|
| VAERS ID: |
902832 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Male |
| Location: |
Unknown |
| 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 |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Fall,
Hyperhidrosis,
Loss of consciousness,
Malaise,
Orthostatic hypotension,
Pain,
Pyrexia,
Tinnitus
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: None
Preexisting Conditions: Factor 5 leidens
Allergies: Penicillins Cephalosporins
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within and hour and a half of receiving developed tinnitus in both ears lasting 6 hours. The night after receiving vaccine also developed orthostatic hypotension and started to pass out but caught myself with an assisted fall. Fever(102 F with temporal and oral thermometer) body aches/sweats/general malaise lasting close to 24 hours after receiving vaccine. Fever/aches treated with acetaminophen. |
|
| 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: |
903274 (history) |
| Form: |
Version 2.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Iowa |
| 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 |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Ear discomfort,
Hypoaesthesia,
Injection site pain,
Tinnitus
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Sexual dysfunction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: elderberry 1 chewable once a day
Current Illness: no
Preexisting Conditions: no
Allergies: penicillin
Diagnostic Lab Data:
CDC Split Type:
Write-up: numbness to right ear and in front of ear. Also right ear feels plugged/underwater sound, Very sore left arm injection site. |
|
| VAERS ID: |
903344 (history) |
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Male |
| Location: |
Pennsylvania |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Acoustic stimulation tests abnormal,
Deafness unilateral,
Tinnitus
SMQs:, Hearing impairment (narrow)
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: Zyrtec, Mg supplement (300mg), omeprazole
Current Illness: none
Preexisting Conditions: none
Allergies: bee stings
Diagnostic Lab Data: Audiology test on 12/17 confirmed hearing loss.
CDC Split Type:
Write-up: severe, acute hearing loss and tinnitus in R ear. |
|
| VAERS ID: |
903469 (history) |
| Form: |
Version 2.0 |
| Age: |
46.0 |
| 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 |
- / UNK |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Confusional state,
Dysphagia,
Erythema,
Flushing,
Headache,
Injection site erythema,
Injection site reaction,
Pain,
Sensation of foreign body,
Throat irritation,
Tinnitus,
Vision blurred
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (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), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu shot 2010, 2011, 2012, 2013, 2017, started with just topical redness at sight and then over the years developed into an itch
Other Medications: Levothyroxine Meloxicam
Current Illness: Hypothyroidism Osteoarthritis
Preexisting Conditions: Hypothyroidism Osteoarthritis
Allergies: Latex Pine nuts Codeine Hydrocodone
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Initial within 10 minutes, redness and burning pain at site. Ice was applied and this went away, then about 25 minutes, itchy throat, trouble swallowing, mild confusion. Oral benadryl 50mh and solumedrol IM. Once again this dissapated after 30 minutes. 3 hours later, trouble swallowing, felt as if something was in my throat, redness and flushing all over.fluid bolus, epinephrine I''m, iv benadryl, pepcid oral, and claritin oral, fluid bolus. 12 hours after getting the vaccine blurry vision, ringing ears, headache, benadryl, steroid, claritin all oral |
|
| VAERS ID: |
904050 (history) |
| Form: |
Version 2.0 |
| Age: |
29.0 |
| Sex: |
Male |
| Location: |
Puerto Rico |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-17 |
| 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 |
EH9899 / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Arthralgia,
Body temperature increased,
Chills,
Discomfort,
Dysphonia,
Headache,
Oropharyngeal pain,
Pain,
Painful respiration,
SARS-CoV-2 test negative,
Self esteem decreased,
Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Arthritis (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Covid test done in AM 12/19/2020. I don''t remember what tests they ordered
CDC Split Type: vsafe
Write-up: 10/17/2020 after the injection on Thursday I had a sore body, sore throat ringing ears joint pain, my self esteem was very low, my boss sent me home because my voice sounded so rough, I checked my temp around 100 and 101 and I took Panolol and it went down to 99. Fri I woke up with sore throat every time I take a breath I have chest pain sore body ringing in ears, chills and I went to the ER Friday 12/18/2020 they gave me some anti inflammatory injection and I went back home that day, they gave me a medical order to take a covid test today 12/19/2020. ER Dr gave me good results on tests.I have a headache and sore my body feels heavy but other than that I''m trying to avoid contact and staying at home until the results come through |
|
| VAERS ID: |
904331 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Male |
| Location: |
Oregon |
| 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 |
EJ1685 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Deafness neurosensory,
Hypoacusis,
Tinnitus
SMQs:, Hearing impairment (narrow)
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: Metformin 1000mg BID Glipizide 20mg BID NPH 20 units qHS
Current Illness: None
Preexisting Conditions: Diabetes type II Asthma (hx)
Allergies: Clarithromycin Latex
Diagnostic Lab Data: Audiology test to be scheduled next week during business hours
CDC Split Type: vsafe
Write-up: 28 hrs after vaccine, woke up with tinnitus R ear, partial hearing loss R ear - went to Urgent care - Dr diagnosed with right sensorineural hearing loss with left side unrestricted hearing - prescribed prednisone 60mg a day x10days. Audiology test to be scheduled next week. |
|
| VAERS ID: |
905499 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / UNK |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Deafness unilateral,
Tinnitus
SMQs:, Hearing impairment (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: Atorvestain 20mg daily Lexapro 5mg daily Flovent inhaler 1-2puffs daily Multi vitamin D3 vitamins Fish oil supplements Elderberry B complex
Current Illness: none
Preexisting Conditions: Asthma Mitral valve prolapse
Allergies: Sulfa Tree nuts
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Approximately 30hrs. post vaccine I experienced hearing loss in my right ear. I could hear very little and it became worse within the next few hours. 12hrs after this began, my hearing came back and I then acquired a ringing in my right ear. This progressively lessened, and about 24 hrs after the initial hearing loss started, all the symptoms dissapated. |
|
| VAERS ID: |
905566 (history) |
| Form: |
Version 2.0 |
| Age: |
61.0 |
| Sex: |
Female |
| Location: |
Unknown |
| 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 |
AR / IM |
Administered by: Work Purchased by: ?
Symptoms: Ear discomfort,
Headache,
Oral pruritus,
Pruritus,
Tinnitus
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hearing impairment (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Idiopathic anaphylaxis reported by patient as history
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt reported roof of mouth itchy, body itching, ears ringing and felt fullness/clogged, headache. Benadryl 50 mg PO provided with additional monitoring and resolved. |
|
| VAERS ID: |
905818 (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: |
2020-12-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
RA / OT |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Headache,
Injection site pain,
Tinnitus
SMQs:, Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hearing impairment (narrow), Vestibular disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2020501124
Write-up: headache; dizzy; ringing in her ears for hours -high pitched ring; sore arm where injection was administered; This is a spontaneous report from a contactable nurse (patient). A 28-year-old female patient (not pregnant) received first dose of bnt162b2 via intramuscular in arm right on 17Dec2020 11:30 at single dose for immunization. The patient medical history was not reported. The patient had no medications, food, or other products allergy history. The patient''s concomitant medications were not reported. The patient reported 8 hours after administration of vaccine, on 17Dec2020 8:00 pm, the patient started to get a headache then dizzy then ringing in her ears for hours -high pitched ring, and sore arm where injection was administered. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. No treatment was received in response for reported events. The outcome of the events was recovering. Information on the lot/Batch number has been requested. |
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