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

Found 1,920 cases where Vaccine is COVID19 and Write-up contains 'heart' and Patient Did Not Die and Vaccination Date from '1992-01-01' to '2020-12-31'

Table

   
Event OutcomeCountPercent
Permanent Disability392.03%
Office Visit40020.83%
Emergency Doctor/Room58830.63%
Hospitalized1839.53%
Hospitalized, Prolonged10.05%
Recovered1,00852.5%
Birth Defect10.05%
Life Threatening663.44%
Not Serious40821.25%
TOTAL† 2,694† 140.31%
† Because some cases have multiple vaccinations and symptoms, a single case can account for multiple entries in this table. This is the reason why the Total Count is greater than 1920 (the number of cases found), and the Total Percentage is greater than 100.



Case Details

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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), Sexual dysfunction (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), Sexual dysfunction (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), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 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), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? 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), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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), Sexual dysfunction (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), Sexual dysfunction (broad)

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