|
VAERS ID: |
902811 (history) |
Form: |
Version 2.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
Kansas |
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 |
EH9899 / UNK |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Fall,
Seizure like phenomena SMQs:, Convulsions (narrow), Accidents and injuries (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Associate received vaccine at 12:15 pm and was monitored for 15 minutes. After 15 minutes, associate went to check out table. While at check out table, associate fell to ground and was experiencing seizure like activity. Supportive treatment was administerd and associate was transferred to ED. |
|
VAERS ID: |
902813 (history) |
Form: |
Version 2.0 |
Age: |
49.0 |
Sex: |
Female |
Location: |
Illinois |
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 |
- / 1 |
RA / IM |
Administered by: Private Purchased by: ? Symptoms: Asthenia,
Dizziness,
Fatigue SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Womans one a day multivitamin Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: N/A CDC Split Type:
Write-up: Dizziness that lasted for about an hour. Weakness, extreme fatigue lasted the rest of the day. |
|
VAERS ID: |
902815 (history) |
Form: |
Version 2.0 |
Age: |
51.0 |
Sex: |
Male |
Location: |
Arizona |
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 |
EH9899 / 1 |
LA / IM |
Administered by: Other Purchased by: ? Symptoms: Flushing,
Wheezing SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (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: None Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: None, patient asymptomatic when he arrived to ER for evaluation. CDC Split Type:
Write-up: Feeling flush and wheezing when walking. |
|
VAERS ID: |
902818 (history) |
Form: |
Version 2.0 |
Age: |
40.0 |
Sex: |
Female |
Location: |
Illinois |
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 |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Throat tightness SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: unknown Current Illness: none Preexisting Conditions: none Allergies: Diagnostic Lab Data: none CDC Split Type:
Write-up: Patient was in observation area after admistration of covid vaccine. At 15 Minute mark patient stated throat felt tight and like it was closing up. Assesment of patient showed tongue PWD, vital signs as follows. 97.6, 118/72, 66 pulse and 100% pulse oxygenation. Observed patient for 15 minutes more, gave patient water and monitored for full 30 minutes. Breathing normal at this time. States feeling better. Discharged and advised to monitor throughout night and if worse go to emergency room. Patient agreed and stated understanding. |
|
VAERS ID: |
902821 (history) |
Form: |
Version 2.0 |
Age: |
33.0 |
Sex: |
Female |
Location: |
California |
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 |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Fatigue,
Myalgia,
Nausea SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: CT contrast Diagnostic Lab Data: CDC Split Type:
Write-up: Fatigue, nausea, muscle aches |
|
VAERS ID: |
902823 (history) |
Form: |
Version 2.0 |
Age: |
73.0 |
Sex: |
Male |
Location: |
West Virginia |
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 |
EU9899 / UNK |
LA / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Injection site erythema SMQs:, Extravasation events (injections, infusions and implants) (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: Oxybutynin 5mg daily, Eliquis 5mg BID, Prazosin HCL 2mg QHS, Finasteride 5mg QHS, Imdur 15 g day, Zyrtec 10mg QHS, MOM 45ml daily, Klorcon 30mg BID, Lyrica 150mg BID, Lasix 80mg daily and 60mg QPM, UTI Stat 30ml daily, Flonase 50mg BID, Bu Current Illness: Preexisting Conditions: DM2, hx of PE, Central Cord Syndrome, Cervical Disc Degeneration Allergies: Sulfa Diagnostic Lab Data: none CDC Split Type:
Write-up: Redness at injection site |
|
VAERS ID: |
902824 (history) |
Form: |
Version 2.0 |
Age: |
28.0 |
Sex: |
Male |
Location: |
Colorado |
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 |
EH9899 / 1 |
LA / IM |
Administered by: Work Purchased by: ? Symptoms: Headache,
Pain,
Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Hypertension Allergies: Cephalosporins Diagnostic Lab Data: CDC Split Type:
Write-up: Headache, body aches, low grade fever (99.3 F) |
|
VAERS ID: |
902826 (history) |
Form: |
Version 2.0 |
Age: |
18.0 |
Sex: |
Female |
Location: |
Texas |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
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 |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ? Symptoms: Diarrhoea,
Headache,
Myalgia,
Nausea,
Oropharyngeal pain,
Pain in extremity,
Pyrexia SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: VSafe
Write-up: Severe muscle aches Diarrhea Headaches Feverish Nauseous Left arm super sore Sore throat |
|
VAERS ID: |
902827 (history) |
Form: |
Version 2.0 |
Age: |
31.0 |
Sex: |
Male |
Location: |
New York |
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 |
EK5730 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Diarrhoea,
Rash SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Asthma Allergies: Ceclore, and bee venom Diagnostic Lab Data: CDC Split Type:
Write-up: I developed a new rash on my torso and have had three bouts of diarrhea. |
|
VAERS ID: |
902829 (history) |
Form: |
Version 2.0 |
Age: |
23.0 |
Sex: |
Female |
Location: |
West Virginia |
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 |
EH9899 / UNK |
LA / IM |
Administered by: Senior Living Purchased by: ? Symptoms: Injection site erythema SMQs:, Extravasation events (injections, infusions and implants) (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: Spironalctone 100mg daily, Metformin 1000mg dx daily, Naproxen 500mg daily, Progesterone 10mg injection, Stattwra 200mg daily Current Illness: unknown Preexisting Conditions: unknown Allergies: pertussis and hep B Diagnostic Lab Data: none CDC Split Type:
Write-up: Redness to injection site |
|