyspepsia,
Flushing,
Heart rate increased,
Hot flush,
Nausea,
Pharyngeal swelling,
Throat irritation,
Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Flushing Hives Nausea Heartburn Throat itching and swelling Hot flash Blood pressure and pulse spiked All of this happened within 5 minutes of administration. Patient was given benedryl and Pepcid and sent to the Emergency Room. |
|
| VAERS ID: |
905845 (history) |
| Form: |
Version 2.0 |
| Age: |
66.0 |
| Sex: |
Female |
| Location: |
South Dakota |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest pain,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: acetaminophen, aspirin, atorvastatin, ibuprofen, lasix levothyroxine, Lisinopril, metformin, metoprolol succinate, Nitroglycerin, omeprazole
Current Illness: None
Preexisting Conditions: Heart disease and Type 2 diabetes
Allergies: Penicillin
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Received COVID-19 vaccine the afternoon on 12-18-2020 on 12-19-2020 developed chest pain and "heart racing" intermittently. Lasted approximately 1 hour . Patient did take Nitroglycerin 2 times . |
|
| VAERS ID: |
905885 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Idaho |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: Patient returned back to clinic after her observation time stating she had some heart palpitations and slight chest tightness. Declines medical attention at this time. |
|
| VAERS ID: |
905930 (history) |
| Form: |
Version 2.0 |
| Age: |
68.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cardiac discomfort,
Dizziness,
Muscle spasms,
Myalgia,
Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Herbalife Vitamins , Vitamin D, Goli ACV , Zyrtec, Amlodipine Besylate 2.5 mg
Current Illness: none
Preexisting Conditions: none
Allergies: shrimp
Diagnostic Lab Data: None
CDC Split Type:
Write-up: 9:00 pm. heart palpitations and pressure in midline. Heart felt like it was beating out of my chest. A little light headed. Took antacids. Lasted about 60 minutes. Woke up around midnight with a painful muscle cramp down back of left leg. lasted about 5 minutes. woke the next morning and have felt fine since. |
|
| VAERS ID: |
905934 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blindness,
Cold sweat,
Orthostatic hypotension,
Presyncope
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Clonazepam, Adderall, vitamin D, vitamin B12, iron, tranexamic acid, ibuprofen (Please note- Not all were taken on the day of vaccination)
Current Illness: None
Preexisting Conditions: polycystic ovarian syndrome with insulin resistance ( type II diabetes), iron deficiency anemia, ADHD, panic disorder, anxiety, depression, vasovagal issues
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Experienced a vasovagal response about 30 minutes after receiving the vaccine. I felt it coming on and knew I needed to elevate my legs above my heart but could not at the time, so I sat down and put my head down. I had intense cold sweats and loss of vision for about 2 minutes until my blood flow returned to my head. I was then able to get to a recliner to elevate my legs with assistance. The entire episode lasted approximately 30 minutes. I was able to stand and walk after this time without dizziness. I contacted my doctor today 12/21/20 and he advised I report this episode. |
|
| VAERS ID: |
905956 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dyspnoea,
Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:
Write-up: After having the vaccine, felt out of breath, decided to take a shower, heart rate 155 bpm. Yesterday it was 133 bpm. Took it now it is 134 bpm. Feeling very anxious. Having some soreness in the arm. |
|
| VAERS ID: |
905957 (history) |
| Form: |
Version 2.0 |
| Age: |
94.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Blood pressure increased,
Heart rate increased,
Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: hyperlipidemia, glaucoma, covid 19, hip joint prosthesis
Preexisting Conditions: seizures?
Allergies: codeine, vioxx, penicillins
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: About 20 minutes after vaccination patient vomited several times and experienced increased blood pressure and heart rate. Physician assistant consulted and recommended to continue to monitor for patient improvement. Patient blood pressure and heart rate began to decrease. |
|
| VAERS ID: |
905977 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH 9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Heart rate increased
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), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuun Hydration -Immunity
Current Illness: None
Preexisting Conditions: None
Allergies: Mild reaction (hives only) to eating a 1/2 pint of blueberries about 10 years ago. No reaction to small amounts since.
Diagnostic Lab Data: None needed. All symptoms resolved in about 5 minutes.
CDC Split Type:
Write-up: About 10 minutes after the injection, I experienced sudden onset of dizziness and shortness of breath, followed quickly by rapid heart rate. The shortness of breath and dizziness resolved in less than a minute. The rapid heart rate a few minutes later. |
|
| VAERS ID: |
905979 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Heart rate increased,
Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamins
Current Illness: No
Preexisting Conditions: No
Allergies: Sulfa Amoxicillin Ceftin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Fast heart rate, palpitations, whole body flushed feeling |
|
| VAERS ID: |
905984 (history) |
| Form: |
Version 2.0 |
| Age: |
54.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Flushing,
Heart rate increased,
Lip swelling,
Swelling face,
Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: meclizine, omeprazole, melatonin , ibuprofen all as needed
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: at the emergency room presented with initial heart rate of 123, oxygen was normal, BP 187/99.
CDC Split Type:
Write-up: flushed face, facial swelling, lips and tongue swelling, elevated HR, elevated BP , light headedness, after vaccine I waited for 20 min with no symptoms, once I left the facility I immediately felt symptoms of face flushing and swelling and elevated heart rate . I immediately turned around and went to the ER, |
|
| VAERS ID: |
905996 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arrhythmia,
Blood pressure increased,
Chest X-ray,
Chest discomfort,
Dizziness,
Electrocardiogram,
Flushing,
Headache,
Heart rate increased,
Laboratory test,
Nasal discharge discolouration,
Peripheral coldness,
Presyncope,
Troponin,
Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Armour, Vit D3, Vit C, Vit B12, Zinc, Rx Ophtalamic steroid
Current Illness: chemical burn to eyes bilateral from cleaning solution
Preexisting Conditions: hypothryoidism
Allergies: PCN, sulfa drugs
Diagnostic Lab Data: 12/18/2020 CXR, EKG, Chemistry, Cardiac troponin
CDC Split Type:
Write-up: ~1 h 15 min after receiving experienced flushing, dizziness, near-fainting, arrhythmia, progressed rapidly to a rapid heart rate, elevated BP, hives, cool extremities, diaphoretic treatment: NS 1 liter, Benadryl 50 mg IV, Solumedrol 125 mg/ml discharged after 6 h with Rx for Epi Pen experienced dizziness/near-fainting episodes off/on for 3 days, slight headache, chest tightness, green/bloody nasal discharge for 2 days |
|
| VAERS ID: |
906008 (history) |
| Form: |
Version 2.0 |
| Age: |
60.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Anxiety,
Asthenia,
Dizziness,
Dyspnoea,
Fatigue,
Palpitations,
Presyncope,
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), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: adhesive cloth tape contact dermatitis
Diagnostic Lab Data: I arrived at ED and it was extremely busy, lots of sick people around. I was feeling better, felt very tired as if I had just exercised heavily but otherwise ok. I chose to not risk staying in the ED and further risk exposure to COVID.
CDC Split Type:
Write-up: While sitting in chair in observation area after vaccine was talking on phone to friends and suddenly felt very weak with tachycardia to the 120s, SOB, pre-syncopal, very lightheaded. Weakness. No chest pain or tightness. Waved to the staff,. wanted to lay flat. They raised my legs and as there was no stretcher available. Felt heart racing and a sense of doom. HR settled down after about 3-5 mins. Tried to stand so staff could get orthostatic BP but could not support my weight. Remained under observation by the staff for about 45 min. symptoms improved. Was directed to go to ED for evaluation. My husband picked me up. |
|
| VAERS ID: |
906033 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Rapid heart rate of 203 bpm |
|
| VAERS ID: |
906199 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Male |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
- / IM |
Administered by: Work Purchased by: ?
Symptoms: Palpitations
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? 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: Employee stated after 15 mins observation, that he experienced heart palpations for 2mins. This nurse then obtained employees vitals. BP - 126/80, P-80, O2-97. Employee was then observed by this nurse for 40 more mins. Employee stated @ 0902 he felt fine. Denies any prior anxiety/cardiac issuses when asked. Employee left observation @ 0905. |
|
| VAERS ID: |
906056 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood chloride normal,
Blood creatinine normal,
Blood potassium normal,
Blood sodium normal,
Blood urea decreased,
Carbon dioxide decreased,
Diarrhoea,
Dizziness,
Dyspnoea,
Electrocardiogram normal,
Extrasystoles,
Feeling abnormal,
Full blood count normal,
Haemoglobin normal,
Headache,
Hypersensitivity,
Hypoaesthesia,
Joint swelling,
Lip swelling,
Nausea,
Palpitations,
Paraesthesia,
Peripheral swelling,
Platelet count normal,
Pruritus,
Rash erythematous,
Rash pruritic,
Tachycardia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, Albuterol, Airduo, Metformin, Trazodone
Current Illness: none
Preexisting Conditions: Asthma, Obesity, Pre-diabetes, IBS
Allergies: Mometasone (myalgias)
Diagnostic Lab Data: CBC: 9.6$g14.7<312 BMP: Na139, K3.8, Cl105, CO222, BUN 9, Cr 0.57 EKG: Sinus Tachycardia
CDC Split Type:
Write-up: Patient notes that she received the COVID vaccine around 1800 today. After receiving the vaccine she notes she had developed a headache. She was otherwise doing fine until around 2000-2100 when she noticed her left arm become numb with paresthesias from her left bicep to her hand with whole arm localization. She felt her hands and wrists were puffy at this time and somewhat swollen. She reports feeling "floaty"/Dizzy at this time, and at least once had to sit down due to this. She started feeling her heart race and some associated SOB, this has since resolved. She notes that she had two loose stools around this time as well. This progressed to develop into right numbness/paresthesias from her mid right forearm down to her hands. As the evening progressed she developed itchiness of her bilateral arms and torso. She notes that she has had a waxing/waning reddish rash on her arms that has been pruritic. She has since developed intermittent nausea, and still endorses feeling some "skipped beats." While in the ED from Triage to repeat evaluations her lips began having progressive swelling. She had been given Benadryl 50mg, Zofran 4mg, 1L IVF. Given ongoing tachycardia and lip swelling she was given Prednisone 40mg and Epinephrine for allergic reaction and concern for anaphylaxis. |
|
| VAERS ID: |
906063 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Nausea,
Palpitations,
Pruritus,
Supraventricular tachycardia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma seasonal
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Around 1230pm I started to itch, then got nausea, then felt palpitations, checked my own heart rate using and I watch and heart rate was on svt with a rate of 160. I held my breath and heart rate came down after 5 min to a rate of 80 Sinus rhythm. |
|
| VAERS ID: |
906064 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
FH9899 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Cold sweat,
Dyspnoea,
Heart rate increased,
Nausea,
Pruritus,
Rash
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth control, adderall, vitamin b complex, vitamin d, multivitamin and hair skin and nails.
Current Illness: None.
Preexisting Conditions: None.
Allergies: penicillin, amoxicillin and mold.
Diagnostic Lab Data:
CDC Split Type:
Write-up: Rapid heart beat, difficulty breathing, itching, rash, clamminess, cold sweats, nausea |
|
| VAERS ID: |
906171 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
AR / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Blood pressure abnormal,
Dizziness,
Heart rate abnormal,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient became slightly tachycardic (HR 145, BP 140/75) and light-headed. Described as anxiety attack. Patient laid down and feet were elevated and heart rate and blood pressure returned to normal. Patient was observed for another 30 minutes and released |
|
| VAERS ID: |
906183 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Chills,
Dizziness,
Heart rate increased,
Injection site erythema,
Injection site pruritus,
Pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nitrofurantoin Mono-MCR (100 MG)
Current Illness: UTI
Preexisting Conditions: Anxiety, Depression,
Allergies: Sulfa Drugs, Ibuprofen
Diagnostic Lab Data:
CDC Split Type:
Write-up: Evening following receiving vaccine: Severe Dizziness, Chills, Body Ache, Increased Heart Rate (racing sensation). Following day: Minor/Noticeable Joint Pain throughout body (knees, shoulders, spine). Continuing symptoms: Minor Redness/Itchiness around injection site. |
|
| VAERS ID: |
906232 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Body temperature increased,
Dry mouth,
Dysphagia,
Fatigue,
Feeling hot,
Hypopnoea,
Injection site mass,
Injection site pain,
Pain,
Pruritus,
Speech disorder,
Throat irritation,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (broad), Respiratory failure (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? Yes
Hospitalized? No
Previous Vaccinations: FLU SHOT, TENANUS; BODY REACTIONS, TROUBLE BREATHING
Other Medications: OZEMPIC 0.5MG INJECTION WEEKLY; ZYRTEC; FLONASE; NASAL SPRAY FUTICASOUE; INVOKANA 100 MG/DAILY; ATORVASCAIN 20 MG; PROBIOTIC
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: LATEX, SEAFOOD, BETADINE
Diagnostic Lab Data:
CDC Split Type: vsafe
Write-up: 12/18/2020 5 MINUTES AFTER INJECTION, FELT HOT. TEMP KEPT GOING UP. TEMP WOULD NOT GO DOWN. STAFF PUT COLD PACKS ON ME. ITCHING STARTED BUT NO RASH VISIBLE ON ARMS AND BACK. DR. STATED TIME TO TX TO ER. THE HEAD HAD INCREASED EVEN MORE. COULDN''T BREATHE DEEPLY, ''AIR STOPPED'', COULDN''T SPEAK PROPERLY. PREDNISONE, ANXIETY AND BENADRYL ADMINISTERED. MONITORED O2 STATES, MONITOR HEART. AT HOME BODY STARTED TO ACHE, NOT MEDICINE TYPE PERSON. HELD OFF TILL 1AM, TOOK 2 TYLENOL 500MG. BY 3 AM ABLE TO SLEEP. HEAT SENSATION WAS STILL THERE. BY 12/20/2020, INJECTION SITE SORE, LUMP. I WAS TIRED. BY 12/21/2020 THE SITE WAS SORE, I RUBBED WITH ALCOHOL. PROBLEMS WITH SWALLOWING, EATING GINGER CANDY TO HELP WITH DRYNESS. THROAT BOTHERS AFTER TALKING, TIGHTENING. DR. STATED AT 2ND INJECTION WILL PROVIDE THE BENADRYL, PREDNISODE, AND ANXIETY MEDS 30-60 MINUTES BEFORE ADMINISTERED. ''I DO BELIEVE I NEED OTHER SHOT TO BE COVERED''. ''CLOSE TO ER FOR SECOND SHOT''. I DO HAVE PROBLEM WITH VACCINATIONS; I GET INTO TROUBLE. MY BODY HAS REACTIONS, TROUBLE BREATHING. ''SOLE PROVIDER FOR WHOLE FAMILY; I HAD TO TAKE THE SHOT'' ''FEELING ABOUT 100%'' |
|
| VAERS ID: |
906235 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
O11J20A / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Erythema,
Flushing,
Immediate post-injection reaction,
Palpitations,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: No
CDC Split Type:
Write-up: Immediately after receiving the vaccine, I felt tingling sensation in my extremities. I felt flushed, my chest became red, and I felt like my heart was racing. It generally lasted about a minute. Now, two hours later i am still feeling some tingling in my left arm. |
|
| VAERS ID: |
906237 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Mississippi |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
PFIZER EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dizziness,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin supplements
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: Fast Heart Rate and light headed 10 minutes after receiving the injection and lasted around 5 minutes. |
|
| VAERS ID: |
906244 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Ventricular extrasystoles
SMQs:, Ventricular tachyarrhythmias (narrow), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Adderall
Current Illness: N/A
Preexisting Conditions: Chronic back pain
Allergies: NKA
Diagnostic Lab Data: None needed
CDC Split Type:
Write-up: PVCs developed about 20 minutes after administration of vaccine. Placed on Zoll cardiac monitor. 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. Monitored until 1510, patient contacted primary care provider via patient portal. |
|
| VAERS ID: |
906257 (history) |
| Form: |
Version 2.0 |
| Age: |
63.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Blood glucose normal,
Blood pressure increased,
Dysgeusia,
Feeling abnormal,
Flushing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Dementia (broad), Hypertension (narrow), Hypersensitivity (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: Statin, Celexa
Current Illness: None
Preexisting Conditions: None
Allergies: IVP Dye, red ants
Diagnostic Lab Data: Accu check 12/21/2020 - 89 and vital sign monitoring with continued elevated BP
CDC Split Type:
Write-up: Initially she felt flushed and "foggy-headed". Then developed a metallic taste in mouth and elevated blood pressure, required extended monitoring period with continued elevation in blood pressure. Heart rate and respiratory rate stable, no respiratory distress noted. Highest BP 195/93 ranging 180s/90s, however denied need to be seen in emergency department. Final BP 155/93, less foggy, no dizziness or lightheadedness; feeling flushed remains however, declines emergency treatment. Total monitoring time: 83 minutes, without significant distress. |
|
| VAERS ID: |
906324 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Cold sweat,
Feeling cold,
Full blood count,
Heart rate increased,
Metabolic function test,
Swelling,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITAN 10MFG AS NEEDED FOR ALLERGIES, ZINC, AND VITAMIN D 2000 IU
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NO KNOWN ALLERGIES
Diagnostic Lab Data: CBC and CMP. Results pending.
CDC Split Type:
Write-up: Increased heart rate, increased blood pressure, cold/clammy feeling, urticaria (neck), swelling in neck and chest. At vaccine clinic area, Benadryl 50mg IM given. Rapid response called via overhead page. Patient taken to ER from vaccine clinic. In ED, given famotidine 20mg IV, methylprednisolone 125mg IV. |
|
| VAERS ID: |
906328 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Blood thyroid stimulating hormone increased,
Brain natriuretic peptide normal,
Fatigue,
Full blood count normal,
Hyperhidrosis,
Metabolic function test normal,
Nausea,
Tachycardia,
Troponin normal
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), Hypothyroidism (broad), Hyperthyroidism (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:
Other Medications: METFORMAN, VITAMIN D, ZINC, CALCIUM, HCTV
Current Illness: N/A
Preexisting Conditions: DIABETES,TYPE II; HYPTERTENSION
Allergies: N/A
Diagnostic Lab Data: CBC, CMP, TRIPONIN, BNP; NEGATIVE TSH; TWICE LEVEL THEN PREVIOUS MONTH
CDC Split Type: vsafe
Write-up: 12/17/2020 INJECTION. 12 HOURS LATER, NAUSEA W/ TACCYCARDIA, PROXIMAL. HEARTRATE 150. WENT TO ER. HAD TESTS DONE. NO HISTORY OF ANXIETY; HAD PRETTY ANXIETY. LASTED ABOUT 45 MINUTES. ATIVAN PRESCRIBED BY ER DOCTOR. DIAPHORETIC. I AM WORKING BUT STILL DIAPHORETIC AND STILL FEEL A LITTLE FATIGUED. DON''T KNOW IF RELATED TO VACCINE. |
|
| VAERS ID: |
906329 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Male |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Dizziness,
Fatigue,
Heart rate increased,
Nausea
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), Vestibular disorders (broad), Arthritis (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cymbalta, Lisinopril, Allegra, Hydrocodone, Baclofen, Pantoprazole, Metformin, Lyrica
Current Illness: N/A
Preexisting Conditions: Diabetes II, Osteoarthritis, HBP
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:
Write-up: Exhausted, dizzy, nauseated, rapid heartbeat, pain in joints all over body, fatigue |
|
| VAERS ID: |
906337 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Abdominal discomfort,
Abdominal pain upper,
Chest discomfort,
Chills,
Decreased appetite,
Ear pain,
Fatigue,
Headache,
Heart rate increased,
Nausea,
Pain,
Palpitations,
Paranasal sinus discomfort,
Sinus congestion
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: influenza vaccine: mild flu like symptoms lasted 2 days
Other Medications: Synthroid. vitamin D with K2
Current Illness: none
Preexisting Conditions: Asthma. Hypothroidism
Allergies: Morphine. Codeine
Diagnostic Lab Data: none: waiting to be tested for COVID to rule out infection.
CDC Split Type:
Write-up: 12/18/20 approximately 10:00am 1st COVID injection administered. within 30 minutes I had a mild headache ( was not throbbing but nerve shooting in nature). later that evening i noticed heart palpitations and rapid heart rate max 130 reps. the heart rate quickly normalized but heart palpitations remained intermittently that night. Saturday morning I woke with stuffy sinuses, chest little tight but chest tightness clear with coffee intake. sinus remained irritated and then as day progressed i began feeling aches/fatigued/temp 99.0F/mild headache with shoots ear pain bilateral/mild chills/loss of appetite. woke Sunday feeling fine with the exception of loss of appetite. As Sunday progressed i attempted to eat lunch approximately 2:00pm (first meal of day). could not eat much, felt heavy on stomach, began to feel aches/chills/no Temp/loss of appetite with stomach pain and nausea after eating solid food/fatigued again. since then these symptoms have remained. reported to necessary provider and Employee Health. |
|
| VAERS ID: |
906417 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cough,
Dry throat,
Dyspnoea,
Flushing,
Panic attack,
Sensation of foreign body,
Throat clearing,
Throat irritation,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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: Flu shot 2009 -- sore, itch, red bump hot to touch and hives arms/legs/chest/ throat, neck at injection site
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Diabetes, Asthma
Allergies: Contrast Dye, Percocet
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: 12/21/2020 4:30PM itching throat, clearing of throat, lump in throat, coughing, very dry throat, coughing sensation to remove "something" in throat, fat tongue/throat feeling, throat feeling as if closing, coughing fit --- pt transferred to ER. Panic attack, unable to breath feeling --medications via IV -- Benadryl (flushed), Pepcid and steroid for inflammation) administered. Heart monitored while receiving treatment. Discharged at 08:00 PM with prescription for Benadryl and steroid Prednisone. |
|
| VAERS ID: |
906428 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anaemia,
Angiogram cerebral normal,
Anxiety,
Arteriogram carotid normal,
Blood glucose normal,
C-reactive protein normal,
Computerised tomogram head normal,
Computerised tomogram neck,
Condition aggravated,
Electrocardiogram abnormal,
Haemoglobin decreased,
Head discomfort,
Headache,
Hypoaesthesia,
Injection site discomfort,
Injection site erythema,
Injection site pain,
Injection site swelling,
Nausea,
Pain,
Palpitations,
Paraesthesia,
Red blood cell sedimentation rate increased,
Sensation of foreign body,
Sinus tachycardia,
Tachycardia,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (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), Supraventricular tachyarrhythmias (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: cyclobenzaprine, fluoxetine, ibuprofen, omeprazole
Current Illness: anxiety, hx gallstones, depression, fatigue, gastritis, Additional PMH: hypothyroidism, second trimester bleeding
Preexisting Conditions: anxiety
Allergies: aspirin, hydromorphone, morphine, NSAIDs, zolmitriptan, latex, Additional allergies: propofol
Diagnostic Lab Data: See #18
CDC Split Type:
Write-up: Patient states that she received the vaccination at 10:24 AM. Patient states approximately 2 minutes after that she felt pain and swelling and erythema in her left arm at the injection site. Patient states she felt like she had a somewhat of a "apple in her throat". Patient states that her left arm was tingly. Patient states that she has a headache in the bitemporal area. She states that she has a history of headaches. Patient states that she has no visual changes. Patient states that it started after the immunization. Patient states 5 minutes before I came into the room she vomited and now feels tremendously better. She is talking in a complete sentences. Patient is somewhat tachycardic on initial Patient states that she received the vaccination at 10:24 AM. Patient states approximately 2 minutes after that she felt pain and swelling and erythema in her left arm at the injection site. Patient states she felt like she had a somewhat of a "apple in her throat". Patient states that her left arm was tingly. Patient states that she has a headache in the bitemporal area. She states that she has a history of headaches. Patient states that she has no visual changes. Patient states that it started after the immunization. Patient states 5 minutes before I came into the room she vomited and now feels tremendously better. She is talking in a complete sentences. Patient is somewhat tachycardic on initial presentation. Patient presents via BR RT for evaluation. Patient has a host of allergies.Patient is anxious upon presentation. Patient does have a history of anxiety. No other travel or trauma. Patient states that her pain is severe. States that she has some pressure in the bitemporal portion of her head and her left arm injection site. Otherwise nonradiating. No other known aggravating, triggering or alleviating factors. Patient dates its concurrent with the injection time. Otherwise nonradiating. BP 180/100 at 1045, O2 sat 98%, ECG sinus tachycardia Repeat Vital Signs BP 133/82 | Pulse 82 | Temp 36.9 ?C (98.4 ?F) (Oral) | Resp 16 | Ht 1.702 m (5'' 7") | Wt 197 lb 1.5 oz (89.4 kg) | SpO2 98% | BMI 30.87 kg/m? Constitutional: Well developed; well nourished; in no apparent distress; non-toxic appearance HEAD: Atraumatic. Normocephalic. Eyes: PERRL; EOM intact; conjunctiva and sclera normal to inspection. HENT: TM''s normal; no rhinorrhea; normal pharynx with no erythema or exudates. Mucous membranes are moist. Uvula is midline. No hemotympanum or foreign body. NECK: Supple; non-tender; no cervical lymphadenopathy. Respiratory: No respiratory distress; normal breath sounds; breathing non-labored Cardiovascular: Normal rate; good peripheral perfusion. No murmurs or rubs CHEST: Nontender. There are no retractions. GI: Normal bowel sounds; non-distended; non-tender to palpation; no palpable organomegaly GU: Musculoskeletal: Extremities non-tender; normal range of motion; no edema; Normal distal pulses Back -Normal tone; no tenderness Integument: Well hydrated; no lesions; no significant rash or palpable nodes. Neurologic: Alert, appropriate; oriented to person; place and time. No focal deficits. Motor 5/5. Sensation intact in all 4 extremities. Psych: Mood and affect are anxious. Mental status appears normal at time of exam. Patient upon presentation is anxious. Patient did vomit x1. Patient was talking in complete sentences upon my evaluation. Patient feels that she has some discomfort to her injection site with a headache. They feel no warmth or erythema. Patient was given Tylenol for the headache which did improve. Also received ondansetron, diphenhydramine, famotidine, methylprednisolone, NS 1000mL. Patient was monitored for an extended period of time and has had no return of symptoms. I am uncertain whether this is a true allergic reaction since the symptoms started approximately 2 minutes from the time of the injection. Patient does have a history of anxiety and this may have played a role within the symptomatology. At this time patient feels much better. Patient be dismissed we will send the patient home with a prednisone taper. She can take oral Benadryl and Pepcid. Follow-up with her family doctor next couple days not feeling better. Patient is dismissed. Patient returned to ED on 10/22/20 0100. Presents to ED complaining of numbness and tingling all the way from her head to her left toe on the left side. Has taken Benadryl 3 times today. She states that she woke up this evening with her heart racing. She still has a little bit of a headache. No fevers. He was nauseous. Again she says the whole left side of her body is tingling. All other systems negative/without deficit. HR 124, BP 168/107. Repeat Vital Signs: BP 129/77 | Pulse 99 | Temp 37.2 ?C (98.9 ?F) (Temporal) | Resp 20 | Wt 206 lb 2.1 oz (93.5 kg) | SpO2 100% | BMI 32.28 kg/m? EKG showed a sinus rhythm without acute ST changes. She is anemic but she has a history of that and her hemoglobin is not significantly lower than usual. Sed rate is little bit elevated but her C-reactive protein is normal. Her glucose slightly elevated at 173 but the rest of her labs are normal. CT and CTA of her head and neck were normal. I do not know at this time if this is a reaction we will have her continue the prednisone taper she was started on earlier as well as Benadryl and have her follow-up with her primary care physician. |
|
| VAERS ID: |
906432 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Nausea,
Palpitations
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Lightheaded, dizzy, nauseous, and heart palpitations about 5 minutes after getting vaccine. Laid supine for 30 minutes with blood pressure continuously taken. BP 188/93 |
|
| VAERS ID: |
906457 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Alabama |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate irregular,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CETIRIZINE
Current Illness: ANXIETY
Preexisting Conditions: NONE
Allergies: KEFLEX
Diagnostic Lab Data:
CDC Split Type:
Write-up: PATIENT STATES "I FEEL LIKE MY HEART IS RUNNING" HEART TAKEN AT 9:30- 90 IRREGULAR TAKEN AGAIN AT 9:49- 72 IRREGULAR PATIENT STATES THAT SHE IS FEELING BETTER PATIENT OBSERVED ADDITIONAL 15 MINUTES AND RELEASED |
|
| VAERS ID: |
906467 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased,
Palpitations,
Paraesthesia,
Tremor
SMQs:, 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), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Montelukast, fluoxetine, zyrtec
Current Illness: Headaches for week prior. Had been resolved for 2 days prior to vaccination.
Preexisting Conditions: Allergies
Allergies: Wheat, buckwheat
Diagnostic Lab Data: Pulse taken 100+ during, then returned to 72 bpm after hands started shaking. Blood pressure 128/ 80 (diastolic is estimated, don''t remember exact number).
CDC Split Type:
Write-up: Racing & pounding heart, dizziness, tingling feeling prior to dizziness, then shaking hands. After shaking, heart rate returned to normal. No blood pressure change was noted. Whole event lasted no more than 5-10 minutes. |
|
| VAERS ID: |
906482 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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:
Other Medications: Amphetamine-Dextroamphet ER 15mg po daily, Fluticasone Propionate 50mg spray into each nostril daily, Podotilox 0.5% gel as directed, Albuterol 2 puffs by mouth q 6 hours prn, Epi-Pen 0.3mg as directed, Olopatadine 0.2% 1 drop into both eye
Current Illness: Graves disease, Goiter, ADHD
Preexisting Conditions: See above
Allergies: Amoxil, Percocet, Latex, Nickel, Oxycodone
Diagnostic Lab Data: none
CDC Split Type:
Write-up: 0843 vaccine administered. 0855 patient reported a rapid heart rate (112 beats per minute) and tremors. No airway complications. |
|
| VAERS ID: |
906486 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ11685 / 1 |
LA / SYR |
Administered by: Unknown Purchased by: ?
Symptoms: Chills,
Flushing,
Hyperhidrosis,
Nausea,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (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: Flushing Sweats Chills Heart rate was ranging between 45-190 according to watch Nausea Vomiting |
|
| VAERS ID: |
906488 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Male |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 4 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / SYR |
Administered by: Military Purchased by: ?
Symptoms: Asthenia,
Fatigue,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin with mineral cap, Cholecalciferol, 81mg aspirin, Sertraline, Ropinirole, Cyclobenzaprine, Baclofen, Amlodipine BESYLATE,
Current Illness: No
Preexisting Conditions: High BP, Bad back and knees
Allergies: Keflex, Ampicillin
Diagnostic Lab Data: No
CDC Split Type:
Write-up: Yesterday had no energy, real tired, heart beat rapid. Not normal for him. Slept yesterday a few hours. and then again at night. Called facility and they stated that he should go to ER if needed and to call VAERS to report AE. Patient is a DOD Firefighter. |
|
| VAERS ID: |
906495 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Male |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Electrocardiogram QRS complex normal,
Electrocardiogram ST segment normal,
Palpitations,
Paraesthesia oral
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: sleep apnea, GERD
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: EKG with NDR, rate of 79bpm; QRS-no LAD, ST/T segments, no significant STE
CDC Split Type:
Write-up: 11 minutes into the vaccination, patient noted to have tongue and mouth tingling and heart racing. No noted tongue/lip/throat swelling, dyspnea, n/v, abdominal pain, rash, near-syncope. Started to improve after 30 seconds.. H/o tachycardia secondary to salmon, no prior anaphylaxis or use of epinephrine in the past. Sent to ED for evaulation |
|
| VAERS ID: |
906527 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / SYR |
Administered by: Work Purchased by: ?
Symptoms: Asthenia,
Chills,
Dizziness,
Feeling hot,
Headache,
Heart rate increased,
Hyperhidrosis,
Tension headache
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Penicillin, Clindamycin, Levaquin, Bananas
Diagnostic Lab Data:
CDC Split Type:
Write-up: After receiving the shot and getting up to walk across the room to sit down for the waiting period, I started to experience extreme dizziness and weakness. My heart rate jumped and I felt extremely hot. I thought I was going to faint. Within about 10 minutes I got an extreme headache that felt like someone was squeezing my head. I was given a heavy dose of benadryl as I was not experiencing difficulty breathing and we did not feel like I needed an epipen. After the benadryl kicked in my symptoms became less intense and I just had periodic bouts of sweating and chills. I am now on my third round of benadryl but have been able to lessen the dose, I do not anticipate having to take a fourth dose. |
|
| VAERS ID: |
906552 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood potassium decreased,
Disturbance in attention,
Dizziness,
Headache,
Heart rate increased,
Laboratory test abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LOCARTIN; ANXIETY/DEPRESSION (UNKNOWN);
Current Illness:
Preexisting Conditions: STROKE 20/2015; CLOT IN BRAIN (MAY BE DUE TO BIRTH CONTROL MEDICATION)
Allergies: HORMONE; HX STROKE ''MAY BE DUE TO BC MEDICATION'' ZPAC; DIARRHEA
Diagnostic Lab Data: DREW LABS; ALL NEGATIVE EXCEPT POTASSIUM; SLIGHTLY LOW
CDC Split Type: vsafe
Write-up: 12/16/2020 2:30 AFTER VACCINATION, STARTED TO FEEL INCREASE HR. STARTED TO FEEL WOOZY, UNABLE TO FOCUS. CHECKED VITALS IN ICU; HR 116. WENT TO ER, TRIAGE BP WAS 163/101; HR 115. GIVEN LITER SALINE, DREW LABS. BP AND HR CAME DOWN. TOLD TO REST COUPLE DAYS. WAS CONCERNED AS HX OF STROKE. F/UP WITH CARDIOLOGIST ''DOESN''T THINK THE SECOND VACCINE WOULD BE HARMFUL'' BUT ''I JUST DON''T KNOW''. FAMILY HAS HX OF HEART DISEASE. I KNOW ANXIETY BUT NEVER HAD HR DO ''WHAT IT DID''. DON''T FEEL LIKE IT WAS ANXIETY. I KNOW MY BODY. I HAD TAKEN CARE OF COVID PATIENTS THE WEEK BEFORE. I DON''T KNOW WHAT TO THINK. TRYING TO LOOK AT ALL FACTORS. 12/17/2020 HEADACHE; FOLLOWING DAY I WAS FINE |
|
| VAERS ID: |
906561 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Fatigue,
Heart rate increased,
Pain,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan and Lasix
Current Illness: None
Preexisting Conditions: HTN
Allergies: Flagyl, Iodine, Phenergan
Diagnostic Lab Data:
CDC Split Type:
Write-up: Palpitations and elevated heart rate from Friday 0600 until wake up on Sunday. Felt tired and aching on Thursday night however, no fever |
|
| VAERS ID: |
906576 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Reports history of allergy to cold medicine and penicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Reported "Heart going fast, it might be anxiety". 1400: O2 Sat 99% 65HR 12RR 154/101 1405: 02 99% 68HR 12RR 139/95 1417: O2 99% 66HR 1430: O2 100% 69HR 12RR 129/89 Symptoms began resolving between 1405 and 1430. Afterwards was escorted to work station. |
|
| VAERS ID: |
906583 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Fatigue,
Headache,
Heart rate increased,
Myalgia,
Nausea,
Pain,
Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Encouraged Emergent treatment and employee declined. Stated she contacted PCP for further guidance.
CDC Split Type:
Write-up: Reported received the vaccination at approx. 10am on 12/18. Developed headache during her 12 hour shift at the hospital. At 830pm after getting home from work, she developed elevated heart rate 130s, heart palpitations, body aches, severe nausea, muscle pain, and fatigue. |
|
| VAERS ID: |
906650 (history) |
| Form: |
Version 2.0 |
| Age: |
66.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / OT |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Asthenia,
Dizziness,
Injection site erythema,
Injection site pain,
Injection site swelling,
Injection site urticaria,
Musculoskeletal chest pain,
Neck pain,
Pain,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Migraine
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020502536
Write-up: Pain, redness, swelling and hives at the site of injection (left arm). Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collar; Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collarbone; Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collarbone; Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collarbone; Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collarbone; Pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck, and left collarbone; Pain, redness, swelling and hives at the site of injection (left arm); Pain, redness, swelling and hives at the site of injection (left arm); Pain, redness, swelling and hives at the site of injection (left arm); heart palpitations; weakness; dizziness; This is a spontaneous report from a contactable other healthcare professional. A 66-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot:EH9899) intramuscularly at the left arm on 16Dec2020 12:45 at a single dose for covid-19 immunisation. Medical history included migraine from an unknown date. The patient''s concomitant medications were not reported. On 16Dec2020 15:45, the patient experienced Pain, redness, swelling and hives at the site of injection (left arm). It was further reported that the pain spread out from the injection site to the left shoulder blade, side of arm, left ribcage, left side of neck and left collarbone. The patient also experienced weakness, dizziness and heart palpitations on 16Dec2020 15:45. The events were reported as non-serious. The patient did not receive treatment for the reported events. Outcome of events was not recovered. |
|
| VAERS ID: |
906668 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-01 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Angina pectoris,
Back pain,
Chest pain
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020502760
Write-up: pretty strong chest pain; heart pain; some kind of back pain, behind her heart; This is a spontaneous report from contactable consumer (reporting for her daughter). A 29-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 17Dec2020 at 10:00 AM at a single dose for COVID-19 immunization. The patient''s medical history were not reported. Concomitant medications included unspecified bipolar medications. The patient experienced pretty strong chest pain on 18Dec2020 at 07:00 and heart pain and some kind of back pain, behind her heart in Dec2020. The pretty strong chest pain lasted about 10 minutes and then went away. The outcome of pretty strong chest pain was recovered on 18Dec2020 and of some kind of back pain, behind her heart and heart pain was unknown. The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up. |
|
| VAERS ID: |
906734 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
AR / IM |
Administered by: Work Purchased by: ?
Symptoms: Feeling abnormal,
Hyperhidrosis,
Pallor,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Employee stated she felt her heart racing and felt "off." Appeared to RN to be diaphoretic and pale but remained alert, oriented, speaking full sentences no shortness of breath, scratchy throat or rash. 50mg Benadryl PO at 06:25am. Highly encouraged patient to stay for additional 15 minutes. Patient refused to stay stating she didn''t have childcare beyond 7am. Instructions given to patient re: symptoms to monitor for and to seek medical assistance if symptoms worsened or persisted. Additionallyasked patient to contact employee health. |
|
| VAERS ID: |
906739 (history) |
| Form: |
Version 2.0 |
| Age: |
65.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dizziness,
Flushing,
Palpitations,
Tachycardia,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient describes flushing, upon examination: "heart was pounding in my head". Patient felt like she was going to "pass out". and "throat fullness" Medical team reported patient was tachycardic . Administered 25mg (oral) benadryl X1 Alerted covering physician (per protocol) |
|
| VAERS ID: |
906747 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Electrocardiogram abnormal,
Flushing,
Heart rate increased,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: Ibuprofin, Shellfish
Diagnostic Lab Data: ECG done indicating sinus tachycardia, evaluated by cardiologist.
CDC Split Type:
Write-up: Ten minutes after vaccine was injected pt started having elevated heart rate and mild flushing.. She was sent to the emergency department for clinical evaluation and further observation. She refused medication while at the vaccination site. |
|
| VAERS ID: |
906760 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspepsia,
Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Mild shortness of breath, heartburn |
|
| VAERS ID: |
906776 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / ID |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Electrocardiogram,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: none
Diagnostic Lab Data: EKG
CDC Split Type:
Write-up: Patient reports 5 minutes after getting covid vaccine she became flushed, heart was pounding and felt dizzy. Patient denies hx of allergic reactions. |
|
| VAERS ID: |
906785 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Anxiety,
Blood pressure increased,
Heart rate increased,
Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Ceclor, Cephalosporin, Sulfa Antibiotics, Penicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Increased heart rate and blood pressure. Rash on anterior right side of neck. She laid down and was given water. Blood pressure and heart rate monitored. She was also reassured by friends that she was okay. The patient said she was anxious and that''s why she had a reaction. |
|
| VAERS ID: |
906806 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysgeusia,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (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: Lexapro, Synthroid
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Doxycycline/Ceftrax - rash Shrimp - hives
Diagnostic Lab Data: Unknown
CDC Split Type:
Write-up: Patient was done receiving vaccine at 0921, approximately 5-10 minutes later reported feeling flush, metallic taste in mouth (first symptom), heart racing. VS taken: 152/93, HR 120. Pt seated, calm, given water to drink, speaking full sentences, NAD and no difficulty breathing or swallowing. At 0948 VS: 132/91, HR 96, SpO2 98% room air. At 0955, patient continued to feel waves of heart racing, HR on monitor 90-108, SpO2 98%. At 1002, notified ED charge nurse that patient will be escorted for further monitoring, work up if necessary. Still no respiratory or swallowing symptoms. At 1002, patient escorted to ED by RN, ambulated without difficulty. Upon ED arrival, patient reported feeling "fine" without symptoms. |
|
| VAERS ID: |
906825 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness,
Dry throat,
Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes PA-C (Physician Assistant) ? ? General Surgery/Trauma Cosign Needed Expand All Collapse All ? COVID VACCINE CLINIC 12/22/2020 ? Patient: DOB: Date: 12/22/2020 MRN: 5380787 ? Subjective Patient is a 23 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination. ? He denied any history of previous adverse reactions to vaccines. He does report recent hx of GI symptoms that he is currently being worked up for. He reports onset of similar sx around time of vaccine injection. ? He was given the Pfizer vaccination in the deltoid muscle. ? During his 15 minute waiting period after the injection, the patient began to experience dizziness, throat dryness, and nausea. He denied rash, hives, difficulty breathing, difficulty swallowing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and he was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with stridor, vomiting, abdominal pain and hypotension. ? ? ? Review of Systems Otherwise negative, except for above ? Objective ? Vitals Vitals: ? 12/22/20 1131 BP: 118/66 Pulse: 88 SpO2: 96% ? ? Physical Exam Constitutional: Appearance: Normal appearance. HENT: Head: Normocephalic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Palpations: Abdomen is soft. Neurological: Mental Status: He is alert. ? ? Assessment/Plan ? Treatment included no therapy. Follow up response to treatment:no side effects. Patient discharge: Stable to go home and follow up with PCP. ? Patient was monitored in the emergency bay without worsening or evolving sx. Orthostatic vitals signs were negative for hypotension or tachycardia. He was able to ambulate well without assistance and reported improvement of sx prior to discharge. Signs and symptoms of systemic hypersensitivity were reviewed and discussed with instructions to call 911 or report to the ED if SOB, throat/lip/tongue swelling, chest tightness, n/v, abdominal pain, or pruritic rash develop. ? ? PA-C Electronically Signed 12/22/2020 12:08 PM ? ? |
|
| VAERS ID: |
906830 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dry mouth,
Dysgeusia,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: Dry mouth, lightheaded, dizziness, increased Hear Rate (89), normally in the 50s. Initial symptoms resolved within 90 minutes. Increased heart rate lasted longer than other symptoms. Reports additional metallic taste in mouth the following day. |
|
| VAERS ID: |
906831 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dry mouth,
Dysgeusia,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: Dry mouth, lightheaded, dizziness, increased Hear Rate (89), normally in the 50s. Initial symptoms resolved within 90 minutes. Increased heart rate lasted longer than other symptoms. Reports additional metallic taste in mouth the following day. |
|
| VAERS ID: |
906842 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure measurement,
Chest discomfort,
Electrocardiogram normal,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (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: Progesterone, Vitamins.
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin and Sulfa
Diagnostic Lab Data: EKG and BP
CDC Split Type: vsafe
Write-up: Gave me shot did not feel anything. Probably 2-3 minutes later, it started to feel flush and chest tightening, and heart started racing. I did sit down, because they were monitoring us. Had my Apple watch on and heart was going up and down. They kept me monitored for about 30-45 minutes before I was hooked up to BP pressure machine. First reading was 180/110. At that point, they asked if I wanted to go to ER. I went to ER and they did an EKG which was normal. Heart rate came down with Benadryl. I was still feeling little tight in chest. Blood pressure 167/97 upon discharge. Sent home instructed to take Benadryl. At home was relaxing, few hours later, heart rated spiked again and stayed for 15-20 minutes. Took Benadryl and heart rate came down. Did not take BP at home. Next day one other time where heart rate spiked again. |
|
| VAERS ID: |
906854 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Idaho |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dyspnoea,
Flushing,
Nausea,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Denies
Allergies: Denies
Diagnostic Lab Data:
CDC Split Type:
Write-up: Shortness of breath, heavy chest, heart racing, flushed, nausea |
|
| VAERS ID: |
906858 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Iowa |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Malaise,
Pallor,
Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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: heart palpitations
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: At the 10 minute mark patient reported not feeling well. She was noted to be pale. Then she reported having slight breathing problems along with her heart racing. Call for ER staff to report to vaccinating area. Patient''s breathing concern resolved on its own by the time ER response team arrived within 2 minutes. Patient slowly gained her color back. Heart palpitations lessening but still reported by patient. Blood pressure / O2 Saturations / Respiratory rate monitored. No oxygen or treatment required at this time. Patient taken upstairs to be monitored by ER staff. |
|
| VAERS ID: |
906867 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Palpitations,
Pruritus,
Rash
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VitaminC, Vitamin B, Glucosamine Chondroitin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Heart racing , 15 minutes after vaccine was administered, lasting for about 10-15 min. Itching and rash on chest and upper back about an hour after vaccination. |
|
| VAERS ID: |
906875 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling hot,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Employee complained of feeling hot, heart racing, stating "I feel like I am going to pass out." Vital signs taken, BP and HR WNL. Employee states she has not eaten since 0200, water and snack provided. Vitals retaken in 15 minutes WNL and employee states she is back to baseline following 30 minutes of monitoring. Dr. present at this time and assessed employee, occupational health to follow-up. |
|
| VAERS ID: |
906912 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Cardiovascular evaluation,
Diarrhoea,
Electrocardiogram change,
Fatigue,
Heart rate increased,
Palpitations,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 20 years ago I had a high fever after getting a flu shot this year no reactions
Other Medications: Centroid, Vitamin D and C
Current Illness: no
Preexisting Conditions: Hypothyroidism
Allergies: Shellfish
Diagnostic Lab Data: Cardiac Workup (EKG), at the vaccination site, in the ambulance en route to ER and at ED. Labs done at ED. My heart rate has calmed down but my EKG has had changes from my baseline and I have a FU appt wth a cardiologist in January. Still have fatigue and diarrhea.
CDC Split Type: vsafe
Write-up: About 5 min after I got the vaccine I was on observation and I started getting a rapid, pounding, heartbeat, they waited about 5 min and it started getting faster and stronger, so they called paramedics to take me to the ER. It seemed it could be a severe reaction, I had fast rate for several hours and also broke up in hives while I was at the ER. They did a cardiac workup and noticed I had change on my heartrate according to the EKG they had previously done. |
|
| VAERS ID: |
906928 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cough,
Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diphenhydramine 50 mg, Albuterol inhaler 2 puffs
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Lortab, estro-testrodiol, penicillin, orange, latex, and adhesive.
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient with a reported history of anaphylaxis to several things and carries her own EpiPen. She was brought to monitoring room at 1835 With complaints of cough and at that time had taken two puffs of albuterol inhaler. Patient also reports some medicating with 50 mg of Benadryl two hours prior to vaccine. O2 sats were 99% heart rate 69 and lungs CTA. At 1845 patient self dosed another 2puffs ofalbuterol. At 1845 HR 130 and sats 98%. At 1850, BP 173/139 HR 127. Patient continued to develop a progressive cough and SOB. Consulted Dr. by phone. We dosed with Zyrtec 10 mg po and assisted pt with administration of her own epi-pen. Followed up with ED next day. Pt had been escorted there from vaccine clinic after epi-pen administration and progressive SOB. ED reported pt remained hemodynamically stable and A&O x 4. Treatment consisted of Benadryl 50 mg IV, Pepcid 20mg,IV, solumedrol 125 mg IV, fluids 1L, and racemic epi. Discharged home after 3 hours. |
|
| VAERS ID: |
906933 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Palpitations,
Pyrexia,
Ventricular extrasystoles
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram, colace, Linzess, Melatonin
Current Illness: None
Preexisting Conditions: Anxiety, chronic constipation
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Fever of 100.2-101.1 (axillary), heart rate $g 100 all day, palpitations, PVCs, ventricular bigeminy for 20-25 min (verified with ECG app on apple watch). Symptoms started at 4am (almost 12 hours after receiving vaccine) and lasted until I went to bed at 9pm. I took advil throughout the day and when I woke up at 5am Tuesday (36 hours later) I felt completely normal. |
|
| VAERS ID: |
906945 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chest discomfort,
Dyspnoea,
Electrocardiogram normal,
Flushing,
Headache,
Heart rate increased,
Nausea,
Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant 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), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PCN, Embrel
Diagnostic Lab Data: Benadryl, Pepcid, Solumedrol, Zofran
CDC Split Type:
Write-up: 15 minutes after injection: headache, 10.minutes after injection: flushed skin, rapid heart rate - taken to the ER where she developed SOB, Chest heaviness, nausea, tingling in the hand- Treated with Benadryl, Pepcid, Solumedrol, Zofran, Elevated heartrate, BP stable, no O2,normal EKG 1445 client released from ER |
|
| VAERS ID: |
906953 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood glucose normal,
Chest pain,
Ear discomfort,
Electrocardiogram normal,
Erythema,
Flushing,
Heart rate increased,
Nasal discomfort,
Oral discomfort,
Paraesthesia,
Paraesthesia oral,
Pharyngeal paraesthesia,
Pregnancy test urine,
Tachycardia,
Throat irritation,
Tongue discomfort
SMQs:, Anaphylactic reaction (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: levothyroxine 100 mcg, sertraline 50 mg, one a day prenatal vitamin, Luden''s cough drops
Current Illness: respiratory cold the days before. No fever day before or day of vaccination. Slight congestion and cough were only symptoms. COVID PCR done 2 days prior was negative.
Preexisting Conditions: Hashimoto''s hypothyroidism, anxiety, 5 months postpartum, currently breastfeeding
Allergies: No known allergies
Diagnostic Lab Data: 12/22- 12 lead EKG and vital sign monitoring. Normal sinus rhythm. Slightly tachycardiac at some times. POCT blood glucose 90, urine pregnancy test. No other labs were drawn or treatments given. Took Benadryl once home.
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA Within 5-10 minutes of vaccine, burning and tingling sensation started in chest, moving into throat, tongue, mouth, nose, and ears. Flushing sensation and red ears. Increased heart rate, resolved after a few minutes. Was treated in the ER and released from hospital. EKG and vitals were checked, no labs drawn. Occasional burning and tingling sensation but resolves within a few minutes, mainly in chest and tongue. Occasional symptoms ceased in about 3 hours. |
|
| VAERS ID: |
907008 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling hot,
Heart rate increased,
Palpitations,
Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hearing impairment (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin, prestiq, protonix, multivitamin, fish oil, calcium, vitamin D
Current Illness: N/A
Preexisting Conditions: Migraines
Allergies: Vicodin, augmentin, keflex, sulfa
Diagnostic Lab Data: N/A Patient declined twice to be taken to ED, went back to work. Made aware to follow up w/primary care physician by the Employee Health RNs.
CDC Split Type:
Write-up: @ apprx 1315 patient started feeling heartbeat beating fast, then racing. States she felt hot, dizzy, ears were ringing-the ringing resolved upon being seated. Patient was given 25 mg liquid diphenhydramine (and seated with legs elevated- back of exam table elevated to an approx. 60 degree angle). HR 109, BP 144/87, afebrile, o2 sat 100% on room air. |
|
| VAERS ID: |
907016 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Iowa |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-20 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Body temperature increased,
Dizziness,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient complained of "racing heart beat, dizziness" BP noted 141/92 P104 oxygen 99 repeat temp 97.6 BP 145/89 P96 repeat BP 145/95 Pulse 104 taken to ER for further evaluation and treatment. Temperature rose to 101 while in ER. Patient reports symptoms resolved approximately 1 1/2 hours after injection "feels fine" now Discharged home steady gait. |
|
| VAERS ID: |
907051 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Male |
| Location: |
Texas |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Body temperature increased,
C-reactive protein normal,
Clumsiness,
Electrocardiogram normal,
Eosinophil count increased,
Fatigue,
Full blood count normal,
Headache,
Limb discomfort,
Loss of personal independence in daily activities,
Malaise,
Metabolic function test,
Musculoskeletal stiffness,
Pain,
Pain in extremity,
Palpitations,
Paraesthesia,
Red blood cell sedimentation rate normal,
Troponin normal,
White blood cell count increased
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diabetes and Hypertension meds
Current Illness: No
Preexisting Conditions: Diabetes, Hypertension, Migranes, Neuropathy, History of Vasculitis- In remission
Allergies: NO
Diagnostic Lab Data: CBC- normal White blood cells count-elevated CMP- normal with elevated BS Eosinophils- mildly elevated Trop-normal EKG-normal ESR and CRP-normal
CDC Split Type: vsafe
Write-up: On 12/16 about 10pm I began having arm pains and took tylenol. 12/17 woke up feeling exhaused with severe body aches, headache and a 101 temp. I went to work but had to leave because I just wasnt feeling good. On 12/18 I went back to work but could not perform so I had to leave again and was still experiencing the severe body aches and headaches but no fever. I was suppose to work on both 12/19 and 12/20 but had to call in. On 12/19 still same symptoms with no fever but around 5pm I began to have palpations and heart racing which caused me to go to the ER. I was given fluid and labs was done and monitored for a few hours and was released after the fluid was given. On 12/20 felt pretty good still tired and exhaused feeling and on 12/21 I felt good but later that evening I noticed my forearms began to feel stiff, tingly and heavy. My hands began to feel stiff and is very sore. Continue to feel very tired with body aches and continued to take tylenol. This morning I felt ok but after fixing breakfast the symptoms came back and they feel like the same symptoms I had when I had the vasculitis in 2009-2010 and that concerned me so I discussed it with a Neurologist and Immunologist who I will reach out to after the holidays to schedule an appointment. I have an appointment scheduled with my PCP for additional labs on tomorrow 12/23 and I have not been able to work since getting the vaccine. My hands feels clumsy and I am constantly dropping things since yesterday |
|
| VAERS ID: |
907052 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Male |
| Location: |
Utah |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20-2A / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Chest pain,
Dizziness,
Irritability
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Semaglutide 0.5mg sub q injection weekly Glipizide 5 mg tab BID Vit D3 2000IU tab daily Empagiflozin/metformin 10mg/1000mg XR tab daily
Current Illness: 1)Myopia, Bilateral - 2)Diabetes mellitus type 2 without retinopathy - 3)Type 2 diabetes mellitus - diagnosed in 2017 (date of onset is estimated) 4)Obesity - 5)Vitamin D deficiency - 6)Tinea corporis -
Preexisting Conditions: 1)Myopia, Bilateral - 2)Diabetes mellitus type 2 without retinopathy - 3)Type 2 diabetes mellitus - diagnosed in 2017 (date of onset is estimated) 4)Obesity - 5)Vitamin D deficiency - 6)Tinea corporis -
Allergies: NKA
Diagnostic Lab Data: NA
CDC Split Type:
Write-up: Pt with dizziness and chest pain that started about 10 minutes after getting the Moderna Covid19 vacccine. No shortness of breath, no rash, no fever, no swelling, no weakness. Feels pain in center of chest and on L side. Pt also has been having stress with work. Pain started in the R side of the chest and migrated to the L side. It improved with Nitro and Aspirin but pt states he still feels, "fussy." He has no symptoms of allergic reaction or anaphylaxis. Pt has no known hx of cardiac dz, nonmoker, nondrinker. His Mom has a cardiac murmur but no other known history of heart disease. |
|
| VAERS ID: |
907055 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Abdominal discomfort,
Blood pressure increased,
Disturbance in attention,
Dizziness,
Flushing,
Headache,
Heart rate increased,
Nausea,
Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amitriptyline 25mg at bedtime Levothyroxine 175mcg daily in am
Current Illness: No
Preexisting Conditions: No
Allergies: Allergies to vancomycin
Diagnostic Lab Data: N/a
CDC Split Type:
Write-up: 30 mins later I became completely dizzy, flush and had hard time focusing. I was placed on a gurney and blood pressure was taken. 158/103. Usually runs 110/60. Was told to go to ER but I declined. They monitored BP for about 45minutes. I then went home and did same thing. BP stayed high for two days. With headache. I stayed on the couch for those days. Monday I went to work because blood pressure was down. But now my HR is up. Highest in 130?s I felt a little dizzy. I had stomach upset and nauseous with mild headache. Left arm pain Today Tuesday as soon as I exert myself my heart rate goes up. I have mild headache |
|
| VAERS ID: |
907060 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Chest discomfort,
Fatigue,
Injection site warmth,
Oropharyngeal discomfort,
Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (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: Denied
Current Illness: Denied
Preexisting Conditions: Denied
Allergies: Nkda
Diagnostic Lab Data: non
CDC Split Type:
Write-up: 1015 c/o chest heaviness, scratchy throat, heart racing states injection site feels warm. taken to cot to monitor VS 173/86 P 126 RA100 States worked last night, drank Monster drink, tired and little anxious. 1020 states sx are decreasing VS 143/85 94 100 RA sitting up drinking juice and eating granola no distress noted 1035 states throat is little scratchy still given Bendadryl 25 mg PO per VO Dr. no distress noted, very calm states some chest heaviness 1/10 pain scale denies any other sx at this time sitting on edge of bed 1048 BP130/73 87 100RA pain 1/10 chest discomfort decreased, denies HA, SOB, states throat still little scratchy but not bad at this time denies any pain at site. Site is warm to touch denies any pain at site no redness noted at this time 1100 BP 125/79 82 100 RA denies pain 0-1/10 sitting up states feeling much better denies pain in chest, minor scratchy throat but relieve 1115 Monitored for 60 minutes released to girlfriend given instruction to go to ER if any other sx. |
|
| VAERS ID: |
907074 (history) |
| Form: |
Version 2.0 |
| Age: |
82.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Atrial fibrillation,
Condition aggravated
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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: atrial fibrillation hx
Preexisting Conditions: atrial fibrillation hx
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:
Write-up: EMS called after patient displayed a heart rate of 160, a little over an hour after vaccine administration. Patient was taken to the hospital and diagnosed with an episode of RVR Afib; she was admitted to the hospital. |
|
| VAERS ID: |
907082 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood test normal,
Heart rate abnormal,
Heart rate increased,
Paraesthesia oral,
Skin warm,
Tongue discomfort
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth control -Incassia .35mg daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Blood drawn 12/18/2020 Normal Labs Heart Monitor 12/18/2020 intermitted
CDC Split Type: vsafe
Write-up: Warmth tingling on tongue and Lip 15 mins after vaccine Accelerate heart rate 120-130 7 hours after vaccine accelerated heartrate 120 10 pm 5am 12/19/2020 Heartrate of 100 12 Noon 12/19/2020 Heartrate of 100 12/202020 10 am Accelerate heart rate of 100 12/20/2020 5 pm Accelerate of heartrate of 100 oral Benadryl 25mg in the ER |
|
| VAERS ID: |
907085 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
North Dakota |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
RA / - |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Hot flush,
Immediate post-injection reaction,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Patient felt heart racing immediately after getting vaccine. Vital signs taken: BP163/84 P:150 O2Sa:100% Patient felt hot flush all over face. Got patient ice water and had patient call for a ride home. Friend is coming to get her. Vitals taken 1802: BP: 147/116 P122 SaO2: 100% Patient sitting resting. Vitals taken: 1809: BP 156/90 P:113 Sao2:100% Patient started having chills - warm blankets given. Vitals taken 1820: BP: 138/94 P: 109 SaO2:100% T:98*F Patient resting in chair. Friend arrived to provide ride home. Vitals taken 1830: 142/84 P:94 SaO2: 100% Vitals taken 1850: BP:127/87 P:102 SaO2: 99% Patient did state that she has been under extreme stress with the death of her husband in November. And today was her first day back to work. Had patient stand and walk around a little, no dizziness noted. Gave her some pretzels to snack on and after 5 minutes she stated she was feeling almost back to normal. Patient''s friend is an RN and was going to have patient spend the night at her home. Patient stated she did not feel she needed to see a provider and felt that she would be ok in her friends care. |
|
| VAERS ID: |
907106 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Hawaii |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Heart rate increased,
Hypertension,
Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), 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), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Dizziness/wooziness, shortness of breath, muscle aches, high BP and heart rate |
|
| VAERS ID: |
907109 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dysphonia,
Palpitations,
Paraesthesia oral,
Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (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: Metformin, Jardiance, atorvastatin, irbesartan, januvia, vitamin D
Current Illness: none
Preexisting Conditions: diabetes, hypertenion, hyperlipidemia
Allergies: sundried tomatoes
Diagnostic Lab Data:
CDC Split Type:
Write-up: approximately at 3;32pm felt heart racing, then 2-3 minutes later tongue tingling, few minutes later felt a lump on throat. 25mg benadryl taken, hoarse voice and anxious, then another 25mg benadryl taken. I was then taken to ER for observation. I was given pepcid and prednisone in ER. Continued to feel lump in throat but no shortness of breath or difficulty breathing. Felt calmer and normal heart rate. Discharged approximately at 5:30 pm |
|
| VAERS ID: |
907115 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Maine |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Dysgeusia,
Dysphagia,
Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), 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), Hypertension (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amlidipine 5 mg, celexa 20 mg, IUD
Current Illness: none
Preexisting Conditions: hypertension; mild anxiety with hx of panic attacks in pregnancy;
Allergies: hx of shellfish allergy (remote, but needed epinephrine); bee sting allergy hx and hives to lobster as adult;
Diagnostic Lab Data: none
CDC Split Type:
Write-up: patient had immediate onset of metallic taste in her mouth and felt a slight tingling in mouth and slight need to focus on swallowing without any difficulty with breathing; no sense of doom, no lightheadedness, no palpitations, no problems breathing. blood pressure was 196/112 with HR of 110 at 4:20 pm, then was 204/112 at 4:28 with pulse of 90; her heart and lung exams were normal without any wheezing; speaking in full sentences; she sat and rested for the 30 minutes and her blood pressure returned to 142/97 with pulse of 68. injection site looked fine and patient was comfortable to go home. |
|
| VAERS ID: |
907118 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Dizziness,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:
Write-up: Dizzy, heart palpitations. Was taken to the ED for evaluation |
|
| VAERS ID: |
907127 (history) |
| Form: |
Version 2.0 |
| Age: |
68.0 |
| Sex: |
Female |
| Location: |
Maine |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Feeling hot,
Nausea,
Nervousness
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Warfarin, verapamil, levothyroxine, atorvastatin;
Current Illness: none
Preexisting Conditions: afib and anticoagulation, hypercholesterolemia, rheumatic heart disease
Allergies: atenolol, spireva - both created asthma responses
Diagnostic Lab Data: none
CDC Split Type:
Write-up: patient was very anxious and nervous prior to the vaccine, and felt fine at the time of the shot, but became slightly nauseated and felt "nerves" and "like I was a nervous wreck" - she felt overheated and was speaking calmly, in full sentences. her HR and BP were normal at 76 bpm and 129/70. her lungs were clear, heart was regular (known heart murmur), no skin changes, not sweating. she rested and upon further evaluation was feeling fine. |
|
| VAERS ID: |
907131 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Iowa |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations,
Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin, Alprazolam (as needed), Loratadine, Omeprazole, Vitamin D, Calcium, Multivitamin
Current Illness: None known
Preexisting Conditions:
Allergies: Morphine, Strawberries, Prochlorperazine, Septra, Penicllin, Levaquin, Ciprofloxacin, Cephalexin, Ceftriaxone
Diagnostic Lab Data:
CDC Split Type:
Write-up: About 10-15 minutes after receiving vaccine patient reported that her heart began to race and throat began to swell. |
|
| VAERS ID: |
907155 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: About 30 minutes after vaccination while driving home, tingling was noted in injection arm, traveling up the left arm into the left neck and around the lips. Tingling resolved but the next day tingling was noted to be diffuse, light and scattered through arms, hands, fingers, and legs equally and bilaterally. No dermatomal or distinct nerve distribution. Tingling worsened by sitting on legs, became dense tingling in the anterior shins upon standing, but then resolved a few minutes later to the more diffuse light tingling. No notable difference in strength (able to hike and cook). No notable numbness. No rashes, no shortness of breath, no changes in heart rate. |
|
| VAERS ID: |
907331 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Abdominal discomfort,
Asthenia,
Chest discomfort,
Dizziness,
Hypoaesthesia,
Immediate post-injection reaction,
Nausea,
Palpitations,
Rash macular
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cetirizine, Advil,
Current Illness: No
Preexisting Conditions: ASTHMA
Allergies: NDKA
Diagnostic Lab Data: ED administrated methylprednisolone sodium succinate 125mg, Benadryl 50 mg, and Ativan 1mg IV.
CDC Split Type:
Write-up: Employee presented for COVID 19 vaccination: Survey reviewed, no history of Anaphylaxis reaction Moderna 1st dose given today to Left arm. She immediately developed Numbness to her body, chest tightness, and abdominal discomfort. Remained Alert and oriented, voiced concerned she felt like she was going to pass out. She developed blotchy skin to chest and neck area within minutes of injection. Patient sat in a wheelchair. Vital taken: BP 140/98 Pulse 123, given water to drink, tolerated well. She quickly reported she continued with above stated ymptoms, and continued with nausea, blotchy skin, heart racing and weakness. She was given 0.3mg of Epinephrine IM to right arm and taken to the ED |
|
| VAERS ID: |
907198 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 6 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Extrasystoles,
Fatigue,
Headache,
Myalgia,
Rhinorrhoea,
Sneezing
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Hypokalaemia (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: multivitamin tables, vitamin D, omega 3
Current Illness:
Preexisting Conditions: mild intermittent asthma
Allergies: none known
Diagnostic Lab Data:
CDC Split Type:
Write-up: Extreme Fatigue (started 3 days after vaccine), ''skipped heart beats'' at least 4 times during the date of report (6 days post injection), daily morning headaches (started 2 days after vaccine) with runny nose and sneezing (started 4 days after vaccine) and myalgias with chills intermittently, |
|
| VAERS ID: |
907243 (history) |
| Form: |
Version 2.0 |
| Age: |
58.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Palpitations,
Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: Latex and Shell fish
Diagnostic Lab Data: EKG
CDC Split Type:
Write-up: Patient received Pfizer -BioNTech COVID-19 vaccine in the clinic. At check out, patient reported ''heart racing, dizziness, and feeling flushed" ED Proceed Out called. Patient evaluated by ED team. Patient transported to ED for further monitoring. In ED, patient complained of mild throat tightness which was resolved by Benadryl. patient was monitored for 4 hours and was discharged home on benadryl |
|
| VAERS ID: |
907293 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Military Purchased by: ?
Symptoms: Cardiac discomfort,
Chest discomfort,
Condition aggravated,
Erythema,
Eye swelling,
Fear,
Gingival pruritus,
Head discomfort,
Hypertension,
Impaired work ability,
Pruritus,
Sleep disorder
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Gingival disorders (narrow), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: High blood pressure medication
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: PCN
Diagnostic Lab Data:
CDC Split Type:
Write-up: On the date of the vaccine that night my blood pressure went up to 143/130 which is higher than it has ever been. My blood pressure the bottom number would not go under 100. The entire night my head felt like I was in a tunnel and my heart and chest felt tight. I was unable to work the following day due to not getting any sleep out of fear of something tragic happening to me. In addition last night or early this morning at 3 AM I woke up and my body was itching all over. The palms of my hands were itching my gums were itching I had red marks on my body and had Not done anything out of the ordinary or eight anything out of the ordinary. I took two Benadryl?s and was able to fall back to sleep for a little while and now the itching has stopped but my eyes are swollen. |
|
| VAERS ID: |
907323 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Chest pain,
Dyspnoea,
Electrocardiogram,
Immediate post-injection reaction,
Palpitations,
Tachycardia,
Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), 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:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Aspirin
Diagnostic Lab Data: EKG: Sinus tachycardia with no ST segment elevation. Patient does have T wave inversion noted in leads III and aVF, however this was present in lead III on EKG in November 2018.
CDC Split Type:
Write-up: Patient was given covid vaccine, and within 3 minutes, began to develop tachycardia. Patient was placed in chair to be assessed, vital signs done. HR was 160 to begin, dropping to 140, and 117 when being transported to ED for evaluation. Patient stated that she felt like her chest was on fire, and heart was going to beat out of chest. Rapid Response Team called, and team responded, bringing patient to ED for closer evaluation. From the ER MD: 39 year old female patient who was a rapid response after receiving her Covid vaccination. She began to have palpitations and was tachycardic. She appeared to be very tremulous and anxious. She has no known history of allergic reactions. She denies recent illnesses including fevers and chills. Patient felt short of breath. She had an O2 sat of 100% on room air. Lorazepam 1mg po x1 dose ordered and was administered. |
|
| VAERS ID: |
907342 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / SYR |
Administered by: Public Purchased by: ?
Symptoms: Bone pain,
Chills,
Dizziness,
Feeling cold,
Headache,
Heart rate increased,
Pain in extremity
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Osteonecrosis (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 40 mg fluxoteine Allegra Centrum womens multivitamins
Current Illness:
Preexisting Conditions: Premenstrual dysphoric disorder
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: 3hrs after had normal arm pain. 1030 am following day woke up with shivers, soo cold my bones of my spine and arms were hurting. Headache, dizziness and heart rate over 130 (normally low 60s) |
|
| VAERS ID: |
907410 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Abdominal distension,
Anxiety,
Blood pressure increased,
Dizziness,
Dysphagia,
Eructation,
Palpitations,
Tachycardia,
Tunnel vision,
Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: birth control
Current Illness: cold
Preexisting Conditions:
Allergies: snake venom
Diagnostic Lab Data:
CDC Split Type:
Write-up: Medical History: severe anaphylactic shock requiring intubation related to rattlesnake bite August 2019. On September 2019, I went to the dentist and received septacaine, mouth and face swelled up immediately. Toxicologist said this was due to me still being in a "cytokine storm." 12/22/2020- I received my COVID-19 vaccine by Moderna. Within 5 minutes of me receiving the vaccine I first experienced tachycardia, felt my heart pounding, dizziness, and tunnel vision. Three hives, dime sized, appeared on my chest within 10 minutes of the vaccine. I felt difficulty swallowing (may have been anxiety related). The dizziness was intermittent for the next hour. I took 25 mg of Benadryl 15 minutes after the shot. My blood pressure was elevated for an hour, 170s/100 s, Osat maintained above 94%, and heart rate 80s-90s. My resting HR and BP are 100s/60 and HR 61. I also started to feel bloated and burping. An hour and a half after the shot, the symptoms resolved and I drove home |
|
| VAERS ID: |
907414 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Diarrhoea,
Extrasystoles,
Heart rate irregular
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Tachyarrhythmia terms, nonspecific (narrow), Noninfectious diarrhoea (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Irregular, skipping heartbeat, improved. Diarrhea, resolved. |
|
| VAERS ID: |
907427 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Blood glucose normal,
Blood thyroid stimulating hormone normal,
Electrocardiogram abnormal,
Fatigue,
Fibrin D dimer normal,
Full blood count normal,
Metabolic function test,
Palpitations,
Sinus tachycardia
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: SVT
Allergies: None
Diagnostic Lab Data: D Dimer: neg EKG: sinus tach 111 CBC: wnl TSH: wnl CMP: glucose 104
CDC Split Type:
Write-up: COVID vaccine admin 1645 around 1715 sudden onset heart palpitations feels like heart racing, employee heart rate was noted to be 170s, employee was escorted to the ED. 12/23/2020 1030 spoke with Employee she advised d/c from ED last pm, this am resting heart rate 90s, but 140''s-150''s with ambulation. Denies chest pain, shortness of breath, palpitations, cold symptoms, n/v/d. Has reported moderate fatigue this am. |
|
| VAERS ID: |
907429 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Condition aggravated,
Fatigue,
Headache,
Injection site pain,
Myalgia,
Palpitations
SMQs:, Rhabdomyolysis/myopathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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: prenatal vitamins, aspirin 81mg daily, fish oil
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:
Write-up: injection site soreness, mild headache, fatigue, muscle aches with hear palpitations x 2 days then it started to improve and resolved on day 3. I am also breastfeeding an infant. There were mild heart palpitations the day prior to getting vaccine as well, which are not uncommon to patient during times of stress. |
|
| VAERS ID: |
907440 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Activated partial thromboplastin time normal,
Asthenia,
Blood creatinine normal,
Blood electrolytes normal,
Blood glucose normal,
Blood urea normal,
Brain natriuretic peptide normal,
Differential white blood cell count normal,
Dizziness,
Fibrin D dimer normal,
Flushing,
Full blood count normal,
Heart rate increased,
Human chorionic gonadotropin negative,
International normalised ratio normal,
Laboratory test,
Troponin I normal,
X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Vestibular disorders (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: Vitamin D3, Zinc, Vitamin C, Birth control
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: Xray, IV fluids, IV Benadryl, lab tests. Lab tests included activated PTT, BNP, BUN, CBC, Cr, D-dimer, Electrolyte panel, Glucose, INR, HCG, Troponin I, WBC. All test results WNL
CDC Split Type:
Write-up: I received the vaccine and the sat to wait the 15 minutes of observation. Within 5 minutes of receiving the vaccine I started to feel flushed and felt my heart rate increasing . They took my vitals and my heart rate increased to 175. I was taken to the Emergency room. Given IV fluids, IV benadryl, and monitored. My heart rate came down but continues to stat at 90-100s at rest. Almost 24 hours in now and I am very weak with no energy. I still get dizzy intermittently and my heart rate increases easily. |
|
| VAERS ID: |
907494 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dry mouth,
Electrocardiogram abnormal,
Feeling of body temperature change,
Hypoaesthesia oral,
Palpitations,
Sinus tachycardia
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), 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:
Other Medications: Bupropion 150 mg daily, clobetasol topical 1 app BID (cont). Multivitamin 1 tab daily, ibuprofen 600 mg every 6 hours PRN
Current Illness:
Preexisting Conditions: Anxiety
Allergies: NKA
Diagnostic Lab Data: EKG - interpretation sinus tachycardia, no ischemic changes
CDC Split Type:
Write-up: Patient summoned nurse over while waiting 10 minutes post-vaccination. Stated felt heart racing and like she was alternating getting hot/cold however skin was warm, pink and dry on palpation. Radial pulse 140 bpm. SpO2 100%. Stated she had a history of anxiety; nurse reassured and distracted her which helped symptoms initially but then symptom of heart racing returned accompanied by dry mouth and numbness of upper lip. Was transported in wheelchair to ED by RN. Discharged from ED after 2 hour observation diagnosed as suspected anxiety attack; was instructed to follow-up with PCP and Employee Health regarding receipt of 2nd dose. |
|
| VAERS ID: |
907504 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Fatigue,
Feeling abnormal,
Palpitations,
Pyrexia,
Tearfulness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular 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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Date and time of symptom onset: 12/17/20 at 4:15 PM Symptoms: 12/17 during 30 minute observation window, patient reports the following symptoms: felt dizzy, heart palpitations, shortness of breath and difficulty breathing. Patient reports, ?I didn?t tell anyone because I didn?t know who the monitors were. I tried to get eye contact with someone, but I wasn?t able to. I didn?t want to stand up because I was afraid I would pass out and would be really embarrassed for causing a scene.? Patient was tearful on phone when describing account. Patient verbalized concerns with being unable to determine who was assigned to be monitoring employees after vaccination administration. Patient reports she did not notify anyone of her symptoms/what she experienced and remained at designated ?monitoring? location for 40 minutes before she drove home. Patient endorses, ?I probably shouldn?t have driven, but I did anyway.? Patient reports she struggles with anxiety and wondered if what she was feeling was a result of hx of anxiety. Patient reports resolution of SOB approx. 1 hour she got home. Patient endorses hx of ADHD, depression, thyroid issues and hypoglycemia. Patient reports compliance of prescribed medications. Patient reports the following timeline for symptoms listed: Dizziness: Patient reports continued intermittent dizziness (denied at time of call) and feelings of ?cloudiness/spaciness?, currently experiencing today Headache: began with severe headache on night of 12/17 and continued with headaches, pt denies headaches today (12/23). Patient with hx of migraines Heart palpitations: continued with heart palpitations through evening of 12/17, intermittent palpitations on 12/18 and 12/19, denies palpitations today. Fever: low-grade fever on 12/17 (pm) and 12/21 (am), denies fever since 12/21 and has not taken antipyretics since 12/21 at approx. 9:30 pm. At time of call: Patient endorses continued ?cloudiness and feeling spacy.? Patient reports feelings of fatigue. Last day of work and shift: 12/23, working from home Home remedies: Rotated Tylenol and motrin, last dose of motrin at 9:30 PM on 12/21 Patient scheduled PTO on 12/18 and 12/21 due to concerns of not feeling well after vaccine. |
|
| VAERS ID: |
907505 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Male |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Asthenia,
Blood thyroid stimulating hormone,
Chest pain,
Dizziness,
Dyspnoea,
Feeling abnormal,
Feeling hot,
Fibrin D dimer normal,
Full blood count normal,
Headache,
Malaise,
Nausea,
Palpitations,
SARS-CoV-2 test negative,
Troponin normal,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (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: bergamot BPF
Current Illness: no other illnesses
Preexisting Conditions: high cholesterol
Allergies: no known allergies to medications, some reaction (hives) to certain laundry detergents
Diagnostic Lab Data: COVID19 test negative on 12/20/20, normal cbc 12/20/20, normal tsh normal cbc, negative d-dimer, negative troponins
CDC Split Type:
Write-up: Initial symptom date was 12/20/2020 around 4PM while driving. I felt hot, dizzy, and short of breath with no prodromal symptoms. I had felt as if my brain was in a fog the entire time and was having intermittent waxing and waning bouts of worse shortness of breath. However, the pulse oximetry at the time was within normal limits ranging from 95% to 99% at rest but with a few instances where it dropped to 94%. At that time, I had returned back home and laid in bed. I did feel anxious because I have never had these symptoms in the past. Admittedly I was worried that it could have been COVID. So I went with my symptoms to the ED later that day because I developed nausea and near vomiting (I am a reluctant vomiter and it is hard for me to vomit). There I was given antiemetics and fluids and had a CBC done along with a thyroid panel which were within normal limits. I was discharged with zofran after feeling improved with the treatment at the ED. The next day I was feeling weak but the feeling of shortness of breath was intermittent but not unmanageable. I could see that with my portable pulse oximeter that my pulse ox sometimes dropped to 93/94% on room air while I was walking around so I opted to stay in bed. I was able to eat some food at this point because the nausea has improved. I am staying hydrated with both water and Gatorade. I received my results of the COVID19 swab at 18:40 and it was negative and not in a pooled sample. I am relieved but I still feel the similar symptoms previously described above. I then prepared to go to bed and after taking a shower I went to lay down and felt hot all over and extremely nauseous with a right sided headache and mild dizziness. At this point, I feel my heart is racing and my chest is burning. I was able to check my pulse ox and it was great, 99% the time I was sitting there but my pulse was in the 110s. As these events unfold, naturally I am feeling very anxious about the prognosis as I have not had these symptoms before. I was brought to the ED again on 12/22/20 for those symptoms and was given IV Reglan and Benadryl to help with the nausea and headache. The medications helped but I did have another episode of palpitations while receiving the medications. I discussed with the ED physician that it might still be anxiety and to not rule it out and was given 2mg of Ativan by mouth. Afterwards I felt calmer but I still felt unwell. |
|
| VAERS ID: |
907569 (history) |
| Form: |
Version 1.0 |
| Age: |
80.0 |
| Sex: |
Male |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 2 |
| Submitted: |
2020-12-23 |
| Days after onset: | 0 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / UNK |
LA / - |
Administered by: Other Purchased by: Other
Symptoms: Dyspepsia,
Gastrointestinal haemorrhage,
Nausea,
Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (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: 12/23 patient transferred out to acute care hospital for treatment/evaluation of gi bleed. patient does have h/o PPI use that was d/c 5/2020 and no recent gerd symptoms requiring intervention $g60 days. NauseaVomiting, GastricBleeding & heartburn |
|
| VAERS ID: |
907614 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / SYR |
Administered by: Unknown Purchased by: ?
Symptoms: Blood pressure increased,
Dizziness,
Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Elevated blood pressure Elevated pulse Heart palpitations Light headedness All started within 3 hours of receiving injection |
|
| VAERS ID: |
907652 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / OT |
Administered by: Private Purchased by: ?
Symptoms: Abdominal discomfort,
Anxiety,
Dizziness,
Hyperhidrosis,
Rash,
Rash erythematous,
Rash macular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), 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? 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: Test Date: 20201217; Test Name: HR; Result Unstructured Data: Test Result:140; Comments: At that time (18:34); Test Date: 20201217; Test Name: HR; Result Unstructured Data: Test Result:96; Comments: At 18:40; Test Date: 20201217; Test Name: HR; Result Unstructured Data: Test Result:80; Comments: At 18:47; Test Date: 20201217; Test Name: HR; Result Unstructured Data: Test Result:84; Comments: At 18:52; Test Date: 20201217; Test Name: HR; Result Unstructured Data: Test Result:68; Comments: at 18:58
CDC Split Type: USPFIZER INC2020502570
Write-up: more than likely anxiety; red, splotchy rash on her neck; sweaty; felt slightly dizzy, particularly when moving her head side to side; "tightness" in the upper middle quadrant of her stomach, near the xiphoid process; "tightness" in the upper middle quadrant of her stomach, near the xiphoid process; HR was 140; This is a spontaneous report from a contactable pharmacist. A 41-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot number: EK5730), intramuscular (IM) on the left arm on 17Dec2020 at 18:30 at a single dose for COVID-19 immunization at the hospital. The patient''s medical history and concomitant medications were not reported. The patient had no other vaccine in four weeks. Approximately 4 minutes after administration, on 17Dec2020 at 18:34, the patient complained of "tightness" in her upper middle quadrant of her stomach, near the xiphoid process. At that time (18:34), her heart rate (HR) was 140. At 18:40, her HR was 96. At 18:44, the patient had a red, splotchy rash on her neck. The patient received 25 mg of diphenhydramine (BENADRYL) orally. The patient noted that she was sweaty and she felt slightly dizzy, particularly when moving her head side to side. At 18:47, the patient''s HR was 80. At 18:52, HR was 84 and at 18:58, HR was 68. The patient stated she felt much better, dizziness seemed to resolve quickly per patient''s report. She was able to ambulate and turn her head side to side with no further difficulties. Throughout the episode, the patient denied nausea, shortness of breath, itching, urticaria or any other rash besides the redness on her neck. After discussion with the physician (MD), nurse (RN), and doctor of pharmacy (PharmD), who were present for the vaccine administration and reaction, it was determined that this was more than likely anxiety (17Dec2020 at 18:45) and not an allergic/anaphylactic reaction. The patient had no Covid prior vaccination and not Covid tested post vaccination. The events were assessed as non-serious. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were taken as a result of "more than likely anxiety; "tightness" in the upper middle quadrant of her stomach, near the xiphoid process; HR was 140; red, splotchy rash on her neck; sweaty; and felt slightly dizzy, particularly when moving her head side to side." The patient recovered from all the events on an unspecified date. |
|
| VAERS ID: |
907653 (history) |
| Form: |
Version 2.0 |
| Age: |
56.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / UNK |
LA / OT |
Administered by: Private Purchased by: ?
Symptoms: Burning sensation,
SARS-CoV-2 test,
Skin warm
SMQs:, Peripheral neuropathy (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BABY ASPIRIN; VIT D; ; ;
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Sulfonamide allergy; Ventricular septal defect; Vertigo
Allergies:
Diagnostic Lab Data: Test Date: 20201113; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 202012; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown Results; Comments: If Covid tested post vaccination: Yes
CDC Split Type: USPFIZER INC2020502644
Write-up: last night legs began burning like she had rubbed icy hot on them, extending down feet/the feeling was all over her body; This is a spontaneous report from a contactable nurse. A 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular from 17Dec2020 09:30 at single dose for immunization (reported as COVID-19 vaccine). Medical history included vertigo and small whole in heart. Concomitant medication included acetylsalicylic acid (BABY ASPIRIN), ergocalciferol (VIT D), magnesium taurate, selenium and zinc. The patient previously took Kepra, Oxtellar and Sulfa which she had allergies. The patient experienced that last night (17Dec2020) her legs began burning like she had rubbed icy hot on them, extending down to her feet. Then woke at 2am and the feeling was all over her body. Awoke again at 6am and feeling was still there. She went to work, feeling wass not confined to ankles and feet...icy hot although warm to touch. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 13Nov2020 and sars-cov-2 test: unknown results on Dec2020. Outcome of event was not recovered. |
|
| VAERS ID: |
907671 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Male |
| Location: |
Missouri |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Condition aggravated,
Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety
Allergies:
Diagnostic Lab Data: Test Date: 20201217; Test Name: heart rate; Result Unstructured Data: Test Result:approximately 100-120 bpm for about 1-2 hours
CDC Split Type: USPFIZER INC2020503061
Write-up: had a high level of anxiety with a heart rate of approximately 100-120 bpm for about 1-2 hours; had a tingling feeling all over during this time; This is a spontaneous report from a contactable consumer. A 31-year-old male patient started to receive bnt162b2 (BNT162B2), via an unspecified route of administration from 17Dec2020 08:15 to 17Dec2020 08:15 at a single dose for COVID-19 vaccine. Medical history included intermittent anxiety. There were no concomitant medications. It was reported by the patient that the night of vaccination he woke up from sleep around 0200 and had a high level of anxiety with a heart rate of approximately 100-120 bpm for about 1-2 hours. He also had a tingling feeling all over during this time. The outcome of the events was recovering. Information about Lot/batch no has been requested. |
|
| VAERS ID: |
907690 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / OT |
Administered by: Unknown Purchased by: ?
Symptoms: Unevaluable event
SMQs:
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20201219; Test Name: Heart rate; Result Unstructured Data: Test Result:110
CDC Split Type: USPFIZER INC2020503102
Write-up: Heart rate 110; This is a spontaneous report from a contactable nurse. A 39-year-old female patient received bnt162b2 (BNT162B2 lot number and expiration date were not reported) intramuscular at the right arm first dose on 19Dec2020 09:00 at a single dose for immunization. The patient had no relevant medical history. The patient''s concomitant medications were not reported. On 19Dec2020 11:00, the patient experienced heart rate 110. No treatment was received for the adverse event. The most recent COVID-19 vaccine was administered in a hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medication was received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, has the patient has not been tested for COVID-19. No Allergies to medications, food, or other products. Outcome of the event was unknown. |
|
| VAERS ID: |
907699 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Dysgeusia,
Flushing,
Palpitations,
Paraesthesia,
Skin warm
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (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; VITAMIN D [COLECALCIFEROL]; XYZAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Supraventricular tachycardia
Allergies:
Diagnostic Lab Data: Test Date: 20201218; Test Name: Heart rate; Result Unstructured Data: Test Result:pound; Comments: heart began to pound.; Test Date: 20201218; Test Name: Heart rate; Result Unstructured Data: Test Result:normal
CDC Split Type: USPFIZER INC2020503139
Write-up: heart began to pound; a warm tingling through my abdomen and chest with flushing to my face; a warm tingling through my abdomen and chest with flushing to my face; a warm tingling through my abdomen and chest with flushing to my face; a metallic sort of taste in my mouth; This is a spontaneous report from a contactable consumer (patient). A 32-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685), via an unspecified route of administration on left arm on 18Dec2020 at 10:00 AM at single dose for COVID-19 immunisation at hospital. Medical history included history of svt (supraventricular tachycardia), patient had no allergies to medications, food, or any other products. Concomitant medication included escitalopram oxalate (LEXAPRO), colecalciferol (VITAMIN D) and levocetirizine dihydrochloride (XYZAL). About five minutes after vaccination on 18Dec2020, the patient experienced a warm tingling through her abdomen and chest with flushing to her face, a metallic sort of taste in her mouth and her heart began to pound. The tingling subsided after a couple minutes and heart rate returned to normal over the next 10 minutes. The patient was monitored by the clinic nurses for another 30 minutes before released. The patient felt warm for the rest of the day but no further effects. Prior to vaccination, the patient was not diagnosed with COVID-19; Since the vaccination, the patient hadn''t been tested for COVID-19. The patient did not receive any treatment for events. The outcome of events was recovered on 18Dec2020. |
|
| VAERS ID: |
907700 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Montana |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Dysgeusia,
Erythema,
Feeling abnormal,
Glassy eyes,
Heart sounds abnormal,
Hot flush,
Hyperhidrosis,
Palpitations,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ; VIT C; VIT D3
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to antibiotic; Hypothyroidism (well controlled with levothyroxine); Penicillin allergy; Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Test Name: Heart Rate; Result Unstructured Data: Test Result:My heart started to pound out of my chest; Comments: My heart started to pound out of my chest
CDC Split Type: USPFIZER INC2020503140
Write-up: I got a strong metallic taste; About 30 seconds later my entire body started to tingle and I couldn''t feel my hands or feet; My heart started to pound out of my chest; headache; I got an extreme hot flash and all my coworkers said I looked bright red and glassy eyed; became drenched in sweat and had to sit down for about 15 minutes with cold packs; she looked bright red and glassy eyed; This is a spontaneous report from a contactable consumer (patient). A 36-year-old female patient received her first dose of bnt162b2 (PFIZER COVID-19 VACCINE, Lot Number: EK5730), via an unspecified route of administration on 18Dec2020 at 14:15 on her left arm at single dose for COVID-19 immunization. Medical history included hypothyroid- well controlled with levothyroxine and known allergies: Penicillin, sulfa, cephalosporin. Concomitant medications in two weeks included levothyroxine, multivitamin, ascorbic acid (VIT C), colecalciferol (VIT D3). It was reported that on 18Dec2020 at 14:15, the injection was painless and she felt great. About 30 seconds later she entire body started to tingle and she couldn''t feel her hands or feet. Her heart started to pound out of her chest. She got a strong metallic taste. This subsided after 1-2 minutes. She went back to feeling good. Then about 15 minutes later, on 18Dec2020, the patient got an extreme hot flash and all her coworkers said she looked bright red and glassy eyed. She became drenched in sweat and had to sit down for about 15 minutes with cold packs. Then it subsided again. She had a few more hot flashes and headache the remainder of the evening, but felt generally pretty good ever since. No treatment was received for the adverse event, prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was recovered in Dec2020. |
|
| VAERS ID: |
907702 (history) |
| Form: |
Version 2.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Hypoaesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ;
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Heartbeats irregular
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020503148
Write-up: Numbness at the tip of her tongue; This is a spontaneous report from a contactable nurse (patient). A 39-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 19Dec2020 at time of 15:40 at single dose for COVID-19 immunization. Medical history included Irregular heart beat. Concomitant medication included potassium, magnesium; both for irregular heart beat. The patient just had a baby 9 weeks ago, and was breastfeeding. She also mentioned that her daughter just had her 1st round of her vaccines (other vaccines: rota, mmr vaccines, etc.) last week. She wanted to know if it''s still okay to nurse her daughter considering that she just had her Covid 19 vaccine this afternoon on 19Dec2020. The patient also wanted to know what was the risk or potential complication of passing her milk, which contained the Covid 19 vaccine, to her daughter. The patient also wanted to know why it was contraindicated to take the Covid 19 vaccine if she has taken other vaccines within the 2 weeks timeframe before getting the Covid 19 vaccine. The patient experienced numbness at the tip of her tongue. Her tongue was numb, just the tip. The patient stated, "I have two things I got my vaccine today at 15:40 for now it is just passing 18:00 anyway. That''s all my tongue is numb, no other symptom, nor I am feel tiring. I don''t have numbness in my hand or feet anything but there is my tongue is numb." Nurse stated, "Just a tip (of tongue)". The patient stated, "I do have another questions. I had a baby 9 weeks ago so one of the question is asked is that I had not any vaccine over the past two weeks and I have not well my daughter has, she just got her a week ago. So am I okay to breastfeeding?" The outcome of event was unknown. Information on the lot/batch number has been requested. |
|
| VAERS ID: |
907714 (history) |
| Form: |
Version 2.0 |
| Age: |
|
| Sex: |
Male |
| Location: |
Colorado |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Fatigue,
Impaired work ability,
Myalgia,
Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Heart valve disorders
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020503297
Write-up: Chills; muscle aches; fever; Not able to work; Extreme tiredness; This is a spontaneous report from a contactable consumer (patient). A 53-years-old male patient received the first dose of BNT162B2 (Lot number: eH9899), via an unspecified route of administration, in arm left, on 18Dec2020 17:00 at single dose for COVID-19 immunization. Facility where the most recent COVID-19 vaccine was administered was hospital. Medical history included heart valve replacement. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, patient was not tested for COVID-19. No allergies to medications, food, or other products. No other vaccines were received within 4 weeks prior to the COVID vaccine. The other medication that the patient received within 2 weeks of vaccination was atenolol. The patient experienced chills, muscle aches, fever, not able to work and extreme tiredness on 19Dec2020 06:00 AM. The events were reported as non-serious. No treatment was received for the events. The outcome of the events was recovered in Dec2020. |
|
| VAERS ID: |
907796 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Male |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Fatigue,
Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Migraines
Allergies: none
Diagnostic Lab Data: None
CDC Split Type:
Write-up: The day after had chills with no fever, fatigue, and palpitations. The second day had palpitations on and off. On the third day had palpitations that did not go away with a heart rate sitting in the 140s. |
|
| VAERS ID: |
907814 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Chest X-ray,
Chest discomfort,
Electrocardiogram,
Heart rate increased,
Heart rate irregular,
Laboratory test,
Muscle tightness,
Paraesthesia,
Presyncope,
Tongue disorder,
Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (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: No
Current Illness: No
Preexisting Conditions: Recurrent - episodic low back pain/herniated disc
Allergies: No
Diagnostic Lab Data: CXR, labs, and EKG
CDC Split Type:
Write-up: Several minutes after the injection, my right little finger was tingling. ~0815 I was driving home and lost function in my right little finger. The left side of my jaw felt tight, the left side of my tongue felt thick, and my vision was blurry in both eyes. I also noticed that my heart was out of rhythm and beating rapidly. I had a near syncopal episode. I began having mid-sternal chest pressure. I drove to my home - took 50mg of liquid Benadryl and had someone drive me to the ER. Symptoms started to resolve within 20 minutes of taking Benadryl. I was seen at Medical Center. |
|
| VAERS ID: |
907815 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Heart rate increased,
Palpitations,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Progress Notes APRN (Nurse Practitioner) ? ? Nurse Practitioner Cosign Needed Expand All Collapse All COVID VACCINE CLINIC 12/22/2020 ? Patient: Date: 12/22/2020 ? Subjective Patient is a 55 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience Racing heart rate. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Pt presented with Rapid heart rate and palpitations. Had episode of chest pain 6 weeks ago and was seen in ER. D-dimer was positive and CT negative. No FU since. ? Monitored patient for severe reaction symptoms, including respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis. ? ? ? Review of Systems Cardiovascular: Positive for palpitations. All other systems reviewed and are negative. ? ? ? Objective ? Vitals Vitals: ? 12/22/20 1453 12/22/20 1505 12/22/20 1526 BP: 133/87 133/85 123/81 BP Location: Right arm Right arm Right arm Patient Position: Sitting Sitting Sitting Pulse: 95 96 96 SpO2: 100% 99% 95% ? Physical Exam Vitals signs reviewed. HENT: Head: Normocephalic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion. Cardiovascular: Rate and Rhythm: Regular rhythm. Tachycardia present. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. ? ? ? Assessment/Plan Treatment included: no therapy. Follow up response to treatment: no side effects. Patient discharge: Stable to go home and follow up with PCP. ? Pt released to go home at 3:25 pm. No symptoms at that time. ? ? ? 12/22/2020 3:30 PM ? |
|
| VAERS ID: |
907834 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Impaired work ability,
Nausea,
Palpitations,
Paraesthesia,
Paraesthesia oral,
Throat irritation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: Morphine, sulfa drugs
Diagnostic Lab Data:
CDC Split Type:
Write-up: Felt some palpitations, racing heart, scratchy throat, dizziness, a little shortness of breath. Alerted the professionals observing and was monitored. Starting feeling a little better, then got a second wave of above symptoms again. I felt tingly all over and my lips felt tingly. They ended up taking me to ER. I started to also feel nauseous. They ended up giving me 1L of fluid, 25mg of diphenhydramine, 125mg of solumedrol, and 20mg of Pepcid. Monitored me for a few hours and then discharged me home. I was instructed to take another 50mg of diphenhydramine before bed, which I did. I ended up missing work the rest of my shift since I was in ER, then missed work the next day. |
|
| VAERS ID: |
907844 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Feeling hot,
Heart rate increased,
Injection site pruritus,
Pruritus,
Rash macular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt received the Pfizer-Biontech COVID19 Vaccine, Lot #EH9899 around 1830 today (12/22). A few minutes after the vaccine was administered in the left arm, the patient started having itching on her left shoulder that spread up to her neck. This was followed up by a warm feeling and mild blotching on the neck and face, more so on the left side of her body/face. When the patient brought this to staff attention, we began very close monitoring and started taking vitals regularly. Blood pressure ranging from 141/91 to 139/86, HR ranging from 120-86 bpm. . Around 1905 the patient was given Benadryl 25 mg tabs- 2 tablets by mouth one time only. Around 1908 the patient said her L ear started to itch also. We took vitals multiple times and the blood pressure and heart rate had decreased. Around 1935 the patient said she was feeling better, the mild blotching on the L side of her face and neck had almost completely resolved. The patient stated she felt much better and felt that she can could drive home safely. The patient spent a total time of one hour being monitored. ? Of note: the patient admitted that she has white coat hypertension and today it was probably even worse. She said she had a lot of caffeine today and that could have also led to her being tachycardiac. |
|
| VAERS ID: |
907846 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Male |
| Location: |
Colorado |
| Vaccinated: | 2020-12-18 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Flank pain,
Full blood count normal,
Heart rate decreased,
Oropharyngeal discomfort,
Oropharyngeal pain,
Paranasal sinus discomfort
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: CBC; Result Unstructured Data: Test Result:all came back normal; Test Name: Heart rate; Result Unstructured Data: Test Result:is low, 60 beats per minute, very low; Test Name: ear analysis; Result Unstructured Data: Test Result:they all came back normal
CDC Split Type: USPFIZER INC2020506838
Write-up: Little sinus pressure; may be a little bit of soreness of the throat; Little bit a soreness in throat, scratching of little bit but not too sore; or just allergies; Heart rate low/60 beats per minute; Ache in right side of my ribs; This is a spontaneous report from a contactable consumer (patient). A 53-years-old male patient received BNT162B2 (lot number: EJ1685) via an unspecified route of administration on 18Dec2020 at single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included fluticasone propionate. The patient was given vaccine shot (later clarified as Covid 19 vaccine) yesterday and just got a side effects of little sinus pressure, may be a little bit of soreness of the throat. About treatment, the patient took some Advil and he took some sinus pills, congestion pills a little bit earlier. It was clarified as nasal Decongestant, nasal congestion, 30mg, take 2 in 24 hours but he had taken two of them earlier along with 3 Advil pills. He deals with sinuses too but this one is like came on pretty much kind of overnight. He was wondering if doing the shot or something, he was not sure what''s the matter or just allergies. It was just the sinus pressure yet. He didn''t have the fever, not fever. Little bit a soreness in throat, scratching of little bit but not too sore. His heart rate is 60 per minute so it is low, 60 beats per minute, very low. He had just low heart rate though. About lab work the patient stated that went in for side pain, side ache in right side of his ribs. They did ear analysis, CBC. They all came back normal. He just wanted a report in and see he guessed just find it out if the symptoms go away or maybe he is having sinus infection going on or this sinus be going on so. Events outcome was unknown. |
|
| VAERS ID: |
907851 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Male |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes MD (Physician) ? ? Endocrinology Date: 12/22/2020 ? Subjective Patient is a 21 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination. ? He denied any history of previous adverse reactions to vaccines. ? He was given the Pfizer vaccination in the right deltoid muscle. Vitals: ? 12/22/20 1838 12/22/20 1839 BP: ? 129/81 Pulse: ? 90 Temp: 97.4 ?F (36.3 ?C) 97.4 ?F (36.3 ?C) ? Vitals are normal ? Checked his blood sugars- normal at 96 98% o2 sat ? ? During his 15 minute waiting period after the injection, the patient began to experience dizziness. He denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and he was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, vomiting, abdominal pain, hypotension, dysrhythmia, chest pain and collapse. ? ? ? ? Objective ? ? Physical Exam Constitutional: Appearance: Normal appearance. He is normal weight. HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are dry. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: water, rest. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? ? ? ? MD Electronically Signed 12/22/2020 6:39 PM |
|
| VAERS ID: |
907855 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Fatigue,
Heart rate increased,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Waited 30 minutes for observation. Driving back home. Left side of face got tingling and on left arm. Just going away. Tingling is going away. Walking up the stairs, and got long winded and feeling fast heart rates. Tried to get up feeling fatigue. Notified manager. Informed of Vsafe to register there as well Scheduled to work on Monday 12/28 on site. Last onsite worked day was 12/22/2020 Covid testing last August and was negative Per the algorithm, her recommendations were to monitor and call PCP and 911 if symptoms persists or worsens |
|
| VAERS ID: |
907881 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Mississippi |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Maternal exposure during breast feeding,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Neonatal exposures via breast milk (narrow), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pantoprazole, Advair, Proair HFA, Pulmicort
Current Illness: gestational hypertension (delivery date 10/06/2020)
Preexisting Conditions: Congenital pectus excavatum (s/p repair), primary ciliary dyskinesia, situs inversus totalis
Allergies: Penicillin, cefdinir
Diagnostic Lab Data:
CDC Split Type:
Write-up: History Present Illness: 26 year old female presents to walk in clinic with c/o feeling dizzy, flushed and heart racing after receiving COVID-19 vaccine earlier today. She took a benadryl about 30 min before receiving the vaccination. She is 11 weeks post partum. She is still breastfeeding her baby and reports she has "not drank very much today." At time of visit, she reports she "feels much better." She denies PMH of heart issues or any prior anaphylactic reactions. She denies shortness of breath or trouble breathing. She does not appear to be in acute distress at this time. Her vital signs are WNL. |
|
| VAERS ID: |
907885 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Louisiana |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Axillary pain,
Chest X-ray normal,
Chest discomfort,
Chest pain,
Computerised tomogram thorax normal,
Electrocardiogram T wave inversion,
Fibrin D dimer increased,
Lymphadenopathy,
Myocardial necrosis marker normal,
Nausea,
Oxygen saturation normal,
Palpitations
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage laboratory terms (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (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: Tdap her arm swollen but no others, only at site.
Other Medications: Estradiol, effexor, lasix, xanax, multivitamin with folic acid
Current Illness: otitis media 12/10/2020, antibiotics and steroid shot, meclizi meclizine and allegra d, COVID + AUGUST 2020 recovered prior to vaccine.
Preexisting Conditions: GERD, HTN, OBESE, Seasonal allergies, Carpal tunnel left
Allergies: None known
Diagnostic Lab Data: ct chest no Pulm embolism, chest xray normal, EKG NSR, normal intervals with t wave inversion lead III labs shows DDIMER elevated 0.6
CDC Split Type:
Write-up: 12/18/2020 Day after injection chestpain that was progessive day before visit to ER on 12/19/2020.Described pain as pressure in middle of chest, radiated to upper left chest under armpit, with associated nausea, feelings of Heart Palpitations, EKG shows 98bpm, normal intervals, t wave inversion lead III, normal sinus rhythm. BP 151/83, sats 100% temp 98.4 HR 99. labs cardiac enzymes negative, Ddimer elevated,CT chest negative for pulm embolism and chest xray no acute process. scheduled to see her PCP on 12/22. diagnosed with lymphadenopathy and chest pain, the lymph nodes noted after injection of covid #1 vaccine. 12/22/2020 was given a steroid shot in the PCP office, |
|
| VAERS ID: |
907902 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes MD (Physician) ? ? Endocrinology COVID VACCINE CLINIC 12/22/2020 ? Patient: Date: 12/22/2020 ? Subjective Patient is a 42 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? Afebrile 98.6 ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with wheezing and dyspnea, vomiting, abdominal pain, hypotension, dysrhythmia, chest pain and collapse. ? Vitals were normal Checked her blood sugars-normal at 108 Offered her snack/water-she declined. ? Repeat BP normal at 112/72 ? Vitals: ? 12/22/20 1737 BP: 126/82 Pulse: 87 SpO2: 100% ? ? ? ? Objective ? ? Physical Exam Vitals signs reviewed. Constitutional: Appearance: Normal appearance. She is normal weight. HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: no therapy. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? ? ? ? MD Electronically Signed 12/22/2020 5:38 PM ? ? ? |
|
| VAERS ID: |
907903 (history) |
| Form: |
Version 2.0 |
| Age: |
51.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient reports after she received the vaccine she reported to the observation area for the 30 minute monitoring period and reported feeling her heart racing. Patient with hx of histamine intolerance and angioedema, so carries epi pen with her. Patient notified monitors of her symptoms and her medical hx and that she had her epi pen with her. Patient reports ?heart racing? and recorded 130 BPM on activity tracker. Pt endorses history of anxiety and panic attacks. Patient reports resolution of symptoms at approximately 8:15 am, resting HR at that time 97-98 BPM. Patient denies any other symptoms. |
|
| VAERS ID: |
907944 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Anxiety,
Blood glucose increased,
Chills,
Feeling abnormal,
Nausea,
Nervousness,
Stress,
Tachycardia
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes PA-C (Physician Assistant) ? ? Orthopedics Cosigned by: MD at 12/22/2020 ?9:48 AM ? ? Patient: Date: 12/21/2020 ? Subjective Patient is a 34 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience generalized feelings of "not feeling quite right" as well as anxiety/nervousness, nausea and chills. She denied difficulty breathing, throat tightness, dizziness, chest pain, or other GI complaints. ? This provider noticed her raising her hand from across the waiting area and tended to her where she noted the above complaints. she was then assessed in the emergency bay area. She was monitored for severe reaction symptoms, including rapid progression of symptoms, vomiting, hypotension, chest pain, collapse and Respiratory distress. ? Past medical history includes anxiety for which she takes Effexor on a daily basis as well as type 2 diabetes, diagnosed approximately seven or 8 years ago during a pregnancy. She is on oral medication during the day and insulin at nighttime. She did take her oral medication today and last ate a pasta lunch right before arriving to the vaccine clinic. Last A1c was 6.5. Patient states that she generally runs a postprandial blood glucose following a heavy meal of about 180. ? She reported a previous history of anxiety and nervousness following vaccinations in the past. Most recently, she experienced a 30-minute period of anxiety and nervousness following her flu vaccine this past October. These feelings passed without further incidents. ? Review of Systems Constitutional: Positive for chills. HENT: Negative for drooling, facial swelling, hearing loss, rhinorrhea, sneezing and trouble swallowing. Eyes: Negative for redness and visual disturbance. Respiratory: Negative for cough, chest tightness and shortness of breath. Cardiovascular: Negative for chest pain. Gastrointestinal: Positive for nausea. Negative for vomiting. Skin: Negative for color change, pallor and rash. Neurological: Negative for dizziness, speech difficulty and light-headedness. Psychiatric/Behavioral: Negative for agitation and confusion. The patient is nervous/anxious. ? ? ? Objective ? She ambulates into the emergency treatment bay under her own power and without difficulty. She is seated on the gurney, and continues to answer questions appropriately. ? Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is not toxic-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Nose: No rhinorrhea. Cardiovascular: Rate and Rhythm: Regular rhythm. Tachycardia present. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Skin: General: Skin is warm and dry. Coloration: Skin is not pale. Findings: No rash. Neurological: Mental Status: She is alert. Gait: Gait normal. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. ? ? ? Assessment/Plan Stress reaction secondary to vaccine administration and history of anxiety and nervousness following vaccinations. ? Vital signs obtained at 1352 with blood pressure at 154/95, mild tachycardia at 109 and 97% O2 saturation on room air. Patient denies any chest pain, shortness of breath time. ? She is given a bottle of water and assisted to lie down with the head of the bed slightly elevated. She continues conversating appropriately without any acute distress. Vitals reassessed at 1359 with blood pressure of 133/76, heart rate 97% on room air. Dr. at the bedside now. Suggested obtaining a blood glucose. Blood glucose obtained at 1405, elevated at 234. She continues to deny any chest pain, shortness of breath, chest tightness, swelling in the throat, nausea/vomiting or other GI complaints. ? Vital signs checked again at 1406 with blood pressure 133/77, heart rate 107 and 97% on room air. ? Vital signs last checked at 1415 to reveal a blood glucose of 219, blood pressure 127/82, heart rate 100 and O2 saturation of 97% on room air. Patient has no additional complaints at this time and reports feeling well. Her mother has driven her to the clinic today. She felt that she was able to safely walk out with any issues. She was assisted by nursing staff and ambulated out of the treatment bay independently. ? Treatment included routine surveillance of vital signs at about a 5-minute intervals following notification of her feeling poorly. Vital signs continued to normalize and remained stable through the duration of her 30 minutes following her vaccination. ? Follow up response to treatment: excellent. ? Patient discharge: Stable to go home and follow up with PCP. Recommend to patient that she present to the ED or call 911 should she develop any symptoms up to and including but not limited to chest pain, shortness of breath, chest tightness, signs or symptoms of angioedema, or syncope. She expresses understanding the above and has no further questions today. ? Orders Placed This Encounter Procedures COVID-19 MRNA? PA-C Electronically Signed 12/21/2020 1:51 PM ? ? |
|
| VAERS ID: |
907960 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Maine |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-16 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? 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: Increased heart rate up to the 115-120s for 3 hours - self reported |
|
| VAERS ID: |
907981 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Blood glucose normal,
Dizziness,
Feeling hot
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes 12/22/2020 ? ? Subjective Patient is a 46 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? Pt has h/o hypothyroidism on LT4- last lab a few months ago Started feeling lightheaded and warm Doing a temp check ? 135/94- repeat BP check Pulse between 72-90s on rechecked ? ? Blood sugar was just checked and normal at 76--repeat also normal at 86 ? She is eating a snack and having some water. ? She was given the Pfizer vaccination in the right deltoid muscle. ? She said she has a h/o vasovagal episodes with shots, mammograms, etc. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, vomiting, abdominal pain, hypotension, dysrhythmia, chest pain and collapse. ? ? ? Objective ? ? Physical Exam Constitutional: Appearance: Normal appearance. HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are dry. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Mental status is at baseline. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: rest, snack. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? Discharge time 5:51pm ? ? ? 12/22/2020 5:19 PM ? ? |
|
| VAERS ID: |
907987 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ibuprofen 800mg as needed for pain started on 5/28/20 Oxycodone 5mg every 6 hours for pain started on 5/28/20
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: No known allergies
Diagnostic Lab Data: NA
CDC Split Type:
Write-up: 5 minutes after receiving the vaccine patient felt light headed and her heart rate was elevated. |
|
| VAERS ID: |
907998 (history) |
| Form: |
Version 2.0 |
| Age: |
63.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Blood glucose normal,
Blood pressure increased,
Dizziness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Immunization 12/22/2020 COVID Vaccine Clinic Need for vaccination Dx Referred by MD Reason for Visit Progress Notes MD (Physician) ? ? Endocrinology COVID VACCINE CLINIC 12/22/2020 ? Patient: Date: 12/22/2020 ? Subjective Patient is a 63 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? Arrived at 5:50pm ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, vomiting, abdominal pain, hypotension, dysrhythmia, chest pain and collapse. ? Vitals were normal Glucose was 100 ? Felt better right away Normal BP is 110s per pt ? Objective ? Vitals: ? 12/22/20 1759 BP: (!) 164/83 Pulse: 82 Temp: 98 ?F (36.7 ?C) SpO2: 95% ? ? Physical Exam Vitals signs reviewed. Constitutional: Appearance: Normal appearance. She is normal weight. HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Mental status is at baseline. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: no therapy. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. ? ? MD Electronically Signed 12/22/2020 6:01 PM |
|
| VAERS ID: |
907999 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
ER5730 / 1 |
RA / SC |
Administered by: Private Purchased by: ?
Symptoms: Condition aggravated,
Electrocardiogram normal,
Full blood count normal,
Metabolic function test normal,
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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C 500mg per day L-Lysine 500mg per day Vitamin D 10,000 IU per day Calcium Magnesium Potassium 500mg, 500mg, 99mg 2 tablets per day Omega-3 1000mg per day Hemp Extract gummies 10 mg per day
Current Illness: none
Preexisting Conditions: SVT
Allergies: none
Diagnostic Lab Data: EKG CBC BMP
CDC Split Type:
Write-up: 10 minutes after receiving the vaccine, I became tachycardic. Heart rate was in the 150s. I believe the rest of my vital signs were normally initially, but about 10 minutes after the tachycardia started, my BP was 170/110. I remained tachycardic so was sent to the ER. I continued to have waxing and waning tachycardia during my ED stay. Per MD, EKG, BMP, CBC were all normal. I did not receive any medications. After about 3 hours of monitoring, my heart rate was under 100 at rest so was discharged home. For the next 24 hours, with minimal exertion (talking, walking on flat surface) my heart rate would elevated into the 110-120s. 48 hours after vaccine, my heart rate returned to normal. I will be following up with cardiology 12/28/2020 |
|
| VAERS ID: |
908013 (history) |
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Burning sensation,
Dizziness,
Dyspnoea,
Erythema,
Palpitations,
Paraesthesia,
Tongue discomfort
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Irbesartan Metoprolol Magnesium Vit d Coq10 Eye vitamin Fish oil
Current Illness: Crohns in remission Mild hypertension Palpitations Macular degeneration
Preexisting Conditions: See above
Allergies: Sulfa
Diagnostic Lab Data: NA
CDC Split Type:
Write-up: Felt fine for first 30 minutes. Then face started to burn and tingle. 10-15 minutes later felt heart racing, slightly short of breath. Felt like I was going to faint. This only lasted 20 seconds or so. Base of the tongue felt strange. Took Benadryl 50 mg and prednisone 20 mg. Paramedics came. Hr was 68, O2 sat 99, bp176/126. Lungs clear. No trouble breathing. I felt better and they left. All symptoms improved except my face is still burning and tingling at 2 pm on same day (today). Face is mildly red but no hives. Bp is now normal 126/76, hr 50. |
|
| VAERS ID: |
908032 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure increased,
Chest discomfort,
Dizziness,
Heart rate increased,
Musculoskeletal discomfort,
Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Increased heart rate and blood pressure, dizziness, chest tightness, tingling left arm , leg and foot, left should heavyness. |
|
| VAERS ID: |
908034 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Fatigue,
Feeling abnormal,
Feeling hot,
Flushing,
Headache,
Pain,
Pain in extremity,
Pallor,
Pulse abnormal,
Tachycardia,
Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro 20mg qd Doterra lifelong vitality vitamins qd Doterra PB Assist Probiotic qd Doterra Adaptiv qd CVS calcium, zinc, magnesium 3 pills qd CVS B12 qd
Current Illness: None
Preexisting Conditions: OCD/Anxiety
Allergies: NKA
Diagnostic Lab Data: None. Just a manual pulse check by the Dr and RN.
CDC Split Type:
Write-up: At exactly the 10 minute mark, I started feeling very flushed and hot. 1-2 minutes later, I was very lightheaded and dizzy. Felt like my heart was going to beat out of my chest and that I might faint. Walked down to tell the RN and she could tell I didn?t feel well as I approached. She said she could see my pulse bounding in my neck. Asked me to sit down arm she checked my pulse. Said I was tachycardic, over 100bpm. She asked me to sit there another 15 min for observation and gave me some water. I started to feel less flushed but then a second round of flushing came. The bounding/tachycardic episode never stopped. They suggested I go to the ER for observation. I text the Dr I was working with and she came down and spoke with the vaccine nurses saying she was comfortable monitoring me for the next several hours. I continued to feel this way for 3-4 hours. Also very pale and shaky. The above symptoms finally lessened around lunch time. For the remainder of the day, I felt very exhausted and had a lingering headache. The next day (today) I feel better. Other than soreness in the injection arm and some general body aches. |
|
| VAERS ID: |
908066 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK9231 / 1 |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Blood pressure increased,
Chest discomfort,
Dry throat,
Electrocardiogram abnormal,
Flushing,
Heart rate increased,
Pulse abnormal,
Rash,
Sinus tachycardia,
Tachycardia
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: EKG showed sinus tachycardia, possible ST changes, non-specific. Monitoring in ED
CDC Split Type:
Write-up: Pt was vaccinated at Conference room COVID19, with PfizerBionTech vaccine, Lot# EK 9231, at 1258 hours, while waiting in monitoring area, complained of rash and facial flush at 1305 hrs, initially given PO Benadryl by APP''s at 50 mg for the rash and seen by me at 1306 hrs and got vitals. BP 160/110, HR 120 -130, SpO2 was 100% on room air, not complaining of shortness of breath, no stridor noted, tachycardia noted with regular rate and full bounding pulse, no wheezing noted bilateral lung fields, initiated early response call for eICU staff, also initiated potential call for inhouse and 911 call as back. At 1315 hours she had mild chest discomfort, tightness and felt dryness of throat. Rash not significantly visible on chest, facial flush present, decided to go ahead and gave epinephrine 0.3 mg IM to right deltoid as she was a unitard Stat suit. She was put on continuous monitoring, had response from eICU (Tele-ICU) team and Dr., SBP still noted to be elevated to 160''s and DBP 110, Pulse still around 130, additionally IV access was secured, given IV Solumedrol 125 mg and IV Pepcid 20 mg. She felt somewhat better, still felt very anxious, with chest tightness, EMS on site by 1340 hrs and moved to ED by 1400 hrs, was with patient all through and transitioned to ED care To Dr. When last discussed her condition, was still stable noted at 1745 hrs in discussion with ED RN, with still persistently elevated BP and heart rate. No clear cut evidence for typical anaphylactic reaction. Treatment and observation still ongoing in ED. |
|
| VAERS ID: |
908091 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Cough,
Dyspnoea,
Headache,
Heart rate increased,
Nausea,
Oropharyngeal pain,
Pain,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironotone, Vitamin D, Women''s centrum
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: no
CDC Split Type:
Write-up: Fever, chills, nausea, sore throat, headache, extreme body aches and cough. Fever elevated longer than 3 hours at 100.4. Had rapid heartbeat which happened about three times. Slight difficulty breathing. Had Covid 19 about a month ago and felt like she was having it again. |
|
| VAERS ID: |
908125 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
02SJ20-2A / 1 |
RA / - |
Administered by: Private Purchased by: ?
Symptoms: Blood glucose normal,
Electrocardiogram normal,
Heart rate increased,
Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: Denies
Current Illness: Denies
Preexisting Conditions: S/P gastric bypass
Allergies: Denies
Diagnostic Lab Data: EKG; normal, rate 81, no arrythmias, normal intervals Glucose 105 500ml NS Bolus Observed and discharged without further issue
CDC Split Type:
Write-up: 30 mins after vaccination Felt rapid heart rate, tingling in lips, initial BP 100/60 |
|
| VAERS ID: |
908150 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Headache,
Nausea,
Oropharyngeal discomfort,
Paraesthesia oral,
Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aimovig 140 mg injectable; lisiniopril 5 mg; Nurtec ODT; vitamin D 5000 units
Current Illness: none
Preexisting Conditions: chronic migraine; herpex simplex (cold sore); atypical bilateral facial pain; sleep apnea/narcolepsy
Allergies: codeine, hydrocodone, Naprosyn, topomax, fluoxetine, dexamethasone; seasonal allergies
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: Pfizer-BioNTech COVID 19 VACCINE EUA- within 2 minutes felt tingling on the tongue and then tingling around the mouth. Within five minutes, itching of the face that spread to scalp and neck. Continued to increase itching during the 15 minute observation time. Sensation of heart in my "throat" upper chest. Slightly light headed. Nausea 15- 20 minutes after receiving injection. Headache. Given 50 mg Benadryl IM that resolved symptoms of itching within 5-10 mins. Observed in ER x 1 additional hour. BP 149/90 approx. HR 88, estimated from .memory. |
|
| VAERS ID: |
908159 (history) |
| Form: |
Version 2.0 |
| Age: |
63.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Aphonia,
Chest discomfort,
Cough,
Heart rate increased,
Paraesthesia,
Paraesthesia oral,
Respiratory rate decreased,
Respiratory rate increased,
Throat irritation
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Respiratory failure (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? No
Hospitalized? No
Previous Vaccinations: Flu vaccine with egg yolk-vomiiting
Other Medications: celecoxib, montelukast sodium, synthroid, zyzal
Current Illness: arthritis and thyroid -reason for medication
Preexisting Conditions: arthritis, hypothyroidism, asthma
Allergies: Keflex, lamisil, eggs, most vegetables, poultry, some fruit, Chemicals, oils as in essential oils, perfumes-inhalation of these trigger asthma rapidly
Diagnostic Lab Data: none at this time
CDC Split Type:
Write-up: About 45 minutes after inject upper lip and chin tingle and itches. about 45 minutes after injection was have tickling sensation in throat which followed into voice lost, chest tightness, decrease in expiration efforts, occasional coughing , increase breathing and heart rate. Use albuterol inhaler and called for the on call doctor. took zyzal, zertex, benadryl, Prednisone, and use nebulizer |
|
| VAERS ID: |
908228 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Probiotics, fiber, Flonase
Current Illness: None
Preexisting Conditions: Supra ventricular tachycardia, IBS
Allergies: Nickel
Diagnostic Lab Data: None yet
CDC Split Type:
Write-up: Heart palpitations |
|
| VAERS ID: |
908605 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dysgeusia,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Tasted the medication, felt flushed, heart racing, BP 166/118 P 125 PO2 100% Repeat BP 150/106 P90''s Rapid response RN here BP 159/89 P 89 |
|
| VAERS ID: |
908263 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / OT |
Administered by: Private Purchased by: ?
Symptoms: Chest pain,
Feeling hot,
Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ; ALBUTEROL HFA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergy to intravenous contrast media; Food allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020502859
Write-up: started to feel a warmth in her chest and abdomen; She felt like her heart was racing; Developed chest pain; This is a spontaneous report from a contactable other HCP (healthcare professional). A 45-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot #: EJ1685), intramuscularly in the left arm on 18Dec2020 at 15:30 (at the age of 45-years-old) as a single dose for COVID-19 vaccination. Medical history included known allergies to apple, cantaloupe, peach, avocado and IV contrast dye; all from unspecified dates. The patient was not pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included ongoing famotidine and salbutamol (ALBUTEROL HFA) as needed (PRN); both for unknown indications from unknown dates. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received hydromorphone (DILAUDID) and triamcinolone acetonide (KENALOG); both from unknown dates to unknown dates for unknown indications and experienced allergy. The patient also previously received diphtheria vaccine toxoid/pertussis vaccine acellular/tetanus vaccine toxoid (TdaP) vaccine on an unknown date for immunization and experienced allergy. On 18Dec2020 at 15:45, the patient started to feel a warmth in her chest and abdomen, she felt like her heart was racing, and developed chest pain. It was reported that "patient started to feel a warmth in her chest and abdomen. She felt like her heart was racing. Developed chest pain. No shortness of breath or difficulty swallowing". It was unknown whether the patient received any treatment for the events. It was reported that the adverse events resulted in emergency room/department or urgent care visit. It was also reported that the events were non-serious and did not cause or prolong hospitalization. The clinical outcomes of the events started to feel a warmth in her chest and abdomen, she felt like her heart was racing and developed chest pain were all unknown. It was unknown whether the patient had been tested for COVID-19 since the vaccination. |
|
| VAERS ID: |
908277 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Heart rate increased,
Malaise,
Nausea,
Rash
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), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEXA [CELECOXIB]; NUVARING
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20201219; Test Name: heartbeat; Result Unstructured Data: Test Result:120; Comments: fast heartbeat (120bpm) 12:00 PM
CDC Split Type: USPFIZER INC2020503155
Write-up: flush; fast heartbeat (120bpm); rash; nausea; dizzy, lightheaded; feeling unwell; This is a spontaneous report from a contactable consumer (patient). A 25-year-old female patient (pregnant: no) received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown) via an unspecified route of administration at arm left on 19Dec2020 11:45 at single dose for covid-19 immunization. The patient medical history was not reported. Concomitant medication included celecoxib (CELEXA), ethinylestradiol and etonogestrel (NUVARING) received within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took cefalexin(KEFLEX) and cefdinir(OMNICEF) and experienced allergies. The patient experienced flush, fast heartbeat (120bpm), rash, nausea, dizzy, lightheaded, feeling unwell on 19Dec2020 12:00 PM, the events resulted in emergency room/department or urgent care. Treatment of Benadryl received for the events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered in Dec2020. Information on the lot/Batch number has been requested. |
|
| VAERS ID: |
908281 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Male |
| Location: |
Ohio |
| Vaccinated: | 2020-12-18 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / OT |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:Fast
CDC Split Type: USPFIZER INC2020503284
Write-up: Feel flushed and had a fast heart rate; Feel flushed and had a fast heart rate; This is a spontaneous report from a contactable other HCP. This other HCP reported for a 35-year-old male patient that: Reporter type: Healthcare Professional reporting for a patient Age group: Adult (18-64 Years) Current age: 25 Current age unit: Years Medical qualification reporter: Other Health Professional Covid vaccine details: [{Product=COVID 19, Administration date=18Dec2020, Administrator route=Intramuscular, Dose number=1}] If other vaccine in four weeks: Unknown Adverse event: Caregiver received his first COVID-19 vaccine, was observed without issues for 15 minutes; left ambulatory. States he got up to the top of the stairs and started to feel flushed and had a fast heart rate. Came back to observation area. Set timer for additional 15 minutes of observation. Patient appeared to be in NAD, skin color WNLs, no c/o SOB or difficulty swallowing. Given a bottle of water. No issues during additional 15 minute observation. Left ambulatory; stated feeling much better. Informed him to mention this before his 2nd vaccine dose so that he can be observed longer. If treatment AE: No If covid prior vaccination: Unknown If covid tested post vaccination: Unknown Serious: No Seriousness criteria-Results in death: No Seriousness criteria-Life threatening: No Seriousness criteria-Caused/prolonged hospitalization: No Seriousness criteria-Disabling/Incapacitating: No Seriousness criteria-Congenital anomaly/birth defect: No Reaction(s)/Event(s): Reaction/event as reported by primary source: Caregiver received his first COVID-19 vaccine, was observed without issues for 15 minutes; left ambulatory. States he got up to the top of the stairs and started to feel flushed and had a fast heart r Reaction/event in MedDRA terminology (LLT): Caregiver received his first COVID-19 vaccine, was observed without issues for 15 minutes; left ambulatory. States he got up to the top of the stairs and started to feel flushed and had a fast heart rate. Came back to observation area. Set timer for Drug(s) Information: Characterization of drug role: Suspect Route of administration: Intramuscular Date of start of drug: 18Dec2020 Dose number: 1 Active drug substance information: Active drug substances name: COVID 19 Narrative case summary and further information: Case narrative Age at vaccination: 25 Years Did the patient receive any other vaccines within 4 weeks prior to the COVID vaccine: Unknown Reported Event: Caregiver received his first COVID-19 vaccine, was observed without issues for 15 minutes; left ambulatory. States he got up to the top of the stairs and started to feel flushed and had a fast heart rate. Came back to observation area. Set timer for additional 15 minutes of observation. Patient appeared to be in NAD, skin color WNLs, no c/o SOB or difficulty swallowing. Given a bottle of water. No issues during additional 15 minute observation. Left ambulatory; stated feeling much better. Informed him to mention this before his 2nd vaccine dose so that he can be observed longer. Was treatment received for the adverse event?: No Prior to vaccination, was the patient diagnosed with COVID-19?:Unknown Since the vaccination, has the patient been tested for COVID-19?:Unknown No follow up attempts are possible. Information about Lot and batch number could not be obtained. No further information is expected. |
|
| VAERS ID: |
908282 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / OT |
Administered by: Private Purchased by: ?
Symptoms: Dehydration,
Dizziness,
Fatigue,
Pallor
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Dehydration (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: Test Name: BP; Result Unstructured Data: Test Result:131/83; Test Name: HR; Result Unstructured Data: Test Result:83
CDC Split Type: USPFIZER INC2020503288
Write-up: Felt lightheaded and dizzy.; Felt lightheaded and dizzy.; skin pale; very fatigued; she was currently breastfeeding; she was currently breastfeeding; This is a spontaneous report from a contactable health care professional. A 34-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), intramuscularly on 18Dec2020 (at the age of 34-years-old) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccines within 4 weeks prior to the vaccination. It was unknown if the patient was pregnant at the time of vaccination. Prior to vaccination, it was unknown if the patient was diagnosed with COVID-19. On 18Dec2020, the patient felt lightheaded and dizzy and was brought to the observation area, ambulatory. She denied shortness of breath, itching or difficulty swallowing. No rash was noted, but the skin was pale. Water was provided to the patient. It was reported that the patient was currently breastfeeding, was very fatigued, probably dehydrated and had not eaten breakfast. She stayed in the observation area until 10:37, drank a total of 3 bottles of water and was up to the restroom ambulating on her own. Her blood pressure was 131/83, heart rate was 83 and "100% on RA" as reported. She left ambulatory to drive home and was informed to notify the appropriate person of this episode prior to a second dose of vaccine. It was unknown if treatment was received for the events "felt lightheaded and dizzy", "skin pale", and "very fatigued". Since the vaccination, it was unknown if the patient had been tested for COVID-19. The patient recovered from the events "felt lightheaded and dizzy", "skin pale", and "very fatigued" on an unspecified date in 2020, while the clinical outcome of "she was currently breastfeeding" was unknown. No follow-up attempts are possible; information on lot/batch cannot be obtained.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2020504266 mother/baby case, same reporter /drug , different patient |
|
| VAERS ID: |
908384 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Male |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025120A / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Condition aggravated,
Dizziness,
Hypertension,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodopine 5 mg Benzopril 20 mg Allopurinol
Current Illness:
Preexisting Conditions: Hypertension
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Employee felt like headed pretty soon after vaccine and had never experienced that feeling before. He has had no reactions like this in the past. He was evaluated by EMS and was tachycardic and hypertensive at first. Blood pressure and tachycardia normalized. He reports his baseline heart rate is on the higher end. He was monitored for a total of about 30 minutes and felt back to baseline after he was evaluated. |
|
| VAERS ID: |
908401 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Kentucky |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: C-reactive protein increased,
Chills,
Dizziness,
Electrocardiogram abnormal,
Fibrin D dimer normal,
Sinus tachycardia,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Junel Birth Control
Current Illness: COVID-19 Positive with past 30 days, symptoms resolved
Preexisting Conditions: anxiety, heart murmur
Allergies: No known allergies
Diagnostic Lab Data: D-Dimer 0.64 C Reactive Protein 6.98 EKG- Sinus Tachycardia 146-160''s
CDC Split Type:
Write-up: Vaccine administered at 0730. Pt went home and went to bed. Woke up at 0930 with shaking, chills and feeling like she was going to pass out. Evaluated in ER and noted to have sinus tachycardia in 140-160''s. Given 5mg IV Lopressor which took heart rate down to 110''s. Admitted to hospital 12/23/2020. |
|
| VAERS ID: |
908402 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Male |
| Location: |
Georgia |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
PFIZER EJ 1685 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Computerised tomogram thorax,
Erythema,
Rash,
Rash erythematous,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Prehypertension
Allergies: None
Diagnostic Lab Data: Cta of chest
CDC Split Type:
Write-up: On December 22nd I became tachycardic with heart rate ranging from 105 to 130. I then went to the Ed thinking I may develop a pulmonary embolism. Fortunately, cta of chest was negative. On 12/23/20 at around 10:30 I develop diffuse erythema rash essentially from face to groin, arm. I went to the hospital?s employee health to report my adverse effects. I took prednisone 80 mg and benAdryl 50 mg and symptoms subside. However, I woke up this morning and the rash is more pronounced with slightly tachycardic. |
|
| VAERS ID: |
908411 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-20 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Erythema,
Feeling hot,
Flushing,
Heart rate increased,
Paraesthesia,
Vision blurred
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Approx. 45 -- 60 minutes following the vaccine, pat c/o lightheadedness, blurry vision, tingling in Left cheek, x 1hour, skin turned bright red heart rate 147 BP 147/80. Iced back of neck/forehead, sat for a few minutes. Heart rate down to 104, went back to work, but continued to feel flushed. Upon examination, her skin was normal in color but she stated that she still feels flushed & hot. |
|
| VAERS ID: |
908420 (history) |
| Form: |
Version 2.0 |
| Age: |
56.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Restoril B=complex vitamin Vitamin D
Current Illness: None
Preexisting Conditions: insomnia
Allergies: Plavix
Diagnostic Lab Data: None, I work as a pharmacist at a hospital. I plan to have my pulse checked by RN during the day today and if it persists, will be seen in ED
CDC Split Type:
Write-up: I woke up with my heart pounding in my chest at 0038. I put on my daughter''s pulse oximeter (she has asthma) and my heart rate ranged from the 110s up to the 130s. I got back into bed and tried to relax, then took a Restoril, fell asleep, but woke up again around 0300 with the same symptoms. |
|
| VAERS ID: |
908426 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 4 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Asthenia,
Dyspnoea,
Fatigue
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec, flonase, singulair, trazadone, tizanidine
Current Illness: none
Preexisting Conditions: Raynaud''s
Allergies: sulfa, cefprozil, compazine, latex
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Pt reports heart rate in 130s x 45 minutes-1 hour. She reported shortness of breath and O2 sat 95%,. Symptoms resolved simultaneously after 45 minutes- 1 hour. She also reports weakness and fatigues that lasted x 1 day. |
|
| VAERS ID: |
908473 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1862 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Nausea,
Palpitations
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (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: protonix, zoloft, albuterol
Current Illness:
Preexisting Conditions: anxiety, depression, heart murmur, hiatal hernia, htn, IBS
Allergies: red dye, codeine, percocet, hydromorphone
Diagnostic Lab Data: WNL
CDC Split Type:
Write-up: dizziness, nausea, heart racing |
|
| VAERS ID: |
908482 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Injection site pain,
Nausea,
Pain,
Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: Received vaccine Tuesday at 10:30. Woke up at midnight that evening (Wednesday morning) with fever of 101.5, heart rate in the 140s, body aches, injection site pain,and nausea. Still experiencing these symptoms today, Thursday, at 10 am. |
|
| VAERS ID: |
908483 (history) |
| Form: |
Version 2.0 |
| Age: |
62.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Chest X-ray abnormal,
Flushing,
Influenza virus test negative,
Nausea,
Paraesthesia oral,
Pneumonia,
Respiratory syncytial virus test negative,
SARS-CoV-2 test negative,
Sensation of foreign body
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C 1000 mg, D3, E and Zinc
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Patient was observed to be flushed, stating she feels a lump in her throat, no swelling of tongue or mucous membranes, no wheezing, no retractions, no dyspnea. Vital signs upon arrival to ED were BP=143/67, SpO2=95%, temp-97.5, pulse=83bpm Flu, Covid and RSV PCR all negative. CXR showed RML infiltrates. Patient treated with Benadryl 50mg IVP, Solumedrol 125mg IVP, Famotidine 20mg IV, Zofran 4mg IVP. She was also discharged with Zithromax to treat the pneumonia. Spent almost 8 hours in the ED. Observed, stabilized and discharged home
CDC Split Type:
Write-up: After employee took a hot shower 5 hours after receiving the vaccine, she experienced sensation of lump in throat and facial flushing. She also felt her tongue "had a heartbeat" but not swollen. She drove herself to our ED. Also after arrival to ED felt nauseous, but no vomiting. |
|
| VAERS ID: |
908508 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Idaho |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
AR / IM |
Administered by: Private Purchased by: ?
Symptoms: Cardiovascular evaluation,
Fatigue,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Fatigue and tachycardia (heart rate ranging from 70-140) within 2 hours after receiving vaccine. Cardiac workup done 12/21/2020- No treatment at this time, observation of symptoms. |
|
| VAERS ID: |
908536 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Anxiety,
Chest discomfort,
Chills,
Dyspnoea exertional,
Energy increased,
Oropharyngeal pain,
Pain,
Palpitations,
Pharyngeal swelling,
Sensation of foreign body,
Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: None
CDC Split Type:
Write-up: About 30 minutes after vaccine I felt heart palpitations. 1 and 1/2 hours later I felt slight chest pressure, throat swelling (still able to breath), and an adrenaline type rush causing anxiety, shakiness, and energy burst. I did not seek medical attention. Instead I managed it at home with 50mg Benadryl. I slept through the night without any distress. When I woke up my throat still had mild swelling (felt like when you have a sore throat and a lump in your throat). This continued the whole next day along with intermittent chills, mild body aches, slight shortness of breath on exertion. No fever. I did not take any medicine on this day. The next day, day 3 my throat swelling was gone. I did not seek medical attention during these symptoms because the were tolerable and able to be managed at home. |
|
| VAERS ID: |
908540 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Maine |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
026L20A / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Lip swelling,
Paraesthesia oral,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ocella
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin (hives)
Diagnostic Lab Data:
CDC Split Type:
Write-up: About 30 minutes after receiving vaccination, patient started to have tingling and mild swelling in her lips as well as tachycardia. Vital signs taken. Heart rate was 102 bpm, respiratory rate 18, blood pressure 144/80, O2 Sat 98%. Received cetirizine 10 mg PO. Symptoms resolved within one hour of receiving cetirizine. |
|
| VAERS ID: |
908626 (history) |
| Form: |
Version 2.0 |
| Age: |
58.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness,
Eye discharge,
Feeling cold,
Headache,
Stress,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes PA-C (Physician Assistant) ? ? Orthopedics Cosigned by: MD at 12/22/2020 ?9:46 AM Expand All Collapse All ? 12/21/2020 ? Patient: Date: 12/21/2020 ? Subjective Patient is a 58 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness/shakiness. This provider was notified of patient reaction and she was then transferred to the emergency bay via wheelchair where she was assessed. Monitored patient for severe reaction symptoms, including rapid progression of symptoms, respiratory distress with dyspnea, increased work of breathing, persistent cough and cyanosis, vomiting, hypotension, dysrhythmia, chest pain and collapse. ? She denied difficulty breathing, throat tightness and tongue swelling, nausea. ? She reports a history of atrial fibrillation and states that she had a procedure in the past and the anesthesia provider questioned her about this diagnosis. She reports taking metoprolol and methimazole on a daily basis. She took all of her am medications today, including an 81 mg aspirin. Reports history of watery eyes and blurred vision, takes Zyrtec daily. Denies any worsening of these symptoms outside of her baseline. Denies use of anticoagulant use or diabetes. Last ate and drank about 1130 or noon. ? Review of Systems Constitutional: Negative for diaphoresis. HENT: Negative for congestion, drooling, facial swelling, rhinorrhea, sneezing and trouble swallowing. Eyes: Positive for discharge. Negative for redness. Respiratory: Negative for chest tightness and shortness of breath. Cardiovascular: Negative for chest pain and palpitations. Gastrointestinal: Negative for nausea and vomiting. Skin: Negative for color change, pallor and rash. Neurological: Positive for dizziness and headaches. Negative for syncope. Psychiatric/Behavioral: Negative for agitation and confusion. The patient is not nervous/anxious. ? ? ? Objective Vitals There were no vitals filed for this visit. ? ? Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is obese. She is not toxic-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Nose: No rhinorrhea. Eyes: Comments: Watering of both eyes Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Comments: At right radial pulse Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Skin: General: Skin is warm and dry. Coloration: Skin is not pale. Findings: No rash. Neurological: Mental Status: She is alert and oriented to person, place, and time. ? ? Assessment/Plan Stress reaction following vaccine administration. ? Patient was transported to the emergency bay via wheelchair. ? Treatment included no therapy, but did continue with vital checks at approximately 5 minute intervals. ? 1603-blood pressure using the large adult cuff was 154/60 with large adult cuff, heart rate 69 with regular rate and rhythm at right radial pulse, 96% O2 sat on room air. Patient continues to feel slightly dizzy and shaky though denies any chest pain, shortness of breath, swelling of the lips or tongue. ? 1611 vital signs reassessed with blood pressure of 150/63, heart rate 64, 97 percent on room air, continues to feel slightly dizzy/shaky, though, reports not nearly as bad. Patient continues to answer questions appropriately and is talking without any signs of further decompensation. ? 1618-reports feeling better. Vital signs rechecked with BP of 121/55, 59 hearty rate and 96% RA. No new complaints. ? 1624- patient reports a slight headache, but denies chest pain, shortness of breath, chest tightness, lip or tongue swelling. ? Discharge vitals obtained at 1626-with blood pressure of 135/55, heart rate of 58, 95% on RA. No new complaints, except feeling a bit cold. Patient reports feeling better and feels that she can safely discharge. Discussed need for urgent evaluation at the emergency department or to call 911 if symptoms of chest pain, shortness of breath, angioedema present. Patient expresses understanding and all questions were answered to her satisfaction today. ? Follow up response to treatment:excellent. ? Patient discharge: Stable to go home and follow up with PCP. ? Orders Placed This Encounter Procedures ? COVID-19 MRNA ? ? PA-C Electronically Signed 12/21/2020 4:05 PM ? ? |
|
| VAERS ID: |
908630 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Palpitations
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Birth Control Zyrtec
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 15 min post injection c/o heart racing, rate 160 on watch Skin flush Confirmed heart rate 160 RRT called , pt never LOC Pt stayed 1 hour for observation, heart rate 106. |
|
| VAERS ID: |
908642 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Blood glucose normal,
Confusional state,
Dizziness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Progress Notes APRN (Nurse Practitioner) ? ? Nurse Practitioner Cosign Needed Expand All Collapse All COVID VACCINE CLINIC 12/22/2020 ? Date: 12/22/2020 ? Subjective Patient is a 34 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and confussion. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis. ? Pt Presents with lightlessness and confusion. Blood sugar on presenting was 74. She has a history of fibromyalgia and Migraines. She had a gastric bypass in 2010. She was given a protein bar to eat. Fingerstick BS done 20 minutes later was 96. Pt was feeling better after eating. ? Review of Systems Neurological: Positive for light-headedness. Psychiatric/Behavioral: Positive for confusion. All other systems reviewed and are negative. ? ? ? Objective ? Vitals Vitals: ? 12/22/20 1612 12/22/20 1628 12/22/20 1639 BP: (!) 135/92 127/79 128/84 BP Location: Right arm Right arm ? Patient Position: Sitting Sitting ? Pulse: 98 74 88 SpO2: 98% 98% 98% ? Physical Exam Vitals signs and nursing note reviewed. Constitutional: Appearance: Normal appearance. HENT: Head: Normocephalic. Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: Mental Status: She is alert. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. ? ? ? Assessment/Plan Treatment included: no therapy. Follow up response to treatment: no side effects. Patient discharge: Stable to go home and follow up with PCP. ? Pt was released at 4:39 with no symptoms at that time. ? ? ? APRN Electronically Signed 12/22/2020 4:40 PM ? ? ? Division of Health 3 of 3 |
|
| VAERS ID: |
908653 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Michigan |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Hypoaesthesia oral,
Paraesthesia oral
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: No
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin
Diagnostic Lab Data:
CDC Split Type: vsafe
Write-up: I received the injection at 08:15 arm after hung around upon me getting ready to go elevated heart rate and pulse started to race. Then I stayed there lips started to tingle after 10 mins heart rate came down. I went back to work 1 1/2 hrs tongue was till numb and tingling. I went back to facility where I first received my vaccine. I was told to go to the ED checked blood pressure and I was offered Benadryl I declined. I dint miss any days of work. |
|
| VAERS ID: |
908654 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Male |
| Location: |
Indiana |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling hot,
Heart rate decreased,
Hyperhidrosis,
Malaise
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: About 10 minutes after receiving vaccine, patient reported feeling hot and not well. Patient had not eatten breakfast prior to appointment. Patient''s oxygen sat was 100% but heart rate initially 42 (normal range 55-65) and blood pressure 90/60 (normal for him). Patient was diaphoretic and was given crackers and juice. Patient''s symptoms continue to progress with heart rate down as low as 34. Due to progression of symptoms, patient was taken to the ER. |
|
| VAERS ID: |
908664 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
026L20A / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Dizziness,
Muscle spasms,
Nausea,
Palpitations
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: None Known
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient c/o dizziness, heart palpitations, nausea and cramps within 5 minutes of receiving vaccine. Vital signs stable. No meds given. Observed for 30 minutes and continued c/o being dizzy. Transported to ed. Given fluids. Symptoms resolving. |
|
| VAERS ID: |
908676 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
RA / UN |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Injection site erythema,
Injection site pain,
Injection site swelling,
Injection site warmth
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA Increased site redness, swelling and pain, site is warm to the touch, also rapid heartbeat. |
|
| VAERS ID: |
908701 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Dizziness,
Palpitations
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I take prenatal vitamins and Dicregis
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: None
CDC Split Type: vsafe
Write-up: My heart was racing, I was light headed and dizzy with 6 episodes for about an hour. |
|
| VAERS ID: |
908715 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data: none
CDC Split Type:
Write-up: First felt nauseous at 1103. Was moved to area where patient was able to lay down. At 1119 blood pressure was 139/78, pox 99 and HR 84. At 1124 sat up and was given diphenhydramine 25mg solution. At 1144 was able to stand without any change in symptoms. Blood pressure, pulse ox and heart rate were monitored throughout and remained normal. |
|
| VAERS ID: |
908776 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Utah |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Fatigue,
Injected limb mobility decreased,
Malaise,
Pain in extremity,
Palpitations,
Pyrexia,
Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dexedrine
Current Illness: none
Preexisting Conditions: Asthma, Covid-19
Allergies: Ibuprofen
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: On 12/22/20 I began to feel fatigued and sore arm at 1900. By 2330 on 12/22/20 my left arm was hurting down to my fingertips and extremely painful. I took 2 325 mg Tylenol and went to sleep. I tried sleeping but felt like my heart was coming out of my chest. I checked my Heartrate and it was between 100-120. I could not sleep all night. My left arm was so painful that I could not sleep on it or lift it above the level of my heart. On 12/23/20 I was very fatigued. I went about my day but was not feeling well. By 1900 on 12/23/20 I was running a low grade fever 99.9 and felt terrible. I took 2 325mg Tylenol and 2 200mg ibuprofen to help with the pain. I went to sleep and woke feeling better. |
|
| VAERS ID: |
908838 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Male |
| Location: |
Texas |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
OT / IM |
Administered by: Public Purchased by: ?
Symptoms: Dyspnoea,
Electrocardiogram,
Erythema,
Flushing,
Heart rate increased,
Immediate post-injection reaction
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trulicity, Toujeo Jordan, Intresto, Metoprolol, Montelukast, Spironolactone, Cetirizine and Furosemide
Current Illness: Heart condition(Cardiomyopathy), Diabetes II and Ulcerative colitis
Preexisting Conditions: Back pain if standing for 30 mins or more.
Allergies: No
Diagnostic Lab Data: EKG on 12/21
CDC Split Type: vsafe
Write-up: Once I received the vaccine 2 secs immediately started feeling flushed , blood rush going up to face, heart beat more rapid, and exp difficulty breathing. I spoke with staff was taken for a observation area and had a EKG. While being observed after 5 mins felt as if I couldn''t breathe. Around the 5 of 10 mins mark started feeling better and at 10 mins felt totally fine. |
|
| VAERS ID: |
908851 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 412021 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Extrasystoles,
Fatigue,
Heart rate increased,
Hypoaesthesia,
Hypoaesthesia oral,
Immunisation anxiety related reaction,
Impaired driving ability
SMQs:, 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), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Dehydration (broad), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol, aspirin, and ibuprofen on 12/24/2020. Vitamin C, vitamin D, and Pure cortisol calm on 12/23/2020.
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine 4 minutes after the injection, my heart felt like it skipped a beat and my heart rate raised to 110. I thought this was related to anxiety of getting the vaccine. My heart rate went back down to 84 within a minute. Then I felt fine, just tired so I did not report this feeling to anyone at the time. 25 minutes after receiving the vaccine, my Heart rate raised to 139-145, felt dizzy, numbness of nose and upper lip. Was in transit when this occurred. Pulled into a parking lot and rested. Heart rate decreased to 96. I called family to come pick me up. On the way hame I continued to feel tired and dizzy but my heart rate decreased to 96. By 11:45, I felt better just continued to be tired. Been working overtime so I was already feeling tired before receiving the vaccine. |
|
| VAERS ID: |
908907 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Heart rate increased,
Paraesthesia,
Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ocella OCP, multi-vitamin, melatonin, Vitamin C, Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: Bactrim
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Parasthesia in left arm within 5 minutes of vaccination. Parasthesia radiated into fingers (tingling but not painful). Parasthesia in left arm resolved in about 1 hour with no treatment. Parasthesia in tongue within 5 minutes of vaccination. Parasthesia in tongue (tingling but not painful) lasted through the evening (~5 hours). Resolved without treatment. Heartbeat increased (bounding heartbeat) onset within 5 minutes of vaccination; resolved within 5 additional minutes with no treatment. |
|
| VAERS ID: |
908915 (history) |
| Form: |
Version 2.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
026L20A / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Hypoaesthesia,
Pharyngeal hypoaesthesia
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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None noted
Current Illness: Hx of asthma; Celiac disease
Preexisting Conditions:
Allergies: Food: zucchini, bananas, eggplant; Other: latex
Diagnostic Lab Data: UNKNOWN
CDC Split Type:
Write-up: "Moderna COVID-19 Vaccine EUA"; patient reported jaw and throat area felt numb approximately 30 min following vaccine. Patient vital signs were taken and patient was monitored the entire time: BP and heart rate readings: 140/89, HR 64; 126/85, HR 73; 136/99, HR 69; 139/94, HR 68; 100% pulse oximetry all readings, each approximately every 10 min. Patient stated she was not getting better, but able to speak. EMS was called and arrived; patient was taken to hospital. |
|
| VAERS ID: |
908917 (history) |
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
AR / IM |
Administered by: Private Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened,
Asthenia,
Binocular eye movement disorder,
Blood glucose normal,
Dysarthria,
Facial paralysis,
Feeling abnormal,
Gait disturbance,
Grip strength decreased,
Haemoglobin normal,
International normalised ratio normal,
Mobility decreased,
Platelet count normal,
Red blood cell count normal,
Visual impairment,
White blood cell count normal
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, Vitamin D3, citalopram, fluticasone nasal spray, tramadol, nicotine transdermal patch
Current Illness: No recent illnesses in the last 30 days
Preexisting Conditions: Tobacco dependency, depression, chronic low back pain, anxiety, vitamin D deficiency
Allergies: No known drug or food allergies
Diagnostic Lab Data: WBC: 8.1 RBC: 4.81 Hemoglobin: 15.2 Platelet Count: 188 INR: 0.9 PTT: 32 Blood Glucose: 108
CDC Split Type:
Write-up: Patient is a 47 y.o. female who arrived by Car presented to the emergency department for Stroke symptoms. Patient awoke at 6:15 this morning, some difficulty seeing out of the right eye and also was stumbling towards the left and to table. Concerned about things not being right so brought to the emergency department. Patient feels her speaking and swallowing are okay. She did drink a bit of coffee earlier. She denies headache or significant vision problems presently. Continues to not feel normal on her left side. No history of stroke and parents or siblings. She does give personal history of an occipital migraine many years ago at which time she did not have a headache but had some vision troubles. Physical Exam Vitals signs and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is not ill-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Right Ear: Tympanic membrane normal. Left Ear: Tympanic membrane normal. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: No oropharyngeal exudate or posterior oropharyngeal erythema. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Comments: Patient displays absence of left lateral movement Neck: Musculoskeletal: Normal range of motion. No muscular tenderness. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: No murmur. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Bowel sounds are normal. There is no distension. Palpations: Abdomen is soft. Tenderness: There is no abdominal tenderness. Musculoskeletal: Right lower leg: No edema. Left lower leg: No edema. Lymphadenopathy: Cervical: No cervical adenopathy. Skin: Findings: No rash. Neurological: Mental Status: She is alert. Cranial Nerves: Cranial nerve deficit (left facial droop, dysarthria) present. Comments: Patient''s speech seems a bit slurred to me. Absence of ocular movements towards left noted as well as upward movements. Tongue is midline. Patient is unable to shrug the left shoulder or lift the left arm off the bed. Grip strength is 4 out of 5 on the left. Left leg strength is 3 out of 5. Extremity strength on right arm and leg is 5 out of 5. After consultation with a neurologist, the patient is being transferred from the ED. |
|
| VAERS ID: |
908918 (history) |
| Form: |
Version 2.0 |
| Age: |
61.0 |
| Sex: |
Male |
| Location: |
New York |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / - |
Administered by: Senior Living Purchased by: ?
Symptoms: Blood glucose decreased,
Bradycardia,
Heart rate decreased
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Hypoglycaemia (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Bradycardia
Allergies: No known allergies
Diagnostic Lab Data: Unknown
CDC Split Type:
Write-up: This resident received the first dose of the Pfizer Covid vaccine at the Covid vaccine clinic at medical Facility. He had a rapid response, experienced low blood glucose and low heart rate. NP and medical director were in attendance. Heart rate remained low despite all measures. He was transferred to Hospital for bradycardia. |
|
| VAERS ID: |
908930 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
026L20A / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Hot flush,
Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: flu vaccine
Other Medications: None noted
Current Illness: None noted
Preexisting Conditions:
Allergies: Medication: doxycycline; vaccine: flu
Diagnostic Lab Data: unknown
CDC Split Type:
Write-up: "Moderna COVID19 Vaccine "; patient reported she was feeling flushed/hot. Vital signs were taken and patient monitored for over 30 minutes. BP and Heart Rate readings approximately every 10 minutes: BP 142/105, HR 110; BP 139/101, HR 110; BP 132/83, HR 104; 124/94, HR 102; 98 % pulse oximeter readings during episode. Patient''s mother works at the facility as well, stayed with patient and decided to leave with patient to go home. Mother returned inside facility and stated daughter was vomiting outside. Dr. advise mother to take daughter to ER. |
|
| VAERS ID: |
908932 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Palpitations,
Paraesthesia oral,
Pharyngeal paraesthesia,
Rash,
SARS-CoV-2 test negative,
Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Tri-lo-sprintee (birth control)
Current Illness: None
Preexisting Conditions: None
Allergies: Mild seasonal allergies
Diagnostic Lab Data: SARS-COV PCR rapid test on 12/23/20 was negative. Urine analyses on 12/23/20 was WNL
CDC Split Type:
Write-up: 1-2 minutes after injection a whole body flush developed along with heart palpitations, tingly throat and tongue, and a rash across the chest and neck. |
|
| VAERS ID: |
908942 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Chest discomfort,
Dizziness,
Electrocardiogram normal,
Flushing,
Palpitations,
Presyncope,
Rash,
Sensory disturbance,
Vertigo
SMQs:, Anaphylactic reaction (narrow), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Connective tissues disease, Covid in April
Allergies: None
Diagnostic Lab Data: EKG 12 lead. Nothing abnormal. Blood pressure 174/130 heart rate was 126
CDC Split Type:
Write-up: Felt a rush in my arm 5 minutes after. Then one hour following the injection I started getting dizzy and vertigo. Driving home I felt like something was very wrong like impending doom. My heart started racing almost pounding out of my chest. I was extremely dizzy and almost fainted. Flushed feeling and tightness in my chest followed. Flushed feeling felt all day. Also had a rash on my neck and chest. |
|
| VAERS ID: |
908973 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Burning sensation,
Dizziness,
Hypoaesthesia,
Palpitations,
Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (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, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 15 min after receiving Covid 19 vaccine patient started to feel like her heart was racing / felt faint. Burning feeling in upper thigh and pelvic area. BP 180/100 HR 130. Rapid Response called / transported to ER. Admitted for 24 hr observation.. Solu -medrol, Benadryl and Ativan given in ER. Released home the next day. 72 hrs later patient states she has numbness and tingling in hands and feet. 12/24/2020 patient reports she is feeling better today / no symptoms noted. |
|
| VAERS ID: |
908976 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dysphagia,
Emotional distress,
Hypersensitivity,
Palpitations,
Stress at work,
Throat irritation
SMQs:, Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: annual flu vaccine, cellulitis
Other Medications: None
Current Illness:
Preexisting Conditions: Atrial fibrillation and PTSD
Allergies: Codeine
Diagnostic Lab Data:
CDC Split Type:
Write-up: 50Y female, with history of PTSD, anxiety and afib. Was seen in covid vaccine clinic during her break on 12/24/2020 at 1113, for covid 19 vaccine. At 1133, she reported scratchy throat and felt her heart was racing. Heart racing symptoms lasted only for a few minutes and then resolved. She reports mild scratchy sensation with swallowing. Reports that she had a lot stress since start of shift today. Also admits to stress while sitting in the clinic for observation, stressors include work related stress and responding to multiple phone calls related to codes. She was on the phone with husband prior to symptoms onset. She denies shortness of breath, dizziness, wheezing, chest discomfort, palpitations, change in vision, weakness or fatigue. She denies history of hypertension. Was previously on coumadin and diltiazem. But currently not on any medications. O: VS at 1140: BP 166/104, HR 75, O2 97% RA 1150: 164/93 HR 70 O2 99% RA 1158: BP158/83 HR 70 RR 17 O2 98% RA 1210: BP 147/82 HR 64 RR 15 O2 100% RA AAOx4. Employee was teary and anxious. Follow commands. Lung sounds clear. Heart sounds normal. No focal weakness, numbness, tingling. No respiratory distress. Able to tolerate fluids. A: Allergic reaction to COVID 19 vaccine. P: Employee was closely observed in clinic for an hour. Employee was provided fluids and emotional support. Symptoms gradually resolved. Her vital signs stabilized. Benadryl was offered but not given because employee reports symptoms improved and wanted to return to work. Employee was advised to monitor her symptoms. If her symptoms recur, she needs to go to urgent care or ED. Advised her to follow up with her PCP for further evaluation of her blood pressure and PTSD. She stated understanding and agreeable to plan. Employee returned to work and left in stable condition. |
|
| VAERS ID: |
908980 (history) |
| Form: |
Version 2.0 |
| Age: |
65.0 |
| Sex: |
Male |
| Location: |
California |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
- / IM |
Administered by: Work Purchased by: ?
Symptoms: Chills,
Dyspnoea,
Headache,
Heart rate increased,
Nausea,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations: $g 6 years ago Flu vaccine. Shortness of breath to ED. Prednisone 60 mg and IV fluids.
Other Medications: Omeprazole 20 mg. Lisinopril , Allopurinol 300mg. Zyrtec10 mg, Eliquis 5mg BID, Lipitor 10mg. Aller-flow. Ipratropium. Dilt-XR 240 mg
Current Illness: Kidney dz (mod)
Preexisting Conditions: Kidney Dz
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Heart rate from 80 BPM to 128 BPM in 30 mins. and remained $g 105 for 16 hours. Headache, Nausea with Vomiting, Shortness of breath. Chills No fever |
|
| VAERS ID: |
908998 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Male |
| Location: |
Massachusetts |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood pressure decreased,
Cold sweat,
Dizziness,
Dyspnoea,
Hypoaesthesia oral,
Pallor,
Palpitations,
Paraesthesia oral
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Vit D deficiency, Fibromyalgia, GERD
Preexisting Conditions: Vit D deficiency, Fibromyalgia, GERD, Sleep apnea
Allergies: Shellfish
Diagnostic Lab Data:
CDC Split Type:
Write-up: I started feeling palpitation after 2 minutes then was placed in the observation room. Vital sign showed heart rate of 145 with normal blood pressure and oxygen. Then after few more minutes I started feeling numbness and tingling in the mouth and started feeling dizzy and had cold sweats. Heart rate was 130s and BP was undetectable and my skin was severely pale. I administered my Epipen and rapid response team arrived after few minutes. I felt better 5-6 min after infection of the epipen but was still feeling dizzy and mildly short if breath. I was transferred to emergency room when I was treated with IV steroid, benadryl , pepcid and IVF. I was observed for 4 hours and was discharged with improvement in symptoms . |
|
| VAERS ID: |
909084 (history) |
| Form: |
Version 2.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
ELO 140 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Erythema,
Hot flush,
Hypoaesthesia oral,
Palpitations,
Panic reaction,
Paraesthesia oral,
Tachycardia,
Throat irritation
SMQs:, Anaphylactic reaction (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), Vestibular disorders (broad), Hypersensitivity (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: Wellbutrin 300mg QDAY Pantaprazole 40mg QDAY Sumatriptan 100mg PRN for migraine Naproxen Sodium 550mg PRN for migraine Flexeril 10mg PRN for migraine
Current Illness: None
Preexisting Conditions: Migraines Depression
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: I received my shot at 1347 and within 5-10 minutes after receiving the shot I got a hot flush feeling through my body. My heart then began to race and I became dizzy. I started to get a tickle feeling in my throat. Soon after my lips and tongue felt numb. My tongue had the feeling of having been burned by hot soup. I also had red splotches over my entire body (not a rash but redness). When I alerted the vaccination staff that I thought I was having a reaction they all seemed shocked. They didn?t really know what to do and asked me what I wanted to do. I, myself, was having a hard time making choices since I was in a bit of a panic. They wanted to give me oral Benadryl but since I was having the reaction in my throat and mouth one of the nurses suggested IM Benadryl. They gave me that shot around 1405. They watched me for about an hour and I still had the numbness in my lips and tongue and the red splotches over my entire body. (During this entire time no one took my BP or pulse). I had 2 work friends (RNs) come to check on me. It was only then that one of them took my pulse. I was still had tachycardia. Since my symptoms were not fully resolving they sent me to the ER where I got solumedrol and Pepcid. They sent me home still having slight numbness in my lips and tongue. |
|
| VAERS ID: |
909107 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / - |
Administered by: Public Purchased by: ?
Symptoms: Chest discomfort,
Chest pain,
Electrocardiogram normal,
Flushing,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (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: Diltiazem ER- 120mg once daily Bupropion XL 150mg once daily in AM Topiramate 25mg- twice daily Lamotrigine 200mg 2 tabs (400mg) once daily Vraylar 3mg- once daily hydroxyzine Pamoate 25mg 1-2 cap at bedtime multivitamin 1 tab daily Menopa
Current Illness: none
Preexisting Conditions: Anxiety Depression Bi-polar disorder History of PVCs Hyperlipidemia
Allergies: Client failed to list any allergies on vaccination screening questionnaire and when questioned by nurse prior to vaccination. When completing incident report client reports allergies to: Penicillin- unknown Latex- rash/ contact dermatitis Ultram- severe headache and nausea and vomiting Morphine- severe headache, nausea and nausea
Diagnostic Lab Data: EKG completed by EMS on site- Normal sinus rhythm noted along with possible infarct age undetermined
CDC Split Type:
Write-up: Client began feeling flushed approximately 10-15 minutes following vaccination with COVID-19 vaccine. Client stated her "chest had a heavy feeling" and she was experiencing heart palpitations (which she also reports are normal for her). She was concerned as the heart palpitations were occurring along with chest pain. EMS on scene at clinic site (precaution) and escorted client to area where EKG was completed. Normal sinus rhythm was noted along with possible infarct age undetermined ( as reported on strip)and client was asked if she would like to go to ER for additional evaluation which she refused. (Client signed refusal of medical treatment, transport and/ or evaluation form). Client was advised by EMS and health district staff to seek medical treatment or call 911 if symptoms persist or become worse. Client voiced understanding. |
|
| VAERS ID: |
909120 (history) |
| Form: |
Version 2.0 |
| Age: |
59.0 |
| Sex: |
Female |
| Location: |
Maine |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / SC |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Hypertension,
Palpitations,
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), Hypertension (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Progesterone 200 mg.day estradiol 2 mg/day
Current Illness: none
Preexisting Conditions: mild asthma
Allergies: mushrooms keflex tramadol
Diagnostic Lab Data: none
CDC Split Type:
Write-up: dizziness shortness of breath tachycardia hypertension forceful heart contractions |
|
| VAERS ID: |
909143 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
AR / IM |
Administered by: Work Purchased by: ?
Symptoms: Anxiety,
Blood glucose increased,
Blood thyroid stimulating hormone increased,
Chest pain,
Electrocardiogram abnormal,
Heart rate increased,
Hyperhidrosis,
Sinus tachycardia,
Sleep disorder
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypothyroidism (broad), Hyperthyroidism (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: Truilicity Pen 1.4mg/0.5mg Lisinopril-Hydrochlorothiazide metformin Vitamin D Glyburide Flonase
Current Illness: none
Preexisting Conditions: Hypertension Type 2 diabetes mellitus Vitamin D insufficiency Obesity
Allergies: none
Diagnostic Lab Data: Labs drawn TSH high Glucose high EKG sinus tachy
CDC Split Type:
Write-up: Patient presented to ED states was sleeping when awoke with feeling of rapid heart. Has pulse oximeter at home and states HR was 150s felts sharp chest pain and sweat. Had husband bring her to Emergency room. Emergency room physician states patient is mildy anxious and mildy diaphoretic. Blood pressure 155/83 and pulse rate in 120 upon arrival. Patient was given Ativan 1 mg IV and 1 liter of normal saline HR in 90s upon discharge form ed. Admitted at 2134 discharged at 2353 |
|
| VAERS ID: |
909147 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Kentucky |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cough,
Electrocardiogram abnormal,
Flushing,
Hypertension,
Paraesthesia,
Pharyngeal swelling,
Tachycardia,
Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), 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), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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? No
Previous Vaccinations: Hives developed after hepatitis B vaccine as a child, did not receive additional doses until college. At age 18, I received 3 do
Other Medications: None
Current Illness: Tested positive for Covid-19 on 11/14/2020
Preexisting Conditions: None
Allergies: Hepatitis B vaccine - hives Latex - rash Sulfa drugs - hives
Diagnostic Lab Data: EKG sinus tachycardia (12/24/20) No other tests or labs performed
CDC Split Type:
Write-up: Approximately 2 minutes after injection, felt flushed and tingly. This subsided, but developed a cough. Felt fine enough to leave the vaccination area after being monitored for 15 minutes. Cough continued, and developed a scratchy throat that eventually led to swelling of the throat at approximately 30-35 mins post administration. Sought care in the ED, where I was tachycardic and hypertensive. Received IV Benadryl, steroids, and IV fluids. Discharged home, but symptoms returned around 2pm. Sought care in a different ED, where I remained hypertensive and tachycardic. Received additional IV fluids, IV Benadryl and steroids. Eventually was treated with IM epinephrine after my heart rate was decreased to about 100bpm with IV metoprolol. |
|
| VAERS ID: |
909151 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Computerised tomogram normal,
Dizziness,
Dyspnoea,
Heart rate increased,
Laboratory test normal,
Loss of personal independence in daily activities,
Tachycardia,
X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (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 and hepatitis B at age 18, passed out 3 times that day
Other Medications: Effexor 150 mg daily Pepcid Zyrtec
Current Illness: No
Preexisting Conditions: Anxiety
Allergies: Amoxicillin Nickel
Diagnostic Lab Data: Labs, xrays, CT, all benign
CDC Split Type:
Write-up: 36 hours after vaccine, sudden onset tachycardia, shortness of breath, dizziness on the verge of passing out, called covid hotline, sent to ER due to resting heart rate of 130-150. Lasted approximately 9 hours, was going to be kept for observation in ED. Resting HR came down to 90 and sent home, following day unable to perform normal activities and unable to work for two days as of now |
|
| VAERS ID: |
909159 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Flushing,
Immediate post-injection reaction,
Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol inhaler, meloxicam, multivitamin, cranberry capsule
Current Illness: Neck pain
Preexisting Conditions: Neck pain
Allergies: No known allergies
Diagnostic Lab Data: None performed
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine EUA: During vaccine administration patient complained of flushing, lightheadedness, dizziness, and arm tingling. No loss of consciousness, respiratory symptoms, or gastrointestinal symptoms reported. Inital vital signs: Blood pressure 147/84 mmHg, heart rate 115 beats per minute, oxygen saturation 95% on room air. Repeat vitals ten minutes later: blood pressure 123/60 mmHg, heart rate 77 beats per minute, oxygen saturation 98% on room air. Patient monitored for 30 minutes. Symptoms improved with time and snack. Patient was discharged in stable condition. |
|
| VAERS ID: |
909175 (history) |
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Chills,
Dizziness,
Fatigue,
Heart rate increased,
Hypersomnia,
Injection site swelling,
Nausea,
Pain in extremity,
Pyrexia,
Thirst,
Vision blurred,
Visual impairment
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor, Yaz birth control
Current Illness: Previous cold 2 weeks prior, negative covid 19 tests during this time.
Preexisting Conditions: PCOS
Allergies: No known allergies
Diagnostic Lab Data: Did not seek further medical care due to knowing the common symptoms of the vaccine and contributing it to a vaccine reaction. Took Tylenol/ibuprofen combination to reduce fever, and zofran for nausea
CDC Split Type:
Write-up: Severe fatigue, nausea, lightheaded, almost blacking out, eyes getting fuzzy/black around edges, fever 101.5 F, severe arm pain, swollen arm at injection site, chills, slept the whole day after getting the vaccine, rapid heart rate, excessive thirst. Most symptoms resolved by 12/25/20. |
|
| VAERS ID: |
909186 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Male |
| Location: |
Maryland |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-25 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Chest discomfort,
Chills,
Cough,
Dizziness,
Fatigue,
Headache,
Heart rate increased,
Malaise,
Pain,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxepin
Current Illness: Covid 19 positive 11/26/20
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: NONE
CDC Split Type: Pfizer EL0140
Write-up: Body/joint ache 18hrs post inj, slight fever 99.2 , 24 hrs later, w/ chills, dull headache, increased heart rate, pressure/heaviness around sternum, cough, tired. Feels like covid! Some dizziness when moving around |
|
| VAERS ID: |
909207 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Utah |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037KZOA / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Asthenia,
Chills,
Dizziness,
Dyspnoea,
Dysstasia,
Electrocardiogram,
Feeling abnormal,
Feeling of body temperature change,
Headache,
Palpitations,
Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zyrtec, Flonase, lexapro, vitamin d, spironolactane,
Current Illness: None
Preexisting Conditions: Seasonal allergies, previous/treated hyperparathyroidism,
Allergies: Seasonal allergies, oxycodone causes vomiting
Diagnostic Lab Data: EKG 12/24/2020
CDC Split Type:
Write-up: Feeling that something was wrong, headache, racing heart beat, short of breath, dizziness, weakness, inability to stand, hot then cold, shaking, chills, |
|
| VAERS ID: |
909208 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Male |
| Location: |
California |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-25 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / UNK |
LA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Heart rate increased,
Sluggishness
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Obesity
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Fast Heart Rate of 107 24 hours after vaccination; sluggishness |
|
| VAERS ID: |
909237 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Blood pressure increased,
Feeling hot,
Palpitations,
Pharyngeal paraesthesia,
Throat tightness,
Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: benadryl
Current Illness: none
Preexisting Conditions: none
Allergies: penicillin, amoxicillin, augmentin
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Got covid vaccine around 0745, Driving home from hospital, felt like throat was warm and closing, heart racing and shakey, pulled over call 911 at 0816 and ambulance arrived. Blood pressure was elevated, symptoms subsided and took Benadryl. Minor tingling in throat post- event. |
|
| VAERS ID: |
909244 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Feeling hot,
Palpitations,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: metoprolol tizanidine topamax ambien lisinopril
Current Illness: none
Preexisting Conditions: high blood pressure migraine
Allergies: Strawberry Raspberry Blueberry
Diagnostic Lab Data: none
CDC Split Type:
Write-up: lLeft arm was warm them whole body got warm. Heart Racing Broke out in hives |
|
| VAERS ID: |
909252 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Clindamycin Bee Stings Fire Ants
Diagnostic Lab Data: None
CDC Split Type:
Write-up: I began feeling short of breath, heart palpitations, and dizziness. It felt the same as my reactions to bee stings and fire ant bites. This lasted about 10 minutes and started to subside on it''s own. Then, I was also given 25 mg of benadryl by mouth. Within about 30 minutes I was feeling back to normal. |
|
| VAERS ID: |
909272 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
South Dakota |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: CAT DANDER, POLLEN EXTRACTS
Diagnostic Lab Data: NONE
CDC Split Type:
Write-up: LIGHTHEADEDNESS, HEART PALPITATIONS, SHORTNESS OF BREATH, FELT FAINT |
|
| VAERS ID: |
909276 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: complains of heart racing. Had patient site down checked bp 151/92 and pulse now 72. Patient reported heart rate no longer racing and has history of high BP |
|
| VAERS ID: |
909283 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? 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: Complains of heart racing. Had her sit down pulse 100 and BP 161/96 at 1120. At 1123 BP 161/96. At 1125 pulse 64 and bp 144/93 and states heart not racing and I feel better |
|
| VAERS ID: |
909296 (history) |
| Form: |
Version 2.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Anxiety,
Electrocardiogram abnormal,
Feeling hot,
Full blood count normal,
Heart rate increased,
Metabolic function test normal,
Paraesthesia oral,
Sinus tachycardia,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), 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:
Other Medications: Zoloft, Ativan prn, maxalt prn
Current Illness:
Preexisting Conditions:
Allergies: Sulfa, amoxicillin, naproxen
Diagnostic Lab Data: I was given IV Benadryl which did no resolve the tachycardia. I was also given ativan to treat secondary anxiety from the event which resolved my anxiety but did not resolve the tachycardia. BMP and CBC were sent and normal. Multiple ECGs showed sinus tachycardia. I also received 2L bolus of lactated ringers.
CDC Split Type:
Write-up: 15 seconds after administration I felt tingling in my mouth and felt warmth come over my body from my feet to my head. I then experienced a sudden increase in heart rate. I was tachycardia to the 140s and BP 140/90s (high for me). This lasted for about 1 hour then resolved. The same event occurred 3 additional times, resolving in between episodes with a heart rate in the low 100s.. I was taken to my workplace Emergency Department. The entire even lasted over 4 hours. |
|
| VAERS ID: |
909361 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Virginia |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Dyspnoea,
Fatigue,
Palpitations,
Pyrexia,
SARS-CoV-2 test negative,
Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (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), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: factor V Leiden deficiency DVT - 1998 and PE- 2000
Allergies: cinnamon and lorabid
Diagnostic Lab Data: COVID 19- negative
CDC Split Type:
Write-up: Fever 100.5, shortness of breath, heart racing, wheezing, fatigue |
|
| VAERS ID: |
909374 (history) |
| Form: |
Version 2.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Burning sensation,
Dizziness,
Flushing,
Heart rate increased,
Palpitations,
Rash,
Throat irritation
SMQs:, Anaphylactic reaction (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), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Progesterone birth control pill
Current Illness: None
Preexisting Conditions: None
Allergies: Ct contrast No other known allergies
Diagnostic Lab Data: Only clinical diagnosis of rash. No labs drawn.
CDC Split Type:
Write-up: Minutes after getting the vaccine dizziness, flushing, and racing heart present. I was taken to a back room, laid flat, cool washcloth, vitals taken. Rash began to develop on chest and spread across the body. No itchiness, but a mild burning sensation accompanying rash. Throat was hot and scratchy. Within 10 minutes taken down to the ER. Rash came and went in waves and would appear on different parts of body. Each wave had increased heartrate, dizziness, flushing, rash, burning. Was given 50mg benedryl at 10:45, oral 10mg dexamethasone, and 1L bolus of saline solution. Was monitored in ED for 4 hours. Last reaction "wave" experienced around 1pm. Discharged around 2pm. No reaction since discharge. |
|
| VAERS ID: |
909378 (history) |
| Form: |
Version 2.0 |
| Age: |
20.0 |
| Sex: |
Female |
| Location: |
New Hampshire |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20A / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Palpitations,
Pharyngeal paraesthesia,
Rash erythematous
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:
Write-up: Heart rate of 159 with palpatations, tingling on the throat, (red, no hives), surface rash on throat, clear speech, clear lung sounds Local EMS was contacted at 1:17 p.m. and the patient was administered 50 mg of Diphenhydramine at 1:21 p.m. After admininstration visual signs of rash subsided, and patients status improved. Patient was handed off to Local EMS |
|
| VAERS ID: |
909392 (history) |
| Form: |
Version 2.0 |
| Age: |
55.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Chills,
Condition aggravated,
Decreased appetite,
Diarrhoea,
Dyspepsia,
Dyspnoea,
Fatigue,
Gastrooesophageal reflux disease,
Headache,
Pain,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Venlafaxine xr, phentermine, Multivitamin, vitamin D, claritin, aspirin
Current Illness: Had fever and body ache four days before, Covid test was neg. Symptoms had resolved.
Preexisting Conditions: Ptsd, depression
Allergies: Zocor causes hives.
Diagnostic Lab Data: Covid test was negative 12/13/2020. But I believe it was a false neg, possibly taken too early.
CDC Split Type:
Write-up: 1800 Chills started. 2100 fever 100.8, hr 115, slight sob resp 28, spo2 96, achy, lost appetite Next day fever 100.5, resp 32, spo2 93, very achy, head ache, sob walking around house, bad reflux heartburn Day 3 fever 99.5, resp 28, spo2 93, same symptoms Day 4 normal temp, resp 26, spo2 95, same symptoms, now with loose stool Gradually improved but stayed very fatigued. Day |
|
| VAERS ID: |
909412 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
- / IM |
Administered by: Public Purchased by: ?
Symptoms: Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: APPROXIMATELTY 10 MINUTES AFTER RECEIVING MODERNA VACCINE, SHE REPORTED TO THE MONITORING PHYSICIAN THAT SHE FELT LIKE HER HEART RATE WAS HIGH A LITTLE BIT. DENIED ANY OTHER ISSUES. PHYSICIAN CHECKED MANUAL PULSE=100BPM, THEN DECREASED TO 84 BPM THEN DOWN TO 76 BPM WITHIN A 3 MINUTE TIME SPAN. PATIENT SAID SHE FELT BACK TO NORMAL AFTER THAT AND CONTINUE TO WAIT AN ADDITIONAL 15 MINUTES JUST TO BE SURE. NO FURTHER ISSUES NOTED. PHYSICIAN REPORTING THIS INFORMATION WAS AT THE COUNTY HEALTH DEPARTMENT |
|
| VAERS ID: |
909422 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / SYR |
Administered by: Work Purchased by: ?
Symptoms: Erythema,
Oxygen saturation decreased,
Palpitations,
Rash,
Throat tightness,
Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (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 that day.
Current Illness: None
Preexisting Conditions: None
Allergies: Ceclor Avelox Opioid sensitive Gluten Seasonal allergies I receive immunotherapy for
Diagnostic Lab Data: None at this time.
CDC Split Type:
Write-up: Within grove minutes of receiving the injection my throat closed, my heart raced. My pulse was 107 my oxygen was low around 89-90 I believe. My neck became red with a rash and I was shaking. I was taken to the emergency room as the shot clinic was attached to the hospital and received Benadryl 25mg and Predinose 50mg. I have no known allergies that have ever caused an anaphylactic reaction. I have never had vaccine reactions in the past either. |
|
| VAERS ID: |
909424 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-19 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Dyspnoea,
Fatigue,
Feeling abnormal,
Flushing,
Headache,
Nasal congestion,
Pain in extremity,
Palpitations
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Humalog Insulin, Allegra, Vit C, D, E, Calcium, Centrum Silver multivit
Current Illness:
Preexisting Conditions: Type 1 diabetes, lymphadema, retiniopathy
Allergies: Latex, Fluorescein dye, avocado, cats, dogs, environmental (trees, grasses, pollen)
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: within 3 min of receiving the vaccine, I experienced flushing, racing heart, lightheadedness, dizziness, mentally fog, winded/ shortness of breath, and felt like an adrenaline rush. All that calmed down by 30 min. Then experienced nasal congestion for an hour. within 3 hours of vaccine, developed a headache and later that day it worsened and chills developed. The next day was just slight headache. The second day was sore arm and fatigue that lasted for 1 to 2 more days. |
|
| VAERS ID: |
909447 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cardiac discomfort,
Chest discomfort
SMQs:, Anaphylactic reaction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D
Current Illness: recent dental surgery (cavity filling) -- 12/21/2020
Preexisting Conditions: grave''s disease
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:
Write-up: Moderna COVID-19 Vaccine Vaccine administration was okay and without issue. Patient reports having sensation of "vice around heart" that spontaneously resolved less than 5 minutes after injection. No anaphylaxis or shortness of breath, but sensation of tightness in chest that subsequently resolved within the 10-15 minutes after injection. |
|
| VAERS ID: |
909480 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Chest discomfort,
Dizziness,
Electrocardiogram,
Heart rate increased,
Hypoaesthesia,
Palpitations,
Paraesthesia,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Bactrim
Diagnostic Lab Data: EKG 12/26/20
CDC Split Type:
Write-up: Symptoms started after 2-3 mins of vaccine. Started having numbness, tingling on face, arms, legs, tachycardia up to 144 bpm, dizziness, palpitations, chest tightness. Lasted up to 1 hour. Observed in clinic and went home after 2.5 hrs. At home continued to have on and off palpitations for 2-3 hrs with heart rate increasing to 110 bpm. |
|
| VAERS ID: |
909481 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Diarrhoea,
Feeling hot,
Heart rate increased,
Nausea,
Palpitations,
Pharyngeal swelling,
Swollen tongue,
Urticaria,
Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: None
CDC Split Type:
Write-up: O had the vaccine at 9 am this morning waited 15 mins after vaccine before leaving while driving I had a pounding heart rate and hot I rolled down the window felt better. 1 hour later while at home.e started with nausea diarrhea rapid heart rate headed to medical office while in care tongue swelled I called 911 pulled over when the ambulance got to me my throat swelled and I had hives on chest they took me emergency while there I had sever pounding heart and vomiting treated with meds sent home with medication and benadryl |
|
| VAERS ID: |
909488 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Heart rate increased,
Hyperventilation,
Mental impairment,
Pain in extremity
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Soreness at site of injection
Other Medications: Daily vitamin, msm capsules 2 a day, wellness capsules 3 a day
Current Illness:
Preexisting Conditions: Pre diabetic this is recent.
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Aching arm, loss of train of thought, deeper breathing, steady increase in heart rate with the occasional drop in heart rate. |
|
| VAERS ID: |
909544 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: Covid + 11/25/2020
Preexisting Conditions: Back pain
Allergies: Hibiscus
Diagnostic Lab Data: Vital signs checked
CDC Split Type:
Write-up: After 5 min of receiving vaccine felt woozy/dizzy, sudden burst of chills, elevated heart rate. Asked for someone to check HR; obtained VS. Discharged after acceptable HR and BP. Home (day of and after vaccine) - HR elevated after minimal exertion and temperature. |
|
| VAERS ID: |
909591 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-25 |
| Onset: | 2020-12-25 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Dizziness,
Heart rate increased,
Nausea
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), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Covid vaccine received, was instructed to go to ?observation area? for 15 minutes. While walking, started to feel faint, sat down and started to feel okay. After 5 minutes, I started to feel faint again and felt my heart rate go up. My Apple Watch showed my heart rate at 144. I asked staff to check my vitals and I was instructed to go to the nurse area. Vitals showed heart rate of 140s-150 (Apple Watch registered my highest heart rate during that period was 160). Blood pressure about 135/90 (my normal is 115/80), SPO2 of 99%. After 5 minutes, heart rate down to 90, BP 120s/90s. Every 5-10 minutes I would feel faint, a sense of ?impending doom,? mild nausea, and my heart rate would go up to 140s, it would last about 2 minutes then go down to 90s. This cycle of heart rate going up and down kept repeating for 30 minutes. No chest pain, no shortness of breath. Prior to going home, heart rate was 90, blood pressure was 125/98. Total time being observed was 40 minutes from time of vaccine to leaving observation. |
|
| VAERS ID: |
909609 (history) |
| Form: |
Version 2.0 |
| Age: |
60.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-01 |
| Onset: | 2020-12-27 |
| Days after vaccination: | 26 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Work Purchased by: ?
Symptoms: Arrhythmia,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin d, calcium, potassium, magnesium zyrtec,llysine, 100mg gabapentin, olive leaf, , zinc, essential enzymes, goli.
Current Illness: Sinus infection
Preexisting Conditions: Asthma
Allergies: Sulfa, penicillin, plus other antibiotics
Diagnostic Lab Data: None yet
CDC Split Type:
Write-up: Abnormal heart rhythm, mild tachycardia. 90 to 100 bpm. |
|
| VAERS ID: |
909610 (history) |
| Form: |
Version 2.0 |
| Age: |
61.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Palpitations,
Throat irritation
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (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: unknown
Current Illness:
Preexisting Conditions: unknown
Allergies: NKDA
Diagnostic Lab Data: unknown
CDC Split Type:
Write-up: c/o came back in after being discharged 10- 15 minutes and stated she was dizziness, scratchy throat, heart racing taken to ER via wheelchair for evaluation |
|
| VAERS ID: |
909614 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Male |
| Location: |
Arizona |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Hypertension,
Myalgia,
Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bystolic 5mg Atorvastatin
Current Illness:
Preexisting Conditions:
Allergies: Latex
Diagnostic Lab Data:
CDC Split Type:
Write-up: Fever, muscle aches, hypertension, rapid heart heart |
|
| VAERS ID: |
909619 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Alaska |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Extrasystoles,
Sensory loss
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Tachyarrhythmia terms, nonspecific (narrow), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Propanolol 80 ER po BID (promptly every day at 1000 & 2200). Klonopin 0.5 mg po tid prn lack of fine motor skills while working (which is 2 days/week - and I wasn''t work on day of vaccination or events here described).
Current Illness: None
Preexisting Conditions: Irritable bowel syndrome. Essential tremor. Degenerative disk disease, spinal stenosis. Arthritis. Dysphagia.
Allergies: Zoloft, Celexa, Lexapro
Diagnostic Lab Data: None
CDC Split Type:
Write-up: On 12/22/2020 between 2000-2100, while driving, I experienced a definite notice of sensation of absence of my heart beating between 6-10 times. At one point, I was able to safely pull over, but by that point my right radial pulse palpated was 60 bmp and strong. Prior to this time but after the vaccination, I had felt instances of a similar lack of sensation but am not sure of the times, had paid little attention to the events ? presumably because they were very very short and, though not driving, I was never able to catch them/i.e. palpate my heart rate during the events. On 12/23/2020 at 2005, I again sensed my heart wasn?t beating. I immediately attempted to palpate my right radial pulse and felt no pulse for at least 3 seconds (I was not watching a clock to time). After the 3 seconds, I could suddenly feel a strong right radial pulse, HR was 56 bpm (my pre-vaccine HR). I had not taken my evening dose of Propanolol. |
|
| VAERS ID: |
909632 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Hawaii |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011520A / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Blood potassium decreased,
Body temperature increased,
Dizziness,
Electrocardiogram normal,
Flushing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratidine 10mg taken @ approximately 630am that morning
Current Illness: No known illnesses
Preexisting Conditions: hyperlipidemia
Allergies: No known allergies
Diagnostic Lab Data: 12/26/2020- EKG- sinus rhythm abnormal Labs K+ 3.3
CDC Split Type:
Write-up: approximately 1.5 hrs after my vaccine I started to feel lightheaded and flushed all over my body. My heart rate was 120''s and my temperature was 100.2F. No difficulty breathing, SOB, chest pain or rash. I was checked into the clinic and monitored in the Nurse Treatment Center. I was placed on a bedside cardiac monitor, an EKG was done, labs drawn and IV fluids administered. I was there for approx 1 hr and discharged to home. Temp was 99.1 HR 100''s. |
|
| VAERS ID: |
909640 (history) |
| Form: |
Version 2.0 |
| Age: |
44.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-27 |
| Days after vaccination: | 5 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Supraventricular tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), 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: Benadryl
Current Illness:
Preexisting Conditions: Back injury
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Rapid heartbeat, SVT |
|
| VAERS ID: |
909680 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Montana |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J29A / 1 |
RA / IM |
Administered by: Public Purchased by: ?
Symptoms: Anxiety,
Heart rate increased,
Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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:
Other Medications: None
Current Illness: none
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Patient reported she had been feeling anxious about receiving the vaccine all day due to its newness. About 10 minutes after receiving the vaccination she reported an elevated heart rate per her watch. Her hands were shaking mildly. She denied chest pain, shortness of breath and/or dizziness. Palpated radial pulse was 130s-140''s. BP was 150''s/70''s. She was taken to hospital emergency room; she declined any medications. Through use of meditation techniques and calming practices, her heart rate lowered to 90''s, then returned to 120''s then lowered again to normal heart rate. |
|
| VAERS ID: |
909687 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / UNK |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Anxiety,
Chest discomfort,
Confusional state,
Feeling hot,
Hot flush,
Hypersomnia,
Jaw clicking,
Nausea,
Tachycardia,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Arthritis (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: Synthroid 137 mcg, vit c500 mg bid, zinc 10 mg, vit d 3 5000 mg, zyrtec 10 mg daily, fluoxetine 30 mg daily
Current Illness: Healthy
Preexisting Conditions: Thyroid cancer in 2009, depression, anxiety
Allergies: Percocet
Diagnostic Lab Data: At hospital they only put me on monitor pulse ox was 98 to 100 percent, heart rate 99 to 130 , bp was 160/100 with ens unsure what it was at hospital thru never told me
CDC Split Type:
Write-up: Approximately 20 to 30 mins after vaccine i developed feeling of hot all in my body reminded me of broom injected worn contrast dye my heart was pounding tachycardia some chest heaviness jaw popping have self epi pen went to hospital monitored for 4 hours give ativan im had feeling of hot flushing tachycardia chest heaviness impending doom at least 10 or more times before it went away. Slept for 16 hours nausea threw up once. Mild confusion don''t remember leaving hospital coming home or talking to some people on the phone |
|
| VAERS ID: |
909715 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1284 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Asthenia,
Dizziness,
Dyspnoea,
Heart rate increased
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), Guillain-Barre syndrome (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Fibromyalgia
Preexisting Conditions: Fibromyalgia
Allergies: penicillin Leviquin Stadol Lemons Bee Stings
Diagnostic Lab Data:
CDC Split Type:
Write-up: rapid heart rate Difficulty breathing dizziness weakness |
|
| VAERS ID: |
909721 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-27 |
| Onset: | 2020-12-27 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), 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: none
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: Dilaudid, Escitaloprom, Shellfish, Sulfa antibiotics
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: c/o dizziness and increased heart rate. Assessed by attending and hospital MD present. HR went from 138 to 80 beats per min in 3 minutes. Able to walk to reclining chair from straight back chair without incident. |
|
| VAERS ID: |
909722 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-27 |
| Onset: | 2020-12-27 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Feeling abnormal,
Illusion,
Nausea,
Oropharyngeal pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: over the counter Tylenol
Current Illness: None
Preexisting Conditions: None. History of craniotomy (2017) and pulmonary embolism (2016).
Allergies: Butalbital
Diagnostic Lab Data: n/a
CDC Split Type:
Write-up: S: Patient 41Y F unit assistant came to Covid vaccine clinic for vaccination on 12/27/2020. Received injection at 1436. Employee was instructed to sit in clinic for observation. At 1445, employee reported nausea, lightheaded, a "floating'' sensation and sore throat. The floating sensation was also described as a "oozing sensation". States that she ate noodle soup for lunch at approximately 1pm. Took Tylenol at 2pm prior to arriving to clinic for vaccine. She denies chest discomfort, palpitation, shortness of breath, wheezing, or blurry vision. History of craniotomy in 2017 and pulmonary embolism in 2016. No history of HTN or GI conditions. ? O: VS at 1445: BP 126/75, HR 75, temp 98.3, O2 sat 96% room air, RR 18, pain 0/10. Reports symptoms onset. At 1455: BP 123/76, HR 72, temp 98.3, O2 97% room air, RR 18, pain 0/10. Nausea resolved. Continue to have mild sore throat, lightheaded, and "floating sensation." At 1510: BP: 132/80, HR 69, temp 98.3, O2 96%, RR 18, pain 0/10. Sore throat improved. Denies lightheaded, floating sensation. AAO4, follow commands, lung sounds clear, heart sounds normal. No angioedema. No acute respiratory distress. ? A: Adverse reaction to Covid-19 vaccine ? P: Employee was closely monitored in clinic for additional 30 minutes. Employee was provided fluids. Employee states that her symptoms has gradually resolved. Employee was advised to monitor her symptoms. If symptoms worsen or persist, she needs to notify her manager and go to urgent care/ED for further evaluation. She stated understanding. Employee returned to work, left clinic in stable condition. No acute distress. |
|
| VAERS ID: |
909725 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Dizziness,
Fatigue,
Feeling abnormal,
Feeling cold,
Feeling hot,
Feeling jittery,
Nausea,
Rash macular,
Tachycardia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Valsartan, Metoprolol, tramadol, celebrex, vitamin d, vitamin c, b12 injections, enbrel injection, nexium
Current Illness: none
Preexisting Conditions: Rhuematoid Arthritis, anemia, iron deficiancy
Allergies: ceclor, amoxicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: 8 minutes after vaccine, started to feel dizzy, room got quite, started to feel hot around neck ears chest, red blotchy all over and continued to get worse. Started to feel a cold sensations. Nurse came over to assess had me sit and put legs up, rash got worse dizzines got worse, took me to a cot to lay on, had me take dose of pepcid and claritin, then decided i needed benedryl injection at 713pm. monitored my blood pressure, pulse ox and heart rate. heart rate was tachycardia. just felt off felt like something was wrong. about 30-40 minutes after benedryl injection the redness started to lighten in color. after more time of monitoring me i slowly started to feel a little better, after an hour and half or so i felt ok enough to be dropped off at home. Today 12/27/20 i have felt very jittery, nausea chills and fatigue started around 430p. |
|
| VAERS ID: |
909742 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
New Mexico |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Anxiety,
Chest discomfort,
Dizziness,
Heart rate increased,
Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions:
Allergies: Peanuts, tylenol w codeine, tramadol
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt was vaccinated at approximately 1135, exact time on consent form for vaccination. Pt was visitnig with another pt outside the lobby for about 15-20 min. then came iinto building stating that she had "chest tightness" pt was calm and able to descrive sesation. No distress. Pt was instructed to sit in chair and vital signs obtained, 2 sent obtained immedicately after. Pt still awake and alert able to verbalize needs. Manual blood pressure taken. Dr called by Pharmacist. Pt was anxious and was verbally calmed by RN. 2 RN''s and pharmacist at pt side. Pt c/o of dizziness, respirations elevated but able to maintian airway. Pt heart rate elevated. Dr arrived and asessed pt. After stabilation and meds administered, pt taken to urgent care for further monitoring and evaluation. Pt declined EMS transport to ER. |
|
| VAERS ID: |
909748 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2020-12-27 |
| Onset: | 2020-12-27 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Public Purchased by: ?
Symptoms: Feeling hot,
Paraesthesia,
Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prozac 20mg daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 5 mins of receiving I had systemic tingling and felt very hot. My heart rate went into the 110s (usually 60s). Throat tightness occurred and I was given 50mg IV benadryl. Within 30 mins all of those symptoms subsided |
|
| VAERS ID: |
909765 (history) |
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Dizziness,
Feeling hot,
Flushing,
Heart rate increased,
Hyperhidrosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, famotidine, multi vitamin, magnesium
Current Illness: Covid 19
Preexisting Conditions: None
Allergies: Latex, Demerol, penicillin
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Flushed, hot feeling, sweating, rapid heartbeat, dizzy starting about 10 minutes after vaccine and lasted over 3 hours. |
|
| VAERS ID: |
909770 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Male |
| Location: |
California |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
Administered by: Military Purchased by: ?
Symptoms: Blood pressure increased,
Chest discomfort,
Chest pain,
Chills,
Electrocardiogram normal,
Heart rate increased,
Insomnia,
Migraine,
Pain,
Palpitations,
Pyrexia,
Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), 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: None
Current Illness: COVID-19 (12/06/2020 symptoms, 12/07/2020 PCR + Test)
Preexisting Conditions: None
Allergies: Aspirin and Diphenhydramine
Diagnostic Lab Data: ED took EKG and monitored vitals. ED said everything looked normal on the EKG and the elevated vitals were to be expected considering I just got over having COVID-19 and took the vaccine so soon after. I stated to the ED that no where on the COVID vaccine questionnaire or by the screening nurse for the vaccine did it ask about being ill in the past 30 days. I believe that is a standard question on the Influenza questionnaire.
CDC Split Type:
Write-up: Chills, shivering, migraine , body aches, painful tinnitus, fever, elevated resting HR of 90 (normal is 46), bounding heart beat, tightness in chest, elevated resting BP 150/80 (normal 124/72) 600mg ibuprofen & 500mg acetametaphine made me comfortable to get about an hour and half worth of sleep. Went to ED for elevated HR, BP and chest pain. ED took EKG and monitored vitals. ED discharged with 975mg acetametaphine and 800mg ibuprofen with 24hrs quarters. I was able to get about 3 hours of sleep. |
|
| VAERS ID: |
909785 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Asthenia,
Cough,
Decreased appetite,
Fatigue,
Feeling abnormal,
Feeling jittery,
Flushing,
Headache,
Heart rate increased,
Nausea,
SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Dehydration (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft, Singular, Allegra, Flonase
Current Illness: 24h stomach bug (tested covid negative) 12/1/2020
Preexisting Conditions: Asthma Allergies Depression
Allergies: Medication: Penicillin, Amoxicillin Foods: Mango, Peaches, Cashews
Diagnostic Lab Data: Covid Test (12/23) - negative
CDC Split Type:
Write-up: 12/18: First hour after vaccine: increased heart rate, felt flush and jittery - like I had drank a lot of espresso. Not debilitating but unpleasant. Then mostly went away, felt drained 12/19: headache and nausea started along with fatigue. Nausea would come in waves 12/20: Fatigued, headache 12/21: Headache, Nausea, waves of feeling flush (never had fever) and increased Heart rate. Worked all day but felt lousy 12/22: Continued symptoms from day before - feeling drained especially after episode of nausea/increased HR. Worked all day 12/23: Heached, Nausea - stayed home from work because they wanted a covid test to rule out that I had not contracted. Slept on and off all day. Cough started PM 12/24: Just headache, no nausea but no appetite, low energy 12/25: started feeling normal. still no appetite. |
|
| VAERS ID: |
909810 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Choking,
Condition aggravated,
Migraine,
Palpitations,
Pharyngeal swelling,
Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 100mcg daily, emergenC daily
Current Illness: n/a
Preexisting Conditions: Hashimoto''s Hypothyroiditis, migraines
Allergies: Shellfish, Iodine, Amoxicillin, Septra, Ceclor
Diagnostic Lab Data: None as of yet. Will be reaching out to my Endocrinologist on 12/28/2020
CDC Split Type:
Write-up: Approximately 30 mins after injection I started to feel my heart racing. Checked my pulse and it was reading 130bpm. This continued on for approximately 60mins. I then started with a migraine that lasted 36hrs. Starting on 12/25/2020 I felt a lump in my throat and have been periodically choking on food and liquids. It feels like my thyroid is enlarged. |
|
| VAERS ID: |
909819 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
Oklahoma |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Cardiac flutter,
Chills,
Hemiparesis,
Hypertension,
Muscle spasms,
Muscle twitching,
Palindromic rheumatism,
Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Hypertension (narrow), Tachyarrhythmia terms, nonspecific (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Arthritis (narrow), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Plavix, metropolol, asa, lipitor, Plaquenil, sulfasalazine, methotrexate Folic acid, vitamin D3, vitamin C, paxil, Claritin
Current Illness:
Preexisting Conditions: CAD, stent at RCA and left circumfrex. Rheumatoid disease, shob, anxiety.
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Excessive thirst 15mins post Heart palpation with fluttering sensations 30mins post HTN 156/96, 80hr, 1hour post Chills 1hour post Muscle spasms with cramping throughout body 45mins post Muscle weakness to left side 2hour post Facial twitches Treated with tylenol and Gatorade and rest. Symptoms lasted 48hours post. |
|
| VAERS ID: |
909887 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Cough,
Heart rate increased,
Nausea,
Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: asthma
Allergies: none
Diagnostic Lab Data:
CDC Split Type:
Write-up: nausea/vomiting, elevated heart rate and cough |
|
| VAERS ID: |
909888 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Anxiety,
Condition aggravated,
Full blood count normal,
Heart rate increased,
Metabolic function test normal,
Pregnancy test negative,
Urine abnormality,
Urine analysis normal
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Proteinuria (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:
Other Medications: Adderall, Zoloft
Current Illness: Anxiety
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data: All 12/23/20 Urinalysis normal except urine cloudy, BMP normal, CBC normal, serum pregnancy negative
CDC Split Type:
Write-up: Patient received COVID 19 vaccination and developed elevated heart rate. It is less likely that this was a reaction to the vaccine given no complaints of nausea, vomiting, itchiness, shortness of breath, abdominal or epigastric pain, wheezing which are typical signs of a reaction. Most likely this was an anxiety event. |
|
| VAERS ID: |
909936 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Male |
| Location: |
Virginia |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Blood test normal,
Coxsackie virus test positive,
Eating disorder,
Glossodynia,
Herpangina,
Herpes simplex test negative,
Oral disorder,
Swollen tongue,
Viral test
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Dec. 23rd: swab for oral herpes (negative) Dec 26th: blood world (all in normal range)
CDC Split Type:
Write-up: Two hours after the injection my tongue started swelling and pain increased throughout the day to the point where I could not eat. The next morning (Dec. 23rd) I had painful white lesions under and on the sides of my tongue. This worsened over the next day and I was seen at an urgent care clinic who took culture swaps for lab test. (eventually negative for oral herpes). Pain and lesions continued to worse and I was admitted to the ER on December 26th. Breathing, heart rate, and blood work all normal. Diagnosed with Herpangina/Coxsackie Virus. |
|
| VAERS ID: |
909974 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Asthenia,
Delirium,
Dizziness,
Fatigue,
Headache,
Heart rate increased,
Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B12 100mcg, Gemfibrozil 600mg, Metoprolol Tartrate, Tramadol
Current Illness: No
Preexisting Conditions: Gastro paretha, High blood pressure.
Allergies: Prednisone
Diagnostic Lab Data: No
CDC Split Type:
Write-up: After receiving the vaccine, 30 mins later. I started feeling dizzy with a rapid heart rate. I started feeling really weak and delirious. Then I had a really bad headache with nausea and fatigue. Then I eventually laid down and fell asleep for about an hour, I had a headache and the other symptoms were gone. All of the symptoms lasted about 3 hours. The headache was the only symptom that lasted longer, about 6 hours. |
|
| VAERS ID: |
910003 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20-2A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Akathisia,
Dyspnoea,
Palpitations,
Panic reaction
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Akathisia (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: latex-rash
Diagnostic Lab Data: none
CDC Split Type:
Write-up: 10 min-heart palpitations 20 min-heart palpitations, could not catch breath, angst/panicky sensation, all intermittent 1 hour- akathisia, heart palpitations/panicky sensation, all intermittent, resolved with benadryl 24 hours- heart palpitations/panicky sensation, intermittent |
|
| VAERS ID: |
910039 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 2020-12-28 |
| Onset: | 2020-12-28 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Heart rate increased,
Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? 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: Approximately 5 minutes after vaccine administration (8:14a) patient felt heart palpitations, Heart Rate up to 90, blood pressure 149/98. At 8:22a blood pressure at 153/98, At 8:37 a Blood pressue at 144/96 Within 30 min (8:43a) patient Heart rate down within normal limits to mid 60s and blood pressure to 130/80 (manually). |
|
| VAERS ID: |
910110 (history) |
| Form: |
Version 2.0 |
| Age: |
52.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 2020-12-26 |
| Onset: | 2020-12-26 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Private Purchased by: ?
Symptoms: Cardiac flutter,
Epistaxis,
Feeling abnormal,
Headache,
Palpitations
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: none
CDC Split Type:
Write-up: One hour after administration, patient experienced a nose bleed. Approximately 2 hours after administration she noticed her heart rate fluttering which turned in to a strong throbbing feeling at the base of her sternum. This was regular rate, but very strong, intense feeling. This lasted until the next day when it decreased frequency and ended by afternoon. Also she experienced a mild headache the day after receiving the immunization. She states that she has a hx of seasonal allergies. Also states that she was very anxious about receiving the immunization prior to admin. She states that she was also a little dehydrated. |
|
| VAERS ID: |
910123 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Hypoaesthesia,
Hypoaesthesia oral,
Nausea
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: N known drug allergies
Diagnostic Lab Data:
CDC Split Type:
Write-up: 21 y.o. female who arrived by from on-campus presented to the emergency department for Nausea, face/tongue/distal extremity numbness 5 minutes after receiving Covid vaccine. Patient states that the symptoms are intermittent and "come in waves." She states that she was simply sitting in a chair doing nothing on the symptoms started. She does not feel like her tongue is swollen, she has no difficulty with breathing, no new rashes, and her nausea is not persistent. She has no history of anaphylaxis. She has no history of food or other allergies, and has never used an EpiPen. She does not typically have symptoms after receiving injections and is a phlebotomist and does not have fear of needles. Patient''s symptoms resolved within 1 hour of her stay. She felt well, had no difficulty with breathing, did not notice any development of rashes, abdominal pain, nausea. She states that her heart rate is typically 80s/90s when she checks it. ? After her fluids are complete, and she is observed for 4 hours, patient has no symptoms, and feels safe to go home. |
|
| VAERS ID: |
910134 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2020-12-28 |
| Onset: | 2020-12-28 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Flushing,
Hot flush,
Nervousness
SMQs:, Anaphylactic reaction (broad), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 88mcg daily po, Zoloft 25mg at bedtime po, Vit D3, Multi vitamin, and Fish Oil.
Current Illness: None
Preexisting Conditions: Hypothyroidism/Hashimoto''s Disease
Allergies: Sulfa.
Diagnostic Lab Data: None
CDC Split Type:
Write-up: 09:48am While waiting her wait time, reading emails, she felt flushed, like a "hot flash". Heart rate per her apple watch was 152. 09:54am Seated, placed on monitor for BP and O2 sat., 151/90, HR 111, 99% on room air. 10:05 158/87, 111, 99% - RA 10:10 147/85, 102, 100% - RA, States feeling nervous. 10:20 144/84, 96, 100% - RA, States feeling better, less nervous. No shortness of breath, no facial swelling. No other complaints. Allowed to leave facility. With instructions to follow up with Emergency Department if any life threatening symptoms develop and to follow up with Employee Health if needed. She verbalized understanding of above. |
|
| VAERS ID: |
910137 (history) |
| Form: |
Version 2.0 |
| Age: |
49.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Pain,
Palpitations,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D and Women''s vitamin
Current Illness: No
Preexisting Conditions: Sinuses issues (headache), back pain
Allergies: None to medications over 20 years last one I had was amoxicillin over 2o years ago but I had some recently and no adverse reaction
Diagnostic Lab Data: None, just observation.
CDC Split Type: vsafe
Write-up: About 11:50 I sat down for observation and between 12 and 12:05 I felt tachycardia, I could even hear my heart and felt my heart really racing. I could feel something on my fingertips as well. The nurse came to check on me and at 2:08 my heart rate was 109 and one minute after it was already 110. So they brought 2 RNS to observe me. I did not go to the ER. They came about 10 min later and stayed with me 20 mins. They kept taking my vitals and checking my BP and told me that my vitals were stable. I left and when I went to my car and checked my heart race and noticed that it was stable, around 83 and decided to go home. I left the hospital about 1PM. After I had the vaccine, the next day I felt body aches, I was not sure if it was my sinus issues or related to the vaccine. I also had joint pains, back pains. But sometimes I have it with my sinus but today I feel fine. My arm the soreness increased with each day but by Friday it got better today I don''t feel it anymore. |
|
| VAERS ID: |
910206 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Male |
| Location: |
Washington |
| Vaccinated: | 2020-12-24 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Erythema,
Fatigue,
Feeling cold,
Headache,
Heart rate irregular,
Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Testosterone IM, anastrazole, albuterol inhaler
Current Illness: none
Preexisting Conditions: asthma, hypotestosteronism
Allergies: tramadol (nausea/vomiting, irregular heart rate), seasonal allergies, bee sting (excessive swelling and hives)
Diagnostic Lab Data:
CDC Split Type:
Write-up: 30 minutes after vaccine administered, pt had irregular heart beat (felt like it was going to come out of his chest through his neck). Lightheadedness, and terrible headache. Skin of chest and stomach were red. Pt received treatment in the ER, received IV benadryl, IV steroids, and anti-nausea medicine, and IV fluids. Pt was cold and shaking, couldn''t stay warm. 4 days later, patient is still cold and fatigued. |
|
| VAERS ID: |
910216 (history) |
| Form: |
Version 2.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
UN / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Nausea,
Oropharyngeal pain,
Throat irritation
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No known drug allergies
Diagnostic Lab Data:
CDC Split Type:
Write-up: 21 y.o. female normally healthy who arrived by to the emergency department for Post COVID-19 vaccination reaction. Patient states approximate 5 minutes after the vaccine, she started to feel lightheaded and nauseated. She does notice the sensation of throat irritation, but denies any shortness of breath or difficulty breathing. Denies any tongue/lip/airway swelling, abdominal pain, new rash/pruritus, diarrhea, emesis, fever/chills, chest pain. She has no history of anaphylaxis or use of EpiPen. No significant allergic reactions in the past Initial reevaluation approximately 30 minutes after arrival, patient status unchanged. She still felt lightheaded and nauseated with a sore throat. No new rashes, shortness of breath, difficulty breathing. Her voice was normal, and did not report any new GI symptoms. Heart rate was 109 with one half fluids given thus far. ? On reevaluation 2 and 3 hours after arrival, patient''s heart rate normalized into the 60s?70s, she was asymptomatic. She was slightly fatigued from the Benadryl. She felt safe to go home. Follow-up call a few days later and patient was doing fine with no symptoms. |
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