|
VAERS ID: |
2538454 (history) |
Form: |
Version 2.0 |
Age: |
50.0 |
Sex: |
Male |
Location: |
California |
Vaccinated: |
2022-12-18 |
Onset: |
2022-12-18 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2022-12-20 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA |
043H22A / 4 |
RA / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
PH3533B / N/A |
NS / IN |
Administered by: Public Purchased by: ? Symptoms: Product administered to patient of inappropriate age SMQs:, Medication errors (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: Unknown Current Illness: Unknown Preexisting Conditions: Unknown Allergies: None Diagnostic Lab Data: None CDC Split Type: Write-up: Patient asked his age and said he was 49 yrs old and completed a questionnaire which asked if he was younger than 2 yrs old or older than 49 yrs old and he again answered no. The computer system was down at the time so he registered on paper and, as the nurse vaccinating, I reviewed his answers to the questions but did not double check his birthdate to confirm his age was between 2-49. He was administered the FluMist intranasally. Called him today to inform him of the error and he said he tolerated both vaccines well and is not experiencing any side effects. |
|
VAERS ID: |
2609645 (history) |
Form: |
Version 2.0 |
Age: |
33.0 |
Sex: |
Female |
Location: |
California |
Vaccinated: |
2022-09-29 |
Onset: |
2023-03-05 |
Days after vaccination: |
157 |
Submitted: |
0000-00-00 |
Entered: |
2023-04-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
GH9694 / 4 |
LA / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / 1 |
NS / IN |
Administered by: Pharmacy Purchased by: ? Symptoms: Back pain, Computerised tomogram kidney abnormal, Decreased appetite, Fatigue, Herpes zoster, Nephrolithiasis, Neuralgia, Rash, Rash pruritic SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Duloxetine; Escitalopram; Adderall; Acetazolamide; Potassium Chloride; Diltiazem; Omeprazole; Loratadine; Zyrtec; Zinc; Vitamin D; Vitamin C Current Illness: N/A Preexisting Conditions: Idiopathic Intracranial Hypertension; Depression; Anxiety; ADHD; Asthma Allergies: N/A Diagnostic Lab Data: Shingles, 03/06/2023; 03/10/2023, Kidney Stones, CAT scan CDC Split Type: vsafe Write-up: I had an itchy, painful shingles rash on the left side of my back and left torso. I started having bad nerve pain in my back. I also so had fatigue and loss of appetite. I went to the doctor, and I was diagnosed with shingles, and they prescribed me an antiviral. On the 10th I went to the urgent care because I had kidney stones, and they did a CAT scan to confirm. |
|
VAERS ID: |
2491461 (history) |
Form: |
Version 2.0 |
Age: |
7.0 |
Sex: |
Male |
Location: |
Michigan |
Vaccinated: |
2022-10-26 |
Onset: |
2022-10-26 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2022-10-27 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
GK1657 / 1 |
LL / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
PJ3267 / UNK |
NS / IN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS |
CM294 / 3 |
LL / IM |
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS |
3397T / 1 |
RL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR |
V1A022M / UNK |
LL / IM |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
W009104 / UNK |
LA / SC |
TDAP: TDAP (ADACEL) / SANOFI PASTEUR |
C5988BA / UNK |
RL / IM |
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
W012163 / UNK |
RA / SC |
Administered by: Public Purchased by: ? Symptoms: Incorrect product formulation administered SMQs:, Medication errors (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: Unkown Current Illness: None Known Preexisting Conditions: None Allergies: NKA Diagnostic Lab Data: None CDC Split Type: Write-up: Administered age appropriate Bivalent instead of Monovalent for correct age, to child who didn''t receive Monovalent series. Contacted family 10/27/22 Mother reports normal side effects and returned to school today. |
|
VAERS ID: |
2537821 (history) |
Form: |
Version 2.0 |
Age: |
8.0 |
Sex: |
Female |
Location: |
Minnesota |
Vaccinated: |
2022-11-25 |
Onset: |
2022-11-30 |
Days after vaccination: |
5 |
Submitted: |
0000-00-00 |
Entered: |
2022-12-20 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / 1 |
NS / IN |
Administered by: Private Purchased by: ? Symptoms: Blood test normal, Computerised tomogram normal, Diplopia, Eye pain, Eye swelling, Magnetic resonance imaging normal, Strabismus SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Ocular motility disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Nine Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: 12/3/2022 Emergency room - CT scan, blood work, MRI - all negative. Referred to pediatric eye specialist on 12/5 dx with Browns Syndrome. CDC Split Type: Write-up: Eye pain and mild swelling for 2 days and then day 3 diplopia and maltracking of the eye x 7 days. Diagnosed with Browns Syndrome. Course of prednisone improved within 10-12 days total |
|
VAERS ID: |
2604829 (history) |
Form: |
Version 2.0 |
Age: |
62.0 |
Sex: |
Male |
Location: |
Missouri |
Vaccinated: |
2022-09-22 |
Onset: |
2022-12-28 |
Days after vaccination: |
97 |
Submitted: |
0000-00-00 |
Entered: |
2023-03-28 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
GH9693 / 5 |
AR / SYR |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / 1 |
AR / SYR |
Administered by: Public Purchased by: ? Symptoms: Abdominal pain, Amylase increased, Back pain, COVID-19, Computerised tomogram normal, Decreased appetite, Diarrhoea, Dysgeusia, Fatigue, Lipase increased, Pancreatic enzymes increased, Pancreatitis acute, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive SMQs:, Acute pancreatitis (narrow), Taste and smell disorders (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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? Yes, 3 days Extended hospital stay? No Previous Vaccinations: Other Medications: Atorvastatin; Meloxicam; Metoprolol; Tamsulosin; Amlodipine; Lisinopril; Omeprazole; Generic Allegra; Benadryl; 5 HTP; Iron; ProstAvan; Provex CV; Centrum Silver Men''s 50+ Multivitamin Current Illness: None Preexisting Conditions: Hypertension; Acid Reflux; High Cholesterol; Arthritis; Benign Prostate Allergies: None Diagnostic Lab Data: 29DEC2022 At Home COVID-19 Test - Positive; Tested Enzyme Levels for Pancreas - Amylase was high and Lipase was so high and could not be read at one point; CAT Scan - Negative for gall stones and other major issues CDC Split Type: vsafe Write-up: I tested positive for COVID-19 on 12/29/2022. I had a mild cough with production, and a little bit of a runny nose and some fatigue. I took Paxlovid starting 12/30/2022. My doctor prescribed that for me and I had the worst taste in my mouth. In general, my COVID-19 infection was very mild. I didn''t really think I had it. My wife had the infection too that was more substantial than mine. We took the COVID-19 tests at home to confirm. In general, I''ve always had very strong reactions to the vaccines, so I believe my immune system was ready to go when the time came. About a month after my COVID-19 infection, I had an acute pancreatitis attack. On 02/04/2022, I had acute pancreatic attack with thrushing abdominal pain and back pain. Part of that, I basically had a lack of appetite that went back to my COVID-19 infection. My appetite reduced and my stool was loose for that period of time. I was hospitalized for 3 days and they treated me with antibiotics and bland diet. The bland diet is still ongoing. I''ve recovered from the COVID-19 infection, but I''m still recovering from the pancreas health event. |
|
VAERS ID: |
2560647 (history) |
Form: |
Version 2.0 |
Age: |
69.0 |
Sex: |
Male |
Location: |
Ohio |
Vaccinated: |
2022-10-15 |
Onset: |
2022-12-20 |
Days after vaccination: |
66 |
Submitted: |
0000-00-00 |
Entered: |
2023-01-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA |
053022A 053D22 / 5 |
LA / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / N/A |
RA / IM |
Administered by: Pharmacy Purchased by: ? Symptoms: COVID-19, Cough, Headache, Lethargy, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Hyzaar; Amlodipine Besyalte; Cholecalciferol; Atorvastatin Calcium; Cardura; Fish Oil; Vitamin D; Multivitamin Current Illness: N/A Preexisting Conditions: High Blood Pressure; Cholesteryl Allergies: N/A Diagnostic Lab Data: At home COVID-19 test CDC Split Type: vsafe Write-up: My wife started having a slight headache, head congestion, sore throat and coughing. A few days later I started having the same symptoms three days later. I did a at home COVID-19 test and, I was positive. I did a telehealth visit and was given Paxlovid. All my symptoms went away I think the worse was a fever and a slight cough. The treatment did help. I am still having some congestion and lethargic. |
|
VAERS ID: |
2609172 (history) |
Form: |
Version 2.0 |
Age: |
71.0 |
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: |
2022-09-30 |
Onset: |
2022-11-01 |
Days after vaccination: |
32 |
Submitted: |
0000-00-00 |
Entered: |
2023-04-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
GH9701 / 5 |
AR / SYR |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / 1 |
AR / SYR |
Administered by: Pharmacy Purchased by: ? Symptoms: COVID-19, Dyspnoea, Fatigue, Feeling abnormal, Influenza virus test negative, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Flutonidine; Simvastatin; Women''s 50 plus Vitamin; Colace; Biotin; Vitamin D Current Illness: N/A Preexisting Conditions: Asthma Allergies: Sulfa; Doxycycline Monohydrate, Lisinopril; Iodine Base Diagnostic Lab Data: NOV2023 COVID-19 Test - Positive CDC Split Type: vsafe Write-up: Beginning of November, I tested positive for COVID-19. My first symptoms that all a stuffy head. And it felt like a really bad, I was tired with congestion. I did go to the doctor for Paxlovid. But the in the middle of February I came down with a cold and was tested for FLU, COVID-19 and Strep. All were negative. They couldn?t get anything because it was not bacterial. That night I could barely breathe while resting. I went back and was given a Z Pack and Prednisone and a cough syrup. I?m sure these medications kept this from forming in pneumonia. |
|
VAERS ID: |
2609923 (history) |
Form: |
Version 2.0 |
Age: |
64.0 |
Sex: |
Male |
Location: |
South Carolina |
Vaccinated: |
2022-09-01 |
Onset: |
2023-02-23 |
Days after vaccination: |
175 |
Submitted: |
0000-00-00 |
Entered: |
2023-04-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH |
- / 4 |
LA / IM |
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. |
- / 1 |
LA / IM |
Administered by: Pharmacy Purchased by: ? Symptoms: Body temperature increased, COVID-19, Cough, SARS-CoV-2 test positive SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Simponi; Simvastatin; Flonase Current Illness: N/A Preexisting Conditions: Ulcer Colitis; High Cholesterol Allergies: N/A Diagnostic Lab Data: 25FEB2023 COVID-19 Test - Positive CDC Split Type: vsafe Write-up: I was having a cough, like a bronchitis cough. It wasn''t alot of mucus or chest compression. I was two or two or three days before I decided to test. I did have a slight elevated temperature. I tested with a at home COVID-19 test and it was positive. I called my dotor and they prescribed Paxlovid. During the time of taking it my symptoms were better. |
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