Found 90 cases where Vaccine is COVID19 and FLUA3

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Blood pressure measurement, Blood pressure systolic increased, Feeling abnormal, Myocarditis, Pain in extremity, Taste disorder
SMQs:, Taste and smell disorders (narrow), Dementia (broad), Hypertension (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), Noninfectious myocarditis/pericarditis (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 202310; Test Name: Blood pressure; Result Unstructured Data: Test Result:around 130s; Test Date: 202310; Test Name: Blood pressure; Result Unstructured Data: Test Result:168-175 systolic; Comments: after injection; Test Date: 202310; Test Name: Blood pressure; Result Unstructured Data: Test Result:140s; Comments: about 2-3 hours later, her blood pressure was in the 140s systolic
CDC Split Type: USPFIZER INC202300349341

Write-up: Due to some complaints about the chest, she was concerned about myocarditis; Her blood pressure is usually around 130s but it went up to 168-175 systolic after injection; can taste the vaccine; feeling this pulsating feeling in chest and it is running down the body to legs and there was pain in hip and leg; feeling this pulsating feeling in chest and it is running down the body to legs and there was pain in hip and leg; feeling this pulsating feeling in chest and it is running down the body to legs and there was pain in hip and leg; This is a spontaneous report received from a contactable reporter(s) (Pharmacist) from medical information team, Program ID. A 71-year-old female patient received bnt162b2 omi xbb.1.5 (COMIRNATY (2023-2024 FORMULA)), on 26Oct2023 at 10:00 as dose 1, single (Batch/Lot number: unknown), in arm for covid-19 immunisation; influenza vaccine inact sag 3v (FLUAD), on 26Oct2023 as dose number unknown, single (Batch/Lot number: unknown), in arm for influenza immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: MYOCARDITIS (medically significant) with onset Oct2023, outcome "unknown", described as "Due to some complaints about the chest, she was concerned about myocarditis"; BLOOD PRESSURE SYSTOLIC INCREASED (medically significant) with onset Oct2023, outcome "unknown", described as "Her blood pressure is usually around 130s but it went up to 168-175 systolic after injection"; TASTE DISORDER (non-serious) with onset Oct2023, outcome "unknown", described as "can taste the vaccine"; FEELING ABNORMAL (non-serious), ARTHRALGIA (non-serious), PAIN IN EXTREMITY (non-serious) all with onset Oct2023, outcome "unknown" and all described as "feeling this pulsating feeling in chest and it is running down the body to legs and there was pain in hip and leg". The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (Oct2023) around 130s; (Oct2023) 168-175 systolic, notes: after injection; (Oct2023) 140s, notes: about 2-3 hours later, her blood pressure was in the 140s systolic. Clinical course: Pharmacist stated that patient was not sure if the side effects were related to the COVID-19 vaccine or flu vaccine. Due to some complaints about the chest, she was concerned about myocarditis. Patient received both Fluad and Comirnaty 2023-2024 Formula in the same arm. After vaccination, the patient stated she could taste the vaccine. She felt pulsating feeling in her chest and it was running down the body to her legs and there was pain in hip and leg. The pharmacist continued to monitor the patient after the vaccinations and stated that the patient was still talking so no epipen was administered. The patient also developed elevated blood pressure after vaccination. Her blood pressure was usually around 130s but it went up to 168-175 systolic after injection. Upon follow-up with the patient about 2-3 hours later, her blood pressure was in the 140s systolic. The information on the batch/lot number for bnt162b2 omi xbb.1.5 has been requested and will be submitted if and when received.; Sender''s Comments: Based on the information provided, a causal relationship between the suspected drug and the reported events Myocarditis , Blood pressure systolic increased cannot be excluded The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate

Administered by: Unknown       Purchased by: ?
Symptoms: Pancreatic carcinoma
SMQs:, Non-haematological malignant tumours (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: USMODERNATX, INC.MOD20237

Write-up: pancreatic cancer; This spontaneous case was reported by a patient family member or friend and describes the occurrence of PANCREATIC CARCINOMA (pancreatic cancer) in a 9-decade-old male patient who received mRNA-1273 (Spikevax) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE INACT SAG 3V (FLUAD) for an unknown indication. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Spikevax) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE INACT SAG 3V (FLUAD) (unknown route) 1 dosage form. On an unknown date, the patient experienced PANCREATIC CARCINOMA (pancreatic cancer) (seriousness criterion medically significant). At the time of the report, PANCREATIC CARCINOMA (pancreatic cancer) outcome was unknown. For mRNA-1273 (Spikevax) (Unknown), the reporter considered PANCREATIC CARCINOMA (pancreatic cancer) to be related. Concomitant medication not reported. The patient was dying of pancreatic cancer. He never had any trouble with the pancreas before and he was almost 81. He was diagnosed with pancreatic cancer a few months after receiving the shot. Treatment medication not reported. Company comment: This spontaneous case concerns a 9-decade-old male patient, with no medical history reported, who experienced the unexpected and serious (medically significant) event of PANCREATIC CARCINOMA, which occurred on an unknown onset latency with an unspecified dose of mRNA-1273 vaccine. The vaccination date and the onset of the event were not reported; hence, latency could not be properly assessed. Treatment medication not reported. No further clinical information was available for medical review. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report. This case was linked to US-MODERNATX, INC.-MOD-2023-737836, US-MODERNATX, INC.-MOD-2023-737856, US-MODERNATX, INC.-MOD-2023-737864 (E2B Linked Report). Reporter did not allow further contact; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-737836:Same Reporter US-MODERNATX, INC.-MOD-2023-737864: (same reporter) US-MODERNATX, INC.-MOD-2023-737856: (same reporter)

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Bone pain, Dizziness, Feeling abnormal, Headache, Mobility decreased, Muscle discomfort, Musculoskeletal discomfort, Neck pain, Pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Osteonecrosis (broad), Arthritis (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: Motrin
Current Illness: No
Preexisting Conditions: No, just asthma & food/chemical allergies
Allergies: Yes, nitrates, sodium bicarbonate, citric acid, preservatives, cucumbers, oysters, cilantro, bananas
Diagnostic Lab Data:
CDC Split Type:

Write-up: Major bone pain, throbbing of every joint, bone & musle. Still neck, arms, legs with throbbing pain, massive headache, zero ability to get up out of bed, brainfog & lightheaded, stomach ache.

Administered by: Unknown       Purchased by: ?
Symptoms: Blood glucose normal, Blood urea, C-reactive protein increased, Cartilage injury, Fatigue, Influenza like illness, Magnetic resonance imaging abnormal, Muscle strain, Pain, Synovial rupture, Vaccination site pain
SMQs:, Accidents and injuries (narrow), 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: LATANOPROST; LOSARTAN; METOPROLOL SUCCINATE; HYDROCODONE
Current Illness: Blood pressure high; Borderline diabetes (Improvement in condition); Drug allergy (Tramadol allergy); Drug allergy (Ibuprofen allergy); Drug allergy (Codeine allergy); Drug allergy (Aspirin allergy); Drug allergy; Food allergy (Food coloring allergy); Glaucoma; Latex allergy (Latex allergy); Osteoporosis; Penicillin allergy
Preexisting Conditions: Medical History/Concurrent Conditions: Knee surgery NOS
Allergies:
Diagnostic Lab Data: Test Date: 20221216; Test Name: Glucose; Test Result: 111 mg/dL; Test Date: 20221216; Test Name: HS CRP; Result Unstructured Data: more than 10.0 mg/L (Ref. range : less than 1.0); Test Date: 20221128; Test Name: MRI knee right; Result Unstructured Data: Status post anterior cruciate ligament reconstruction by means of a patellar tendon autograft. The graft is isometric and impingement free. The menisci are normal. Partially ruptured popliteal cyst. Mild grade muscle strain of the lateral head of the gastrocnemius. Patellofemoral articular cartilage damage.
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: pain/Achy; Tiredness; mild flu-like symptoms; soreness in arm shot location; This spontaneous case was reported by a patient and describes the occurrence of INFLUENZA LIKE ILLNESS (mild flu-like symptoms), VACCINATION SITE PAIN (soreness in arm shot location), PAIN (pain/Achy) and FATIGUE (Tiredness) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013M20A, 029A21A, 045J21A and 002M21A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE INACT SAG 3V (FLUAD) for an unknown indication. The patient''s past medical history included Knee surgery NOS in 1991. Previously administered products included for Product used for unknown indication: Spikevax. Past adverse reactions to the above products included No adverse event with Spikevax. Concurrent medical conditions included Drug allergy (Aspirin allergy), Penicillin allergy, Drug allergy (Codeine allergy), Drug allergy (Tramadol allergy), Drug allergy, Drug allergy (Ibuprofen allergy), Latex allergy (Latex allergy), Food allergy (Food coloring allergy), Blood pressure high since 30-Jan-2015, Glaucoma since 28-Mar-2018, Borderline diabetes (Improvement in condition) since 28-Mar-2018 and Osteoporosis since 28-Mar-2015. Concomitant products included LOSARTAN from 30-Jan-2015 to an unknown date and METOPROLOL SUCCINATE from 20-Jun-2022 to an unknown date for Blood pressure management, LATANOPROST from 28-Mar-2018 to an unknown date for Glaucoma, HYDROCODONE for an unknown indication. On 04-Feb-2021 at 9:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 04-Mar-2021 at 10:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 01-Dec-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Apr-2022, received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 07-Apr-2022, the patient received first dose of INFLUENZA VACCINE INACT SAG 3V (FLUAD) (unknown route) 1 dosage form. On an unknown date, the patient experienced INFLUENZA LIKE ILLNESS (mild flu-like symptoms), VACCINATION SITE PAIN (soreness in arm shot location), PAIN (pain/Achy) and FATIGUE (Tiredness). At the time of the report, INFLUENZA LIKE ILLNESS (mild flu-like symptoms) and VACCINATION SITE PAIN (soreness in arm shot location) had resolved and PAIN (pain/Achy) and FATIGUE (Tiredness) had not resolved. Not Provided DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Nov-2022, Magnetic resonance imaging: Status post anterior cruciate ligament reconstruction by means of a patellar tendon autograft. The graft is isometric and impingement free. The menisci are normal. Partially ruptured popliteal cyst. Mild grade muscle strain of the lateral head of the gastrocnemius. Patellofemoral articular cartilage damage. . On 16-Dec-2022, Blood glucose (65-99 mg/dl): 111 mg/dl. On 16-Dec-2022, C-reactive protein: more than 10.0 mg/L (Ref. range : less than 1.0). For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No treatment medication was reported. On 16-Dec-2022, Blood urea test was performed (result : not reported). Reported stated that previous vaccine shots and booster gave mild flu-like symptoms and soreness in arm shot location which all resolved in 2 days. It was unknown if the patient experienced any additional symptoms/events. This case was linked to MOD-2022-687681 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 23-Jan-2023: Follow up received contains no new information. On 24-Jan-2023: Follow up document received contains no new information. On 26-Jan-2023: Significant follow up received contains concomitant drug added, events added.

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Interchange of vaccine products, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Medication errors (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Accupril, Keflex
Diagnostic Lab Data: Unknown by me at this time
CDC Split Type:

Write-up: According to son, mom began to feel bad in the evening after receiving both the Fluad flu vaccine and Moderna COVID vaccine on the same day. He did not give us any information than that at the time and hung up on the technician before she could get any information. When he contacted our corporate office, he stated she was having seizures and in the hospital.

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site pain, Product administered at inappropriate site
SMQs:, Drug abuse and dependence (broad), Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient received 2 vaccines in same arm and reported one was too high and had severe pain in shoulder went to dr and she stated that he did receive vaccine too high and to report incident

Administered by: Unknown       Purchased by: ?
Symptoms: Incorrect route of product administration, Injection site erythema, Injection site swelling, Pain in extremity
SMQs:, Drug abuse and dependence (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), Medication errors (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt received both vaccines in the same arm and thought 1 was given too high had severe arm pain and a painful red lump at injection site went to urgent care and was told that it was given too high and to report incident

Administered by: Other       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Back pain, Bone densitometry, Bursitis, Dysaesthesia, Enthesopathy, Gait disturbance, Intervertebral disc degeneration, Intervertebral disc disorder, Intervertebral disc protrusion, Lumbar vertebral fracture, Magnetic resonance imaging spinal, Muscular weakness, Neuralgia, Off label use, Osteoporotic fracture, Paraesthesia, Peripheral sensorimotor neuropathy, Product use issue, Specialist consultation, Spinal osteoarthritis, Spinal pain, Spondylolisthesis, Thoracic vertebral fracture, Vertebral foraminal stenosis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Osteoporosis/osteopenia (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (narrow), Medication errors (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

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: LISINOPRIL + HIDROCLOROTIAZIDA; EUTIROX; SIMVASTATIN; CALCIUM + VIT D; OMEPRAZOLE; PRADAXA; PARACETAMOL; TRAMADOL; OPTOVITE B12
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Auscultation, Blood pressure measurement, Circulatory collapse, Electrocardiogram, Fall, Hypertension, Immunisation, Off label use, Product use issue
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Hypertension (narrow), Hypersensitivity (narrow), Medication errors (broad), Infective pneumonia (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:

Administered by: Other       Purchased by: ?
Symptoms: Cardiac failure, Product use issue
SMQs:, Cardiac failure (narrow), Cardiomyopathy (broad), Medication errors (broad), Noninfectious myocarditis/pericarditis (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: RISPERIDONE; FUROSEMIDE; LORAZEPAM; DISTRANEURINE [CLOMETHIAZOLE EDISILATE]; ATROVENT; BESITRAN; OMEPRAZOL; SALBUTAMOL ALDO UNION; PARACETAMOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Dyspnoea, Erythema, Flushing, Joint range of motion decreased, Oxygen saturation, Product use issue, Pyrexia, Vaccination site oedema, Vertigo
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Medication errors (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Alanine aminotransferase, Ammonia, Angiogram, Aspartate aminotransferase, Basophil count, Blood alkaline phosphatase, Blood bilirubin, Blood calcium, Blood creatinine, Blood fibrinogen, Blood glucose, Blood lactate dehydrogenase, Blood potassium, Blood pressure measurement, Blood sodium, Blood urea, C-reactive protein, Computerised tomogram head, Disseminated intravascular coagulation, Echocardiogram, Electrocardiogram, Embolic stroke, Eosinophil count, Fibrin D dimer, Gamma-glutamyltransferase, Haematocrit, Haemoglobin, Heparin-induced thrombocytopenia, Immature granulocyte count, International normalised ratio, Lymphocyte count, Mean cell haemoglobin, Mean cell haemoglobin concentration, Mean cell volume, Monocyte count, Neutrophil count, Off label use, Peripheral artery occlusion, Platelet count, Product use issue, Prothrombin level, Prothrombin time, Pulmonary embolism, Radioisotope scan, Red blood cell count, Red cell distribution width, SARS-CoV-2 test, Stress cardiomyopathy, Troponin, Ultrasound Doppler, Vitamin B12, White blood cell count
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Cardiomyopathy (narrow), Other ischaemic heart disease (narrow), Hypersensitivity (narrow), Medication errors (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2022-11-13
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: INNOHEP; LIXIANA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Inflammation, Off label use, Pain in extremity, Product use issue, Superficial vein thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Tendinopathies and ligament disorders (broad), Medication errors (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: OPTOVITE B12; ZALDIAR; HIDROFEROL; OMEPRAZOL; NOLOTIL COMPOSITUM; EUTIROX
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Gait disturbance, Seizure, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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? Yes, 6 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine; Hydrocortisone; Thyroxine; Desmopressin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Abdomen scan, Alanine aminotransferase normal, Angiocardiogram, Aspartate aminotransferase, Auscultation, Basophil count, Blood albumin, Blood alkaline phosphatase, Blood bilirubin, Blood calcium, Blood cholesterol, Blood creatine phosphokinase, Blood creatinine, Blood gases, Blood glucose, Blood phosphorus, Blood potassium, Blood pressure measurement, Blood pressure systolic, Blood sodium, Blood uric acid, C-reactive protein, Chest X-ray, Echocardiogram, Electrocardiogram, Electronystagmogram, Eosinophil count, Folate deficiency, Full blood count, Glomerular filtration rate, Haematocrit, Haemoglobin, Heart rate, Investigation, Lymphocyte count, Magnetic resonance imaging head, Mean cell haemoglobin, Mean cell volume, Mean platelet volume, Monocyte count, Neutrophil count, Oxygen saturation, Physical examination, Platelet disorder, Product use issue, Red cell distribution width increased, Sudden death, Vitamin B12, Vitamin D, White blood cell disorder
SMQs:, Torsade de pointes/QT prolongation (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Medication errors (broad), Infective pneumonia (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2022-11-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 15 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: OMEPRAZOLE; ARANESP; LACTULOSE; LOKELMA; BICARBONATE; CAOSINA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Base excess, Blood bicarbonate, Blood calcium, Blood creatine phosphokinase, Blood fibrinogen, Blood lactic acid, Blood potassium, Cardio-respiratory arrest, Dyspnoea, Echocardiogram, Ejection fraction, Fibrin D dimer, Investigation, Liver function test, Off label use, PCO2, PO2, Product use issue, Prothrombin index, Prothrombin time, Pulmonary embolism, Renal function test normal, Respiratory failure, SARS-CoV-2 test, Syncope, Troponin, pH body fluid
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Medication errors (broad), Hypoglycaemia (broad), Hypokalaemia (broad), COVID-19 (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2022-11-07
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: SIMVASTATIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Biopsy skin, Off label use, Product use issue, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Medication errors (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: NEXIUM MUPS [ESOMEPRAZOLE MAGNESIUM]; BISOPROLOL; ATACAND; ZYLORIC; PARACETAMOL; ORFIDAL; PANTOK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase, Aspartate aminotransferase increased, Blood alkaline phosphatase, Blood bilirubin, C-reactive protein, Eosinophil count, Eosinophilia, Gamma-glutamyltransferase, Hepatitis cholestatic, Red blood cell sedimentation rate increased
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Biliary tract disorders (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Noninfectious myocarditis/pericarditis (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: PREDNISONE; SINTROM; ENALAPRIL; BISOPROLOL; PRAVASTATIN; LEVOTHYROXINE; CALCIUM; CITALOPRAM; OMEPRAZOLE; LIORESAL; PRAVASTATIN SODIUM
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Antinuclear antibody, Blood electrolytes, Blood urea, Complement factor, Eczema, Eye swelling, Full blood count, Lip swelling, Liver function test, Red blood cell sedimentation rate, Swelling face, Thyroid function test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bendroflumethiazide; Estring; Evorel conti; Losartan; Omeprazole; Simvastatin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Cerebrovascular accident, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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:

Administered by: Other       Purchased by: ?
Symptoms: Febrile convulsion, Off label use, Product use issue, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Medication errors (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, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Anaemia macrocytic, Angina pectoris, Anti-platelet antibody, Aspiration bone marrow, Erythropoiesis abnormal, Immune thrombocytopenia, Myelodysplastic syndrome, Myocardial ischaemia, Off label use, Platelet count, Product use issue, Vitamin B12, Vitamin B12 deficiency
SMQs:, Haematopoietic cytopenias affecting more than one type of blood cell (broad), Haematopoietic erythropenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Blood premalignant disorders (narrow), Other ischaemic heart disease (narrow), Hypersensitivity (narrow), Myelodysplastic syndrome (narrow), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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? Yes, 14 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ADIRO; BETMIGA; PLANTABEN [PLANTAGO OVATA]; ORVATEZ; TRINISPRAY; RANEXA; PLURALAIS; EMCONCOR COR; DUODART; NEXIUM MUPS [ESOMEPRAZOLE MAGNESIUM]; SPIRAXIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Herpes zoster, Myalgia, Neuralgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Opportunistic infections (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:

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Cough
SMQs:, Anaphylactic reaction (broad), Arthritis (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: Arcoxia
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Toxic skin eruption
SMQs:, Severe cutaneous adverse reactions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Deep vein thrombosis, Pulmonary embolism, Respiratory failure
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: COVID-19 pneumonia, Drug ineffective
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (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:

Administered by: Other       Purchased by: ?
Symptoms: Oedema peripheral, Off label use, Product use issue
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (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:

Administered by: Unknown       Purchased by: ?
Symptoms: Acute myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-23
   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: Baclofen; Citalopram orifarm; Lasix; Metformin actavis; Enalapril krka; Terbinafine teva; Crestor; Citodon; Cortimyk; Trombyl; Carvedilol hexal; Ezetimibe actavis; Alvedon; Forlax; Omecat
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Bacterial sepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-17
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ranolazina; Pregabalin; Nitroplast; Paracetamol; Foster; Lacerol; Atorvastatin; Furosemid; Omeprazol; Spiriva respimat; Rivaroxaban; Oxygen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Decreased appetite, General physical health deterioration, Hypersomnia
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-12-30
   Days after onset: 44
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:

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebral haemorrhage, Contusion, Fall, Generalised tonic-clonic seizure, Head injury
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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:

Administered by: Unknown       Purchased by: ?
Symptoms: Joint effusion
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Pyrexia, Transient ischaemic attack
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (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: ELIQUIS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Antinuclear antibody, Biopsy, Blood albumin, Blood calcium, Blood creatine, Blood folate, Blood glucose, Blood iron, Blood lactate dehydrogenase, Blood pressure measurement, Blood thyroid stimulating hormone, Body temperature, C-reactive protein, Computerised tomogram, Dysphagia, Epiglottis ulcer, Glomerular filtration rate, Glomerular filtration rate decreased, Haemoglobin, Haptoglobin, Heart rate, Hepatitis C, Immunoglobulins, Immunology test, Infection, Inflammation, Investigation, Lymphocyte count, Neutrophil count, Odynophagia, Oesophageal disorder, Oxygen saturation, Pemphigus, Physical examination, Platelet count, Positron emission tomogram, Protein total, Serum ferritin, Thyroxine, Thyroxine increased, Transferrin, Transferrin saturation, Vitamin B12, White blood cell count, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver infections (narrow), Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (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), Hypothyroidism (broad), Hyperthyroidism (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), Immune-mediated/autoimmune 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? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: TRULICITY
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Coma scale, Computerised tomogram head, Disorientation, Electrocardiogram, Erythema, Loss of consciousness, Muscular weakness, Neurological examination, Pain, Skin reaction, Transient ischaemic attack
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (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), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: TRANGOREX; ADIRO; RIVANEX; LISINOPRIL; TARDYFERON; OMEPRAZOLE; OPTOVITE B12; METAMIZOLE; ATORVASTATIN; HIDROFEROL; CLINDAMYCIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Cerebral artery embolism, Chest X-ray, Echocardiogram, Electrocardiogram ambulatory, Electroencephalogram, Interchange of vaccine products, Product use issue, Transient global amnesia, Ultrasound Doppler
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Medication errors (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: BRILIQUE; ADIRO; ATORVASTATIN; BISOPROLOL; ENALAPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Fasciitis, Myositis, Off label use, Product use issue
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: EBYMECT; ESOMEPRAZOLE; CO-DIOVAN; ARTEDIL; CIDINE [CIMETIDINE]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Discomfort, Herpes zoster, Interchange of vaccine products, Off label use, Physical examination, Product use issue, Rash vesicular
SMQs:, Retroperitoneal fibrosis (broad), Hypersensitivity (narrow), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Dyskinesia, Heart rate, Immunisation, Off label use, Oxygen saturation, Product use issue, Respiratory rate, SARS-CoV-2 test, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (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? 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:

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Depressed level of consciousness, Off label use, Product use issue
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Medication errors (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:

Administered by: Other       Purchased by: ?
Symptoms: Interchange of vaccine products, Off label use, Product use issue, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Medication errors (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Bronchospasm, Off label use, Product use issue
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Medication errors (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:

Administered by: Other       Purchased by: ?
Symptoms: Colonoscopy, Deep vein thrombosis, Occult blood, Off label use, Pathology test, Product use issue, Ultrasound Doppler, Venous occlusion
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood bicarbonate, Computerised tomogram abdomen, Computerised tomogram thorax, Decreased appetite, Off label use, Oxygen saturation, PCO2, PO2, Pelvic venous thrombosis, Product use issue, Pulmonary embolism, Pyrexia, pH body fluid
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Medication errors (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Herpes ophthalmic, Interchange of vaccine products, Nasal herpes, Off label use, Oral herpes, Product use issue
SMQs:, Oropharyngeal infections (narrow), Ocular infections (narrow), Medication errors (broad), Opportunistic infections (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:

Administered by: Other       Purchased by: ?
Symptoms: Incorrect route of product administration, Mouth haemorrhage, Off label use, Petechiae, Platelet count, Product use issue, Purpura, Thrombocytopenia
SMQs:, Haematopoietic thrombocytopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Drug abuse and dependence (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Medication errors (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Computerised tomogram, Disorientation, Dizziness, Fatigue, Immunisation, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Vestibular 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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Dermatologic examination, Erythema multiforme, Immunisation, Pyrexia, Skin lesion
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Inflammation, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Anxiety, Musculoskeletal chest pain, Tenderness
SMQs:, 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: Clenil Modulite; Co-codamol; Bisoprolol fumarate; Tiotropium; Furosemide; Prednisolone; Colecalciferol; Alendronic acid; Omeprazole; Apixaban
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Immunisation, Ischaemic stroke, Magnetic resonance imaging, Off label use, Product use issue
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Medication errors (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: CLOPIDOGREL [CLOPIDOGREL BESYLATE]; PROSCAR; EUTIROX; METFORMIN; OMEPRAZOL; SOMAZINA [CITICOLINE]; SOLARAZE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Cerebral infarction, Confusional state, Delusion, Disorientation, Gait disturbance, Immunisation, Magnetic resonance imaging head, N-terminal prohormone brain natriuretic peptide, Off label use, Oxygen saturation, Product use issue, Troponin I, Urinary incontinence
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Medication errors (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: EMCONCOR COR; DOLOCATIL; OMEPRAZOL; TOVANOR BREEZHALER; CARDURAN NEO; SEGURIL; LAURAK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Cyanosis, Dyspnoea, Flushing, Malaise, Presyncope
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:

Administered by: Other       Purchased by: ?
Symptoms: Immunisation, Pancreatitis
SMQs:, Acute pancreatitis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Unknown       Purchased by: ?
Symptoms: Bradykinesia, Parkinsonism
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (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:

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Feeling cold, Headache, Immunisation, Interchange of vaccine products, Myalgia, Off label use, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Medication errors (broad), COVID-19 (broad)

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Confusional state, Headache, Immunisation, Pyrexia, Vaccination site movement impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Immunisation
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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADIZEM-XL; APIXABAN; ATORVASTATIN CALCIUM; DORZOLAMIDE; LOSARTAN; OMEPRAZOLE; PENTASA; PREDNISOLONE; TIMOLOL; TRAVOPROST
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Death, Gait inability, Hyperglycaemia, Immunisation, Off label use, Product use issue
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-11-03
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ARTILOG; BISOPROLOL; CLOPIDOGREL; LANTUS; LEXATIN [BROMAZEPAM]; OMEPRAZOL; RISTFOR; XALATAN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Body temperature, Chest X-ray, Electrocardiogram, Heart rate, Heart rate increased, Hypertension, Immunisation, Interchange of vaccine products, Off label use, Palpitations, Peripheral coldness, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Cardiomyopathy (broad), Medication errors (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: