|
VAERS ID: |
958443 (history) |
Form: |
Version 2.0 |
Age: |
1.08 |
Sex: |
Female |
Location: |
Unknown |
Vaccinated: |
2020-12-24 |
Onset: |
2020-12-26 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-01-08 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Other Purchased by: ? Symptoms: Completed suicide, Death, Gun shot wound SMQs:, Suicide/self-injury (narrow), Accidents and injuries (narrow), Hostility/aggression (broad) Life Threatening? No Birth Defect? No Died? Yes
Date died: 2020-12-26
Days after onset: 0 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: death by suicide Narrative: death by suicide; 12/26/20, self inflicted gun shot wound; found deceased by family member |
|
VAERS ID: |
1099241 (history) |
Form: |
Version 2.0 |
Age: |
1.33 |
Sex: |
Female |
Location: |
California |
Vaccinated: |
2021-03-10 |
Onset: |
2021-03-11 |
Days after vaccination: |
1 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-14 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
- / UNK |
- / - |
Administered by: Private Purchased by: ? Symptoms: Exposure via breast milk, Haemolytic anaemia, Jaundice SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Haemolytic disorders (narrow), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Neonatal exposures via breast milk (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune 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? Yes, ? days Extended hospital stay? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: CDC Split Type: Write-up: Patient is breastfed by mother, who was vaccinated on 3/10. Patient developed jaundice 3/11, and was admitted for evaluation of hemolytic anemia. Evaluation ongoing. Likely not related to vaccine, but occurred within 2 days of possible to vaccine components via breastmilk |
|
VAERS ID: |
1141441 (history) |
Form: |
Version 2.0 |
Age: |
5.25 |
Sex: |
Male |
Location: |
Florida |
Vaccinated: |
2021-03-19 |
Onset: |
2021-03-25 |
Days after vaccination: |
6 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-28 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
- / - |
Administered by: Other Purchased by: ? Symptoms: Diplopia, Eye pain, Laboratory test, Ocular discomfort, Ophthalmological examination, VIth nerve paralysis, Vision blurred SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? Yes Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: escitalopram Current Illness: none Preexisting Conditions: none Allergies: none Diagnostic Lab Data: Several eye exams performed by the aforementioned O.D. CDC Split Type: Write-up: Approximately 5-6 days after my vaccination I began to experience blurred vision. There was a feellng of pressure coming from my eyes. When both eyes were open I had double vision. If one eye was closed vision was more normal. Overall, vision was blurred and there was pain/discomfort in the eyes. On March 27 I went to the eye doctor After examining me he concluded I had experienced cranial nerve palsy in the sixth abducent nerve. It was my left eye that was affected. In my past, i have had two incidences of bells palsy and one incident of an ?eye stroke''. I am not diabetic. My bp and cholesterol are good. I tested negative for Lymes disease 2 years ago. |
|
VAERS ID: |
1228684 (history) |
Form: |
Version 2.0 |
Age: |
2.17 |
Sex: |
Female |
Location: |
Wisconsin |
Vaccinated: |
2021-03-25 |
Onset: |
2021-04-07 |
Days after vaccination: |
13 |
Submitted: |
0000-00-00 |
Entered: |
2021-04-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1805031 / 1 |
- / - |
Administered by: Public Purchased by: ? Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Back pain, Computerised tomogram thorax normal, Leukocytosis, Oropharyngeal pain, Pelvic venous thrombosis, Pyrexia, Ultrasound Doppler abnormal SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Thrombophlebitis (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes, 4 days Extended hospital stay? No Previous Vaccinations: Other Medications: Xarelto 15 mg twice a day Aspirin 81 mg daily Pepcid 10 mg daily Birth control containing estrogen Current Illness: none listed Preexisting Conditions: History of bilateral venous thromboemboli diagnosed in Aug 2020 treated at Hospital. Patient reports that she had several procedures including ileofemoral stenting on the R. She was initially treated with Lovenox, later placed on Xarleto and aspirin. Allergies: Penicillin Diagnostic Lab Data: Ultrasound legs venous duplex CT angio chest PE CDC Split Type: Write-up: Patient admitted to Hospital 4/6-4/9 for bilateral lower back pain, fever, sore throat and leukocytosis. Diagnosed with a R iliofemoral nonocclusive thrombus present on admission. Ultrasound was performed and there was no evidence of an occlusive thrombus, there was evidence of flow through her previously placed stent. She was placed on a heparin drop and converted back to Xarelto at the time of discharge. Chest CT showed no evidence of PE. Of note, patient went on spring break and was out her Xarelto, missed approximate 4 days worth of medical. She was also diagnosed and treated for an acute strep throat infection. |
|
VAERS ID: |
1257673 (history) |
Form: |
Version 2.0 |
Age: |
2.0 |
Sex: |
Female |
Location: |
Unknown |
Vaccinated: |
2021-03-25 |
Onset: |
2021-04-02 |
Days after vaccination: |
8 |
Submitted: |
0000-00-00 |
Entered: |
2021-04-26 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ? Symptoms: Headache SMQs: Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, 3 days Extended hospital stay? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Headache |
|
VAERS ID: |
1261766 (history) |
Form: |
Version 2.0 |
Age: |
1.0 |
Sex: |
Male |
Location: |
Florida |
Vaccinated: |
2021-04-08 |
Onset: |
2021-04-10 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-04-27 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Unknown Purchased by: ? Symptoms: Body temperature increased, Death, Seizure SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? Yes
Date died: 2021-04-10
Days after onset: 0 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: increased body temperature, seizure, death |
|
VAERS ID: |
1280074 (history) |
Form: |
Version 2.0 |
Age: |
0.92 |
Sex: |
Female |
Location: |
Florida |
Vaccinated: |
2021-04-07 |
Onset: |
2021-04-07 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-05-02 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
ER8737 / 1 |
LA / IM |
Administered by: Pharmacy Purchased by: ? Symptoms: Blood test, Computerised tomogram, Dysphagia, Hypoaesthesia, Hypoaesthesia oral, Swelling face, Urine analysis SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypersensitivity (narrow), 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? Yes, 1 days Extended hospital stay? No Previous Vaccinations: Other Medications: Losartin, glipizide, amlodipine,piiglitazone,atorvastatin Current Illness: none Preexisting Conditions: diabetes, high blood pressure Allergies: Sulfa, reflex, cipro, Macrobid Diagnostic Lab Data: blood work, urine, ct scan CDC Split Type: Write-up: Fri, Apr 30, 8:53 PM (2 days ago) to vaers On April 7th, I took vaccine #1 at pharmacy. Within in an hour I got a reaction similar to what I got from sulfur type antibiotics including: Facial swelling, difficulty swallowing and numbness of face, lips, tongue, teeth. I am assuming that there is sulfur in Pfizer. Others should be aware of this. If you have any questions, call me |
|
VAERS ID: |
1294861 (history) |
Form: |
Version 2.0 |
Age: |
3.0 |
Sex: |
Unknown |
Location: |
California |
Vaccinated: |
2021-03-05 |
Onset: |
2021-03-08 |
Days after vaccination: |
3 |
Submitted: |
0000-00-00 |
Entered: |
2021-05-07 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
029A21A / 1 |
LA / - |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
026B21A / 2 |
LA / - |
Administered by: Unknown Purchased by: ? Symptoms: Delusion, Hallucination, Paranoia, Psychotic disorder, Sleep deficit, Thinking abnormal SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, ? days Extended hospital stay? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: CDC Split Type: Write-up: 3 days after first dose started having Hallucinations sleep deprivation paranoia uncontrolled thoughts of being stalked raped hearing voices talking about her this physcosis escalated after the second dose came night an day out of nowhere she went to medical center ER who then transferred her to hospital where she spent 5 days and was released and is now taking Lexipro and Abilify to ease these delusions.. no history of mental illness prior to receiving Moderna vaccines |
|
VAERS ID: |
1314766 (history) |
Form: |
Version 2.0 |
Age: |
5.92 |
Sex: |
Male |
Location: |
Washington |
Vaccinated: |
2021-02-28 |
Onset: |
0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
2021-05-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
00821BA / 2 |
RL / IM |
Administered by: Work Purchased by: ? Symptoms: Balance disorder, Condition aggravated, Hypoacusis, Meniere's disease, Tinnitus, Vertigo SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Hearing impairment (narrow), Vestibular disorders (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? Yes Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: ckd - dialysis patient Allergies: none Diagnostic Lab Data: CDC Split Type: Write-up: Pre-existing tenitus, Meneirs''s Disease. These problems greatly exacerbated with 2nd vaccination?and contune to worsen. New "noises" within a week of vaccine not before heard (sounds like a gas generator next door and a flock of birds chirping). Also, marked decrease in hearing?voices poorly heard and distorted. Marked development of vertigo?loss of balance is alarming at times. |
|
VAERS ID: |
1708487 (history) |
Form: |
Version 2.0 |
Age: |
0.5 |
Sex: |
Female |
Location: |
Texas |
Vaccinated: |
2021-03-27 |
Onset: |
2021-03-29 |
Days after vaccination: |
2 |
Submitted: |
0000-00-00 |
Entered: |
2021-09-17 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
008B21A / 1 |
LA / SYR |
Administered by: Other Purchased by: ? Symptoms: Chest pain, Neck pain, Neuralgia, Pain in extremity SMQs:, Peripheral neuropathy (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? Yes Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Iron Losartan Vitamin D Vitamin C Current Illness: No Preexisting Conditions: None Allergies: Yes I have severe food allergies, and I''m allergic to penecillan and acidic foods, some plastics Diagnostic Lab Data: Went to my primary in August 2021 for this severe pain CDC Split Type: Write-up: Severe long-lasting Nerve pain from my neck down to my toes. Chest pains |
|