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From the 2/23/2024 release of VAERS data:

Found 770 cases where Vaccine is COVID19-2 and FLUX

Government Disclaimer on use of this data

Table

   
Event Outcome Count Percent
Death 26 3.38%
Life Threatening 23 2.99%
Permanent Disability 22 2.86%
Birth Defect 2 0.26%
Hospitalized 90 11.69%
Emergency Doctor/Room 156 20.26%
Office Visit 468 60.78%
Recovered 343 44.55%
None of the Above 92 11.95%
TOTAL † 1,222 † 158.7%
† Because VAERS cases can have multiple vaccinations, symptoms, and event outcomes, a single case can account for multiple entries in this table. This is why the Total Count is greater than 770 (the number of cases found), and the Total Percent is greater than 100.



Case Details (Sorted by State)

VAERS ID: 2550917 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Rhinorrhoea, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: USMODERNATX, INC.MOD20236

Write-up: Coughing; Sneezing; Runny nose; Throat scratchy too; This spontaneous case was reported by a patient and describes the occurrence of COUGH (Coughing), SNEEZING (Sneezing), RHINORRHOEA (Runny nose) and THROAT IRRITATION (Throat scratchy too) in a patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for Prophylactic vaccination. Co-suspect product included non-company product INFLUENZA VACCINE for Prophylactic vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On an unknown date, the patient experienced COUGH (Coughing), SNEEZING (Sneezing), RHINORRHOEA (Runny nose) and THROAT IRRITATION (Throat scratchy too). At the time of the report, COUGH (Coughing), SNEEZING (Sneezing), RHINORRHOEA (Runny nose) and THROAT IRRITATION (Throat scratchy too) outcome was unknown. The action taken with mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown) was unknown. No concomitant product use was provided by the reporter. No treatment medication was provided by the reporter.


VAERS ID: 2630209 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2021-10-29
Onset: 2022-09-28
   Days after vaccination: 334
Submitted: 0000-00-00
Entered: 2023-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abnormal weight gain, Blood cholesterol, Blood cholesterol increased, Body temperature, Dementia Alzheimer's type, Finger deformity, Increased appetite, Nasopharyngitis, Oxygen saturation, Pain, Pneumonia, Sleep apnoea syndrome, Weight
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (narrow), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Lipodystrophy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: RINVOQ
Current Illness: Rheumatoid arthritis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20230111; Test Name: Blood cholesterol; Result Unstructured Data: High; Test Name: Temperature; Result Unstructured Data: 100.3; Test Name: Oxygen levels; Result Unstructured Data: Low; Test Name: Body weight; Result Unstructured Data: Gain
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Pneumonia; Alzheimer was getting worsen; Fingers were getting more disfigured; Sleep apnea; Appetite had increased; Pain came back; high cholesterol; she had a cold as of 22 Dec 2022/100.3 Fever/She was coughing; Did not remember eating so had been gaining 20 lbs weight; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA (Pneumonia) and DEMENTIA ALZHEIMER''S TYPE (Alzheimer was getting worsen) in a 77-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect products included non-company products UPADACITINIB (RINVOQ) for Rheumatoid arthritis and INFLUENZA VACCINE for an unknown indication. Concurrent medical conditions included Rheumatoid arthritis. On 29-Oct-2021, the patient started UPADACITINIB (RINVOQ) (Oral) 15 milligram once a day. On 29-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On 28-Sep-2022, the patient experienced ABNORMAL WEIGHT GAIN (Did not remember eating so had been gaining 20 lbs weight). On 05-Oct-2022, the patient experienced PNEUMONIA (Pneumonia) (seriousness criteria hospitalization and medically significant). On 22-Dec-2022, the patient experienced NASOPHARYNGITIS (she had a cold as of 22 Dec 2022/100.3 Fever/She was coughing). On an unknown date, the patient experienced DEMENTIA ALZHEIMER''S TYPE (Alzheimer was getting worsen) (seriousness criterion medically significant), FINGER DEFORMITY (Fingers were getting more disfigured), SLEEP APNOEA SYNDROME (Sleep apnea), INCREASED APPETITE (Appetite had increased), PAIN (Pain came back) and BLOOD CHOLESTEROL INCREASED (high cholesterol). The patient was treated with DONEPEZIL HCL at a dose of 5 milligram and MEMANTINE HYDROCHLORIDE (MEMANTIN) at an unspecified dose and frequency. On 07-Oct-2022, PNEUMONIA (Pneumonia) had resolved. At the time of the report, DEMENTIA ALZHEIMER''S TYPE (Alzheimer was getting worsen), FINGER DEFORMITY (Fingers were getting more disfigured), SLEEP APNOEA SYNDROME (Sleep apnea), INCREASED APPETITE (Appetite had increased) and ABNORMAL WEIGHT GAIN (Did not remember eating so had been gaining 20 lbs weight) had not resolved and NASOPHARYNGITIS (she had a cold as of 22 Dec 2022/100.3 Fever/She was coughing), PAIN (Pain came back) and BLOOD CHOLESTEROL INCREASED (high cholesterol) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 11-Jan-2023, Blood cholesterol: High. On an unknown date, Body temperature: 100.3. On an unknown date, Oxygen saturation: Low. On an unknown date, Weight: Gain. Concomitant medications were not reported. It was reported that physician had stopped therapy one week before and started up two weeks after third covid-19 booster. Patient had pain came back on the same week that she had to stop the RINVOQ getting ready for third booster. Patient had oxygen levels were low again. Patient had cold as of 22 Dec 2022. The physician had prescribed antibiotics. Patient did not eat that much, exercises for 3x work on the ultra G on the zero gravity treadmill at the rehabilitation center. The other agency considered the causality with the cos-suspect (RINVOQ) and the events Finger deformity, Increased appetite, Alzheimer''s disease, Sleep apnea, weight gain, Emotional Distress and pain as No Reasonable Possibility, with the event pneumonia and cold as Not assessable. This case was linked to MOD-2023-723068 (Patient Link). Company Comment: This is a spontaneous case concerning a 77-year-old female patient with a history of Rheumatoid arthritis (under treatment with upadacitinib), and having been vaccinated with influenza vaccine on the same day of COVID-19 vaccination, who experienced the serious (due to medically significant and hospitalization) event of pneumonia, and the serious (due to medically significant) event of dementia Alzheimer''s type. Event Pneumonia occurred approximately 6 days after a dose of Moderna COVID-19 vaccine, Bivalent (original and omicron BA.4/BA.5), received as the fifth dose of COVID-19 vaccination schedule. Event dementia Alzheimer''s type occurred on an unknown date. Patient also experienced other non-serious events. It was reported that Emergency room physician thought that it may had triggered the pneumonia. Physician had stopped therapy one week before and started up two weeks after third covid-19 booster. She had pain came back on the same week that she had to stop the upadacitinib getting ready for third booster. Her oxygen levels were low again and 6 days after fifth dose, she got another pneumonia which resolved on 2 days later. Three months after fifth dose, her husband started getting sick, and she had a cold. She was coughing and had fever. The physician prescribed antibiotics. She did not eat that much. She had mood swings. She got upset but because of her short-term memory and forgets soon. Causality of event pneumonia was assessed as not related due to lack of biological plausibility plus other medical conditions. Causality of event dementia was assessed as not related due to alternative explanation. Causality of non-serious event finger deformity was assessed as not related due to alternative explanation (medical history of Rheumatoid arthritis). Causality of non-serious event Nasopharyngitis was assessed as not related due to alternative explanation. The mentioned medical history remains as a confounder. Upadacitinib and Influenza vaccine were considered as co-suspect drugs. The benefit-risk relationship of Moderna COVID-19 vaccine, Bivalent (original and omicron BA.4/BA.5) is not affected by this report.; Sender''s Comments: Company Comment: This is a spontaneous case concerning a 77-year-old female patient with a history of Rheumatoid arthritis (under treatment with upadacitinib), and having been vaccinated with influenza vaccine on the same day of COVID-19 vaccination, who experienced the serious (due to medically significant and hospitalization) event of pneumonia, and the serious (due to medically significant) event of dementia Alzheimer''s type. Event Pneumonia occurred approximately 6 days after a dose of Moderna COVID-19 vaccine, Bivalent (original and omicron BA.4/BA.5), received as the fifth dose of COVID-19 vaccination schedule. Event dementia Alzheimer''s type occurred on an unknown date. Patient also experienced other non-serious events. It was reported that Emergency room physician thought that it may had triggered the pneumonia. Physician had stopped therapy one week before and started up two weeks after third covid-19 booster. She had pain came back on the same week that she had to stop the upadacitinib getting ready for third booster. Her oxygen levels were low again and 6 days after fifth dose, she got another pneumonia which resolved on 2 days later. Three months after fifth dose, her husband started getting sick, and she had a cold. She was coughing and had fever. The physician prescribed antibiotics. She did not eat that much. She had mood swings. She got upset but because of her short-term memory and forgets soon. Causality of event pneumonia was assessed as not related due to lack of biological plausibility plus other medical conditions. Causality of event dementia was assessed as not related due to alternative explanation. Causality of non-serious event finger deformity was assessed as not related due to alternative explanation (medical history of Rheumatoid arthritis). Causality of non-serious event Nasopharyngitis was assessed as not related due to alternative explanation. The mentioned medical history remains as a confounder. Upadacitinib and Influenza vaccine were considered as co-suspect drugs. The benefit-risk relationship of Moderna COVID-19 vaccine, Bivalent (original and omicron BA.4/BA.5) is not affected by this report.


VAERS ID: 2472403 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 2022-09-29
Submitted: 0000-00-00
Entered: 2022-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Chills, Fatigue, Headache, Pyrexia, Wrong product administered
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Medication errors (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: Medical History/Concurrent Conditions: Food allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201204409

Write-up: Wrong vaccine administered; headache; loss of taste; body chills; fever; fatigue; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 38-year-old female patient (not pregnant) received BNT162b2 (BNT162B2), as dose 3 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient didn''t receive BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5). The patient''s relevant medical history included: "Known allergies: shrimp" (unspecified if ongoing). The patient took concomitant medications. Past drug history included: Allergy: cephalosporins, reaction(s): "Drug Allergy". Vaccination history included: Bnt162b2 (DOSE 2, SINGLE, Batch/Lot No: Unknown.), for Covid-19 Immunization; Bnt162b2 (DOSE 1, SINGLE, Batch/Lot No: Unknown.), for Covid-19 Immunization. The following information was reported: CHILLS (non-serious) with onset 29Sep2022, outcome "recovered with sequelae", described as "body chills"; FATIGUE (non-serious) with onset 29Sep2022, outcome "recovered with sequelae"; PYREXIA (non-serious) with onset 29Sep2022, outcome "recovered with sequelae", described as "fever"; HEADACHE (non-serious) with onset 29Sep2022, outcome "recovered with sequelae"; AGEUSIA (non-serious) with onset 29Sep2022, outcome "recovered with sequelae", described as "loss of taste"; WRONG PRODUCT ADMINISTERED (non-serious), outcome "unknown", described as "Wrong vaccine administered". Therapeutic measures were taken as a result of headache, ageusia, chills, pyrexia, fatigue. Additional information: Concomitant medication include prenatal vitamins. Patient did not have covid prior vaccination and not tested covid post vaccination. Patient received ibuprofen for the treatment of the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2472427 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2022-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity, Product preparation error, Vaccination site pain
SMQs:, Tendinopathies and ligament disorders (broad), Medication errors (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: USPFIZER INC202201206553

Write-up: Little soreness at the site; sore arm; Caller stated a COVID 19 bivalent booster shot was mixed in the same syringe with a flu vaccine; This is a spontaneous report received from a non-contactable reporter(s) (Nurse) from medical information team. An adult male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose number unknown (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer.), for COVID-19 immunization. The following information was reported: VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "Little soreness at the site"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "sore arm"; PRODUCT PREPARATION ERROR (non-serious), outcome "unknown", described as "Caller stated a COVID 19 bivalent booster shot was mixed in the same syringe with a flu vaccine". Additional information: Caller stated a COVID-19 bivalent booster shot was mixed in the same syringe with a flu vaccine and administered to one family member. She stated her family member was "not concerned, guessing it would work, but she became aware today and she just wanted to make sure this was okay. They were not having adverse reactions, just a little soreness at the site, which was expected but she concerned about the efficacy, and side effects. Dose/dosage form: Gray cap, original/Omicron BA.4/BA.5 (bivalent), greater than or equal to 12 years - 15/15 mcg per dos. She was a nurse, and she knew that they were not doing this when they were administering the vaccines. She wanted to know if that was an acceptable practice, and if not, what concerns they should have as far as efficacy and monitoring for adverse reactions. Her family member was having no adverse reactions, just a sore arm, nothing else or anything that would be unexpected. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2472453 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated: 2022-09-25
Onset: 2022-09-25
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 6 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Drug ineffective, Fatigue, Hypersensitivity, Interchange of vaccine products, Limb discomfort, SARS-CoV-2 test
SMQs:, Angioedema (broad), Lack of efficacy/effect (narrow), Hypersensitivity (narrow), Medication errors (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CARDIZEM [DILTIAZEM]; LOSARTIN; CALCIUM WITH VITAMIN D 3
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20221002; Test Name: Covid-19 test; Test Result: Positive ; Comments: Binax tests
CDC Split Type: USPFIZER INCPV20220007634

Write-up: test was positive for COVID; test was positive for COVID; tired; chills; Arms Heavy; Interchange of vaccine products; symptoms like allergies; This is a spontaneous report received from contactable reporter(s) (Physician and Other HCP). A female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 25Sep2022 as dose 6 (booster), single (Batch/Lot number: unknown) intramuscular for covid-19 immunisation; elasomeran (COVID-19 VACCINE MODERNA), as dose 1, single (Batch/Lot number: unknown), as dose 2, single (Batch/Lot number: unknown), as dose 3 (booster), single (Batch/Lot number: unknown), as dose 4 (booster), single (Batch/Lot number: unknown) and as dose 5 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (FLU [INFLUENZA VACCINE]), on 25Sep2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient''s relevant medical history was not reported. Concomitant medication(s) included: CARDIZEM [DILTIAZEM] (ongoing); LOSARTIN (ongoing); CALCIUM WITH VITAMIN D 3, Multivitamin with Iron, Probiotic. The following information was reported: HYPERSENSITIVITY (non-serious) with onset 2022, outcome "unknown", described as "symptoms like allergies"; INTERCHANGE OF VACCINE PRODUCTS (medically significant) with onset 25Sep2022, outcome "unknown"; LIMB DISCOMFORT (non-serious) with onset 26Sep2022, outcome "unknown", described as "Arms Heavy"; CHILLS (non-serious) with onset 26Sep2022, outcome "unknown"; FATIGUE (non-serious) with onset 01Oct2022, outcome "unknown", described as "tired"; DRUG INEFFECTIVE (medically significant), COVID-19 (medically significant) all with onset 02Oct2022, outcome "unknown" and all described as "test was positive for COVID". The patient underwent the following laboratory tests and procedures: SARS-CoV-2 test: (02Oct2022) Positive, notes: Binax tests. Therapeutic measures were taken as a result of limb discomfort, chills. Clinical information: Reported as, She also received the flu vaccine at the same appointment. The day after receiving that dose she felt both of her arms were heavy. She took ibuprofen and felt fine until that evening when she had chills. She had also experienced chills with some of her previous Moderna vaccines. She then had "symptoms like allergies" for the next few days. She felt tired this weekend and took a test on Sunday (02Oct2022). Her test was positive for COVID-19. Another one of her colleagues also tested positive for COVID-19, though she received the Pfizer bivalent booster. Patient continued taking her Cardizem and Losartin. Patient stopped taking of her supplements Including (calcium with vitamin D a multivitamin with iron band a probiotic). The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.; Sender''s Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the events drug ineffective, covid-19 and interchange of vaccine products and BNT162B2.


VAERS ID: 2656067 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Neoplasm malignant, Single functional kidney
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: Chronic kidney disease
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Single kidney(loss to cancer); Single kidney(loss to cancer); This spontaneous case was reported by a patient and describes the occurrence of NEOPLASM MALIGNANT (Single kidney(loss to cancer)) in an 82-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication. Concurrent medical conditions included Chronic kidney disease. On an unknown date, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form On an unknown date, received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) dosage was changed to 1 dosage form. and dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On an unknown date, the patient experienced NEOPLASM MALIGNANT (Single kidney(loss to cancer)) (seriousness criterion medically significant) and SINGLE FUNCTIONAL KIDNEY (Single kidney(loss to cancer)). At the time of the report, NEOPLASM MALIGNANT (Single kidney(loss to cancer)) and SINGLE FUNCTIONAL KIDNEY (Single kidney(loss to cancer)) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. It was reported that the patient had 3 Moderna shots and 1 shot for Season''s Flue. No treatment information was reported. Company comment: This spontaneous case report concerns an 82-year-old male patient with medical history of Chronic kidney disease, who experienced serious (medically significant) unexpected event of Neoplasm malignant and non serious unexpected event of Single functional kidney. According to current available information, it was only provided that the patient had cancer and that due to cancer the patient had only single kidney. It remained unclear when the reported cancer occurred and whether it was actually part of the patient''s medical history or it occurred after vaccination, since no dates were provided. At the time of this report, the company causality for the event of Neoplasm malignant and Single functional kidney is assessed as not related to the mRNA-1273.222 vaccine, having in mind that until this date, there is no evidence to suggest that mRNA-1273.222 vaccine had oncological potential. In addition, as per provided information due to cancer, the patient had single kidney due to cancer loss. The patient''s elderly age remains a confounder. Case will be re-assessed upon receipt of additional information. No further details were available for medical assessment. The benefit-risk relationship of mRNA-1273.222 vaccine is not affected by this report. Most recent FOLLOW-UP information incorporated above includes: On 07-Jul-2023: Live followup received contains No new Information.


VAERS ID: 2667931 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2020-12-01
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / OT
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Angiotensin converting enzyme, Antinuclear antibody, Babinski reflex test, Blood creatine phosphokinase, C-reactive protein, COVID-19 immunisation, CSF test, Interchange of vaccine products, Magnetic resonance imaging, Magnetic resonance imaging head, Myelitis transverse, Physical examination, Red blood cell sedimentation rate, Vitamin B12
SMQs:, Demyelination (narrow), Medication errors (broad), Immune-mediated/autoimmune disorders (narrow), 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: Atrial fibrillation; Hyperlipidemia; Hypertension; Osteoporosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: ACE level; Test Result: Negative ; Result Unstructured Data: ACE level negative; Test Name: ANA; Result Unstructured Data: Within normal limits; Test Name: Babinski sign; Test Result: Positive ; Result Unstructured Data: Babinski sign was Positive; Test Name: CK; Result Unstructured Data: Within normal limits; Test Name: CRP; Result Unstructured Data: Within normal limits; Test Name: CSF evaluation; Result Unstructured Data: Including anti-MOG and anti-AQP4 antibodies, and oligoclonal bands was negative; Test Name: Spinal MRI; Result Unstructured Data: Non-specific, non-enhancing lesion with T2 hyperintensity at T5-6; Test Name: Spinal MRI; Result Unstructured Data: Left parasagittal and posterior cord signal abnormality at T5-T6 with t2-hyperintensity and pathologic contrast enhancement.; Test Name: Brain MRI; Result Unstructured Data: Unremarkable; Test Name: Physical exam of left lower extremity; Result Unstructured Data: strength was 4/5 for flexion and extension of the hip and knee, sensation to light touch was diffusely decreased; Test Name: ESR; Result Unstructured Data: Within normal limits; Test Name: Vitamin B12; Result Unstructured Data: Within normal limits
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Transverse myelitis with progression of symptoms; Interchange of vaccine products; Revaccination with different vacine; This literature-non-study case was reported in a literature article and describes the occurrence of MYELITIS TRANSVERSE (Transverse myelitis with progression of symptoms) in a 78-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect products included non-company products FAMTOZINAMERAN, TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/5)) for an unknown indication and INFLUENZA VACCINE (INFLUENZA VIRUS VACCINE) for an unknown indication. Concurrent medical conditions included Atrial fibrillation, Hypertension, Hyperlipidemia and Osteoporosis. In December 2020, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In January 2021, received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In October 2021, the patient received dose of FAMTOZINAMERAN, TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/5)) (unknown route) 1 dosage form. In April 2022, received dose of FAMTOZINAMERAN, TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/5)) (unknown route) dosage was changed to 1 dosage form. In September 2022, the patient received dose of INFLUENZA VACCINE (INFLUENZA VIRUS VACCINE) (unknown route) 1 dosage form. On an unknown date, the patient experienced MYELITIS TRANSVERSE (Transverse myelitis with progression of symptoms) (seriousness criteria hospitalization and medically significant), INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different vacine). The patient was treated with METHYLPREDNISOLONE (intravenous) at a dose of 1 gram, daily, for 5 days. At the time of the report, MYELITIS TRANSVERSE (Transverse myelitis with progression of symptoms) was resolving and INTERCHANGE OF VACCINE PRODUCTS (Interchange of vaccine products) and COVID-19 IMMUNISATION (Revaccination with different vacine) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Angiotensin converting enzyme: (Negative) ACE level negative. On an unknown date, Antinuclear antibody: Within normal limits. On an unknown date, Babinski reflex test: (Positive) Babinski sign was Positive. On an unknown date, Blood creatine phosphokinase: Within normal limits. On an unknown date, C-reactive protein: Within normal limits. On an unknown date, CSF test: Including anti-MOG and anti-AQP4 antibodies, and oligoclonal bands was negative. On an unknown date, Magnetic resonance imaging: Non-specific, non-enhancing lesion with T2 hyperintensity at T5-6 and Left parasagittal and posterior cord signal abnormality at T5-T6 with t2-hyperintensity and pathologic contrast enhancement.. On an unknown date, Magnetic resonance imaging head: Unremarkable. On an unknown date, Physical examination: strength was 4/5 for flexion and extension of the hip and knee, sensation to light touch was diffusely decreased. On an unknown date, Red blood cell sedimentation rate: Within normal limits. On an unknown date, Vitamin B12: Within normal limits. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. The patient denies any recent infectious event and common infectious symptoms. Initial MRI of her spinal cod lesion was non-enhancing and non-specific. Given progression of symptoms and lack of an alternative diagnosis, repeat imaging was obtained which demonstrated an enhanced lesion consist with TM. Para infectious and post-vaccination myelitis often have nonspecific findings on MRI. Reporter did not allow further contact Company comment: This is a literature non-study case concerning a 78-year-old female patient with Concurrent medical conditions of Atrial fibrillation, Hypertension, Hyperlipidemia and Osteoporosis, who experienced the unexpected serious AESI myelitis transverse (seriousness criteria hospitalization and medically significant). Non serious events of Interchange of vaccine products and Revaccination with different COVID-19 vaccine were noted in the case. The patient was walking when she felt lightheaded and developed left thigh tingling followed by left leg weakness. She presented the next day unable to walk independently. On Physical examination disclosed strength of 4/5 for flexion and extension of the hip and knee and sensation to light touch was diffusely decreased, and Babinsky sign was positive. Initial Spinal MRI showed Non-specific, non-enhancing lesion with T2 hyperintensity at T5-6. All lab tests resulted negative but due to progression of symptoms including urine retention, another MRI was repeated on hospital day 10 which disclosed Left parasagittal and posterior cord signal abnormality at T5-T6 with t2-hyperintensity and pathologic contrast enhancement. Patient denies any recent infectious event and common infectious symptoms. Initial MRI of her spinal cord lesion was non-enhancing and non-specific. Given progression of symptoms and lack of an alternative diagnosis, repeat imaging was obtained which demonstrated an enhanced lesion consist with TM. The events occurred after receiving a dose of mRNA-1273 vaccine (event dates were not provided). The patient received the first and second doses of the Moderna vaccine and then, received the third and fourth doses of the famtozinameran, tozinameran (Pfizer Biontech COVID-19 vaccine). The patient also received a dose of the Influenza virus vaccine. The symptoms started 6 days after receiving the bivalent Pfizer-BioNTech booster and seasonal influenza vaccine. The patient was treated with methylprednisolone (intravenous) for 5 days. Concomitant medications were not reported. The outcome of the event myelitis transverse was reported as resolving. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender''s Comments: Company comment: This is a literature non-study case concerning a 78-year-old female patient with Concurrent medical conditions of Atrial fibrillation, Hypertension, Hyperlipidemia and Osteoporosis, who experienced the unexpected serious AESI myelitis transverse (seriousness criteria hospitalization and medically significant). Non serious events of Interchange of vaccine products and Revaccination with different COVID-19 vaccine were noted in the case. The patient was walking when she felt lightheaded and developed left thigh tingling followed by left leg weakness. She presented the next day unable to walk independently. On Physical examination disclosed strength of 4/5 for flexion and extension of the hip and knee and sensation to light touch was diffusely decreased, and Babinsky sign was positive. Initial Spinal MRI showed Non-specific, non-enhancing lesion with T2 hyperintensity at T5-6. All lab tests resulted negative but due to progression of symptoms including urine retention, another MRI was repeated on hospital day 10 which disclosed Left parasagittal and posterior cord signal abnormality at T5-T6 with t2-hyperintensity and pathologic contrast enhancement. Patient denies any recent infectious event and common infectious symptoms. Initial MRI of her spinal cord lesion was non-enhancing and non-specific. Given progression of symptoms and lack of an alternative diagnosis, repeat imaging was obtained which demonstrated an enhanced lesion consist with TM. The events occurred after receiving a dose of mRNA-1273 vaccine (event dates were not provided). The patient received the first and second doses of the Moderna vaccine and then, received the third and fourth doses of the famtozinameran, tozinameran (Pfizer Biontech COVID-19 vaccine). The patient also received a dose of the Influenza virus vaccine. The symptoms started 6 days after receiving the bivalent Pfizer-BioNTech booster and seasonal influenza vaccine. The patient was treated with methylprednisolone (intravenous) for 5 days. Concomitant medications were not reported. The outcome of the event myelitis transverse was reported as resolving. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.


VAERS ID: 2668687 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated: 2023-08-06
Onset: 2023-08-06
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7647B / 5 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, No adverse event, Product storage error
SMQs:, Medication errors (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: Comments: It was reported that patient relevant medical history/conditions, allergy, concomitant diseases and risk factor were unknown.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.; No Adverse Event; HCP stated they accidentally administered 2 doses beyond use date; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date), PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No Adverse Event) in an elderly female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7647B) for COVID-19 prophylaxis. Co-suspect products included non-company products CBA 1205 for an unknown indication and INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication. It was reported that patient relevant medical history/conditions, allergy, concomitant diseases and risk factor were unknown. On 06-Aug-2023, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter. On an unknown date, the patient received dose of CBA 1205 (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 06-Aug-2023, after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No Adverse Event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date), PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No Adverse Event) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No Adverse Event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date) and PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.). Patient received other vaccines in the 4 weeks prior to COVID-19 vaccine. Concomitant medication details not reported by the reporter. Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023. Vial size was reported as 2.5 ml. Treatment details was not reported by the reporter. This case was linked to US-MODERNATX, INC.-MOD-2023-736294 (E2B Linked Report).; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-736294:Patient 1


VAERS ID: 2550919 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 2022-10-01
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Rhinorrhoea, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Flu
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20236

Write-up: Coughing; sneezing; runny nose; throat scratchy; This spontaneous case was reported by a consumer and describes the occurrence of COUGH (Coughing), SNEEZING (sneezing), RHINORRHOEA (runny nose) and THROAT IRRITATION (throat scratchy) in a patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for Prophylactic vaccination. Co-suspect product included non-company product INFLUENZA VACCINE for Flu. Concurrent medical conditions included Flu. In October 2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. In 2022, the patient experienced COUGH (Coughing), SNEEZING (sneezing), RHINORRHOEA (runny nose) and THROAT IRRITATION (throat scratchy). At the time of the report, COUGH (Coughing), SNEEZING (sneezing), RHINORRHOEA (runny nose) and THROAT IRRITATION (throat scratchy) outcome was unknown. The action taken with mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown) was unknown. Concomitant medication was not reported. No treatment medication was reported.


VAERS ID: 2451872 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 2022-09-15
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2022-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201165752

Write-up: I got an extremely bad headache, the headache is annoying; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A patient (no qualifiers provided) received BNT162b2 (BNT162B2), on 15Sep2022 at 15:00 as dose number unknown (booster), single (Lot number: GJ5342) for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), (Batch/Lot number: unknown) for influenza. The patient''s relevant medical history was not reported. The patient took concomitant medications. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for COVID-19 Immunization. The following information was reported: HEADACHE (non-serious), outcome "unknown", described as "I got an extremely bad headache, the headache is annoying". Additional Information: The patient reported that I got an extremely bad headache, the headache was annoying. The patient also was on blood thinner(Eliquis), that blood thinner might be a possible concern. The patient also had a flu shot (Name could be not clarified further hence, suspect captured as Unspecified Flu shot) both of them today. The patient also stated that I had the Booster, the new COVID Booster today, Pfizer Booster (Clarified as COVID-19 Vaccine).The patient had it around, about 3 O'' Clock in the afternoon. The patient got an extremely bad headache and thought the pharmacist could had told one of the possible side effect could be the headache. So, the patient had to go along with that, the headache was annoying but was reading on the website that, told the pharmacist if one had been taking Blood thinners (Later clarified as Eliquis) and the patient didn''t knew to tell him that about being on blood thinner. The patient enquired if the problem was due to taking the Pfizer Booster? And had a flu shot (Name could be not clarified further hence, suspect captured as Unspecified Flu shot) both of them same day. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2669573 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Unknown  
Vaccinated: 2022-09-23
Onset: 2023-05-07
   Days after vaccination: 226
Submitted: 0000-00-00
Entered: 2023-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS71418 / 5 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT
PNC20: PNEUMO (PREVNAR20) / PFIZER/WYETH - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Influenza, SARS-CoV-2 test
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: ELIGARD
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hernia repair; Prostate cancer
Allergies:
Diagnostic Lab Data: Test Date: 20230507; Test Name: Covid-19 test; Test Result: Positive
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: influenza; tested positive for Covid-19; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (tested positive for Covid-19) and INFLUENZA (influenza) in a 72-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS71418) for COVID-19 prophylaxis. Co-suspect products included non-company products PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) for an unknown indication and INFLUENZA VACCINE (INFLUENZA) for an unknown indication. The patient''s past medical history included Prostate cancer in 2013 and Hernia repair on 09-Sep-2022. Concomitant products included LEUPRORELIN ACETATE (ELIGARD) for Cancer. On 23-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 07-Oct-2022, the patient received dose of PNEUMOCOCCAL VACCINE CONJ 20V (CRM197) (PREVNAR 20) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (INFLUENZA) (unknown route) 1 dosage form. On 07-May-2023, the patient experienced COVID-19 (tested positive for Covid-19). On an unknown date, the patient experienced INFLUENZA (influenza). At the time of the report, COVID-19 (tested positive for Covid-19) and INFLUENZA (influenza) had resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 07-May-2023, SARS-CoV-2 test: Positive. No treatment information was reported. This case was linked to MOD-2023-736316 (Patient Link).


VAERS ID: 2677653 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2022-10-07
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: The patient had received any other vaccines in the 4 weeks prior to COVID-19 vaccine.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: covid 19; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (covid 19) in an elderly female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 055F22B) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (INFLUENZA) for an unknown indication. The patient had received any other vaccines in the 4 weeks prior to COVID-19 vaccine. Previously administered products included for COVID-19 immunization: Moderna Covid-19 vaccine (dose 1 batch:027A21A) on 05-Mar-2021, Moderna Covid-19 vaccine (dose 2 batch:019B21A) on 02-Apr-2021, Moderna Covid-19 vaccine (dose 3 batch:307B21A) on 12-Nov-2021 and Moderna Covid-19 vaccine (dose 4 batch:058A222A) on 28-Jun-2022. Past adverse reactions to the above products included No adverse event with Moderna Covid-19 vaccine, Moderna Covid-19 vaccine, Moderna Covid-19 vaccine and Moderna Covid-19 vaccine. On 07-Oct-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (INFLUENZA) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (covid 19). At the time of the report, COVID-19 (covid 19) had not resolved. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medication was reported. No treatment medication was reported.


VAERS ID: 2691204 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Injection site reaction, Injection site swelling, Musculoskeletal stiffness, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (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: Dr. drew around the redness/swelling 10/4 and advised to ice it and monitor
CDC Split Type:

Write-up: swelling and redness around the injection site around 6 cm by 2 cm. Fever & chills 10/4 PM. right side neck stiffness 10/5


VAERS ID: 2703429 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-10-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
RVX: ROTAVIRUS (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea, Feeling abnormal
SMQs:, Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: I am not feeling good; Having Diarrhea pretty bad really dark; This spontaneous case was reported by a patient and describes the occurrence of FEELING ABNORMAL (I am not feeling good) and DIARRHOEA (Having Diarrhea pretty bad really dark) in a patient of an unknown age and gender who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. Co-suspect products included non-company products RSV VACCINE for an unknown indication and INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form, dose of RSV VACCINE (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On an unknown date, the patient experienced FEELING ABNORMAL (I am not feeling good) and DIARRHOEA (Having Diarrhea pretty bad really dark). At the time of the report, FEELING ABNORMAL (I am not feeling good) and DIARRHOEA (Having Diarrhea pretty bad really dark) outcome was unknown. Concomitant and treatment medications were not reported. Consumer stated that he thought he got this vaccine later. He thought he got like few weeks ago but cannot find and did not think to call the pharmacist. Consumer cannot find a date on anything they gave him handout it''s not it stated December 22. Consumer don''t think he got this packet May because this was, consumer thinks a last one he got. Consumer got his flu (Name could not clarified hence captured as Unspecified Flu shot) Consumer got the RSV (Suspect captured as Unspecified RSV Vaccine) then he got this. But it could be found out through the Pharmacy. Consumer further stated that he had been having Diarrhea pretty bad really dark Diarrhea. Consumer never had Moderna before he can till this point he had, what''s the other name one other than Moderna. Anyway he had that for his other vaccinations for two boosters (suspect as Unspecified boosters). Consumer further stated that he doesn''t think he had the right information, can he ask. He like to call his pharmacy real quick and check on this. Consumer don''t know if he had a right print out for this. Consumer kept all his vaccinations things and a sack from his primary care doctor and he think he does not had the right print Out.


VAERS ID: 2712334 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2022-11-08
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 061F22A / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthma, COVID-19, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: SARS-CoV-2 test; Test Result: Positive
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: asthma; Then she attended a wedding, and she picked up COVID. Her COVID test came positive; This spontaneous case was reported by a patient and describes the occurrence of ASTHMA (asthma) and COVID-19 (Then she attended a wedding, and she picked up COVID. Her COVID test came positive) in an 80-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 061F22A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication. No Medical History information was reported. On 08-Nov-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient received dose of INFLUENZA VACCINE (unknown route) at an unspecified dose. On an unknown date, the patient experienced ASTHMA (asthma) and COVID-19 (Then she attended a wedding, and she picked up COVID. Her COVID test came positive). The patient was treated with CIPROFLOXACINE [CIPROFLOXACIN] at an unspecified dose and frequency. At the time of the report, ASTHMA (asthma) was resolving and COVID-19 (Then she attended a wedding, and she picked up COVID. Her COVID test came positive) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Positive. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. Concomitant product use was not provided by the reporter. Patient had her first Moderna vaccine in Feb, then Mar and May. The new vaccine she believes is called Spikevax. She was going to take the Spikevax. She already took her flu vaccine. She did have fever, sore throat, cough, and asthma. She started taking Cipro and felt better. Then she attended a wedding, and she picked up COVID. Her COVID test came positive.


VAERS ID: 2715811 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: USMODERNATX, INC.MOD20237

Write-up: Her arm was sore; Had fever; Chills the night after injection; This spontaneous case was reported by an other health care professional and describes the occurrence of PAIN IN EXTREMITY (Her arm was sore), PYREXIA (Had fever) and CHILLS (Chills the night after injection) in a 42-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On an unknown date, the patient experienced PAIN IN EXTREMITY (Her arm was sore), PYREXIA (Had fever) and CHILLS (Chills the night after injection). At the time of the report, PAIN IN EXTREMITY (Her arm was sore), PYREXIA (Had fever) and CHILLS (Chills the night after injection) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. Concomitant medication was not provided. Patient received flu shot in the same arm at the same time. No lot number was provided for Moderna vaccine. She experienced events the night after injection. Treatment information was not reported.


VAERS ID: 2522358 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2022-09-30
Onset: 2022-09-30
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 3 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 1160838 / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Illness
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? No
Previous Vaccinations:
Other Medications:
Current Illness: Crohn''s disease; Ulcerative colitis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: sick; This spontaneous case was reported by a patient and describes the occurrence of ILLNESS (sick) in an 84-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 vaccination. Co-suspect products included non-company products ADALIMUMAB (HUMIRA) for Crohn''s disease and Ulcerative colitis and INFLUENZA VACCINE (FLU VACCINE VII) for Flu vaccination. Concurrent medical conditions included Crohn''s disease and Ulcerative colitis. On 30-Sep-2022, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form. On an unknown date, the patient started ADALIMUMAB (HUMIRA) (Subcutaneous) at an unspecified dose and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) at an unspecified dose. On 30-Sep-2022, the patient experienced ILLNESS (sick). At the time of the report, ILLNESS (sick) had not resolved. No concomitant medications were reported. Patient received first and second dose of Moderna vaccine on 07-Mar-2021 and 07-Apr-2021 resp. via intramuscular route. No treatment information was provided. The reporter assessed the causality for the event sickness due to Humira as not related and the reporter did not provided the causality assessment for the event sickness due to Flu shot.


VAERS ID: 2493749 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Unknown  
Vaccinated: 2022-09-13
Onset: 2022-09-15
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Unevaluable event
SMQs:

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, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Narrative:


VAERS ID: 2467503 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated: 2022-09-29
Onset: 2022-09-29
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / UNK RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Fatigue, Hypersensitivity, Inflammation, Injection site rash, Lymphadenopathy, Nausea, Pain, Pruritus, Pyrexia, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: omeprazole, enskyce birth control
Current Illness:
Preexisting Conditions:
Allergies: sulfa, amoxicillin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Rash on thighs appeared a few hours after shot. Rash on upper arms, ankles, elbows, thighs, and stomach, mild/moderate, appeared next day. Rash at injection site worsened over a few days. Rash side effects were not experienced in previous Pfizer booster (taken with flu shot) or previous Moderna two shot doses. Other side effects including fever (101F), aches, chills, nausea, fatigue, and lymph node swelling were experienced after all COVID shots. Reported to doctor over email message. Doctor recommended antihistamine at bedtime and suggested reaction was likely hypersensitivity. Antihistamine (Benadryl) taken 2-4 times daily. Antihistamine lessened itching and inflammation. Currently on day 4 and still have rash, but it appears to not be getting worse.


VAERS ID: 2568299 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated: 2023-01-19
Onset: 2023-01-01
Submitted: 0000-00-00
Entered: 2023-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / 4 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Motion sickness, Nasopharyngitis, Product use issue
SMQs:, Vestibular 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202300034522

Write-up: eceiving the 4th shot along with flu shot/receiving Pfizer with a Flu Shot at the same time; I began to feel like having cold; car sick; I''m still having a mild headache; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 24-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 19Jan2023 as dose 4 (booster), single (Lot number: GH9697), in right arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 19Jan2023 as dose number unknown, single (Batch/Lot number: unknown), in left arm for immunisation. The patient''s relevant medical history included: "Known allergies: Penicillin (no memory, was told this)" (unspecified if ongoing). The patient''s concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Dose 1, single, Unknown Manufacturer), administration date: 2021, for COVID-19 Immunization; Covid-19 vaccine (Dose 2, single, Unknown Manufacturer), administration date: 2021, for COVID-19 Immunization; Covid-19 vaccine (Dose 3 (booster), Unknown Manufacturer), administration date: Nov2022, for COVID-19 Immunization. The following information was reported: NASOPHARYNGITIS (non-serious) with onset Jan2023, outcome "recovering", described as "I began to feel like having cold"; HEADACHE (non-serious) with onset Jan2023, outcome "recovering", described as "I''m still having a mild headache"; MOTION SICKNESS (non-serious) with onset Jan2023, outcome "recovering", described as "car sick"; PRODUCT USE ISSUE (non-serious) with onset 19Jan2023, outcome "unknown", described as "eceiving the 4th shot along with flu shot/receiving Pfizer with a Flu Shot at the same time". Additional information: Previous shots (2 in Mid-2021, 3rd on Nov2022) gave the patient little to no side effects after receiving, little to no impact of his daily activities. However, this time after receiving the 4th shot along with flu shot, the patient began to feel like having cold and was car sick. At the time of the report, it is the 3rd day after injection and he is still having a mild headache. Since all previous 3 shots barely affected me, the patient was unsure if this change is due to the updated Pfizer vaccine, or due to receiving Pfizer with a flu Shot at the same time.


VAERS ID: 2608800 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated: 2023-03-27
Onset: 2023-03-27
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Hypersensitivity, Interchange of vaccine products, Lacrimation increased, Off label use, Product use issue, Rhinorrhoea
SMQs:, Angioedema (broad), Lacrimal disorders (narrow), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202300137538

Write-up: allergic reactions; Really bad allergic; my eyes are watering; my nose is running; just really bad; I am having allergic reactions; Headache; I have had all the Moderna shots, they have been Moderna all of them, Omicron this last one, then I took the other one yours (Pfizer COVID-19 Vaccine); I had one shot for the COVID, the Omicron and then I had one shot for the Influenza in the other arm; I had one shot for the COVID, the Omicron and then I had one shot for the Influenza in the other arm; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A patient (no qualifiers provided) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 27Mar2023 as dose number unknown (booster), single (Batch/Lot number: unknown), in arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 27Mar2023 as dose number unknown, single (Batch/Lot number: unknown), in arm for immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine moderna (Primary Immunization series complete (Dose number unknown)), for COVID-19 immunization. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 27Mar2023, outcome "unknown" and all described as "I had one shot for the COVID, the Omicron and then I had one shot for the Influenza in the other arm"; INTERCHANGE OF VACCINE PRODUCTS (non-serious), outcome "unknown", described as "I have had all the Moderna shots, they have been Moderna all of them, Omicron this last one, then I took the other one yours (Pfizer COVID-19 Vaccine)"; HYPERSENSITIVITY (non-serious), outcome "unknown", described as "allergic reactions"; LACRIMATION INCREASED (non-serious), outcome "unknown", described as "Really bad allergic; my eyes are watering"; RHINORRHOEA (non-serious), outcome "unknown", described as "my nose is running; just really bad; I am having allergic reactions"; HEADACHE (non-serious), outcome "unknown". Clinical course: Patient had a Flu shot (Name not specified)). Patient had one shot for the COVID, the Omicron and then had one shot for the Influenza in the other arm. Patient further stated, then nothing happened, patient didn''t have any adverse, 15 minutes after the shot patient left, no problem rest of the night. Patient woke up this morning, no problem but later on in the morning, patient started developing like a really bad allergic things like you know, patient eyes are watering and nose is running and just really bad, though patient face is not swelled, throat is not swelled but patient is having allergic reactions. Patient doesn''t know what to do, patient doesn''t have an EpiPen. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2559873 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Unknown  
Vaccinated: 2023-01-11
Onset: 2023-01-11
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 010H22A / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, No adverse event, Product storage error
SMQs:, Medication errors (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.MOD20236

Write-up: This spontaneous case was reported by another health care professional and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (Dose administered $g12hours post puncture/ $g24 RT and administered.), PRODUCT STORAGE ERROR (Dose administered $g12(hours post puncture/ $g24 RT and administered.) and NO ADVERSE EVENT (No adverse event) in a 49-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 010H22A) for COVID-19 prophylaxis. On 11-Jan-2023, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On 11-Jan-2023 at 9:26 AM, the patient experienced EXPIRED PRODUCT ADMINISTERED (Dose administered $g12 hours post puncture/ $g24 RT and administered.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Dose administered $g12hours post puncture/ $g24 RT and administered.) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (Dose administered $g12 hours post puncture/ $g24 RT and administered.), PRODUCT STORAGE ERROR (Dose administered $g12 hours post puncture/ $g24 RT and administered.) and NO ADVERSE EVENT (No adverse event) outcome was unknown. The vial was stored at room temperature post puncture. The vial did not undergo any temperature excursions. No treatment medications were reported.


VAERS ID: 2469483 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Unknown  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2022-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Off label use, Product use issue, Pyrexia, Vaccination site pain
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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INCPV20220007501

Write-up: low grade fever; Pain at injection site; Flu vaccine received at same time in opposing arm Comirnaty Bivalent formulation received.; Flu vaccine received at same time in opposing arm Comirnaty Bivalent formulation received.; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from a sales representative. The reporter is the patient. A 55-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), as dose 4 (booster), single (Batch/Lot number: unknown) at the age of 55 years, in arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), as dose number unknown, single (Batch/Lot number: unknown), in arm. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Dose 1 , MANUFACTURER UNKNOWN), for COVID-19 immunization; Covid-19 vaccine (Dose 2, MANUFACTURER UNKNOWN), for COVID-19 immunization; Covid-19 vaccine (Dose 3, MANUFACTURER UNKNOWN), for COVID-19 immunization. The following information was reported: PYREXIA (non-serious), outcome "unknown", described as "low grade fever"; VACCINATION SITE PAIN (non-serious), outcome "unknown", described as "Pain at injection site"; OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious), outcome "unknown" and all described as "Flu vaccine received at same time in opposing arm Comirnaty Bivalent formulation received.". Therapeutic measures were taken as a result of pyrexia. Additional information: Flu vaccine received at same time in opposing arm Bivalent formulation received. It was the 4th dose, approximately 1 year after the 3rd dose. Fever managed by Tylenol. Event took place after use of product. The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.


VAERS ID: 2471349 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated: 2022-09-30
Onset: 2022-09-30
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blindness, Cerebrovascular accident, Off label use, Pain in extremity, Presyncope, Product use issue, 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), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Medication errors (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: USPFIZER INC202201201199

Write-up: She also took the flu shot and bivalent shot on the same day; She also took the flu shot and bivalent shot on the same day; couldn''t see; thought she was having a stroke; feeling like she was almost about to pass out; arm pain; Fever; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP), Program ID: (159558). The reporter is the patient. A 77-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 30Sep2022 as dose number unknown (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 30Sep2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary immunization series completed, manufacturer unknown), for COVID-19 immunization. The following information was reported: PYREXIA (non-serious) with onset 2022, outcome "recovering", described as "Fever"; PAIN IN EXTREMITY (non-serious) with onset 2022, outcome "unknown", described as "arm pain"; BLINDNESS (medically significant) with onset 2022, outcome "unknown", described as "couldn''t see"; PRESYNCOPE (non-serious) with onset 2022, outcome "unknown", described as "feeling like she was almost about to pass out"; CEREBROVASCULAR ACCIDENT (medically significant) with onset 2022, outcome "unknown", described as "thought she was having a stroke"; OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 30Sep2022, outcome "unknown" and all described as "She also took the flu shot and bivalent shot on the same day". The reporter who is 77-year-old and got the Bivalent COVID-19 Vaccine on Friday (30Sep2022) and is reporting arm pain and couldn''t get out of bed, couldn''t see, and couldn''t do anything. She was feeling like she was almost passing out when she woke up. She also took the flu shot and bivalent shot on the same day. The reporter was just reporting this and wasn''t planning on getting all those shots but her doctor had the shots available and asked her if she wanted to receive the shots. She just wanted to let Pfizer know. Her husband was home with her and got her coffee and water as she knows she needs to hydrate herself. She felt better and had to go on an errand as her glasses broke and went to the glasses place. She got her glasses fixed and came home and developed a fever at night but the fever wasn''t high. The next day she was better. When she couldn''t get out of bed her husband thought she was having a stroke. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


VAERS ID: 2555035 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated: 2022-10-01
Onset: 2022-12-26
   Days after vaccination: 86
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 4 - / OT
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Influenza, Vaccination site pain
SMQs:, Infective pneumonia (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: USMODERNATX, INC.MOD20236

Write-up: Flu; mild and temporary Injection site pain; This spontaneous case was reported by a nurse and describes the occurrence of INFLUENZA (Flu) and VACCINATION SITE PAIN (mild and temporary Injection site pain) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. Co-suspect products included non-company products TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) for an unknown indication and INFLUENZA VACCINE for an unknown indication. No Medical History information was reported. In October 2022, the patient received dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On an unknown date, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and fourth dose of TOZINAMERAN (PFIZER BIONTECH COVID-19 VACCINE) (unknown route) 1 dosage form. In 2022, the patient experienced VACCINATION SITE PAIN (mild and temporary Injection site pain). On 26-Dec-2022, the patient experienced INFLUENZA (Flu). At the time of the report, INFLUENZA (Flu) and VACCINATION SITE PAIN (mild and temporary Injection site pain) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medication details was reported. Patient received 2 moderna vaccines and a moderna booster. No treatment medication details was reported This case was linked to MODERNATX, INC.-MOD-2023-694625 (E2B Linked Report). This case was linked to MOD-2023-694616, MOD-2023-694623 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 05-Jan-2023: Follow up received included non-significant information. Sender''s Comments: MODERNATX, INC.-MOD-2023-694625:Reporter case


VAERS ID: 2612489 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Alaska  
Vaccinated: 2022-10-14
Onset: 2023-04-07
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Malaise, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PLAQUENIL; SINGULAIR; nifedipine; ZYRTEC; XYZAL; PEPCID
Current Illness: N/A
Preexisting Conditions: Pre Glaucoma; Auto immune but cannot pinpoint diagnosis
Allergies: Penicillin
Diagnostic Lab Data: 04/07/2023 test COVID-19 positive
CDC Split Type: vsafe

Write-up: I had vaccination on 10/14/2022. On 04/07/2023 I woke up with I felt crummy. On 04/08/2023 I started to experience cough extreme body and muscle aches extreme sore throat and shortness of breath with a low grade fever. I tested COVID-19 positive the evening of 04/08/2023. I haven''t contacted a physical as of yet on 04/10/2023.


VAERS ID: 2466887 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Alaska  
Vaccinated: 2022-09-27
Onset: 2022-09-27
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS716513 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER ADMIN AT CARRS / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test abnormal, C-reactive protein abnormal, Chest discomfort, Chest pain, Differential white blood cell count abnormal, Dizziness, Electrocardiogram normal, Fatigue, Full blood count abnormal, Heart rate increased, Metabolic function test abnormal, Palpitations, Pericarditis, Platelet disorder, Troponin I abnormal
SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Chronic kidney disease (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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? Yes
Hospitalized? No
Previous Vaccinations: Pfizer booster dose in November 2021- fever, chills, body aches for 24 hours following vaccination. Primary series was Moderna i
Other Medications: Zyrtec- last taken 40 hours prior to vaccination, and not restarted until 48 hours after.
Current Illness: None
Preexisting Conditions: Celiac disease, endometriosis, adenomyosis
Allergies: sulfa
Diagnostic Lab Data: 10/1/2022, normal EKG 10/1/2022, abnormal blood tests (troponin I/CBC with diff platelet/CRP high sensitivity/Comprehensive Metabolic Panel)
CDC Split Type:

Write-up: Rapid, pounding heart rate with onset around 10 pm the day of vaccination that recurred nightly thereafter, and intermittently during the day. Chest pressure and mild discomfort with occasional pangs of sharp pain. Increased fatigue and slight dizziness that was intermittent. Went to ER on Saturday following Tuesday vaccination since the symptoms were persisting, though not necessarily worsening. Abnormal blood tests that suggested mild, acute pericarditis. Doctor discharged me same night with a prescription for aspirin, colchicine, and pantoprazole and referral for follow-up with cardiologist.


VAERS ID: 2540710 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Alabama  
Vaccinated: 2022-09-17
Onset: 2022-12-16
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Estradiol; SINGULAIR, XYZAL; omeprazole; multivitamin; probiotic; steroidal nasal rinse; XLEAR nasal spray
Current Illness:
Preexisting Conditions: Chronic sinus infections
Allergies: Environmental
Diagnostic Lab Data: At home COVID-19 test positive
CDC Split Type: vsafe

Write-up: On 12/16 woke up with sore throat. Was worse on 12/17 and tested positive for COVID-19. Called the pharmacy test to treat and was prescribed PAXLOVID. Symptoms began to clear after 24-48 hours on PAXLOVID. Still have lingering cough and congestion, sore throat has resolved.


VAERS ID: 2610131 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Alabama  
Vaccinated: 2022-10-22
Onset: 2022-10-25
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram normal, Mass, Neck dissection, Papilloma viral infection, Squamous cell carcinoma, Ultrasound scan normal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Skin malignant tumours (broad), Non-haematological malignant tumours (narrow), 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: Pregabalin; Carvedilol; Telmisartan; Ropinirole; Vascepa; Vitamin D3; Vitamin B12
Current Illness: N/A
Preexisting Conditions: Hypertension; High Cholesterol; Restless Legs Syndrome
Allergies: N/A
Diagnostic Lab Data: 2/6/2023 Ultrasounds and CT scan - Negative
CDC Split Type: vsafe

Write-up: 10/25/2022 I felt a small lump at left side of jaw. I saw my neurologist on the same day and it was probably a lymph node. A month later, it was growing and getting larger. I got on steroids, then ENT examined me and did a Ultrasounds and CT scan and it was all negative, Had a neck dissection on 3/6/2023 and it was diagnosed Squamous Cell Carcinoma HPV P16 on 3/9/2023.


VAERS ID: 2543645 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Alabama  
Vaccinated: 2022-09-23
Onset: 2022-09-26
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 - / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Colitis, Cough, Diarrhoea, Influenza A virus test positive, Nasopharyngitis, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pravastatin; lisinopril; hydrochlorothiazide; FLOMAX
Current Illness: No
Preexisting Conditions: Prostate cancer; Cirrhosis; High blood pressure; IBS
Allergies: No
Diagnostic Lab Data: Routine colonoscopy, acute and chronic Colitis
CDC Split Type: vsafe

Write-up: I had abdominal pain and diarrhea and treated that with OTC. I had a routine colonoscopy the following Friday and they found acute and chronic Colitis. The second health event that started 12/19 I had an upper respiratory cold with drainage and cough. On the 23rd I went to urgent care and tested positive for Flu type A. I was given symptomatic medication and it''s mostly better now.


VAERS ID: 2601832 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Alabama  
Vaccinated: 2022-09-19
Onset: 2023-01-01
   Days after vaccination: 104
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dizziness, Fatigue, Malaise, SARS-CoV-2 test positive
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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: Shingles vaccine, 2021 2nd dose; I felt like I had the flu.
Other Medications: Celexa; Rosuvastatin; Brimonidine Tartrate
Current Illness: N/A
Preexisting Conditions: Glaucoma; High Cholesterol
Allergies: Penicillin; Kiwi
Diagnostic Lab Data: 01JAN2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have a reaction to the vaccine. I started not feeling well on 12/30/2022 with dizziness and so tired. From that point I started feeling worse. I tested positive for COVID-19 on 01/01/2023. I contacted my provider via telehealth, and I was advised I was not a candidate for Paxlovid. They did provide three prescriptions to help with my symptoms. As of today, I feel find without any lingering symptoms.


VAERS ID: 2627412 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Arkansas  
Vaccinated: 2022-10-26
Onset: 2023-03-01
   Days after vaccination: 126
Submitted: 0000-00-00
Entered: 2023-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Hypersensitivity, SARS-CoV-2 test negative, Thyroxine increased, Tri-iodothyronine decreased
SMQs:, Angioedema (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; High Blood Pressure; Hypothyroidism
Allergies: Iodine; codeine; pain medication; shellfish
Diagnostic Lab Data: APR2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. In 03/2023, my thyroid levels are out of balance. The T4 went really high and T3 went down. In the last few days, my allergies have gotten worse. I went to my doctor and got a prednisone shot. I was also tested for COVID-19, and it was negative.


VAERS ID: 2604945 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Arkansas  
Vaccinated: 2022-09-26
Onset: 2023-01-01
   Days after vaccination: 97
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7164B / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER N/A / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, Cardiomegaly, Chest X-ray, Dyspnoea, Influenza virus test, Loss of personal independence in daily activities, Polymerase chain reaction, SARS-CoV-2 test
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gensibrozil; Metformin; Vitamin C; Vitamin B12; Multivitamin; Fluvoxamine; Respirall; Vitamin D3; Fish Oil; Allergy medications; Diabetes supplies
Current Illness: N/A
Preexisting Conditions: Type II Diabetes 2018; Elevated Cholesterol; Hypertension
Allergies: N/A
Diagnostic Lab Data: 03/16/2023 Chest Xray COVID-19 Flu Pneumonia
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/26/2022. I started to experience shortness of breath in 01/2023. I went to urgent care on 03/16/2023 and was diagnosed with probable cardiomegaly and bronchitis. I was prescribed an antibiotic and inhaler. I currently feel much better on 03/28/2023. I am supposed to stay indoors with limited exercise for 3 weeks total. After 3 weeks I am supposed to call my doctor with a follow up to my condition.


VAERS ID: 2590886 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2023-01-19
Onset: 2023-02-02
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6742 / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Condition aggravated, Post-traumatic stress disorder
SMQs:

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: Gabapentin; hydroxyzine; medical marijuana; capsaicin cream; diclofenac; lidocaine; naproxen; tadalafil; omeprazole
Current Illness: None
Preexisting Conditions: PTSD; Anxiety; Depression; Osteoarthritis
Allergies: Oxycodone; hydrocodone
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: 2/2/23 I have an exiting condition, PTSD, starting in 2001. I had boxes packed and had someone help me go through the boxes and had to expose myself to memories I was not expecting. My symptoms of PTSD began to worsen and exacerbate. I had to seek mental health help and am continuing in treatment.


VAERS ID: 2533328 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-09-15
Onset: 2022-11-16
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Secretion discharge
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: Low grade fever with COVID vaccines lasting 1-2 days
Other Medications: SYNTHROID; metformin; pantoprazole; CRESTOR; famotine; prerevision; magnesium; vitamin D3; calcium; TRULICITY
Current Illness: None
Preexisting Conditions: Diabetes Type 2; Hypothyroid
Allergies: Penicillin; cephalosporins
Diagnostic Lab Data: At home COVID test, positive
CDC Split Type: vsafe

Write-up: 11/16/2022 I had a really bad cold. I had lots of mucous and coughing. I also had a low grade fever of 99. I tested positive on 11/18/22 with a home COVID test. I called the doctor''s office on 11/21/22. She prescribed over the counter medication, MUCINEX and FLONASE and prescription cough syrup, promethazine. I took ibuprofen and TYLENOL. She told me I was past the period of having PAXLOVID. By 11/26/22, my symptoms were gone and I had recovered.


VAERS ID: 2490086 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-09-27
Onset: 2022-09-27
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 1 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Head discomfort, Sinus congestion
SMQs:

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: Omeprazole; carvedilol; tamsulosin; saw palmetto
Current Illness: N/A
Preexisting Conditions: Monoclonal Gammopathy
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: They haven''t gone away. I have been experiencing pressure in the head and sinus congestion. I am going for an MRI this Monday.


VAERS ID: 2594780 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-09-08
Onset: 2022-12-23
   Days after vaccination: 106
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 6 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Brain fog, COVID-19, Cough, Dyspnoea, Dyspnoea exertional, Hypersomnia, Influenza, Influenza like illness, Influenza virus test negative, Malaise, Nasal congestion, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol; Atorvastatin; Losartan; Potassium; Hydrochlorothiazide; Calcium with Vitamin D;
Current Illness: N/A
Preexisting Conditions: Overweight; Skin Cancer; High Blood Pressure
Allergies: Red Meat (result of tick bite)
Diagnostic Lab Data: 2023Dec- COVID-19- (positive); 2023Dec- RSV (negative); 2023Dec- Influenza (negative)
CDC Split Type: vsafe

Write-up: It started right before Christmas, I think around the 23rd. The symptoms were very much like the flu I had right before this. A lot of nasal congestion, and a cough that started to go from my throat to my lungs. My wife suggested I go and get a check up. I tested positive for COVID-19 at the Urgent Care and they prescribed Paxlovid, which I started that night. I basically was over my symptoms by the last dose. I didn''t go out for about 10 days, so all of New Years and into the next week. If I had to describe it, it was like a very mild flu except for the cough. While I was sick I definitely had brain fog, and I was coughing a lot and sleeping a lot. After I was sick, about two weeks when I didn''t have any other symptoms except for the brain fog. I did feel winded a lot while I was sick too but it wasn''t that bad, but I have experienced getting winded afterwards when doing normal stuff. I did go out to get a blood oximeter and that shows that I''ve been normal with that, but about a month afterwards I''m back to normal.


VAERS ID: 2550126 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-09-29
Onset: 2022-12-05
   Days after vaccination: 67
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chest discomfort, Exercise tolerance decreased, Exposure to SARS-CoV-2, Fatigue, Influenza like illness, Nasal congestion, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Guillain-Barre 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: Fluoxetine; simvastatin; omeprazole; ALEVE; multivitamin; omega 3; vitamin C; vitamin D.
Current Illness: None.
Preexisting Conditions: Depression.
Allergies: NIASPAN.
Diagnostic Lab Data: 12/5/2022 home antigen test positive result.
CDC Split Type: vsafe

Write-up: I received a flu vaccine and the Pfizer Bivalent COVID-19 booster on 9/29/2022. On 11/24/2022, I celebrated the November holiday with my family. On 11/25/2022, two members who were there tested positive for COVID-19. On 12/5/2022, I felt like I had a mild flu. The symptoms included body aches, weakness, tiredness, and a slight chest heaviness. I did not have a fever or any difficulty breathing, though. The symptoms lasted about 4 days. For about a week after the 4 days, I didn''t have much exercise tolerance. I still have some intermittent congestion in the nose and throat, but it''s nothing serious; I sometimes wake up with a stuffy nose. Otherwise, I feel normal now. I took a home antigen test on 12/5/2022 and got a positive result. I was prescribed PAXLOVID, which I took for the prescribed 5 days.


VAERS ID: 2550146 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-09-30
Onset: 2022-12-09
   Days after vaccination: 70
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Feeling abnormal, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Dementia (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: Acebutolol; pravastatin sodium; losartan; CENTRUM SILVER vitamin; calcium; biotin; generic ALLEGRA; baby aspirin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Heart Palpitations; High Cholesterol
Allergies: Tea; lima beans; AUGMENTIN
Diagnostic Lab Data: 09DEC2022 COVID-19 positive, 13DEC2022 COVID-19 negative, 21DEC2022 COVID-19 positive, 25DEC2022 COVID-19 positive, 26DEC2022 COVID-19 positive
CDC Split Type: vsafe

Write-up: I had a very bad headache, and I was very congested. I started taking PAXLOVID when I reached out to my doctor. I felt been within 48 hours. Then a week later I tested positive for COVID for 5 days and felt bad for about 36 hours.


VAERS ID: 2610115 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-11-06
Onset: 2023-01-13
   Days after vaccination: 68
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Exposure to SARS-CoV-2, Fatigue, Nasopharyngitis, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan; hydrochlorothiazide; multivitamin
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Sulfa drugs
Diagnostic Lab Data: 13JAN2023 home antigen test positive result; 27JAN2023 home antigen test negative result
CDC Split Type: vsafe

Write-up: I was on a trip abroad with a group, and two of my colleagues tested positive for COVID-19. I tested positive for COVID-19 on 1/13/2023. I isolated and took it easy. I just had aches, mild cold symptoms, and if I had a fever, it was a very minor one. I was mostly tired and achy. I also had sniffles that lasted maybe three or four days. I also had mild diarrhea. I had a phone consult with my doctor, who did not want me to take PAXLOVID on account of the diarrhea. I just took a little bit of ibuprofen. On maybe 1/27/2023, I tested negative for COVID-19.


VAERS ID: 2551393 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-10-04
Onset: 2022-12-22
   Days after vaccination: 79
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7165B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, COVID-19, Dehydration, Fatigue, Feeling abnormal, Oropharyngeal pain, Renal pain, Rhinorrhoea, SARS-CoV-2 test positive, Stress
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Dehydration (narrow), 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: CENTRUM men''s vitamin; baby aspirin; melatonin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 test
CDC Split Type: vsafe

Write-up: I had a runny nose, sore throat, painful kidney, back muscle pains. I tried to hydrate and took ibuprofen. I felt pretty fatigue as well. I went to the a clinic, and they told me to keep hydrating and taking ibuprofen to aid the kidney pain caused by dehydration. My kidney pain went away, and I slowly started recovering. However, my other symptoms were still there so I took a COVID-19 test on 12/23/2022 which came back positive. A physician at a clinic told me my options as far as medication to aid my symptoms; they tested me which came back positive for COVID-19, but they thought it was best I stuck to ibuprofen and didn''t prescribe PAXLOVID. Right now, I feel pretty good; I feel kind of stressed and slight brain fog still but doing better.


VAERS ID: 2558684 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-10-12
Onset: 2022-11-29
   Days after vaccination: 48
Submitted: 0000-00-00
Entered: 2023-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood urine present, Computerised tomogram abdomen abnormal, Culture urine positive, Lithotripsy, Nephrolithiasis, Pathology test, Scan with contrast abnormal, Ureteral stent insertion, Urinary system x-ray abnormal, Urinary tract infection, Urine analysis abnormal, White blood cell count increased
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL; ZYRTEC
Current Illness: None
Preexisting Conditions: Hashimoto''s Disease
Allergies: Seasonal; tuberculin serum
Diagnostic Lab Data: 11/29/2022 Uranalysis, blood in the urine; 11/29/2022 CT with contrast, 8mm Kidney Stone; 12/02/2022 KUB, 8mm Kidney Stone; 12/02/2022 WBC, greater than 12; 12/02/2022 Pathology, Stone Pathology; 12/07/2022 Urine Culture, infection
CDC Split Type: vsafe

Write-up: Starting November 29, 2022, I experienced severe pain in my lower left back. I went to the emergency room. They found an 8mm kidney stone. They gave me medication in hopes that I would pass it. I was unable to pass it. On December 2, 2022, I went to another emergency room. I had a Lithotripsy. They also placed a Ureteral Stent. They felt they got most of it. I went home that night. On December 6, 2022, I went to the Urologist. He said the stent was dislodged. He removed it. I have a follow-up appointment with him on January 18, 2023.


VAERS ID: 2621617 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-10-17
Onset: 2023-04-06
   Days after vaccination: 171
Submitted: 0000-00-00
Entered: 2023-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Rosuvastatin; Vitamin D; Eye Health Supplement; Potassium; Vitamin B12
Current Illness: None
Preexisting Conditions: Asthma; Compromised Lungs (Result of Past Radiation Treatment); History of Breast Cancer Survival (Twice); History of Hip Replacements (2014)
Allergies: Sulfa Drugs
Diagnostic Lab Data: 07APR2023 - Home Antigen Test - Positive Result
CDC Split Type: vsafe

Write-up: On 4/6/2023, I thought I had a cold, because I was sneezing a lot and had a runny nose. I also had a pretty bad cough. I took some pseudoephedrine that night before going to bed. On 4/7/2023, I took more pseudoephedrine and played golf with friends. I kept coughing and blowing my nose while on the course, so my friends suggested that I take a COVID-19 test, which I did that night. The result was positive. On 4/9/2023, I went to an urgent care clinic, and I was prescribed Molnupiravir. I asked the doctor if I could also take pseudoephedrine in conjunction with the Molnupiravir, and she said yes. She advised me to lay low and drink plenty of liquids. She also recommended that I stay home for at least six days, and as my symptoms improved, I could then resume my normal activities. She also recommended that I not test again, as it''s possible to test positive for up to two months. I took the medication and still had the runny nose and congestion for a long time. It was about two and a half weeks before I felt really good again without postnasal drip. At the time of this writing, I feel great. I walked for two miles earlier this morning. I''ve also done yard work and played pickleball.


VAERS ID: 2554681 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-10-07
Onset: 2022-12-01
   Days after vaccination: 55
Submitted: 0000-00-00
Entered: 2023-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Respiratory tract congestion
SMQs:, Anaphylactic reaction (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: Rosuvastatin; aspirin; hydroxyzine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I started off with congestion and a cough. My case was not severe at all. I reached out to my provider, and he prescribed PAXLOVID. I also have a lingering cough.


VAERS ID: 2554866 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-10-05
Onset: 2022-12-24
   Days after vaccination: 80
Submitted: 0000-00-00
Entered: 2023-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Illness, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Metformin; atorvastatin; metoprolol; valsartan; nabumetone; fish oil; multivitamin for seniors; baby aspirin.
Current Illness: None.
Preexisting Conditions: Hypertension; High Cholesterol; Type I Diabetes.
Allergies: None.
Diagnostic Lab Data: 12/28/2022 clinical rapid antigen test positive result.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent COVID-19 booster and a flu vaccine on 10/5/2022. On 12/24/2022, I woke up with a sore throat at about 3 AM. As the day progressed, my sinuses became more congested, and I developed a cough. I normally get an upper respiratory infection once a year, and it basically felt like that. On 12/25/2022, I got a store brand version of THERAFLU and took that. It helped clear up the sinuses somewhat, but not completely. On 12/28/2022, I went to the doctor''s office, where I underwent a rapid test and got a positive result. The PA prescribed me benzonatate, PAXLOVID, and erythromycin, all of which I began taking that day. As the days progressed, I slowly got better. I began to really feel better on 12/31/2022. By 1/1/2023, I was pretty much over the illness. At the time of this writing, everything seems to be okay, and I don''t think I have any residual symptoms.


VAERS ID: 2475759 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-09-07
Onset: 2022-09-07
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Fatigue, Feeling abnormal, Myalgia, Pain, Urine analysis
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations: Influenza vaccines in general; Last vaccine received 09/07/2022; Feeling worse after every flu vaccine received for as long as I
Other Medications: Triamterene HCTZ; losartan; metoprolol; tritanol cream; TYLENOL arthritis; OZEMPIC sample; prebiotic; probiotic; glucosamine; berberine
Current Illness: N/A
Preexisting Conditions: Poly Arthritis; Asthma; Rheumatoid Arthritis; Fibromyalgia; History of Migraine; Sleep Apnea; Chronic Kidney Disease; Heartburn; Hypertension; Occasional Vertigo
Allergies: N/A
Diagnostic Lab Data: Urine test: results were inconclusive due failure in delivery to lab. 10/2022.
CDC Split Type: vsafe

Write-up: In the evening of my vaccination date I began to have symptoms of muscle and joint pain lack of strength and fatigue. I did have the flu vaccine on the same day as my COVID-19 Vaccine. The symptoms were much worse on the second day and I was miserable, I spent most of the day in bed napping as a result. The symptoms started to get better after the third day and I finally started to feel back to my normal self. However, since the vaccine my pain has become significantly worse and I am now prescribed codeine to ease the pain. About a week ago I did go to urgent care with what I thought was a UTI, they did take a sample and did not find anything. I was given an antibiotic to treat the symptoms however they did state that there was an issue with the sample. Now I do have mild pain still that is lasting despite finishing my round of antibiotics.


VAERS ID: 2461594 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Arizona  
Vaccinated: 2022-09-22
Onset: 2022-09-23
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 4 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia
SMQs:, 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:
Current Illness:
Preexisting Conditions: Comments: Patient does not have allergy to medications, food or other products.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: Very achy /joints are achy/ dull ache; This spontaneous case was reported by a patient and describes the occurrence of ARTHRALGIA (Very achy /joints are achy/ dull ache) in a 42-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7144B) for COVID-19 vaccination. Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for Flu vaccination. Patient does not have allergy to medications, food or other products. On 22-Sep-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 23-Sep-2022 at 7:00 AM, after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced ARTHRALGIA (Very achy /joints are achy/ dull ache). At the time of the report, ARTHRALGIA (Very achy /joints are achy/ dull ache) had not resolved. Concomitant product use was not provider by the reporter. On 08-MAR-2021, patient received First dose 0.5 mL of Moderna COVID-19 Vaccine with batch number 041L20A. On 05-APR-2021, patient received Second dose 0.5mL of Moderna COVID-19 Vaccine with batch number 041L20A. On 18-NOV-2021, patient received Third dose (First booster) dose of Moderna COVID-19 Vaccine with batch number 034F21A. Patient''s symptoms were reported as stable. No treatment information was reported. This case was linked to MOD-2022-650279 (Patient Link).


VAERS ID: 2477193 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Arizona  
Vaccinated: 2022-09-21
Onset: 2022-10-07
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2022-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac stress test, Chest discomfort, Echocardiogram, Electrocardiogram normal, Oxygen saturation, Troponin increased, Vascular resistance pulmonary increased
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Pulmonary hypertension (narrow), Cardiomyopathy (broad), Noninfectious myocarditis/pericarditis (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: I reported something unusual after a COVID-19 vaccine. Nothing else though.
Other Medications: Aspirin; lisinopril; metoprolol; atorvastatin; coQ10; vitamin B12; vitamin D
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: EKG 9/7/22 normal; Troponin test 9/7/22 high; oxygen test 9/7/22 99%.
CDC Split Type: vsafe

Write-up: I had a lot of pressure on the left side of my chest. I stopped doing my resistance training and laid on the mat and it went away. I went to the doctor, and he did an EKG, and it didn''t show anything. All my vitals were normal. They also did a test that showed increased pulmonary vascularity. They did Troponin test, and those results were high. Everything else was normal. I have to go in for a follow up Monday to do a stress test and then an Echo test Wednesday. I was advised not to do any vigorous exercises.


VAERS ID: 2609350 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-14
Onset: 2022-11-25
   Days after vaccination: 42
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 4 LL / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LL / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Nasal congestion, Pulmonary congestion, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Cardiac failure (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: All Vaccinations; Frozen Shoulder Syndrome
Other Medications: Citalopram; Trazadone
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Mangos
Diagnostic Lab Data: 11/25/2022 test COVID-19 Positive
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/14/2022. On 11/25/2022 I started to have the sniffles. On 11/26/2022 I woke up with a scratchy throat and a stuffed nose head congestions and lung congestion. I presently feel better on 04/04/2023.


VAERS ID: 2525621 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-20
Onset: 2022-10-23
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2022-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Decreased appetite, Dyspnoea, Headache, Influenza virus test negative, Nausea, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DULERA inhaler; PROZAC; ibuprofen
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Morphine
Diagnostic Lab Data: Flu test, negative, 10/2022; COVID-19, negative, 10/2022
CDC Split Type: vsafe

Write-up: About three days after the dose 4 I began to have chills and feeling like I couldn''t really catch my breath. I had a headache, and I had no appetite. I was nauseous. I had a fever, temp of 101.5. My stomach was really turning a lot. They symptoms began slowly and got worse. I am slowly recovering. Since I have asthma, I am still having trouble. I have taken two sets of steroids, one five-day and one-seven day. They said I had all the symptoms of RSV but they were unable to test me.


VAERS ID: 2611574 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: California  
Vaccinated: 2022-11-11
Onset: 2023-01-17
   Days after vaccination: 67
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Scallops
Diagnostic Lab Data: 18JAN2023- COVID-19 At Home Test- Positive
CDC Split Type: vsafe

Write-up: I had a sore throat and some congestion. I don''t think I ever had a fever but I think I had a headache. My symptoms were real mild. I took a home test. My husband had COVID so I got it from him. I called the Telehealth doctor and got the Paxlovid and isolated for a couple days.


VAERS ID: 2610947 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-05
Onset: 2023-03-07
   Days after vaccination: 153
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, 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), 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: Prilosec; Zoloft; Atorvastatin; Multivitamin; Vitamin C; Vitamin D; Vitamin B; Aspirin; Calcium; Meloxicam; DA TA; Thyroid
Current Illness: N/A
Preexisting Conditions: Overweight
Allergies: N/A
Diagnostic Lab Data: 08MAR2023 - COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had congestion and a sore throat and some coughing, but not extraordinary. I took a COVID-19 test and it was positive. I talked to a doctor on Telehealth and got prescribed Paxlovid. I also took Mucinex for the cough and Nyquil. I was also fatigue for the additional ten days. Paxlovid left the worse taste in my mouth and my symptoms were mostly gone within the five days of the prescription. I also ran a low-grade fever. I took Tylenol to take the fever down. I did not lose taste or smell. I don''t have any continuing side effects.


VAERS ID: 2610878 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-28
Onset: 2022-11-22
   Days after vaccination: 55
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Chills, Computerised tomogram normal, Computerised tomogram thorax normal, Cough, Laboratory test normal, Loss of personal independence in daily activities, Oropharyngeal pain, Pain, Pulmonary function test normal, Pyrexia, Respiratory syncytial virus infection, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad), COVID-19 (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: Atorvastatin; Prilosec OTC; Citracal Calcium Citrate
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 11/22/2022 COVID-19 Test - Negative; 11/23/2022 COVID-19 Test - Negative; 01/27/2023 Lab Work - All Normal; 02/001/2023 Chest CT Scan - Normal; 02/10/2023 COVID-19 Test - Negative; 02/15/2023 Pulmonary Function Test - Normal; 12/16/2022 COVID-19 Test - Negative; 12/17/2022 Chest X-Ray - Normal; 01/01/2023 Chest X-Ray - Normal; 02/01/2023 CAT Scan - Normal
CDC Split Type: vsafe

Write-up: My symptoms started on the morning of November 22, 2022. I woke up with a fever, chills, body aches, a cough, and a sore throat. I took a COVID-9 test. The result was negative. My symptoms lasted for four months. I still had a residual cough. My cough started to improve after three and a half months. As of two weeks ago, I was able to resume exercise. Before I became ill, I was exercising approximately two hours a day. After four months, I received a diagnosis of Respiratory Syncytial Virus.


VAERS ID: 2610864 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-04
Onset: 2023-02-22
   Days after vaccination: 141
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER N/A / 1 UN / SYR

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, 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), 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: COVID-19 2nd vaccination; Pain at site of injection, chills and fever
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Bee stings
Diagnostic Lab Data: 02/23/2023 test - COVID-19 - Positive
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/04/2022. I started to experience sore throat on 02/22/2023. On 02/23/2023 I had fatigue congestion and low-grade fever and developed a cough. I was prescribed Paxlovid in 02/2023. I did rebound 4 days later and the symptoms came back worse. I was prescribed over the counter medication and rest. I presently feel better on 04/06/2023.


VAERS ID: 2561581 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-15
Onset: 2022-12-18
   Days after vaccination: 64
Submitted: 0000-00-00
Entered: 2023-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Condition aggravated, Fatigue, Headache, Pain, Productive cough, SARS-CoV-2 test positive
SMQs:, 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: Vitamin C; turmeric; levothyroxine
Current Illness: Body pain; extreme fatigue
Preexisting Conditions: Asthma; Thyroid Cancer
Allergies: VICODIN
Diagnostic Lab Data: 18DEC2022 COVID-19 positive, 25DEC2022 COVID-19 positive
CDC Split Type: vsafe

Write-up: Extreme fatigue and body aches for 12 hours. I tested positive for COVID-19 on 12/18/2022. I had a headache for the first 2 days. I have phlegm in my throat and was fatigue for 3 days. My provider prescribed medication LAGEVRIO. I did a telehealth visit with my provider over the phone.


VAERS ID: 2540770 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-21
Onset: 2022-12-02
   Days after vaccination: 72
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, COVID-19, Fatigue, Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium; multivitamin; coQ10; lamotrigine; mesalamine; probiotic
Current Illness: Vomiting
Preexisting Conditions: Ulcerative Colitis; Mood Disorder
Allergies: N/A
Diagnostic Lab Data: 03DEC2022 COVID-19 positive, 14DEC2022 COVID-19 negative
CDC Split Type: vsafe

Write-up: On 12/02/2022 it felt like common cold. I did a home test on 12/03/2022 and it was positive. A couple days later I had fatigue. It took me about a week or so to feel back to normal. I did lose my taste a little bit, but it came back right away. I went to urgent care on 12/04/2022 but they sent me home.


VAERS ID: 2609643 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-10
Onset: 2022-12-14
   Days after vaccination: 65
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Lisinopril; amlodipine; atorvastatin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: N/A
Diagnostic Lab Data: 15DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I felt really tired the first day which was 12/14/2022. 12/15/2022 I did a home COVID-19 test and it was positive. On the 12/15/2022 Chills, fever of 103.5. I went online to my providers website and requested prescription for PAXLOVID. I felt better that same day.


VAERS ID: 2609364 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-03
Onset: 2023-03-27
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dizziness, Headache, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D; Vitamin B12
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Tetracycline; Iodine
Diagnostic Lab Data: 03/28/2023 and 04/04/2023 test COVID-19 Positive
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/03/2022. On 03/27/2023 I started to experience a very bad headache with body aches. I woke up with a low-grade fever on 03/28/2023 with a runny nose. I tested COVID-19 Positive and contacted my physician. I was prescribed Paxlovid after a telehealth appointment. I presently feel ok but I do still have a headache light headed and I am still testing COVID-19 Positive on 04/04/2023.


VAERS ID: 2526594 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-26
Onset: 2022-12-04
   Days after vaccination: 39
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Ear discomfort, Ear infection, Hypersomnia, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (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: Multivitamin; pantoprazole; FLOVENT
Current Illness: None
Preexisting Conditions: Idiopathic Thrombocytopenic Pena; Eosinophilic Esophagitis
Allergies: None
Diagnostic Lab Data: 05DEC2022 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: On 12/04/2022, I flew back from traveling out of town and I was unable to equalize pressure in my right ear. When I woke up on 12/05/2022, I had nasal congestion, sore throat, coughing, sneezing, and I still couldn''t clear my right ear. I took an at home COVID-19 test and the results were positive. I slept most of that day. Tuesday, I was still under the weather. I felt a little bit better but was still having symptoms. I went to a local walk-in clinic, and they diagnosed an ear infection. I let them know at the clinic, that I had tested positive for COVID-19 with an at home test. They prescribed antibiotics for the ear infection and advised that I call them back if things get worse. Things seem to be getting slowly but steadily better.


VAERS ID: 2540872 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-21
Onset: 2022-11-22
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: Multivitamin; vitamin C; cetirizine hydrochloride; naltrexone; WELLBUTRIN.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: 11/22/2022, 11/23/2022 home antigen tests positive results; 12/2/2022 home antigen test negative result.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent booster and a flu shot on 9/21/2022. On 11/19/2022, I attended an event, after which several other people reported tested positive for COVID-19 shortly thereafter. On 11/22/2022, I started to feel symptoms early in the afternoon: I had coughing, sneezing, fatigue, and a slight headache. By 8 PM that evening, I took a home antigen test, which yielded a faint positive line. When I took another test on 11/23/2022 at 10 AM, there was a solid positive line visible. The headache subsided quickly, but the coughing persisted until 11/27/2022. I continued to test positive until 12/2/2022, which is the day I tested negative for the first time since being infected. I contacted the doctor on 11/23/2022; he said I was eligible to receive PAXLOVID, but I declined at that point, because I was familiar with a case in which someone had taken it and had a rebound. On 11/25/2022, I spoke to another doctor, who prescribed me benzonatate capsules for my cough and ipratropium bromide nasal spray to alleviate the runny nose. I only took them once or twice, though, because my symptoms resolved quickly.


VAERS ID: 2608833 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-22
Onset: 2022-12-28
   Days after vaccination: 97
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA A57148B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: School       Purchased by: ?
Symptoms: Blood test normal, Cardiac monitoring, Haemorrhage, Headache, Magnetic resonance imaging abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (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: Estrogen Patch
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Gluten
Diagnostic Lab Data: 14JAN2023-Blood Work- Normal ; 16JAN2023-MRI Test- Abnormal; 17JAN2023-MRI Test- Abnormal
CDC Split Type: vsafe

Write-up: On 12/28/2022 I woke up with a serve headaches. I went to see my primary care in mid January due to constant headaches. My blood pressure was 148/98. I had to do multiple test that included MRI came up with a bleed. I also had to use a heart monitor. Provider prescribed Losartan and still undergoing treatment.


VAERS ID: 2607609 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-25
Onset: 2023-03-06
   Days after vaccination: 162
Submitted: 0000-00-00
Entered: 2023-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Exposure to SARS-CoV-2, Eye irritation, Feeling of body temperature change, SARS-CoV-2 test positive, Skin warm, Upper-airway cough syndrome
SMQs:, Corneal disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin; Losartan; Hydrochlorothiazide; Azelastine; Flonase; Multivitamin; Fish Oil; Vitamin D3; Vitamin B12
Current Illness: N/A
Preexisting Conditions: Seasonal Allergies;
Allergies: N/A
Diagnostic Lab Data: 06MAR2023 - COVID-19 At Home Test - Positive; 12MAR2023 - COVID-19 At Home Test - Negative
CDC Split Type: vsafe

Write-up: I got COVID-19 from my son. I felt chills and my eyes felt like they were burning and my forehead was warm. I took a COVID-19 test and I test positive. I felt hot and cold at the same time. I immediately called the doctors office and they called me back within the hour and my doctor prescribed Paxlovid. She also gave me a lot of information on what to do and what to expect. I began taking the Paxlovid the same day. Still having post-nasal drip.


VAERS ID: 2606796 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-28
Onset: 2023-02-28
   Days after vaccination: 153
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Gastric disorder, Malaise, Nausea, SARS-CoV-2 test positive, Somnolence
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; amlodipine; multivitamin; calcium; focus factor; vitamin B-complex; fish oil; MOVE FREE; turmeric; fluticasone; atorvastatin
Current Illness: N/A
Preexisting Conditions: Chronic Back Pain; Arthritis
Allergies: Penicillin
Diagnostic Lab Data: 28FEB2023 COVID-19 test, positive; 21MAR2023 COVID-19 test, negative
CDC Split Type: vsafe

Write-up: I woke up and felt some nausea. I decided I didn''t feel well and took a COVID-19 home test. I called the doctor and they prescribed PAXLOVID. I started taking PAXLOIVD that day. I had a pretty mild case. I mostly felt sleepy and nausea with a slight cough. It took three weeks for me to finally recover and get a negative COVID-19 test. I still feel some stomach issues till this day.


VAERS ID: 2606711 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-28
Onset: 2022-12-01
   Days after vaccination: 64
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ankle fracture, Arthralgia, Fall, Mobility decreased, X-ray
SMQs:, Parkinson-like events (broad), Accidents and injuries (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: Hydrochlorothiazide; vitamin D; magnesium
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: X-rays 03/17/2023
CDC Split Type: vsafe

Write-up: I had vaccination on 09/28/2022. 07/2022 I fell and broke my right ankle. I was off my foot till about 10/2022. In 12/2022 I started noticing my hip was aching at night more than usual. I attributed this to my body realigning itself as I was getting off the cane for walking. The left hip aches when I lie down and a tender spot. I did have X-rays on 03/17/2023. I have an appointment on 04/03/2023 to find out the results.


VAERS ID: 2606021 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-01
Onset: 2022-10-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Condition aggravated, Malaise, Post-acute COVID-19 syndrome, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: Long COVID-19
Preexisting Conditions: Diabetes
Allergies: Latex
Diagnostic Lab Data: MAR2020 COVID-19 test, positive
CDC Split Type: vsafe

Write-up: I ran a fever and got sick after receiving the vaccine. I had a telehealth visit with my primary care doctor. My long COVID-19 symptoms got worse. I tested positive for COVID-19 in 03/2020. I got really sick with COVID-19 and almost had to be hospitalized. I had all the classic symptoms from the original version of COVID-19. I do special physical therapy, diet changes and breathing treatment to help me with my symptoms.


VAERS ID: 2508541 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-30
Onset: 2022-11-08
   Days after vaccination: 39
Submitted: 0000-00-00
Entered: 2022-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7165B / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Feeling abnormal, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Carvedilol; escitalopram; levothyroxine; lisinopril; lovastatin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: CLEOCIN
Diagnostic Lab Data: 09NOV2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/09/22. I started feeling bad on Tuesday. I had chills, exhausted, sore throat, terrible headache, and body aches. I never had a fever, or nausea. I felt like I had been run over by a Mac truck. I tested positive with a home test and called my doctor. He called in a prescription for PAXLOVID. I took TYLENOL for the headaches. After taking the first dose of PAXLOVID, my sore throat went away immediately. My symptoms lasted for 6 days, and I feel much better now.


VAERS ID: 2602397 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-21
Onset: 2023-03-06
   Days after vaccination: 166
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest X-ray, Cough, Influenza virus test negative, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), COVID-19 (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: COVID-19 vaccination; hives 2021
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Hashimoto''s Disease; Obesity; Hypothyroidism
Allergies: Sulfa; AUGMENTIN
Diagnostic Lab Data: Chest x-ray 03/07/2023 COVID-19 and flu negative on 03/06/2023 and 03/07/2023
CDC Split Type: vsafe

Write-up: I had my vaccination in 09/21/2022. I had a cough on 03/06/2023. I had 1 appointment for chest x-ray on 03/07/2023 and I was prescribed 2 inhalers. I have an appointment with pulmonology on 03/24/2023. I was prescribed an antibiotic on 03/14/2023.


VAERS ID: 2533206 (history)  
Form: Version 2.0  
Age: 7.0  
Sex: Female  
Location: California  
Vaccinated: 2022-12-13
Onset: 2022-12-13
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Hypersomnia, Lethargy, Loss of personal independence in daily activities, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (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: None
Current Illness: None, maybe mild colds in the preceding month
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: She vomited about 10 minutes after injections then recovered. She went to school afterward and was ok but lethargic all day. The next day Dec 14 she stayed home from school, had 6 bowel movements, napped a lot. Two days later Dec 15 she awoke nauseous, then vomited during breakfast and stayed home from school.


VAERS ID: 2547655 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-28
Onset: 2022-12-12
   Days after vaccination: 75
Submitted: 0000-00-00
Entered: 2022-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH H9693 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Cough, Fatigue, Influenza, Influenza A virus test negative, Influenza B virus test, Nasal congestion, Pyrexia, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Alcohol, Aspartame (Nutrasweet)
Diagnostic Lab Data: RAPID FLU EIA W/OPTIC - Positive for Influenza Type B RAPID FLU EIA W/OPTIC - Negative for Influenza Type A Strep group A Antigen - Negative Chest X-Ray - negative for Pneumonia (No acute cardiopulmonary findings)
CDC Split Type:

Write-up: 75 days after COVID vaccination, I had a flu that was bad enough that I saw a doctor and tested positive for Influenza Type B. I had not tested positive for COVID either with an at-home test nor with a doctor''s office test at any time between vaccination and this episode of the flu. Symptoms were overall fatigue, fever, coughing, and nasal congestion. Treatment was a 5 day course of Tamiflu, also Flonase, and OTC cough suppressant (Mucinex 12-Hour). Outcome was that the fever broke by 15-Dec-2022, coughing has been steadily reducing and is nearly effectively gone as of the date of this report. NOTE: Both COVID19 and Flu vaccines on 28-Sep-2022 were administered at Pharmacy. They probably have the flu vaccination records that were asked for, here.


VAERS ID: 2538466 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-14
Onset: 2022-11-13
   Days after vaccination: 60
Submitted: 0000-00-00
Entered: 2022-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Neuralgia, Pain in extremity, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Peripheral neuropathy (narrow), Tendinopathies and ligament disorders (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: Metoprolol; ferrous sulfate; atorvastatin; sertraline; fish oil; aspirin; CENTRUM multivitamin; CITRUCEL; calcium; prerevision; vitamin D3; vitamin B complex; coQ10; probiotic; gabapentin
Current Illness: N/A
Preexisting Conditions: Peripheral Neuropathy; Asthma
Allergies: Lisinopril
Diagnostic Lab Data: Home COVID-19, positive, 11/24/2022
CDC Split Type: vsafe

Write-up: On November 13, 2022, I noticed I had a runny nose. I tested positive for COVID-19 on September 15, 2022. I was very fatigued and had a headache. I was having nerve pain in my legs and my hands. I tested positive until November 24, 2022.


VAERS ID: 2475507 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-28
Onset: 2022-09-28
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Cough, Fatigue, Oropharyngeal pain, Pharyngeal erythema, Rhinorrhoea, Swelling, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (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: Zoloft; Wellbutrin; Tramadol; Singulair; Iron; Levothyroxine; Savella; Compral; chewable Multivitamin; Vitamin C
Current Illness: N/A
Preexisting Conditions: Depression; Allergies
Allergies: Cedar Pine; Dust; Tetracycline; Penicillin
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had actually gone into the doctor for a lump on my collar bone and decided to get vaccinated while I was there. They gave me a cortisone shot in my collar bone, and then I received a flu vaccination and a COVID-19 vaccination. I started coughing and I felt like I had a horrible sore throat almost immediately after my vaccination. It was sore enough that I looked in the mirror and there were red little beads on my uvula and the top of my mouth. I called the doctor after I saw the spots, my throat was burning so bad it felt infected. The doctor on call prescribed a 5 day course of antibiotics. It still hasn''t resolved, I still have the spots and the burning. I did have some recent moving around of hoarded items from my deceased husband, its possible that some of the dust irritated me, but I don''t know if that would account for the red spots. I''ve also been really weak and tired. I still have the coughing and sore throat and fatigue, and a slight runny nose.


VAERS ID: 2634195 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-15
Onset: 2023-02-17
   Days after vaccination: 155
Submitted: 0000-00-00
Entered: 2023-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Cardioversion, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NEXIUM; sertraline; multivitamin
Current Illness: N/A
Preexisting Conditions: Osteoarthritis; GERD; Depression; High Cholesterol; Spinal Stenosis
Allergies: Soap allergy; laundry detergent allergy
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I have a sports watch that indicated my heart was racing. I contacted a friend to take me to the emergency. It was determined that I was in AFIB, and they shocked me. I was in the emergency room for about 4 hours, and I went home. I had an appointment with a cardiologist on 03/09/2023. I am taking medication to help with my symptoms.


VAERS ID: 2533436 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: California  
Vaccinated: 0000-00-00
Onset: 2022-09-14
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Decreased appetite, Exposure to SARS-CoV-2, Fatigue, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Multi-Vitamin
Current Illness: N/A
Preexisting Conditions: Swelling of lower legs
Allergies: Tuna
Diagnostic Lab Data: COVID- 19 Home Test-November 17, 2022-Positive
CDC Split Type: vsafe

Write-up: The first day there was a persistent cough. The 2nd day I had congestion, a persistent cough, very tired, a complete loss of appetite and I did not eat for a day. I contacted my doctor after completing a COVID-19 home test and testing positive. My doctor prescribed Paxlovid. By the end of the 5th day of the Paxlovid, all symptoms were gone. I had completely. I had not had a cold since COVID-19 started. On the Sunday before I got sick, I believe I contracted COVID-19 in a public restroom.


VAERS ID: 2533397 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-14
Onset: 2022-10-27
   Days after vaccination: 43
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Cough, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinusitis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Lovastatin; oxybutynin; montelukast; valacyclovir; calcium; vitamin D; loratadine; triamcinolone cream; estradiol vaginal cream; QVAR oral inhaler; azelastine nasal spray; fluticasone; ketoconazole 2% shampoo; hydrocortisone; docusate sodiu
Current Illness: Seasonal allergies
Preexisting Conditions: Asthma
Allergies: Catfish; neomycin topical
Diagnostic Lab Data: Flo flex COVID-19 home test October 28, 2022 positive
CDC Split Type: vsafe

Write-up: I had a sinus infection at the time also. I had congestion and coughing on October 27, 2022. By the next day it was increasing, and I contacted the provider. He prescribed 5 days of ciprofloxacin which caused a little break up but I was still having coughing, congestion and headache with achy joints. Maybe mild fever. On October 29, 2022, I retested, and it was possible. The doctor ordered PAXLOVID and I started PAXLOVID on October 29. In 24 hours, I felt better. The cough lasted for several weeks, and I still have on and off cough from normal allergies as well. The doctor prescribed vibramycin for the sinus infection as well.


VAERS ID: 2550252 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-04
Onset: 2022-11-14
   Days after vaccination: 41
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, 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: ELIQUIS; diltiazem; OCUVITE; CENTRUM SILVER women 50 plus multivitamin; NATURE''S BOUNTY hair skin and nails gummy
Current Illness: N/A
Preexisting Conditions: Possible AFIB
Allergies: Seasonal; LEVAQUIN; PLAQUENIL
Diagnostic Lab Data: COVID-19 at-home rapid test (negative) (11/15/22); COVID-19 at-home rapid test (negative) (11/15/22); COVID-19 at-home rapid test (positive) (11/17/22)
CDC Split Type: vsafe

Write-up: On Monday 11/14 I had a stuffy nose and thought I had caught a cold so took some ZICAM and AIRBORNE. on 11/15 I took two COVID-19 tests and they were both negative. We flew home on 11/16 and noticed I was getting more congested. I took a COVID-19 test when I got home and was absolutely positive. I called my doctor and we agreed that I did not need any antiviral, but that I just needed to rest and drink plenty of fluids. I was congested and extremely fatigued. I''ve never been so tired in my life, but 10 days later I tested negative.


VAERS ID: 2629809 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-22
Onset: 2023-05-06
   Days after vaccination: 226
Submitted: 0000-00-00
Entered: 2023-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide; LIPITOR; montelukast; albuterol; omega 3 fish oil; calcium; vitamin D; SAM-E; SYSTANE moisture eye drops
Current Illness: None
Preexisting Conditions: Hypertension; Hyperlipidemia
Allergies: Cat dander
Diagnostic Lab Data: 06MAY2023 home antigen test, negative result; 07MAY2023 home antigen test, positive result
CDC Split Type: vsafe

Write-up: On 5/6/2023, I woke up with a sore throat. I took a home antigen test that day and got a negative result. I began to feel achy and tired during the day. On 5/7/2023, I took another home antigen test and got a positive result. I had sore throat, body aches, fatigue, and fever. On 5/8/2023, I had all the same symptoms, plus a cough. I took TYLENOL and a cough syrup. I did a video visit with my doctor, who prescribed PAXLOVID. On 5/9/2023, I still pretty much had the same symptoms. Today, I finally feel like I''m getting better. I still have a little bit of a scratchy throat and an occasional cough. The body aches, fatigue, and fever are gone. I feel radically different from how I felt yesterday.


VAERS ID: 2543704 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-23
Onset: 2022-09-24
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Fatigue, Headache, Thyroid function test normal
SMQs:

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: Amlodipine; lisinopril
Current Illness: N/A
Preexisting Conditions: Hypertension; Hysterectomy 2022
Allergies: N/A
Diagnostic Lab Data: Blood panel 11/2022 normal results 02/22/2023 Neurologist pending.
CDC Split Type: vsafe

Write-up: I had vaccination on 09/23/2022. On 09/24/2022 I woke up with extreme fatigue. I have had the fatigue since the bivalent vaccination and still experiencing on 12/27/2022. I went to urgent care in 11/2022 and ran blood panel and thyroid tests. All tests came back normal. I have appointment on 02/22/2023 with a neurologist for the continuous headaches and test for autoimmune diseases.


VAERS ID: 2525628 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated: 2022-12-05
Onset: 2022-12-05
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Hemiplegia, Migraine, Nausea, Pain, Sleep disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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: After all of my Pfizer COVID-19 shots and boosters, I have experienced hemiplegic migraines within 24 hours after receiving the
Other Medications: Multivitamin; probiotic; levothyroxine; omeprazole; famotidine; potassium RX; hydrochlorothiazide; estradiol; metoprolol; ezetimibe; atorvastatin; coQ10; BOTOX injections; nortriptyline.
Current Illness: None.
Preexisting Conditions: Hemiplegic Migraines; Hypothyroidism; Ehlers-Danlos Syndrome; Acid Reflux Disease; High Cholesterol; Benign Extra Heartbeat.
Allergies: SEROQUEL; REGLAN; ZOFRAN; sulfa drugs; TEGRETOL; triptan drugs; ergotamine; erythromycin; TORADOL; COMPAZINE; melons; walnuts; all wasps.
Diagnostic Lab Data: None.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent booster for COVID-19 on 12/5/2022 at around 11 AM. Later that night at around 8 PM, I began getting a migraine and nausea. I went to bed, and I was able to get to sleep. I woke up at about midnight vomiting. My pain was 9/10, and I continued vomiting. At about 4 AM on 12/6/2022, I woke my caregiver up and asked him to drive me to the hospital. When I got to the ER, they did not run any tests, because I have a long history of hemiplegic migraines with which they are familiar. Instead, they just gave me morphine and PHENERGAN to treat the pain and nausea, per instructions from my neurologist. I had to wait at the hospital for several hours before the medicines kicked in before they released me to go home in order to ensure that the medications were effective. When most of the pain had subsided, I was then released and then went home and went to bed. At the time of this writing, I am still recuperating from the hemiplegia. I have had hemiplegic migraines since 2003, and whenever I get them, I always experience paralysis of the right side of my body, from head to toe. After I received the first 3 doses of the Pfizer COVID-19 vaccine, I experienced hemiplegic migraines each time and had to go the ER on each occasion. On all of those occasions, I was treated with morphine and PHENERGAN, because those are the only things that work. Otherwise, I end up in the hospital for weeks.


VAERS ID: 2617801 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-04
Onset: 2023-03-20
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: ONE A DAY women''s multivitamin; vitamin D3; LEVOTHROID; vitamin B12; fluoxetine
Current Illness: N/A
Preexisting Conditions: Obesity
Allergies: N/A
Diagnostic Lab Data: 21MARCH2023 home COVID-19 test positive; 22MARCH2023 home COVID-19 positive
CDC Split Type: vsafe

Write-up: First, sore throat, congested sinus up above my head. I tested positive with a rapid home COVID-19 test and it was positive on 03/21/2023. On 03/23/2023 I called my doctor in the morning. The doctor called in a PAXLOVID prescription, if I needed it. I never filled the prescription. That went on for 5 or 6 days. I drank ginger tea, lemon and honey and lots of sleep. I stayed home for 7 days from work then it was Spring break, After the 10 days, I felt normal, I was just tired. I tested and it was still positive after 10 days. I did not test anymore after that.


VAERS ID: 2556087 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-07
Onset: 2022-12-07
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Bacterial infection, Bronchial haemorrhage, COVID-19, Cough, Fatigue, Feeling abnormal, Feeling hot, Headache, Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Sinus congestion, Sputum discoloured, Throat irritation, Tonsillar haemorrhage, Upper respiratory tract congestion, Viral infection
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Taste and smell disorders (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Finasteride; tamsulosin; FLOMAX; multivitamin; vitamin D3
Current Illness: N/A
Preexisting Conditions: Enlarged Prostate
Allergies: Penicillin; nickel
Diagnostic Lab Data: 13DEC2022 COVID-19 at home test positive; 20DEC2022 COVID-19 at home test inconclusive
CDC Split Type: vsafe

Write-up: At the onset there was a scratchy throat, bleeding in left tonsil with a large debris; sore throat persisted the next day. I then became very fatigued and I felt warm but can''t say I ever had a high fever. I did not have any muscle aches. Lots of sinus congestion throughout my head. I had a runny nose constant. Severe headache which persisted throughout entire experience. I had a cough. My lungs were clear but my upper respiratory area ad bronchial tubes will filled with phlegm and bloody mucous. It was dark grey/green. I contacted my doctor, he prescribed azithromycin 250mg x 6 tablets 5-day course of antibiotics on 12/15/2022. Event started when my wife and I flew to see family for a vacation before Christmas. Someone in the airport coughed on me and I believe that''s where I got sick from. I did not take any action to contact my PCP. I was completely without any medication until I flew back home and went immediately to bed. From that point on, I was isolating myself for the next two to three weeks. I was miserable with these symptoms until the medication kicked in. My sinuses started to clear and my headache started to go away. I had a bacterial and viral infection at the same time. I was pretty much symptom free by about the 4th week. As of today, I still have a little of upper respiratory congestion and spitting up a little bit of phlegm and a cough. My nose finally feels like a nose again since about a week ago with no longer running. I had also lost my sense of taste and smell but gradually has come back.


VAERS ID: 2530090 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-10
Onset: 2022-11-30
   Days after vaccination: 81
Submitted: 0000-00-00
Entered: 2022-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Oral discomfort, Paraesthesia, Paraesthesia oral, Tongue discomfort
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: WELLBUTRIN XR; levothyroxine; PROTONIX; lisinopril; super B complex vitamins; iron; vitamin D.
Current Illness: None.
Preexisting Conditions: Depression; Hyperthyroidism; Hypertension; Gastroesophageal Reflux Disease.
Allergies: Phenol; tree nuts.
Diagnostic Lab Data: None.
CDC Split Type: vsafe

Write-up: On 9/10/2022, I received the Moderna Bivalent booster for COVID-19, plus a flu vaccine. On 11/30/2022, I noticed a tingling sensation mainly on the left side of my face. The tingling continued in the days that followed, and I saw my PCP on 12/2/2022. She told me that the tingling could have been due to shingles or to palsy, except I didn''t have the lesions that accompany shingles or the facial drooping that accompanies palsy. I have a history of migraines, so my doctor suspected that I could be experiencing a prodromal migraine. However, this was different from my prior migraines. Normally, my migraines are ocular and have an aura. The flashing lights will often occur just before the pain comes, and as long as I take IMITREX during the aura stage, the pain doesn''t come. On 12/3/2022, I began to have a headache that affected mainly the forehead area. I tried several doses of IMITREX, but it was no avail. The pain didn''t go away until 12/11/2022. I don''t know if my Moderna Bivalent booster and/or my flu shot were in any way connected to the migraine. However, I am reporting this, since this is the first time I have ever experienced the pre-pain tingling and lack of aura with a migraine. At the time of this writing, I am about 95% better. I still have intermittent tingling on smaller patches of my face. My lips and tongue also feel kind of weird, because there is a section of the lips and tongue that also experienced the tingling during the early stages of the migraine. They are no longer tingling, but they still don''t feel quite right. The sensation I currently have is similar to the one you get at the end stage of when you''re coming off of NOVOCAINE after a dentist''s visit.


VAERS ID: 2556768 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-07
Onset: 2022-12-07
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthritis, Electrocardiogram abnormal, Laboratory test abnormal, Neck pain, Pain in extremity, Pulmonary embolism, Ultrasound scan abnormal
SMQs:, Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Cardiomyopathy (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ibuprofen as needed
Current Illness: N/A
Preexisting Conditions: GERD
Allergies: Hay fever
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I had neck pain for about a month at the end of October 2022. My orthopedist and he believed it to be arthritis. On November 30th I noticed right calf pain that continued for about a week. I had a formal ultrasound, and I had a clot in my leg. I had more lab work and an EKG. They more abnormalities. I then had more tests and found more small clots in left upper and right lower lobe. I had no other symptoms than the calf pain.


VAERS ID: 2613105 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-30
Onset: 2023-02-03
   Days after vaccination: 126
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Laboratory test normal
SMQs:, Hearing impairment (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: Lisinopril; levothyroxine; metoprolol; magnesium; zinc; atorvastatin; TRULICITY
Current Illness: No
Preexisting Conditions: Diabetes; hypertension; high cholesterol; heart disease
Allergies: No
Diagnostic Lab Data: Medical tests to rule out stroke. All returned normal
CDC Split Type: vsafe

Write-up: Early in February came down with Bell''s Palsy. Doctors prescribed antivirals and antibiotics and I also did acupuncture. Symptoms have improved and I would say I am 99% recovered.


VAERS ID: 2611885 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-05
Onset: 2023-02-04
   Days after vaccination: 122
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Balance disorder, Dizziness, Electrocardiogram normal, Exercise electrocardiogram, Feeling abnormal, Loss of personal independence in daily activities, Nausea, Sensory disturbance
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Latanoprost eye drop; estradiol; strontium boost; algae cal plus; ultra dry eye with lutein and D3; once a day women''s multivitamin; lysine; collagen peptides; MCT oil; SYSTANE ultra eye drops
Current Illness: None
Preexisting Conditions: Osteoporosis; Osteopenia; Glaucoma
Allergies: COMPAZINE; AUGMENTIN; amoxycillin
Diagnostic Lab Data: 03/10/2023 EKG normal; 03/15/2023 Treadmill test normal
CDC Split Type: vsafe

Write-up: On February 4, 2023, in mile five or six of my run, I started to feel lightheaded. I didn''t feel dizzy, but it felt different. It lasted a few seconds. I was able to continue running, but I turned around to go back. It happened again on the same run. The second time it lasted a few seconds, but I felt nauseous as well. Since that day, I have the lightheadedness every run. I usually run four to five time a week. I run less now because the symptoms seem to last longer, and the nausea comes with it. I''ve also noticed that it happens when I walk as well. I just don''t feel right. I have had vertigo in the past, but it doesn''t feel the same. My brain feels like it shifts. It feels like something happens to my equilibrium. I make sure I''m hydrated, and it still happens. I''ve tried different things, but it just keeps happening. At times, it will happen when I''m not exercising. It won''t be as bad as when I''m exercising. I went to the doctor on March 10, 2023. I had a Physical. She also gave me an EKG. It was normal. On March 15, 2023, a Cardiologist gave me a Treadmill Test. It was normal. The next thing she recommended was an appointment with a Neurologist. I''m working on scheduling it. I''m a long-time runner for years, and I''ve never had this experience. I''m used to running long distances, marathons, and ultramarathons.


VAERS ID: 2467138 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: California  
Vaccinated: 2022-10-01
Onset: 2022-10-02
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Insomnia, Joint range of motion decreased, Pain, Shoulder injury related to vaccine administration
SMQs:, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shoulder joint pain, trouble sleeping, unable to lift arm above shoulder, many arm movements painful or not possible. SIRVA?


VAERS ID: 2550120 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-30
Onset: 2022-12-02
   Days after vaccination: 63
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, COVID-19, Cough, Heart rate increased, Nasal congestion, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ELIQUIS; LIPITOR; metoprolol; PRILOSEC; CELEXA; SYNTHROID; TYLENOL; ALEVE; inhaler albuterol
Current Illness: N/A
Preexisting Conditions: COPD; Asthma
Allergies: Codeine; sulfa
Diagnostic Lab Data: Home COVID-19, negative, 12/03/2022, positive, 12/04/2022
CDC Split Type: vsafe

Write-up: On December 2, 2022, during the night I had a bad sore throat. It was so sore it woke me up. On Saturday December 3, 2022, my home COVID-19 test was negative. The following day I tested positive. I had a cough and some nasal congestion and a low-grade fever. I went to urgent care and received prescription for PAXLOVID. I had a horrible taste in mouth due to the prescription. In about two more days my other symptoms were gone. Also, on December 19 I had an event for AFIB, and my heart rate was 136.


VAERS ID: 2577341 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-26
Onset: 2022-12-26
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2023-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Feeling abnormal, Headache, Poor quality sleep, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Depression (excl suicide and self injury) (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal
Diagnostic Lab Data: 12/27/2022 at home COVID-19 test positive; 01/01/2023 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: I felt a little off the evening of December 26, 2022. I had been exposed to COVID-19. I didn''t sleep well the evening of December 26, 2022. I had a runny nose, headache, and had a tickle in my throat. I felt as if I had a low-grade fever, but I never took my temperature. I took an COVID-19 test. The result was positive. I did a telehealth appointment that afternoon. They prescribed PAXLOVID. I started taking it that evening. My symptoms were very mild. I had a scratchy throat, a slight cough, and a little bit of a headache. On January 1, 2023, I finished the PAXLOVID. I tested myself for COVID-19 again. The result was negative.


VAERS ID: 2593896 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-07
Onset: 2022-12-01
   Days after vaccination: 85
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Culture positive, Headache, Infection, Productive cough, Sinusitis, Staphylococcus test positive
SMQs:, Infective pneumonia (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: COVID-19 Headaches and Sinus issues
Other Medications: Levothyroxine; birth control pills; mirtazapine; probiotic; vitamin D
Current Illness: N/A
Preexisting Conditions: Ongoing Headaches 07/2021; Recurring Sinus Infections; Cancer 2006
Allergies: COMPAZINE
Diagnostic Lab Data: Culture 12/2022
CDC Split Type: vsafe

Write-up: I had vaccination on 09/07/2022. In 12/2022 I had been having this headache on the right side of my head with repeated sinus infections. It seemed that I had a new infection in which I was coughing up phlegm. I had a culture done and was positive for Staph Infections. In 12/2022 it seemed to get worse. I have been on rounds of antibiotics but I have not received an answer from the medical staff on what they want to do next.


VAERS ID: 2602354 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-19
Onset: 2023-01-05
   Days after vaccination: 108
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, COVID-19, Chest pain, SARS-CoV-2 test positive
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: FLONASE; hydrochlorothiazide; loratadine; SUDAFED; BENADRYL; vitamin D3; vitamin B12; biotin
Current Illness: N/A
Preexisting Conditions: Aneurysm in the brain
Allergies: Melon; beef; lidocaine
Diagnostic Lab Data: 05JAN2023 COVID-19 positive; 06JAN2023 COVID-19 positive; 06JAN2023 Blood test normal
CDC Split Type: vsafe

Write-up: On 01/05/2023 my symptoms were mild to moderate. I started having chest pains. I did a COVID-19 at home and it was positive. I had to go to the emergency room the next day on 01/06/2023 and I was tested positive for COVID-19. The provider prescribed PAXLOVID and TESSALON PEARLS. I have now recovered from event.


VAERS ID: 2595667 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-09
Onset: 2023-02-07
   Days after vaccination: 151
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: ZYRTEC; vitamin C; magnesium
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Seasonal allergies; fruits; vegetables
Diagnostic Lab Data: 13FEB2023 COVID-19 test positive; 20FEB2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 02/13/2023. I had a cough, sore throat, headache. I called the provider the next day and prescribed PAXLOVID for 5 days. I tested negative for COVID-19 on 02/20/2023.


VAERS ID: 2488471 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-16
Onset: 2022-10-17
   Days after vaccination: 31
Submitted: 0000-00-00
Entered: 2022-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Nasal congestion, Pain, SARS-CoV-2 test positive
SMQs:, 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: Atorvastatin; tamsulosin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 10/17/2022 negative COVID-19 10/18/2022 positive
CDC Split Type: vsafe

Write-up: On 09/16/2022 I had vaccination. On 10/17/2022 I started to feel aches and stuffiness. I took at home COVID-19 test and it was negative. On 10/18/2022 I took 2 COVID-19 tests and they were both positive. I contacted my doctor office on 10/18/2022 and they prescribed PAXLOVID.


VAERS ID: 2599567 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-16
Onset: 2023-03-05
   Days after vaccination: 170
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: COVID-19 Moderna; felt awful for 24 hours
Other Medications: Multivitamin; calcium; vitamin E
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Codeine
Diagnostic Lab Data: COVID-19 positive 03/06/2023
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/16/2022. I started to feel unwell on 03/05/2023 to include a scratchy throat. I tested COVID-19 positive on 03/06/2023. I contacted my doctor office on 03/06/2023 and was prescribed PAXLOVID. I am feeling better on 03/20/2023.


VAERS ID: 2592499 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: California  
Vaccinated: 2023-02-11
Onset: 2023-02-27
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2023-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6743 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Contusion, Deep vein thrombosis, Gait disturbance, Lymphadenopathy, Muscle spasms, Pain in extremity, Ultrasound Doppler abnormal
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Parkinson-like events (broad), Thrombophlebitis (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DEXILANT; tramadol; baclofen; vitamin D3; lidocaine patches; lidocaine prilocaine cream; turmeric; magnesium; potassium; vitamin B12; vitamin B6; melatonin; omega 3; stool softener; baby aspirin
Current Illness: None
Preexisting Conditions: Chronic Hernias; Gastroesophageal Reflux Disease; Chronic Wheezing and Coughing (Caused by COVID-19)
Allergies: Basil; yogurt; quinine; bee stings
Diagnostic Lab Data: 03MAR2023 Ultrasound of Right Leg, Deep Vein Thrombosis in Right Distal Superficial Femoral Vein and Popliteal Vein Detected, 8 mm Swollen Inguinal Lymph Node Detected
CDC Split Type: vsafe

Write-up: I thought I had a cramp in the right calf on 2/27/2023. By that night, it became more and more painful. I tried walking it off and drinking pickle juice, but nothing worked. On Thursday, I could hardly walk. At about 1:00PM on 3/3/2023, I noticed that I had a large bruise on the back of my leg, just below the knee on the calf. By about 6:00 PM, the bruised extended from the bottom of the thigh to just above the crook of the knee; it had gotten larger. At about 7:30PM ET, I went to the ER. I underwent an ultrasound, which indicated that I had a deep vein thrombosis within the right distal superficial femoral vein and the popliteal vein. An eight-millimeter swollen inguinal lymph node was also indicated in the right leg. I was given a LOVENOX injection. They also prescribed me 15 mg of XARELTO, which I am to take twice a day for 21 days. After that, the dosage will be 20 mg twice a day for 30 days. At the time of this writing, it''s still very painful. It''s not as bad as it was before, but at this point, the pain is about a 7 on a scale from 1 to 10.


VAERS ID: 2595661 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-09
Onset: 2023-03-03
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Dysphonia, Exposure to SARS-CoV-2, Fatigue, Nasal congestion, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Secretion discharge, Throat irritation
SMQs:, Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), 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? Yes
Hospitalized? No
Previous Vaccinations: In 1983, I got a typhoid vaccination. Later the same evening, I had a grand mal seizure. I then underwent various tests, and I w
Other Medications: Acyclovir; atenolol; FARXIGA; LEXAPRO; NEXIUM; metformin; multivitamin; vitamin D; vitamin E; evening primrose; collagen; fish oil; low-dose baby aspirin; albuterol
Current Illness: None
Preexisting Conditions: Parkinson''s Disease; Diabetes, Type II; Tachycardia; Depression; Chronic Cold Sores; Gastroesophageal Reflux Disease; Mild Asthma
Allergies: Sulfa drugs
Diagnostic Lab Data: 4MAR2023 home antigen test negative result; 05MAR2023 home antigen test positive result; 13MAR2023 home antigen test positive result; 05MAR2023 clinical antigen test positive result
CDC Split Type: vsafe

Write-up: On 3/3/2023, I noticed that my husband had a runny nose. He took a home COVID-19 test, and the result was positive. I also tested myself, and the result was negative. Later that evening, I felt something funny in my throat. On 3/4/2023, I felt more symptoms, so I took another test around noon, and the result was positive. I had nasal congestion and hoarseness that day. That day, I went to an urgent care clinic, where I was tested again for COVID-19 and again got a positive result. I wanted to get PAXLOVID, but the doctor didn''t want to prescribe it, as it is not FDA-approved. She prescribed me benzonatate pills and azithromycin, and I have not taken either of those at the time of this writing. I still wanted to get PAXLOVID, though, so I went to another urgent care where a doctor prescribed me PAXLOVID. I began taking PAXLOVID that afternoon. The PAXLOVID helped with my symptoms, as my throat got better, and the mucus production was reduced. I began to feel a little achy on 3/4/2023, but it quickly went away. I finished taking the PAXLOVID on 3/8/2023. On the night of 3/14/2023, I began to feel bad again. I was achy and had chills, but I had no fever. My nasal congestion also worsened, and my throat was a little bit sore. At the time of this writing, I don''t have aches or chills, but I have nasal congestion, scratchy throat, and fatigue. I took another home test on 3/13/2023 at 9:30 AM, and the result was positive.


VAERS ID: 2595616 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-09
Onset: 2023-01-13
   Days after vaccination: 126
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, SARS-CoV-2 test positive
SMQs:, 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: ZYRTEC
Current Illness: N/A
Preexisting Conditions: High Cholesterol
Allergies: Sulfa
Diagnostic Lab Data: 13JAN2023 COVID-19 test positive; 14JAN2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: On 01/13/2023 I tested positive for COVID-19 and it was positive. My symptoms were tired, headache and my temperature were 99.7. I took an antigen test then next day and it was negative. I then had a telehealth visit with a HCF and the provider prescribed PAXLOVID.


VAERS ID: 2593967 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-07
Onset: 2023-02-01
   Days after vaccination: 147
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Allergy test, Chest X-ray normal, Cough, Dyspnoea, Fatigue, Sleep disorder, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: Latanoprost; CLARITIN D; iron; zinc; magnesium; B12; vitamin D3
Current Illness: N/A
Preexisting Conditions: Glaucoma
Allergies: N/A
Diagnostic Lab Data: X-Ray, normal, 02/08/2023; Blood panel, normal, 02/15/2023
CDC Split Type: vsafe

Write-up: About 6 weeks ago I started wheezing and having shortness of breath and a lot of dry coughing. I was also tired because I was unable to sleep due to wheezing and coughing. This lasted for about 2 weeks. I went to the doctor and had chest X-Ray and it was clear. I was told it may just be allergies and was given an inhaler with albuterol. After another week there was no change, and he gave me a different type of inhaler. They did an allergy test. I am still wheezing a little bit, but the cough has subsided. I still have shortness of breath. I have a test tomorrow, 2/10/2023, for a pulmonary test.


VAERS ID: 2599679 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-17
Onset: 2022-11-04
   Days after vaccination: 48
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Decreased appetite, Fatigue, Headache, Nasopharyngitis, Nausea, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: ELIQUIS; flecainide; losartan; diltiazem; ZOLOFT; multivitamin; TYLENOL
Current Illness: N/A
Preexisting Conditions: Heart Attack unknown date; Pacemaker 08/2021; Ablation x2; Scarring in heart
Allergies: AMBIEN; gabapentin; unable to remember the whole list of medication allergies.
Diagnostic Lab Data: COVID-19 negative 11/04/2022 and COVID-19 positive 11/06/2022.
CDC Split Type: vsafe

Write-up: I had vaccination on 09/17/2022. I started to experience a headache congestion and feeling like coming down with a cold on 11/04/2022. I tested COVID-19 negative on 11/04/2022. On 11/06/2022 my head was pounding with nausea, vomiting, exhaustion. I tested COVID-19 positive on 11/06/2022. I had not been able to eat till 12/2023 and lost weight down to 100lbs. I have not recovered as of 03/20/2023. I have not made any follow up appointments.


VAERS ID: 2593977 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-07
Onset: 2023-02-15
   Days after vaccination: 161
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingles, fever, nauseous, 2021
Other Medications: SYNTHROID; multivitamin; vitamin C; elderberry with zinc; hair, skin and nails
Current Illness: N/A
Preexisting Conditions: Hypoglycemic; Hypothyroidism
Allergies: N/A
Diagnostic Lab Data: Home COVID-19 test, negative, 02/27/2023
CDC Split Type: vsafe

Write-up: In early February I had a headache and a runny nose which began to be congestion. I also had a low-grade fever for about 3 days and scratchy throat. I tested negative for COVID-19. I spoke to my doctor and he said go to the emergency department if it did not get better. I still have a little bit of a headache as of today and I am sneezing a lot.


VAERS ID: 2544819 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-23
Onset: 2022-11-23
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 3 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC; AFRIN; clopidogrel; furosemide; lisinopril; potassium chloride; aspirin; metoprolol succinate; spironolactone; bupropion XL; FIORICET; gabapentin; NORCO; atorvastatin; levothyroxine; CELEBREX; XOPENEX inhaler; HUMALOG
Current Illness: N/A
Preexisting Conditions: Congestive Heart Failure; Asthma; Parkinson''s Disease; Osteoarthritis; Migraines; Type 2 Diabetic; High Blood Pressure; Bipolar; Obese
Allergies: Pet dander
Diagnostic Lab Data: 24NOV2022 COVID-19 test positive; 01DEC2022 COVID-19 test negative; 08DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/24/22. I had an extremely bad sore throat, body aches, fatigue, cough, congestion, low grade fever, and a runny nose. I went to urgent care and was prescribed 5 days worth of PAXLOVID. I had to stop taking atorvastatin for about a week and half because my doctor told me I could not take atorvastatin with PAXLOVID. I started to feel better after taking medication for a week and then I started to get worse again. I tested negative on 12/01/22. Then, I tested positive again on 12/8/22.


VAERS ID: 2594838 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-08
Onset: 2023-02-23
   Days after vaccination: 168
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Feeling abnormal, Oropharyngeal pain, Pollakiuria, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Atorvastatin; lisinopril; omeprazole
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Acid Reflux; Hip Arthritis
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test positive 02/23/2023.
CDC Split Type: vsafe

Write-up: It started with runny nose and sneezing and some coughing with a sore throat. I also had frequent urgent urination about once an hour. It was very unpleasant as I was also experiencing chills. It was the same the next night but then it got smooth. I did not have a fever, but I do get chills very easily. I completed a home COVID-19 test that was positive on 02/23/2023. I called my doctor and was prescribed PAXLOVID. I had a profound diarrhea which I believe were contributed by the drug. It took about 2 days for my symptoms to improve. I slowly but progressively started to feel better. It took a sold week before I felt more normal.


VAERS ID: 2600233 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-16
Onset: 2022-12-22
   Days after vaccination: 97
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (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: After I got my first dose of the COVID-19 vaccine, I had a low-grade fever. I also threw up, but I don''t know if that was becaus
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 22DEC2022 home antigen test, positive result; 02JAN2023 home antigen test, negative result
CDC Split Type: vsafe

Write-up: I had a cold for about three weeks, so I had been testing myself regularly to make sure I didn''t have COVID-19. On 12/22/2023, I was feeling really tired and dizzy at about 4:30 PM. When I went upstairs to shower, I felt winded. About an hour later at the grocery store, I felt out of it. At about 8:00 PM that night, I took a home antigen test and got a positive result. I didn''t really get any other symptoms from the COVID-19. I had a residual cough from the cold I had had and some head and chest congestion. About two or three days later, I called my healthcare provider, and the doctor I spoke to didn''t deem it necessary to prescribe me an antiviral, but I was prescribed an antibiotic to prevent bronchitis. I continued to test positive for COVID-19 for ten days. On 1/2/2023, I finally tested negative for COVID-19. At that point, the cough was almost gone, too.


VAERS ID: 2601830 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: California  
Vaccinated: 2022-09-18
Onset: 2023-01-25
   Days after vaccination: 129
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER N/A / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Brain fog, COVID-19, Immunisation reaction, Migraine, Rash, SARS-CoV-2 test positive, Skin lesion
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations: All COVID-19 vaccinations; low grade fever and aches
Other Medications: ADHD Medication; Multivitamin; Protein Powder Supplement
Current Illness: N/A
Preexisting Conditions: ADHD
Allergies: N/A
Diagnostic Lab Data: COVID-19 Positive 06/2022
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/18/2022. On 01/25/2023 I started to get a sore on my toe. The anti-fungal cream was not working and the rash spread to both feet and tried an antibiotic which did not work.. I went to the dermatologist who diagnosed me with COVID-19 toes. I had had COVID-19 Positive in 06/2022. I have had weekly migraines with brain fog since this time but lessening over time. I was on Paxlovid during this time.


VAERS ID: 2594758 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-08
Onset: 2023-02-07
   Days after vaccination: 152
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Disturbance in attention, Fatigue, Feeling abnormal, Headache, Hypersomnia, Impaired work ability, Malaise, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 antibody test positive, Throat clearing, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (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: Hormonal intrauterine device
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 07FEB2023 home antigen test, negative result; 09FEB2023 home antigen test, positive result; 18FEB2023 home antigen test, negative result; 19FEB2023 BinaxNOW test, negative result
CDC Split Type: vsafe

Write-up: I''m normally pretty careful about masking up indoors, but the weekend before I got sick, I went to brunch, and I think that''s where I picked it up. I woke up on 2/7/2023 with a sore throat. I took a home antigen test, and the result was negative. The sore throat lasted for most of the day, and I felt tired. On 2/8/2023, I woke up feeling worse. I had congestion, sore throat, and a headache. I also felt really fatigued. I fully isolated myself and stayed around an air purifier. I took SUDAFED, but it didn''t help. On 2/9/2023, I took a home test and got a positive result. I worked half a day remotely and then took the rest of the day off, because I was so fatigued and felt so sick that it affected my concentration. I slept for most of the day. I took DAYQUIL and NYQUIL that day and night, but they weren''t as effective as I wanted them to be. After the first hour or two, they were effective, but they quickly wore off. They were better than nothing, though. On 2/10/2023, I still felt fatigued and sick. I again took DAYQUIL and NYQUIL. I slept all day. On 2/11/2023 and 2/12/2023, I felt better, but I had a little bit of a headache, plus runny nose and postnasal drip. On 2/13/2023, I still had a little bit of a runny nose and an annoying cough in which I felt the need to clear my throat. By 2/15/2023, I felt fine otherwise, but I was still testing positive. I stayed home, though, and I took precautions to not infect my husband. I finally tested negative on 2/18/2023. When I tested again on 2/19/2023, I was still negative. I had a telehealth appointment on 2/9/2023, and the doctor told me about PAXLOVID, and I ultimately decided not to take it.


VAERS ID: 2581536 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-17
Onset: 2023-01-30
   Days after vaccination: 105
Submitted: 0000-00-00
Entered: 2023-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dysphonia, Exercise tolerance decreased, Fatigue, Feeling abnormal, Headache, Malaise, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Parkinson-like events (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: I have never had any issues other than an achy arm after getting a vaccine, plus maybe a bit of a headache.
Other Medications: PPI (name unknown); iron supplement; TYLENOL (as needed)
Current Illness: None
Preexisting Conditions: Achalasia; Osteoarthritis (Mostly in Knees, But Also in Neck); Reactive Airway Disease
Allergies: Wheat; gluten; corn; sulfa drugs; penicillin; tetracycline; oxycodone; VICODIN; DEMEROL
Diagnostic Lab Data: 31JAN2023 home antigen test negative result; 02FEB2023 home antigen test positive result; 12FEB2023 home antigen test negative result
CDC Split Type: vsafe

Write-up: I started feeling out of sorts and coughing on 1/30/2023. On 1/31/2023, my cough deepened, but it wasn''t productive. I also had a headache, but no fever or chills. At this point, I did a home antigen test and got a negative result. On 2/1/2023, I still had a deep cough, but it wasn''t severe. I also had a slight temperature of maybe 100.0 or 100.2. I felt crummy, so I just curled up with a blanket. On 2/2/2023, I had had chills the previous night, so I took another home antigen test and got a positive result. I called my doctor''s office and informed them of my situation, and they prescribed PAXLOVID, which I began taking late that afternoon. On 2/3/2023, I could tell the PAXLOVID was working, because my cough wasn''t as deep, and my symptoms weren''t any worse than before. I was also less hoarse, but I still felt sick and fatigued. I took another test on 2/12/2023 and got a negative result. I have more energy, but I don''t have much endurance or feel like I''m running on all six cylinders. I have resumed some of my exercises, but I also make it a point to take it easy.


VAERS ID: 2504395 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: California  
Vaccinated: 2022-10-26
Onset: 2022-10-28
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Face and mouth X-ray normal, Infection, Oral pain, Oropharyngeal pain, Toothache
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: PLAVIX; ZETIA; bupropion
Current Illness: Arm surgery
Preexisting Conditions: COPD; Coronary Artery
Allergies: N/A
Diagnostic Lab Data: 09NOV2022 mouth X-ray normal
CDC Split Type: vsafe

Write-up: A day after the vaccine my mouth felt tender inside and slight sore throat, tender underneath my jaw, each day got worst, the teeth hurt, also, I went to the dentist yesterday and he said it''s not the teeth, he sent me to a specialist, it looks kind of infection, I have an appointment for tomorrow.


VAERS ID: 2602311 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated: 2022-09-21
Onset: 2022-12-20
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Allergy test negative, Anosmia, COVID-19, Chest X-ray normal, Dyspnoea, Fatigue, Gastrointestinal disorder, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Valsartan; sertraline; meloxicam; rosuvastatin; amlodipine; multivitamin; vitamin D; coQ10; fish oil
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: 15MAR2023 Chest X-Ray, normal; 13MAR2023 Allergy blood work, normal
CDC Split Type: vsafe

Write-up: I started feeling symptoms on December 20, 2022, with a light fever. I tested negative for COVID-19 on the home test, but positive when I went to the clinic on the December 22,2022. I started feeling the symptoms in waves. I lost my smell and taste. I was prescribed PAXLOVID but didn''t notice much of a change. My fever lasted eleven days. Once my fever broke, I was still experiencing fatigue and shortness of breath. I also had gastrointestinal issues for a couple of days. My doctor referred me to a specialist for the shortness of breath and they prescribed me albuterol. Now I was told to take TRELEGY in replace of albuterol.


VAERS ID: 2605237 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-09-24
Onset: 2022-11-01
   Days after vaccination: 38
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Chronic kidney disease, Diarrhoea, Dizziness, Headache, Hypertension, Hypothyroidism, Lethargy, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Eosinophilic pneumonia (broad), Hypothyroidism (narrow), Vestibular disorders (broad), Chronic kidney disease (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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: I twice had flu-like symptoms after getting flu vaccines. The symptoms lasted for maybe about a day or two.
Other Medications: CENTRUM SILVER for women; cetirizine; vitamin B12; vitamin D3
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: After I got the fifth dose of the Pfizer COVID-19 vaccine, I experienced fever, muscle aches, diarrhea, and headaches. These symptoms lasted for four days. I took naproxen to treat the symptoms, and it helped. Later on, I went in for my yearly physical. During the physical, I took a blood test, which indicated that my thyroid activity was out of the normal range; I was told that I had hypothyroidism and was prescribed levothyroxine (0.05 mg). The NP then did a follow-up to make sure I didn''t develop hyperthyroidism, so she ordered a follow-up blood test two weeks after I was prescribed the levothyroxine. The results indicated that everything was fine and that the medication was working. At the time she prescribed the medication, she took my BP, which was very high. Because of this, the NP sent me home with a chart with instructions on how to do at-home BP testing. My BP continued to be high, so after about three weeks, I called my doctor''s office and asked to be put on BP medication. I was then prescribed lisinopril. I am currently taking 30 mg of lisinopril; I started with 5 mg. About three weeks after starting the lisinopril, I went back to the doctor, because I was experiencing dizziness and nausea when hiking. The doctor ran another blood test. After getting the results, my doctor diagnosed me with stage 3 chronic kidney disease. I am due to undergo a renal ultrasound in the very near future. With the levothyroxine, I have noticed a positive change. I am now less lethargic and more active. However, I am concerned about the lisinopril and whether it may be negatively affecting the health of my kidneys, as there are contraindications.


VAERS ID: 2616881 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-11-26
Onset: 2023-03-01
   Days after vaccination: 95
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / 5 RL / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test positive
SMQs:, Tendinopathies and ligament disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: Prostate Cancer
Allergies: N/A
Diagnostic Lab Data: 13OCT2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had minor soreness in my arm for about a day. I tested positive for COVID-19 in 03/2023. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications.


VAERS ID: 2616208 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-10-14
Onset: 2023-01-01
   Days after vaccination: 79
Submitted: 0000-00-00
Entered: 2023-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood glucose increased, Full blood count normal, Low density lipoprotein decreased, Sensory disturbance, Therapy change
SMQs:, Dyslipidaemia (narrow), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (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: 02/1989 Flu shot, age 30, high fever, chills, and nausea that ended in an ER visit
Other Medications: None
Current Illness: None
Preexisting Conditions: Type 2 Diabetes
Allergies: Lactose intolerant; seasonal; vespid venom; spider venom
Diagnostic Lab Data: 03/16/2023 CBC normal ranges but blood sugar was a little higher and LDL was lower than at last blood draw
CDC Split Type: vsafe

Write-up: My doctor placed me on atorvastatin because I am diabetic. I had been on metformin since mid-November or December of 2022. In January of 2023, I was prescribed a small dose of atorvastatin once a day in the evening. The response was my morning blood sugar immediately jumped from my normal reading of 140 to 150 to 180 or better every morning. I couldn''t think of anything else that changed aside from the atorvastatin. I contacted my doctor. I''m going in on Thursday. I stopped the atorvastatin about 10 days ago. My toes feel like they have cardboard pasted to them. It was worse than frostbite. It stayed like that all day. My blood sugar levels have lowered.


VAERS ID: 2597154 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-09-13
Onset: 2022-12-15
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Discomfort, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus pain
SMQs:, Anaphylactic reaction (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: N/A
Current Illness: Common cold
Preexisting Conditions: N/A
Allergies: Amoxicillin
Diagnostic Lab Data: 15DEC2022 COVID-19 test positive; 31DEC2022 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 12/15/2022. I had a cough, congestion, pressure. I had severe sinus pressure in my left lob above the eyebrow from time to time and it was painful. The only relief that really works was putting my head upside. I seen my provider and I took MUCINEX and azithromycin and felt relief after the doctor prescribed it. I thought about going to urgent care but never went.


VAERS ID: 2613791 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-09-09
Onset: 2023-01-25
   Days after vaccination: 138
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Influenza virus test, Nasal congestion, Respiratory syncytial virus test, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Levemir; Metformin; Humalog; Viibrybid; Bupropion; Ablilify; Losartan; Vitamin D3; Atorvastatin
Current Illness: N/A
Preexisting Conditions: Diabetes
Allergies: Egg White; Mellons; Seasonal Allergies
Diagnostic Lab Data: COVID-19 Home Test; COVID-19 PCR Test; Influenza Test; RSV Test
CDC Split Type: vsafe

Write-up: I was having a scratchy throat and a runny nose, and I did take a COVID-19 Home Test and it was negative. I had been in another city for an event over the weekend and heard people at the event had been testing positive. I went and got a PCR test, and it was positive. I had a very bad stuffy nose, and I was congested. When I did go on they put me on Paxlovid and that did help at first and I got better but after being off of that for a few days and that is when the sinus issues got way worse. It was similar to a bad sinus infection, but I was COVID positive.


VAERS ID: 2604891 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-09-23
Onset: 2023-02-02
   Days after vaccination: 132
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Alopecia, COVID-19, Dyspepsia, Gastrointestinal disorder, Headache, Malaise, Nasal congestion, Nausea, Pain, SARS-CoV-2 test positive
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Multivitamin; daily probiotic
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 02FEB2023 home antigen test, negative result; 03FEB2023 home antigen test, positive result; 09FEB2023(?) home antigen test, negative result
CDC Split Type: vsafe

Write-up: I woke up with body aches. I went to work for about an hour and decided that the headache and body aches were too much. I went home and took a COVID-19 test, which yielded a negative result. I had nausea, body aches, and headache. On the third day, those symptoms were gone, but I had nasal congestion. I took another test and got a positive result. The symptoms lasted another day and were pretty much resolved by day four or five. During this bout with COVID-19, I didn''t think it was necessary to contact my doctor, since my symptoms subsided pretty quickly. However, I did register it on V-safe. I just treated my symptoms with NYQUIL, TYLENOL, and MUCINEX, which were all effective. Maybe about a week after the onset of symptoms, I took a home test and got a negative result. This was my second time to get COVID-19. After getting it both times, my gut was off for about a month; I had frequent stomach upset and indigestion both times. I''ve also noticed that after both times, I lost quite a bit of hair about a week after my COVID-19 symptoms subsided. Both times, the hair loss lasted for about a week.


VAERS ID: 2579003 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-11-10
Onset: 2022-11-11
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 052D22A / 3 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Biopsy skin abnormal, Blood test normal, Burning sensation, C-reactive protein normal, Cough, Cutaneous vasculitis, Dysphagia, Erythema, Henoch-Schonlein purpura, Inflammation, Inflammatory marker test, Influenza like illness, Joint swelling, Laboratory test normal, Mobility decreased, Muscle spasms, Nasal congestion, Pain, Productive cough, Pruritus, Rash, Red blood cell sedimentation rate normal, Rhinorrhoea, SARS-CoV-2 test negative, Snoring, Speech disorder, Streptococcus test positive, Tenderness, Tonsillar haemorrhage, Tonsillar hypertrophy, Tonsillectomy, White blood cell count normal, X-ray normal
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vasculitis (narrow), Skin tumours of unspecified malignancy (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (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: Enskyce 0.15-0.03mg oral tablet (taken at bedtime for contraception) Estradiol 2mg oral tablet (1/2 tablet taken during period/placebo week to reduce hormonal dip and prevent migraines) Ondansetron 8mg disintegrating oral tablet (taken as
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Strep and at-home COVID-19 testing done in late Nov/early Dec (dates not exact): All negative Blood work from primary care on Dec 12: All normal Xray at orthopedic walk-in clinic Dec 19: Normal Skin biopsy Jan 11 with dermatologist: Revealed IGA vasculitis and rash diagnosed as leukocytoclastic vasculitis Biopsy of tonsils after tonsillectomy on Jan 23: Revealed normal but inflamed tonsils (unknown cause)
CDC Split Type:

Write-up: Nov 10, 2022: Received the COVID Moderna bivalent booster & Flu shot - Experienced flu-like symptoms a day after - Tonsils began swelling about five days after (no sore throat) - Difficulty talking/pronunciation, increased snoring, uncomfortable to swallow - Persisting stuffy nose - On/off dry and wet cough Multiple visits to the Urgent Care and Clinic - Tested for strep four separate times (ALL negative), at-home tests for COVID all negative - Given a round of steroids for two days, did not help swelling of tonsils Dec 12, 2022: Saw primary care doctor - Lab tests from blood all normal, no strep, no mono, inflammation markers (sedimentation rate, CRP, and white blood cell count) all normal suggesting I did not have a current bacterial infection - Recommended I see an ENT for the inflamed tonsils and runny nose Dec 15, 2022: Saw ENT (Dr.) - Inflamed tonsils, no labs or tests - Said I could have a bacteria colonization called actinomyces (cause unknown) - Given round of antibiotics (Amoxicillin-Clavulanic/Augmentin 875-125MG) taken twice a day for 10 days (only took for five days, see below) - If antibiotics did not work to reduce inflammation in tonsils, the next step would be to have them removed Dec 16, 2022: Right ankle swelling - Felt like a sprained ankle: limited movement, hurt to touch, swollen across the top and outside ankle - Swelling got worse as days went on, could hardly see my ankle bone - Ice, elevation, ibuprofen, and rest helped Dec 19, 2022: Went to orthopedic walk-in clinic - X-rays normal - Could not explain swelling of ankle or attribute a sprain to any previous injury (started working out but did NOT roll ankle or injure it in any other way) - Doctor told me to stay off the ankle, ice, take ibuprofen and elevate for a week - Symptoms improved within a few days after Got home from clinic and noticed a small rash on the top of my right foot (underneath toes), same side that ankle was swollen Dec 21, 2022: Rash got worse on right foot and began forming on left foot, a few spots on stomach (not as bad as foot) - Last dose taken of first antibiotic (see tomorrow?s notes) Dec 22, 2022: Called ENT office and told nurse about rash (thought it was a reaction to medication) - Switched antibiotics to Clindamycin HCL 300MG taken three times a day for 10 days (began taking Dec 23, 2022) - Noticed inside of belly button was red, inflamed and itchy that night - DID NOT TAKE ANY ANTIBIOTICS THIS DAY Dec 23, 2022: Rash moved all the way up my legs - Taking zyrtec twice a day (helped with inflammation and redness, but Benadryl helped more) Dec 25, 2022: Swollen left knee cap - Incredibly painful to walk on and bend - Started to feel better about two days after the initial onset (some pain still present but can put pressure, walk, and bend) - No injury or fall to report that would cause this pain Rash still present, seemed to be fading, tonsils still swollen but not as enlarged Jan 1, 2023: Leg rash incredibly inflamed after showering - No more rash on feet, fading at the ankles, but the rest of legs looked awful - Last dose of second antibiotic Jan 2, 2023: Woke up with painful cramping near belly button - Ibuprofen helped - Continued for about 4-5 days before stopping - Primarily occurred in the morning right after waking up, constant cramping, tightness, and bloating Jan 4, 2023: Whole rash began fading Jan 6, 2023: Rash almost gone Jan 7, 2023: Left wrist swelling and pain plus rash came back on ankles/lower calves/top of feet - More inflammation and redness, VERY itchy and burning sensation Jan 9, 2023: Rash on ankles, still irritated Jan 10, 2023: Followed up with primary care doctor (Dr.) - Discussed rash and joint swelling - Recommended I see the dermatologist to discuss rash Jan 11, 2023: Saw dermatologist - Rash diagnosed as Leukocytoclastic Vasculitis (may be caused by antibiotics or an infection) - Skin biopsy taken to rule out reaction between immune system and blood vessels in skin; may be associated with a longer term kidney problem (IGA vasculitis) Test results came back and confirmed IGA vasculitis. Rash came back worse again, dermatologist prescribed triamcinolone acetonide 0.001mg topical ointment for inflammation/itching Jan 17, 2023: Follow-up with ENT about rash, joint swelling, and continued inflamed tonsils; recommended tonsillectomy Jan 23, 2023: Tonsillectomy Jan 29, 2023: Due to complications from the original tonsillectomy (bleeding/hemorrhaging), I had to go to the emergency room and get another surgery to re-cauterize the area to prevent additional blood loss Biopsy from tonsils revealing normal, but inflamed tonsils (no infection present, unknown why they were inflamed) Feb 9, 2023: Healing from tonsillectomy fine, rash has not reoccured (completely gone), no additional joint swelling. However, there is recurrent pain in left knee from the swelling that occurred in Dec.


VAERS ID: 2608487 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-10-18
Onset: 2023-01-31
   Days after vaccination: 105
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 6 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Condition aggravated, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Sinus disorder
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications: Amlodipine; Atorvastatin; Vitamin D3; Fluticasone Propanoate; Leflunomide; Levothyroxine; Pantoprazole; Preservisone; Tamsulosin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 02FEB2023 - COVID-19 At Home Test - Positive
CDC Split Type: vsafe

Write-up: I didn''t even know I had COVID-19 but I was having sinus problems a little worse than usual. A person I had come in contact with told me that she was COVID-19 positive so I tested myself and I was positive.


VAERS ID: 2591906 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-11-22
Onset: 2023-01-07
   Days after vaccination: 46
Submitted: 0000-00-00
Entered: 2023-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Memory impairment, Vomiting
SMQs:, Acute pancreatitis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (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, 7 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Lisinopril; ALLEGRA; daily vitamin
Current Illness: No
Preexisting Conditions: High Blood Pressure
Allergies: No
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I was driving and pulled over, stopped to vomit and someone came over to my car and called 911. That''s about all I remember. I went to the hospital and was there for several days and transferred to another hospital for additional care, I was there for three weeks and came home.


VAERS ID: 2717371 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2023-11-17
Onset: 2023-11-21
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA NOT KNOWN / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Headache, Panic attack, Paranoia, Thinking abnormal
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (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: Sertraline 50mg daily
Current Illness: Stomach flu
Preexisting Conditions: Na
Allergies: None
Diagnostic Lab Data: Na
CDC Split Type:

Write-up: Paranoia, anxiety, panic attack, headache, jumbled thoughts


VAERS ID: 2633548 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-10-03
Onset: 2022-12-01
   Days after vaccination: 59
Submitted: 0000-00-00
Entered: 2023-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Influenza like illness, No adverse event, SARS-CoV-2 test positive
SMQs:, 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: Pravastatin; Calcium; Multivitamin; Baby Aspirin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: DEC2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 12/2022. I felt like I had a mild case of flu with a headache. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I do not have any lingering COVID-19 symptoms.


VAERS ID: 2580449 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Colorado  
Vaccinated: 2022-10-03
Onset: 2022-10-06
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Asthma, Echocardiogram normal, Flushing, Pruritus, Pulmonary function test normal
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (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: LEXAPRO; ADVAIR; multivitamin; vitamin B-12; vitamin C; albuterol
Current Illness: Upper Respiratory Infections
Preexisting Conditions: Asthma; Multiple Sclerosis
Allergies: AVONEX
Diagnostic Lab Data: 15Dec2022 Pulmonary Functioning Test normal; 06JAN2023 Echocardiogram normal
CDC Split Type: vsafe

Write-up: I started having flushing and itching on my face twenty-four hours after my vaccination. I was having asthma attacks. I had to use my inhaler six or seven times a day. I had to go see my doctor to insure it wasn''t life threatening. The doctor switched up my inhaler medication. I''m still experiencing these issues.


VAERS ID: 2512870 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-10-18
Onset: 2022-11-11
   Days after vaccination: 24
Submitted: 0000-00-00
Entered: 2022-11-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA GH9702 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Ageusia, Anosmia, Body temperature increased, COVID-19, Cough, Headache, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Lisinopril; CIALIS; vitamin B12; ARED vitamin
Current Illness: None
Preexisting Conditions: Asthma; Nasal Polyps
Allergies: Pollen; airborne allergies; nasal polyps
Diagnostic Lab Data: 11NOV2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: Almost three weeks after I tested for positive for Covid. I tested at home test 11/10/2022 but it was negative. The next day on 11-12-2022 I tested positive the next day and I got tested again at work and it was positive. I took a flu shot the same day on 10/18/2022. My COVID-19 symptoms low grade temperature, loss of taste and smell, prolific sore throat and headache and a slight cough. I was given PAXLOVID medication. I have recovered from my COVID-19 symptoms.


VAERS ID: 2547093 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-11-15
Onset: 2022-12-19
   Days after vaccination: 34
Submitted: 0000-00-00
Entered: 2022-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6737 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dysphonia, Fatigue, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: On Monday night around 7PM I was having really bad chills and noticed that I was tired. By the 28th I was having a fever as well with a runny nose and was coughing. That led me to take a home COVID-19 test, and it was positive. Yesterday I reached out to my healthcare provider and since I am doing better, they said as long as I am continuing to get better that I should be good to go. I feel like I am about seventy percent better, I have a hoarse voice and I am easily tired while doing things but am getting better overall. I would like to note that I did get a flu shot on the same day that I got my Bivalent COVID-19 vaccine.


VAERS ID: 2608358 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Colorado  
Vaccinated: 2022-09-30
Onset: 2023-03-09
   Days after vaccination: 160
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Pravastatin; Flomax; Finasteride; Calcium Citrate; Zolpidem; Famotidine;
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Prostate Cancer;
Allergies: N/A
Diagnostic Lab Data: COVID-19 Testing; Positive
CDC Split Type: vsafe

Write-up: I started feeling sick and called my doctor. I tested for COVID-19 at home and the results came back positive. The doctor prescribed me with Paxlovid and I began feeling better between 24-36 hours after taking the medication.


VAERS ID: 2736670 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Connecticut  
Vaccinated: 2022-09-21
Onset: 2022-09-21
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2024-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Atypical pneumonia, Blood pressure measurement, COVID-19, Electrocardiogram, Flushing, Gait disturbance, Heart rate, Hypertension, Palpitations, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Dehydration (broad), Opportunistic infections (broad), COVID-19 (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: Comments: Relevant medical history or conditions, allergy, concomitant diseases and risk factor of the patient were none.
Allergies:
Diagnostic Lab Data: Test Date: 20220921; Test Name: Blood pressure; Result Unstructured Data: blood pressure goes up and down; Test Name: Cardiac Lab values (ECG, cardiac test, cardiac enzymes); Result Unstructured Data: was found to have tachycardia but very mild so no meds were given.; Test Date: 20220921; Test Name: Heart rate; Result Unstructured Data: increases
CDC Split Type: USMODERNATX, INC.MOD20247

Write-up: tachycardia; Walking pneumonia; covid 19; she has flushing of her face; palpitations, her heart rate increases; She becomes wobbly; her blood pressure goes up; This spontaneous case was reported by a patient and describes the occurrence of ATYPICAL PNEUMONIA (Walking pneumonia) in a 65-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7140C) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication. Relevant medical history or conditions, allergy, concomitant diseases and risk factor of the patient were none. On 21-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. In November 2022, the patient received dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On 21-Sep-2022, the patient experienced FLUSHING (she has flushing of her face), PALPITATIONS (palpitations, her heart rate increases), GAIT DISTURBANCE (She becomes wobbly) and HYPERTENSION (her blood pressure goes up). In September 2023, the patient experienced ATYPICAL PNEUMONIA (Walking pneumonia) (seriousness criterion medically significant) and COVID-19 (covid 19). On an unknown date, the patient experienced TACHYCARDIA (tachycardia). The patient was treated with NIRMATRELVIR, RITONAVIR (PAXLOVID) at an unspecified dose and frequency. On 21-Sep-2022, FLUSHING (she has flushing of her face), PALPITATIONS (palpitations, her heart rate increases), GAIT DISTURBANCE (She becomes wobbly) and HYPERTENSION (her blood pressure goes up) had resolved. At the time of the report, ATYPICAL PNEUMONIA (Walking pneumonia) and COVID-19 (covid 19) had resolved and TACHYCARDIA (tachycardia) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Sep-2022, Blood pressure measurement: blood pressure goes up and down. On 21-Sep-2022, Heart rate: increases. On an unknown date, Electrocardiogram: was found to have tachycardia but very mild so no meds were given.. Patient receives other vaccines 4 weeks prior to covid-19 vaccine. Concomitant product use was not provided by the reporter. It was reported that Immediately after every dose (in 10-15 minutes), her heart rate increases, her blood pressure goes up, she becomes wobbly, and she has flushing of her face. These pretty much fade within an hour or 2 tops. She had Covid-19 in Sep-2023 that was why she was just scheduling it now as she needs to have that 3-month period interval between the getting the disease and the vaccine administration. She was not hospitalized during the Covid bout, but she had walking pneumonia as a complication, so she had to take unspecified antibiotics together with the Paxlovid. It had completely cleared, and she is perfectly well now. Patient had Cardiac monitor for 2 weeks and was found to had tachycardia but very mild so no medication was given. This case was linked to MOD-2024-757183 (Patient Link). Company Comment: This is a spontaneous case concerning a 65-year-old female patient with no relevant medical history who experienced the serious (due to medically significant) unexpected, event of Atypical pneumonia, among other non-serious unexpected events of Palpitations, Tachycardia, Flushing, Hypertension, Gait disturbance and COVID-19. The event Atypical pneumonia occurred approximately 1 year after a dose of Spikevax Bivalent .222 (Original/Omicron BA.4/5) received as the fifth dose of COVID-19 vaccination schedule, the event COVID-19 occurred at the same time of the pneumonia and the rest of the events occurred on the same day after the administration of each dose administration. The patient had previously received 4 doses of Moderna vaccine as follows: 1st dose - 17Mar2021, 2nd dose - 14Apr2021, 3rd dose - 15Nov2021 and 4th dose - 29Apr2022. The patient was no admitted due to pneumonia and was treated with unspecified antibiotics together with the Paxlovid. The outcome of the events was reported as recovered. The event was considered as not related to the vaccine due to lack of biological plausibility; the pneumonia was secondary to the COVID-19 infection. The benefit-risk relationship of Spikevax Bivalent .222 (Original/Omicron BA.4/5) is not affected by this report.


VAERS ID: 2497689 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Connecticut  
Vaccinated: 2022-10-27
Onset: 2022-10-30
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2022-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9701 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bacterial infection, Chills, Cough, Oropharyngeal pain, Pharyngitis, SARS-CoV-2 test negative, Streptococcus test negative, Urine analysis normal
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: I had a stomach bug the week before the vaccine.
Preexisting Conditions: N/A
Allergies: Arithmomancy; shellfish
Diagnostic Lab Data: 02NOV22 COVID-19 test negative; 02NOV22 strep test negative; 02NOV22 Urinary tract infection test negative
CDC Split Type: vsafe

Write-up: I have a terrible sore throat, cough, and chills. This has been going on for about 5 days. They did prescribe penicillin because I have some white spots on the back of my throat. They did a COVID-19 test and it was negative. They are pretty sure it is a bacterial infection.


VAERS ID: 2597654 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Connecticut  
Vaccinated: 2022-09-13
Onset: 2023-01-24
   Days after vaccination: 133
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9646 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dyspnoea, Headache, Nasal congestion, Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: During the night on January 28, 2023, my nose was congested, and I began to get a sore throat. I could not sleep that night due to the congestion and breathing problems. The symptoms continued the next day. I had a runny nose, a slight headache and body aches. I tested myself for COVID-19 on January 29, 2023, and it was positive. That night I had the same issues so on January 30th, I called my doctor, and she recommended that I take Paxlovid. I started the 5 days on the same date. I did take Tylenol PM on the night of the 30th and 31st. I slept better. By the 1st of February I was feeling ok. I don''t recall having any symptoms on that day. I have recently had a cold but that is gone.


VAERS ID: 2471822 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Connecticut  
Vaccinated: 2022-09-30
Onset: 2022-09-30
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA A52163B / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Condition aggravated, Dizziness, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Migraine, Pain, Petechiae, Rash, SARS-CoV-2 antibody test positive
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin; baclofen; XANAX; estrogen; coQ10; feverfew; vitamin D; multivitamin
Current Illness: N/A
Preexisting Conditions: Migraine
Allergies: Sulfa; fluconazole; COMPAZINE; TAJIN; REGLAN; tramadol
Diagnostic Lab Data: 10/30/22 blood work, high antibodies.
CDC Split Type: vsafe

Write-up: That night 10PM, I had body aches. The next day it was worst and I had a migraine. I was dizzy since I had the vaccine and I still sometimes feel lightheaded. I had a preexisting head injury and I sometimes I but it got got worse after this vaccine. I noticed that I had 9 inches by 4 inches rash on my left groin and under my breast not itchy, not raised just flat on the left side. My lower back, I had petechiae about 3 inches across. The next day I still had body aches and migraine, the rashes left went away but I had it on the right side of my groin. The next day I still had the migraine. The upper left arm was red, hot, a tiny bit raised and a little itchy - 9 by 4 inches. It keep going on for the rash on the left and today its better but still warm. I did not see a doctor. I had Pfizer for my other vaccines and I probably wont get Moderna again. My blood test taken in late Sep 22 showed that my antibodies were high. I think I had COVID-19. I don''t know why my antibodies were high but I don''t have anything that I could identify that I was sick.


VAERS ID: 2596969 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Connecticut  
Vaccinated: 2022-09-13
Onset: 2023-02-01
   Days after vaccination: 141
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Infusion, Porphyria non-acute
SMQs:, Congenital, familial, neonatal and genetic disorders of the liver (broad), Congenital, familial and genetic disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I was diagnosed with porphyria Cutanea Tarda (PCT). I take medication as an infusion every two weeks. I had gallbladder surgery 08/2022.


VAERS ID: 2594797 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Connecticut  
Vaccinated: 2022-09-08
Onset: 2023-02-12
   Days after vaccination: 157
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Metformin; losartan; metoprolol; hydrochlorothiazide; amlodipine; CRESTOR; CYMBALTA; NEXIUM; FLONASE; iron supplement
Current Illness: None
Preexisting Conditions: Diabetes Type 2; High Blood Pressure
Allergies: PROTONIX
Diagnostic Lab Data: At home COVID test, positive, negative.
CDC Split Type: vsafe

Write-up: 2/12/2023 I had been exposed to COVID. I started having a little chest congestion and began coughing. I took cough medicine and went to bed. The next morning, I was still coughing and had a nasal drip. I took a home COVID test and it was positive. I called the doctor and he gave me some cough pills which I took for 3 days. The cough only lasted for 1 ? days. My cough was gone after taking the cough pills for three days. By 2/16/23 I was fine, I was not coughing any more. The cough was very mild. 3/2/23 I had a negative at home COVID test.


VAERS ID: 2623943 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Connecticut  
Vaccinated: 2022-10-27
Onset: 2023-02-22
   Days after vaccination: 118
Submitted: 0000-00-00
Entered: 2023-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anosmia, COVID-19, Malaise, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Metformin; amlodipine; LEXAPRO; vitamin B12; LIPITOR; candesartan; vitamin D3; low dose aspirin
Current Illness: None
Preexisting Conditions: High Blood Pressure; High Cholesterol; Diabetic Type II
Allergies: Hay fever
Diagnostic Lab Data: 23FEB2023 COVID-19 test positive; 06MAR2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I started to feel sick on 02/22/2023. I tested positive for COVID-19 on 02/23/2023. I had a telehealth visit on 02/23/2023 spoke to a physical assistant and they gave me a prescription for PAXLOVID and took the course of this medication which made me feel better. I had a very quick onset of fever and body aches. I also did lose my sense of smell. I took a home test on 02/23/2023 which was positive. I continued to test positive for 10-11 days. On the 11th day I tested negative which was on 03/06/2023. I am always complying with masking requests.


VAERS ID: 2601801 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Connecticut  
Vaccinated: 2022-09-19
Onset: 2023-02-15
   Days after vaccination: 149
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Impaired healing, Pruritus, Wound
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (broad), Hypersensitivity (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I have always had some itchiness on my legs, but it''s started happening on my scalp. I also now have a wound on knee and it is not healing but it is not painful. I saw my dermatologist and they gave me an appointment and will be following up in about a month for a biopsy.


VAERS ID: 2595671 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Connecticut  
Vaccinated: 2022-09-09
Onset: 2023-01-21
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, Asthenia, COVID-19, Fatigue, Influenza virus test negative, Pyrexia, SARS-CoV-2 test positive, Throat irritation, Upper-airway cough syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: Atorvastatin; glimepiride; hydrochlorothiazide; losartan; tramadol; doxazosin; aspirin; vitamin D; biotin; coQ10; fish oil; women''s daily multivitamin; magnesium; B-complex
Current Illness:
Preexisting Conditions: Diabetes; Heart Failure; Kidney Failure; High Cholesterol; High Blood Pressure; Osteoarthritis; Sleep Apnea
Allergies: Cigarette smoke
Diagnostic Lab Data: 2023Jan24 COVID19 rapid test (positive); 2023Jan26 Influenza (negative)
CDC Split Type: vsafe

Write-up: I started feeling an irritation in my throat, not quite a cough but felt like it could be a cough, so I started eating cough drops. It was bothering me a lot because of my C-Pap, and I was getting a lot of drainage and sliminess down my throat. It caused me to lose my voice, I could barely talk for five days. I had mostly bad fatigue, and a low grade fever, I never got a high fever because every time I took the temp it was just a low grade fever. I was eating copious amounts of cough drops to battle the tickle feeling. My PCP wouldn''t see me so I went to the pharmacy clinic, but because they couldn''t access my records she was unable to prescribe PAXLOVID, and instead gave me LAGEVRIO, which is less effective but no rebound. I was taking over the counter flu medication and the Pharmacist suggested to switch to the DM and acetaminophen, cough suppressant, and a nasal saline solution. Eventually the drippy stuff in the back of my throat slowed down and by a week later my voice was back. It was probably about 3 weeks after before I started to regain my energy levels.


VAERS ID: 2625611 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: D.C.  
Vaccinated: 2022-09-10
Onset: 2023-03-25
   Days after vaccination: 196
Submitted: 0000-00-00
Entered: 2023-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Malaise, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (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: Vitamin D
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 26MAR23- At Home COVID Test- Positive; 30MAR23-At Home COVID Test-Negative
CDC Split Type: vsafe

Write-up: 3/25/23 I started to not feel well that afternoon, I was tired. That evening, I felt awful and was so tired. On 3/26/23 I tested positive with an at home COVID test. I had a cough and tired. I felt better by midday 3/28/23. I tested negative with an at home COVID test on 3/30/23. I had a lingering cough for about two weeks and still have a cough.


VAERS ID: 2623161 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: D.C.  
Vaccinated: 2022-10-13
Onset: 2022-12-20
   Days after vaccination: 68
Submitted: 0000-00-00
Entered: 2023-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain upper, Anosmia, Back pain, COVID-19, Chest X-ray normal, Cough, Diarrhoea, SARS-CoV-2 test positive, Sleep disorder, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Taste and smell disorders (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Alveso Inhaler, Cosart
Current Illness: None
Preexisting Conditions: Asthma, High Blood Pressure
Allergies: Some nuts
Diagnostic Lab Data: 20DEC22-COVID Test-Positive; (?)JAN23-At Home COVID Test-Negative; (?)APR23-Chest X-Ray-Normal
CDC Split Type: vsafe

Write-up: 12/20/22 My stomach hurt real bad. I had a bad cough and I also lost my sense of smell. I threw up, had diarrhea and it was so bad I ended up going to the emergency room. I had a COVID test that was positive. I was given medication. Then my back hurt so bad all night long and I was unable to sleep. The doctor said to use Voltron Cream or Diclofenac Cream. It may have helped, but I still had a backache. They prescribed Paxlovid for the COVID, Benzonatate for my cough, a medication for my diarrhea and to take Gas X for my bloating. I waited a week or two and took an at home COVID test and it was negative. I continued to have a cough, perhaps long COVID because everything else was gone. My coughing has gotten less frequent. I went to the Pulmonology doctor because of my cough. I started using my Albuterol inhaler more frequent. I had a chest x-ray which was normal. He told me to use my inhaler more.


VAERS ID: 2608110 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: D.C.  
Vaccinated: 2022-09-18
Onset: 2022-10-26
   Days after vaccination: 38
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Antiphospholipid antibodies positive, Blood test normal, Computerised tomogram thorax abnormal, Insomnia, Laboratory test normal, Musculoskeletal chest pain, Pulmonary thrombosis, SARS-CoV-2 test negative, Thrombosis, Ultrasound Doppler abnormal
SMQs:, Systemic lupus erythematosus (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Cardiomyopathy (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Simvastatin; multivitamin
Current Illness: None
Preexisting Conditions: High Cholesterol
Allergies: Penicillin; shellfish
Diagnostic Lab Data: 27OCT22 CT lungs, Blood clot in lower right lung; 27OCT22 Doppler imaging of legs, Thrombosis in left calf; 27OCT23 COVID test, negative; 27OCT 23 Bloodwork, normal; 27OCT23 Genetic testing, normal; 27OCT23 Lupus Anti Coagulant test, positive; 17FEB23 Lupus Anti Coagulant test, negative
CDC Split Type: vsafe

Write-up: 10/26/22 I developed a sharp pain below my right rib cage. It made it impossible to sleep. I went to the emergency room on 10/27/22. I had a CT scan for the lungs and a Doppler imaging on my leg. I was diagnosed with a blood clot in the lower right lung and thrombosis in the left calf. I had a COVID test which was negative. I had bloodwork and genetic testing came back negative. I was in the hospital for two days and was put on a blood thinner, ELIQUIS. The blood clot in my lung has gone away. I continue to have blood clotting in my leg. I continue to see my physician for this.


VAERS ID: 2606778 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: D.C.  
Vaccinated: 2022-09-21
Onset: 2022-09-22
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / UNK LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: After every previous COVID-19 vaccine which were Moderna I had muscle weakness in the legs and numbness in the legs and feet.
Other Medications: HORIZANT; ATIVAN; testosterones; LEVITRA; losartan; atorvastatin; meloxicam
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Peripheral Neuropathy
Allergies: Z-PAK antibiotic
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Muscle weakness in the legs, numbness in the legs and feet the day after vaccination.


VAERS ID: 2613388 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Delaware  
Vaccinated: 2022-10-10
Onset: 2023-04-06
   Days after vaccination: 178
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Acute myocardial infarction, Arrhythmia, Blood test abnormal, Dizziness, Echocardiogram, Electrocardiogram, Heart rate increased, Myocardial necrosis marker increased, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol tartrate
Current Illness: None
Preexisting Conditions: Supraventricular Tachycardia
Allergies: Metal
Diagnostic Lab Data: 06APR2023 Blood work, elevated Cardiac Enzymes; Multiple EKG results unknown; 07APR2023 Blood work, elevated Cardiac Enzymes; Echocardiogram results unknown
CDC Split Type: vsafe

Write-up: On 04/06/2023, I had exercised for an hour and was about to go shopping. I was in a store, and I suddenly felt like I was going to black out. Everything went black before my eyes briefly. I went to my car until I felt ok to drive home. On my way home, I could tell my heart was out of rhythm. When I got home, my pulse was at 185. I tried some maneuvers that I''ve been taught to get my pulse down myself. When that was unsuccessful, I called an ambulance. I was transported to a local hospital. From there, I was in the emergency room for a long time. They decided on my blood work, to admit me. My cardiac enzymes were rising, so they admitted me on an observational basis. I was discharged the next day and saw my cardiologist who said that I had a type 2 myocardial infarction based on the elevated heart rate. He did some medication changes, and I will follow up with him to discuss further options.


VAERS ID: 2539345 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Delaware  
Vaccinated: 2022-09-20
Onset: 2022-11-21
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Feeling abnormal, Productive cough, SARS-CoV-2 test positive
SMQs:, Dementia (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: Rosuvastatin; baby aspirin; dextromethorphan
Current Illness: None
Preexisting Conditions: Diabetes type 2; high cholesterol
Allergies: None
Diagnostic Lab Data: COVID test positive
CDC Split Type: vsafe

Write-up: I contracted COVID a day before the November holiday. I took my flu shot the same day as my COVID vaccination. I had a sore throat to start then the next day I had a cough and phlegm. The fatigue hit me hard then. I felt really bad for the next 3 days, although no fever, felt amplified. Doctor gave me PAXLOVID and I got better between 3 to 4 days however I still have lingering fatigue and brain fog.


VAERS ID: 2497783 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Delaware  
Vaccinated: 2022-10-05
Onset: 2022-10-30
   Days after vaccination: 25
Submitted: 0000-00-00
Entered: 2022-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Cough, Dyspnoea, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; sertraline; rosuvastatin: raloxifene; multivitamin; vitamin D; vitamin C; zinc
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: The day before I tested positive for COVID-19 my husband was positive. I took a test the next day and it was also positive but I did not have symptoms until much later in the day. I was having body aches, headaches, a sore throat, a dry cough, and a low-grade fever. I also developed a heaviness on my chest with shortness of breath making it hard to breath. I did reach out to my health care provider, and they sent a cough medicine in for me. At this point I am still coughing, very tired and fatigued and recovering.


VAERS ID: 2599626 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Delaware  
Vaccinated: 2022-09-16
Onset: 2023-02-25
   Days after vaccination: 162
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Malaise, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Latanoprost; enalapril maleate; LEXAPRO; metoprolol; rosuvastatin; famotidine; montelukast; fexofenadine; multivitamin; vitamin B12; vitamin D3; probiotic; sodium chloride eyedrops; low dose aspirin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Environmental allergies
Diagnostic Lab Data: 28FEB2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I started to not feel well 02/25/2023 with fever and chills. I tested positive for COVID-19 on 02/28/2023. I contacted my doctor and got a prescription for molnupiravir. I tolerated the medication and was able to complete the medication. As of today, I feel much better.


VAERS ID: 2611551 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Delaware  
Vaccinated: 2022-09-01
Onset: 2022-12-15
   Days after vaccination: 105
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Cardiac monitoring normal, Echocardiogram normal, Fatigue, Head discomfort, Heart rate decreased, Pain, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Dose 4 COVID-19 May2022; fatigue; dizziness; brain fog; body ache
Other Medications: PEPCID; valacyclovir; famotidine
Current Illness: Long COVID-19
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: JAN2023 ECHO negative; JAN2023 Heart monitor, negative
CDC Split Type: vsafe

Write-up: Heart palpitations, pulse going down to 33, feeling a terrible pressure on my head. I saw my doctor and he said I had heart palpitations and had two tests done: ECO & wear a heart monitor. Severe fatigue, body aches (all over my body), shoulder pain, now being treat it with physical therapy for my shoulder.


VAERS ID: 2668688 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Florida  
Vaccinated: 2023-08-06
Onset: 2023-08-06
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7647B / 5 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Expired product administered, No adverse event, Product storage error
SMQs:, Medication errors (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: Comments: Relevant medical history or conditions, allergy, concomitant diseases and risk factor were unknown.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.; No adverse event; HCP stated they accidentally administered 2 doses beyond use date.; This spontaneous case was reported by a pharmacist and describes the occurrence of EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date.), PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No adverse event) in an elderly male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7647B) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication. Relevant medical history or conditions, allergy, concomitant diseases and risk factor were unknown. On 06-Aug-2023, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) .5 milliliter and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 06-Aug-2023, the patient experienced EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date.). On an unknown date, the patient experienced PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No adverse event). At the time of the report, EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date.), PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.) and NO ADVERSE EVENT (No adverse event) outcome was unknown. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter considered NO ADVERSE EVENT (No adverse event) to be not related. No further causality assessments were provided for EXPIRED PRODUCT ADMINISTERED (HCP stated they accidentally administered 2 doses beyond use date.) and PRODUCT STORAGE ERROR (Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023.). Patient received other vaccines in the 4 weeks prior to COVID-19 vaccine. Concomitant medication details not reported by the reporter. Vaccines were stored in the fridge on 06-JUL-2023 and they were administered on 06-AUG-2023. Vial size was reported as 2.5 ml. Treatment details was not reported by the reporter. This case was linked to US-MODERNATX, INC.-MOD-2023-736290 (E2B Linked Report).; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-736290:Patient 2


VAERS ID: 2617186 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-30
Onset: 2022-12-30
   Days after vaccination: 91
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Influenza virus test negative, Pyrexia, SARS-CoV-2 test positive, Sinus disorder, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PRILOSEC; vitamin B-complex; vitamin B3; pseudoephedrine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa
Diagnostic Lab Data: 31DEC2022 Flu, negative; 31DEC2022 COVID-19 PCR test, positive; 31DEC2022 COVID-19 at home test, positive
CDC Split Type: vsafe

Write-up: I had a severe headache on the top of my head and sinus like symptoms. I had a fever that went up to 102 degrees. The next morning I went to the urgent care. They did a flu and COVID swab and they treated me for a sinus infection and gave me antibiotics. I didn''t find out until later in the day that my COVID test was positive. I continued the antibiotics they gave me. The following Monday I called my doctor and had a Telehealth visit with her. She gave me prednisone which worked wonders. I was extremely tired and slept a lot. It never went into my chest. By the end of the following week I felt better.


VAERS ID: 2604927 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-25
Onset: 2023-01-31
   Days after vaccination: 128
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Odynophagia, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; atorvastatin; zinc; vitamin C; calcium
Current Illness: No
Preexisting Conditions: High Blood Pressure; High Cholesterol; Chronic Nerve damage pain
Allergies: Injectable iodine; sulfa
Diagnostic Lab Data: 31Jan2023 at home COVID-19 test, positive.
CDC Split Type: vsafe

Write-up: Severe sore throat, lots of nasal drip. Felt like swallowing razor blades for 3 days. Runny nose, headache, Fever of 101. At home COVID-19 test, positive. Televisit with doctor who prescribed PAXLOVID and advise to treat symptomatically. Next 2 days, symptoms were the same. Fever broke on the third day and I felt better. Symptoms gradually improved over the next week to back to normal.


VAERS ID: 2460287 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-09
Onset: 2022-09-09
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling abnormal, Influenza like illness, Joint range of motion decreased, Myalgia, Sluggishness
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (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:
Current Illness:
Preexisting Conditions: Comments: Patient did not have COVID positive test or diagnosis.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: patient had a loss in range of motion in right arm; The muscle in my right arm is still hurting; sluggish; flu-like symptoms; Pateint was feeling blah; This spontaneous case was reported by an other health care professional and describes the occurrence of JOINT RANGE OF MOTION DECREASED (patient had a loss in range of motion in right arm), SLUGGISHNESS (sluggish), INFLUENZA LIKE ILLNESS (flu-like symptoms), FEELING ABNORMAL (Pateint was feeling blah) and MYALGIA (The muscle in my right arm is still hurting) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7143C) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for Flu vaccination. Patient did not have COVID positive test or diagnosis. On 09-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On 09-Sep-2022, the patient experienced SLUGGISHNESS (sluggish), INFLUENZA LIKE ILLNESS (flu-like symptoms) and FEELING ABNORMAL (Pateint was feeling blah). On 22-Sep-2022, the patient experienced JOINT RANGE OF MOTION DECREASED (patient had a loss in range of motion in right arm) and MYALGIA (The muscle in my right arm is still hurting). The patient was treated with IBUPROFEN (ADVIL [IBUPROFEN]) at an unspecified dose and frequency and PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, JOINT RANGE OF MOTION DECREASED (patient had a loss in range of motion in right arm) and MYALGIA (The muscle in my right arm is still hurting) had not resolved and SLUGGISHNESS (sluggish), INFLUENZA LIKE ILLNESS (flu-like symptoms) and FEELING ABNORMAL (Pateint was feeling blah) had resolved. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. Concomitant medications details were not reported by the reporter. On 04-JAN-2021, patient received First dose of Moderna COVID-19 Vaccine with batch number 039K20A. On 02-FEB-2021, patient received Second dose of Moderna COVID-19 Vaccine with batch number 028L20A. On 23-AUG-2021, patient received First booster dose of Moderna COVID-19 Vaccine with batch number 053E21A. On 30-MAR-2022, Patient received Second booster dose Moderna COVID-19 Vaccine with batch number 066K21A. It was reported that Advil works better than the Tylenol.


VAERS ID: 2551357 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-03
Onset: 2022-12-31
   Days after vaccination: 89
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Head discomfort, Headache, Migraine, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Medical marijuana
Current Illness: N/A
Preexisting Conditions: Sleep Apnea
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had a headache that started on December 31st and has continued still to today. It is not terrible, but it has varied in strength. It has not been very responsive to over-the-counter pain medication. A couple of nights I had nausea and ended up throwing up 4 times in one night and twice on another night. The headache has felt like a pressure in my head and when it gets stronger, I can hear the blood rushing in my ears. I went to the doctor today and they indicated that it was most likely a migraine. I had a small hand full when I was 14 but they stopped when I got older. They never lasted as long as this one has. The doctor recommended that I monitor the headache and continue taking over the counter medications to treat.


VAERS ID: 2565764 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-10-21
Onset: 2023-01-01
   Days after vaccination: 72
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 050D22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Flank pain, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Citalopram; vitamin D; flaxseed oil.
Current Illness: None
Preexisting Conditions: None
Allergies: Microprotein; chlorhexidine.
Diagnostic Lab Data: Covid-19
CDC Split Type: vsafe

Write-up: On 01/01/2023, I started to have symptoms of a sore throat, runny nose and a cough. Everything started to get worse during the week and I tested for Covid-19 on 01/05/2023, and the result was positive. I had a telehealth appointment with the tele-doctor about the side pains I was feeling. I was told that the pain probably came from the amount of coughing I was doing. The pain did go away, so I feel that what they said was correct. I am still experiencing a sore throat and cough periodically.


VAERS ID: 2600058 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-17
Onset: 2023-02-22
   Days after vaccination: 158
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Back pain, Bacterial test positive, Blood test abnormal, Calculus urinary, Computerised tomogram abdomen abnormal, Condition aggravated, Flank pain, Infection, Lithotripsy, Nephrolithiasis, Urine analysis abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (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: Levothyroxine; rosuvastatin; sertraline; calcium citrate; vitamin D; biotin; multivitamin; PREREVISION AREDS 2
Current Illness: None
Preexisting Conditions: Hashimoto''s Disease; Osteoporosis
Allergies: None
Diagnostic Lab Data: Bloodwork, showed an infection; CT revealed kidney stone; Urinalysis, bacteria.
CDC Split Type: vsafe

Write-up: 2/22/2023 I had abdominal pain that was around my stomach, sides and up my back. I have had kidney stones before. It continued the next day. I went to urgent care, and I had a 1mm stone in my right ureter. I was admitted to the hospital and a lithotripsy was performed. I had a repeat of the same procedure three weeks later, because there was still remnants of the stone.


VAERS ID: 2481661 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-26
Onset: 2022-10-12
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2022-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Nasal congestion, Pain in extremity, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Tendinopathies and ligament disorders (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: I normally have flu like symptoms for 24 hours, but nothing other than that.
Other Medications: OZEMPIC; metformin; simvastatin; vitamin D; fish oil; coQ10; turmeric
Current Illness: N/A
Preexisting Conditions: Type 2 Diabetic; Obese
Allergies: N/A
Diagnostic Lab Data: COVID-19 test 10/12/22 positive
CDC Split Type: vsafe

Write-up: I had a sore arm after the vaccination. I ended up testing positive for COVID-19 on 10/12/22. I had a runny nose, stuffy head, scratchy throat, and a bad cough. These symptoms lasted until 10/15/22. I was not prescribed any medications, but I was taking over the counter cold and flu medication, and MUCINEX. I had no fever of headache the entire time.


VAERS ID: 2634209 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-17
Onset: 2022-12-22
   Days after vaccination: 66
Submitted: 0000-00-00
Entered: 2023-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Fatigue, Heart rate increased, Malaise, Respiratory syncytial virus infection
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Dehydration (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? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Calcium; multivitamin
Current Illness: N/A
Preexisting Conditions: Hypertension; Rheumatoid Arthritis
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I started feeling sick on 12/22/2022 with elevated heart rate, tired and trouble breathing. I went to the emergency room on 12/24/2022 and was admitted to the hospital for three days. I was diagnosed with RSV. It took me over a month to get my strength back. As of today, I am feeling better with no lingering symptoms.


VAERS ID: 2521900 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-10-20
Onset: 2022-10-27
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2022-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Headache, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 18NOV2022 COVID-19 positive; 19NOV2022 COVID-19 positive
CDC Split Type: vsafe

Write-up: After the vaccine I was fine, but when I became very tired, at least 2 weeks, cough a lot, blow my nose; the cold began, it was real bad, I tested for COVID-19 at home, Friday night, the 18th, the next day I went to urgent care and confirmed that I had COVID-19 and prescribed PAXLOVID; for the November holiday I felt good but the 28th I woke up miserable I went to urgent care again and gave another prescription, I just completed and today will be my last day. I also have pain in the lower back of my hip. I have been taking aspirin for the pain and for headache.


VAERS ID: 2495231 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-10
Onset: 2022-10-11
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 050D22A / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Dysphagia, Ear pain, Headache, Oropharyngeal pain, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (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), COVID-19 (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: Amlodipine; lovastatin; olmesartan
Current Illness: None
Preexisting Conditions: High blood pressure; High cholesterol
Allergies: None
Diagnostic Lab Data: 20Oct22 COVID-19 test negative; 21Oct22 COVID-19 test negative; 24Oct22 COVID-19 test negative
CDC Split Type: vsafe

Write-up: My symptoms included a bad cough, headache, and sore throat. I went to a clinic and was told to gargle with salt water. Then I went to my doctor and I was prescribed an antibiotic. I am still dealing with these symptoms weeks later. I''ve rarely ever been sick like this before. I try to take TYLENOL to deal with the symptoms. I also have been dealing was ear aches and it''s hard for me to swallow.


VAERS ID: 2631143 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-19
Onset: 2023-03-13
   Days after vaccination: 145
Submitted: 0000-00-00
Entered: 2023-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 059B22A / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (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? Yes, 4 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: High Cholesterol; High Blood Pressure
Allergies: Hydroxyzine; Hay fever; mango
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I have a family history of heart attacks on my father''s side of the family and my mother''s side of the family. I had a heart attack on 03/13/2023. I was hospitalized from 03/13/2023 to 03/17/2023. I have a history of high cholesterol and high blood pressure. I am scheduled to start cardiac rehabilitation in 10/2023.


VAERS ID: 2494035 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-25
Onset: 2022-10-26
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH RX #1398705 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Ear discomfort, Hypoacusis, Middle ear effusion, Tinnitus
SMQs:, Hearing impairment (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: TADALAFIL 5 MG TABLET TABLET SERTRALINE HCL 100 MG TABLET ATORVASTATIN 40 MG TABLET LEVOTHYROXINE 100 MCG LISINOPRIL 40 MG TABLET METFORMIN HCL 500 MG TABLET VASCEPA 1 GM CAPSULE
Current Illness: none
Preexisting Conditions: Diabetes type 2
Allergies: No
Diagnostic Lab Data: Went to Dr on Friday October 21st and they said there was fluid behind the eardrum. Prescribed AMOXICILLIN-CLAV 875-125MG, and FLUTICASONE PROP 50 MCG.
CDC Split Type:

Write-up: Ear pressure, ringing / wind noise. Hearing is greatly deterred. Went to Dr and they said there was fluid behind the eardrum. Prescribed AMOXICILLIN-CLAV 875-125MG, and FLUTICASONE PROP 50 MCG.


VAERS ID: 2593939 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-09-07
Onset: 2023-01-04
   Days after vaccination: 119
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Atorvastatin; Aspirin; Clopidogrel; Metformin; Valsartan
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 04JAN2023 - COVID-19 Test - Positive 10JAN2023 - COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: Back on 11/25/2022 had a dry cough that lasted or weeks. I went to the clinic on 01/04/2023 tested for COVID-19 and it came back positive. The Provider prescribed Benzonatate for my cough and I took it for 10 days. Also prescribed Paxlovid for 5 days.


VAERS ID: 2593803 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-09-07
Onset: 2022-09-08
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Burning sensation, Incorrect route of product administration
SMQs:, Peripheral neuropathy (broad), Drug abuse and dependence (broad), Arthritis (broad), 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: CLARITIN
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: After I received the vaccine, I had pain, aches and burning in the right shoulder. I massaged my arm to help with the discomfort. I went to my doctor and was referred to physical therapy. I believe the physical therapy has helped. I believe the injection was done incorrectly.


VAERS ID: 2597640 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-10
Onset: 2023-02-26
   Days after vaccination: 169
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Losartan; pantoprazole; fish oil
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: Penicillin
Diagnostic Lab Data: 26FEB2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 02/26/2023. I contacted my doctor to notify them that, I was positive. I took TYLENOL to help with my symptoms. As of today, I still have a cough.


VAERS ID: 2543769 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-09-23
Onset: 2022-12-13
   Days after vaccination: 81
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Nasopharyngitis, Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Levothyroxine; Zamifenacin; Eliquis; Omeprazole; Lipitor; Coq 10; Vitamin B12; Multivitamin; Melatonin; Acetaminophen; Miralax; Benefiber; Iron; Vitamin C
Current Illness: None
Preexisting Conditions: Osteoarthritis
Allergies: Codeine; Heparin
Diagnostic Lab Data: 12/12/2022 - COVID-19 Antigen test - positive 12/13/2022 - COVID-19 Antigen test - positive
CDC Split Type: vsafe

Write-up: My partner and I came down with a cold with sinus drainage, which ended up being COVID-19 a little bit of a fever and lasted 5 or 6 days. I tested positive on 12/13/2022. I had a telehealth visit on 12/14/2022 and was prescribed Molnupiravir.


VAERS ID: 2543993 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-09-23
Onset: 2022-12-08
   Days after vaccination: 76
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac stress test, Dizziness, Malaise
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (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: Aspirin; XYZAL; SINGULAIR; AIMOVIG; SYMBICORT; FLONASE
Current Illness: N/A
Preexisting Conditions: Asthma; Migraine; Stroke history; Scoliosis
Allergies: Penicillin; IV iodine contrast
Diagnostic Lab Data: 27DEC2022 stress test, too soon for results
CDC Split Type: vsafe

Write-up: I was having a little lightheadedness for about a week and a half probably started about December 8th or 9th, 2022. I have a blood pressure cuff at home and took it since I wasn''t feeling well. It was 160/104. I made an appointment with doctor. I spoke with my doctor December 20th, 2022 who prescribed me a NORVASC. I took the first day and then on December 22nd, 2022.


VAERS ID: 2613393 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-06
Onset: 2023-01-08
   Days after vaccination: 94
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, COVID-19, Condition aggravated, Cough, Dyspnoea, Feeling abnormal, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ELIQUIS; sotalol; rosuvastatin; valsartan; alopurinol; gabapentin; dutasteride; tamsulosin; THERALITH XR; acetaminophen; montelukast
Current Illness: N/A
Preexisting Conditions: A-Fib; High Blood Pressure; High Cholesterol; Kidney Stones
Allergies: IV iodine
Diagnostic Lab Data: JAN2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: My son was in the hospital and we visited him. We feel that we had come down with COVID-19 due to the hospital visit. I had a fever of 102 when we checked it and I was coughing and unable to breath. I couldn''t catch my breath. I was not nauseous. I did have body aches and I felt terrible. I did get tested and was not sure if I had it however I was given PAXLOVID. After taking it right away, we started to feel back to normal. As of now I am feeling fine and I don''t have any COVID-19 after symptoms. March 25th I did have an A-Fib episode however I do not suspect it being caused by COVID-19.


VAERS ID: 2527924 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Florida  
Vaccinated: 2022-11-10
Onset: 2022-11-11
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cyst, Cyst drainage, Influenza like illness, Migraine, Pain, Ultrasound scan, X-ray abnormal
SMQs:

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: Indomethacin; VALTREX; TYLENOL; TUMS
Current Illness: N/A
Preexisting Conditions: Lupus results inconclusive
Allergies: N/A
Diagnostic Lab Data: X-ray December 5th, 2022, lump seen, Ultrasound December 5th, 2022 cyst located.
CDC Split Type: vsafe

Write-up: I had really bad flu like symptoms which I took TYLENOL for. I developed a cyst on the top of my foot about a week after the vaccine. It painful as it continued to grow. The podiatrist saw me on December 5th, 2022. She was able to drain the cyst a little. She advised to take TYLENOL for the pain and keep it wrapped. The symptoms have improved but I have not completely. I have migraines and plan to see a doctor regarding.


VAERS ID: 2613735 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-10-31
Onset: 2023-03-15
   Days after vaccination: 135
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Neck mass
SMQs:

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: Alopurinol; ZYRTEC; multivitamin
Current Illness: None
Preexisting Conditions: Gout
Allergies: Pollen
Diagnostic Lab Data: 23MAR23 Bloodwork, normal
CDC Split Type: vsafe

Write-up: 3/15/23 I noticed a couple of lumps on my neck. A week or so later they had not gone away. I went to the doctor on March 23, 2023. I had bloodwork which was all normal. I was prescribed cephalexin which I began taking that day. The lumps did not go away, so I went back to the doctor on April 11, 2023. I have a CT scheduled.


VAERS ID: 2613913 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Unknown  
Location: Florida  
Vaccinated: 2022-10-11
Onset: 2022-12-25
   Days after vaccination: 75
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7103B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Pradaxa, Cilostazol, Atenolol, Lisinopril, Rosuvastatin, Zetia, Methenamine, Estradiol Cream, Low Dose Aspirin, Saline Eye Drops, Eye Vitamins, Vitamin D3, Probiotic
Current Illness: None
Preexisting Conditions: Atrial Fibrillation, High Blood Pressure
Allergies: Sulfa Drugs
Diagnostic Lab Data: 25DEC23-At Home COVID Test-Positive; 31JAN23- At Home COVID Test- Negative.
CDC Split Type: vsafe

Write-up: 12/25/22 My friend I was visiting had cold symptom. I began having a runny nose. I tested positive with an at home COVID test. I had little cough and a mild sore throat. I never felt really sick. It took a few days to test negative for COVID.


VAERS ID: 2596209 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Florida  
Vaccinated: 2022-09-07
Onset: 2022-09-09
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anal incontinence, Chills, Diarrhoea, Escherichia infection, Feeling abnormal, Nausea, Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Sepsis, Urinary tract infection, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (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: Amlodipine; atorvastatin; WELLBUTRIN; famotidine; stool softener; TRELEGY ELLIPTA; VENTOLIN
Current Illness: N/A
Preexisting Conditions: COPD
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test 09/16/2023 negative.
CDC Split Type: vsafe

Write-up: I had a sore right arm and I also experienced severe diarrhea after receiving the vaccine. I did not see a doctor for these symptoms. I had acute diarrhea for the whole day until I ran out of steam. I continued to hydrate. Sunday over night, I did not awaken to go to the bathroom, and it evacuated in bed. I still had diarrhea the next morning but that was the end of the process. I am still feeling under the weather. We went on a cruise the following week and my symptoms were severe enough for me to get tested for COVID-19 which was negative. I took IMODIUM at the airport as I was concerned about something else happening. I was fine for the cruise. 3 weeks after this I was hospitalized for a UTI. This was on about October 04, 2022. I got a real high fever with nausea and vomiting on October 05, 2022. I went to the hospital via ambulance since I had severe chills, vomiting and fever of about 103. My fever had been running around 101. I was admitted on October 5, 2022, because they indicated I was septic. They determined it was an E. coli infection. They treated me with broad spectrum antibiotics. I was given a different antibiotic to treat the E. coli infection. I believe it was LEVAQUIN. I took the antibiotic for a month. I started to feel better in about a week, and I did not feel better for about a week. I feel like I have recovered from the diarrhea and the UTI.


VAERS ID: 2732331 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-11-03
Onset: 2023-12-13
   Days after vaccination: 40
Submitted: 0000-00-00
Entered: 2024-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3093 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3E713V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Foetal death, Foetal hypokinesia, Maternal exposure during pregnancy, Ultrasound Doppler, Ultrasound foetal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? Yes
Died? Yes
   Date died: 0000-00-00
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: EUTHYROX
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2732467 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-29
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2024-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Aphasia, Condition aggravated, Disturbance in attention, Dyspnoea, Fatigue, Food aversion, Gait disturbance, Hypoaesthesia, Motor dysfunction, Pain in extremity, SARS-CoV-2 antibody test, Stress
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), COVID-19 (broad), Sexual dysfunction (broad)

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

Write-up:


VAERS ID: 2733189 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-23
Onset: 2023-11-24
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3095 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F041V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Retinal vascular thrombosis, Retinal vein occlusion
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Retinal disorders (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:


VAERS ID: 2521197 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2022-11-04
Onset: 2022-11-04
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GE3043 / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 600381A / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Chills, Dizziness, Dizziness postural, Feeling abnormal, Feeling cold, Insomnia, Malaise, Nausea, SARS-CoV-2 test, Vaccination site pain
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:


VAERS ID: 2470076 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2022-09-25
Onset: 2022-09-25
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GE3043 / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Body temperature fluctuation, Chest scan, Ear pain, Feeling cold, Headache, Immunisation, Malaise, Nausea, Off label use, Oropharyngeal pain, Pain, Paraesthesia, SARS-CoV-2 test, X-ray
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), COVID-19 (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: AMITRIPTYLINE; BETAHISTINE; CETIRIZINE; CITALOPRAM; CODEINE; LANSOPRAZOLE; MEBEVERINE; CERAZETTE [DESOGESTREL]; ORAMORPH [MORPHINE SULFATE PENTAHYDRATE]; PARACETAMOL.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2490384 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2022-10-11
Onset: 2022-10-01
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER NO BATCH NUMBER / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Muscle spasms, Pyrexia, Sleep disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (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: Dermovate; Omeprazole; Prednisone; Tafluprost; Terbutaline; Trelegy
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2495522 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2022-10-11
Onset: 2022-10-11
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA UNK / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Influenza like illness, Lethargy, Nausea, Rash erythematous, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? 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:


VAERS ID: 2499436 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2022-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER UNK / UNK - / -
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER UNK / UNK - / -
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA UNK / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Hospitalisation, Hypokinesia, SARS-CoV-2 test
SMQs:, Peripheral neuropathy (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypotonic-hyporesponsive episode (broad), Immune-mediated/autoimmune disorders (narrow), 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:


VAERS ID: 2582183 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2022-09-24
Onset: 2022-09-01
Submitted: 0000-00-00
Entered: 2023-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA UNK / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood albumin, Blood creatinine, Blood folate, Blood glucose, C-reactive protein, Gamma-glutamyltransferase, Glomerular filtration rate, Hypertensive heart disease, Loss of consciousness, SARS-CoV-2 test, Tryptase
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2022-09-25
   Days after onset: 24
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FUROSEMIDE; LANSOPRAZOLE; RAMIPRIL; ATENOLOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2538943 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2022-10-21
Onset: 2022-10-21
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ4535 / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED W3F182V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Aphasia, Blood test, Computerised tomogram, Confusional state, Lumbar puncture, Meningoradiculitis, Myoclonus, Off label use, Polymerase chain reaction, Product use issue, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: LANSOPRAZOL RATIOPHARM; FORXIGA; ATORVASTATINA SANDOZ; LOSARTAN SANDOZ [LOSARTAN POTASSIUM]; SINTROM; METFORMINA MYLAN; GEMFIBROZILO STADA; BISOPROLOL CINFA; LORAZEPAM CINFA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2539665 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2022-11-09
Onset: 2022-11-09
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9741 / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER E32 / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. UOO8829 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Product use issue, Retinal artery occlusion
SMQs:, Embolic and thrombotic events, arterial (narrow), Retinal disorders (narrow), Medication errors (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: BLOXAZOC; ATORVASTATIN KRKA; LERCANIDIPINE ORION; HJERDYL; PANODIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2580759 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2022-10-22
Onset: 2022-10-24
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA UNK / UNK LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Balance disorder, Guillain-Barre syndrome, Laboratory test, Lumbar puncture, Monoplegia, Paralysis, SARS-CoV-2 test
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
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:


VAERS ID: 2731244 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-25
Onset: 2023-10-27
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2350 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Myelitis
SMQs:, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: KRPFIZER INC202400002048

Write-up: myelitis; This is a spontaneous report received from a Nurse from medical information team. An 83-year-and-2-month-old female patient received BNT162b2 omi xbb.1.5 (COMIRNATY OMICRON XBB.1.5), on 25Oct2023 at 15:31 as dose 1, single (Lot number: HG2350) for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 25Oct2023 at 15:31 as dose number unknown, single) for immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: MYELITIS (medically significant) with onset 27Oct2023, outcome "recovering". The event "myelitis" required emergency room visit. The clinical course was reported as follows: The patient experienced weakness of lower extremities and numbness in both legs after receiving COMIRNATY XBB.1.5 and Influenza vaccine at the same time. The patient visited the emergency room and was diagnosed with myelitis. At the time of report, the patient was undergoing rehabilitation after surgery. Therapeutic measures were taken as a result of myelitis.; Sender''s Comments: Limited information precludes a comprehensive causality assessment, however based on the implied temporal association, the contributory role of suspect drug BNT162B2 OMI XBB.1.5 cannot be excluded for the reported event. Role of co-suspect vaccine INFLUENZA VACCINE cannot be ruled out either. Information on details surrounding patient complete medical history and concomitant medications would aid in comprehensive medical assessment. Case will be reassessed should additional information becomes available. 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.


VAERS ID: 2740666 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-10
Onset: 2023-10-10
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2024-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK RA / OT

Administered by: Other       Purchased by: ?
Symptoms: Limb discomfort, Pain, Vaccination site pain
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2748483 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-23
Onset: 2023-12-20
   Days after vaccination: 27
Submitted: 0000-00-00
Entered: 2024-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F201V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Pain in extremity, Venous thrombosis limb
SMQs:, Embolic and thrombotic events, venous (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2748426 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-21
Onset: 2023-11-01
Submitted: 0000-00-00
Entered: 2024-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Feeling hot, Pain in extremity, Peripheral swelling, Thrombosis, Vasculitis
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Vasculitis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (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:


VAERS ID: 2748400 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-02
Onset: 2023-11-03
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood gases, C-reactive protein, Dyspnoea, N-terminal prohormone brain natriuretic peptide, Oxygen saturation, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test, White blood cell count
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: ELIQUIS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2747817 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-21
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2024-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hallucination, Malaise
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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: ELIGARD
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CAPFIZER INCPV20240002239

Write-up: hallucinating; doesn''t feel well; This is a spontaneous report received from a Consumer or other non HCP. Other Case identifier(s): TMR317418. A 91-year-old male patient received BNT162b2 omi xbb.1.5 (COMIRNATY OMICRON XBB.1.5), on 21Nov2023 as dose 1, single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 21Nov2023 as dose number unknown, single) for immunisation; leuprorelin acetate (ELIGARD). The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: HALLUCINATION (medically significant), outcome "unknown", described as "hallucinating"; MALAISE (non-serious), outcome "unknown", described as "doesn''t feel well". The action taken for leuprorelin acetate was unknown. Patient comment: advised that after he received a covid and flu vaccine since then he doesn''t feel well and is hallucinating. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.


VAERS ID: 2747303 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-29
Onset: 2023-12-02
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2024-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Amyotrophic lateral sclerosis, Cervical spinal stenosis, Electromyogram, Fall, General physical health deterioration, Intervertebral disc degeneration, Investigation, Magnetic resonance imaging, Magnetic resonance imaging head, Motor dysfunction, Pain in extremity, Paraesthesia, Pulmonary function test, Scan, Specialist consultation, Spinal osteoarthritis, Vertebral osteophyte, Weight decreased
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2024-02-04
   Days after onset: 64
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: AERIUS [DESLORATADINE]; DICODIN; DYMISTA; MOVICOL [MACROGOL 3350;POTASSIUM CHLORIDE;SODIUM BICARBONATE;SODIUM CHLORIDE]; REVINTY ELLIPTA; SINGULAIR; VENTOLINE [SALBUTAMOL]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2744698 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-08
Onset: 2023-11-08
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2024-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F642V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood test, C-reactive protein, Pain in extremity, Polymyalgia rheumatica, Red blood cell sedimentation rate
SMQs:, Vasculitis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (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: GIONA; ALENDRONAT; VAGIFEM; NASONEX; FORMO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2742446 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2024-01-26
Onset: 2024-01-27
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 710025A / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 3030786 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:


VAERS ID: 2741595 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-05
Onset: 2023-12-06
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9869 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G04A / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-12-06
   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:


VAERS ID: 2740707 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-06
Onset: 2023-10-06
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2024-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G22 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blood glucose, Blood pressure diastolic, Blood pressure systolic, Dyspnoea, Eye movement disorder, Heart rate, Hyperhidrosis, Loss of consciousness, Muscle spasms
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: PITAVASTATIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2740699 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2024-01-07
   Days after vaccination: 86
Submitted: 0000-00-00
Entered: 2024-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F502M / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram, Deep vein thrombosis, Glycosylated haemoglobin, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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: ENALAPRIL; METFORMIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2733192 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-08
Onset: 2023-11-10
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2024-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X4A101V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood gases, Blood pressure measurement, Blood pressure systolic increased, Body temperature, C-reactive protein, Echocardiogram, Electrocardiogram, Heart rate, Investigation, Pain assessment, Pericardial effusion, Pericarditis, Physical examination, Respiratory alkalosis, Sleep disorder due to general medical condition, insomnia type, X-ray
SMQs:, Asthma/bronchospasm (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (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? Yes
Office Visit? Yes
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:


VAERS ID: 2740429 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2024-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1298 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 6817521P1 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bedridden, Fatigue, SARS-CoV-2 test
SMQs:, 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:


VAERS ID: 2740427 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2024-01-15
Onset: 2024-01-16
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER NOT KNOWN / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Bacille Calmette-Guerin scar reactivation
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2740410 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-20
Onset: 2023-11-02
   Days after vaccination: 13
Submitted: 0000-00-00
Entered: 2024-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3108 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G01 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation
SMQs:, Supraventricular tachyarrhythmias (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: LORATADINE; ALFUZOSINE [ALFUZOSIN HYDROCHLORIDE]; ALPRAZOLAM; MONOPROST; IXPRIM
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2738468 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-11-08
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2024-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH MG31088 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8080CA / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2737670 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-18
Onset: 2023-12-21
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2024-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1298 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Headache, Palpitations, Vertigo
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (narrow)

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

Write-up:


VAERS ID: 2734935 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-12-27
Onset: 2023-12-28
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3106 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F172V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Hemiplegia
SMQs:, 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), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ATENOLOL; COVERAM; RILMENIDINE; HEMIGOXINE; CODOLIPRANE; ELIQUIS; PRAVASTATIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2734899 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-25
Onset: 2023-10-26
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F041V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Epistaxis, Mucosal inflammation, Psoriasis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Taste and smell disorders (narrow), Pseudomembranous colitis (broad), Immune-mediated/autoimmune disorders (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:


VAERS ID: 2734444 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-02
Onset: 2023-11-03
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F64 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anal sphincter atony, Balance disorder, Cognitive disorder, Computerised tomogram, Dizziness, Ear, nose and throat examination, Encephalitis, Investigation, Magnetic resonance imaging, Pyrexia, Speech disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2734042 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-22
Onset: 2023-11-23
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3093 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F051V / UNK - / OT
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. X015141 / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Balance disorder, Blood pressure measurement, Computerised tomogram, Fall, Magnetic resonance imaging
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad)

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

Write-up:


VAERS ID: 2723088 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-10
Onset: 2023-11-25
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E463V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Acute respiratory failure, Angiogram, Atelectasis, Auscultation, Blood creatinine, Blood electrolytes, C-reactive protein, Cardiomegaly, Coagulation test, Depressed level of consciousness, Fibrin D dimer, Fibrin D dimer increased, Glomerular filtration rate, Haemoglobin, Hypercapnia, Induration, Lymphadenopathy, N-terminal prohormone brain natriuretic peptide, Oxygen saturation, Peripheral swelling, Peripheral venous disease, Physical examination, Platelet count, Pleural effusion, Pneumonia, Respiratory acidosis, Respiratory viral panel, Rib fracture, Troponin T, Troponin T increased, Urine alcohol test, Urine alcohol test positive, White blood cell count
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (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), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteoporosis/osteopenia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Noninfectious myocarditis/pericarditis (broad)

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? No
Previous Vaccinations:
Other Medications: SIMVASTATINE; CYANOCOBALAMIN; ESOMEPRAZOLE; SERTRALINE; IRBESARTAN/HYDROCHLOROTHIAZIDE; FUROSEMIDE; AMLODIPINE; SEMAGLUTIDE; CALCIFEDIOL; BRETARIS GENUAIR; ATROVENT; IRON PROTEINSUCCINYLATE; XIGDUO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2725402 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-11
Onset: 2023-10-01
Submitted: 0000-00-00
Entered: 2023-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2292 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 6818521P1 / UNK LA / -

Administered by: Other       Purchased by: ?
Symptoms: Arteriosclerosis coronary artery, Chronic kidney disease, Myocardial infarction
SMQs:, Rhabdomyolysis/myopathy (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Other ischaemic heart disease (narrow), Chronic kidney disease (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-14
   Days after onset: 13
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CITALOPRAM; PRUCALOPRIDE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2725297 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-07
Onset: 2023-11-08
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 0000048 / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8064DC / UNK - / -

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

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? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Arterial hypertension; Coronary heart disease; Coronary stent user; Sleep apnea syndrome
Preexisting Conditions: Medical History/Concurrent Conditions: Cardiac operation NOS
Allergies:
Diagnostic Lab Data: Test Date: 20231108; Test Name: Coronarography; Result Unstructured Data: presence of high-grade intra-stent restenosis in the proximal IVA, as well as significant intra-stent restenosis in the intermediate branch.; Test Date: 20231108; Test Name: Electrocardiogram; Result Unstructured Data: ST segment sub-lags in II, III, and aVF.; Test Date: 20231108; Test Name: Troponin; Test Date: 20231108; Test Name: Troponin
CDC Split Type: CHMODERNATX, INC.MOD20237

Write-up: Myocardial infarction without ST elevation; This regulatory authority case was reported by a pharmacist and describes the occurrence of ACUTE MYOCARDIAL INFARCTION (Myocardial infarction without ST elevation) in a 79-year-old male patient who received mRNA-1273.815 (SPIKEVAX XBB.1.5) (batch no. 0000048) for SARS-CoV-2 immunisation. Co-suspect product included non-company product INFLUENZA VACCINE INACT SPLIT 4V (EFLUELDA) for Influenza immunisation. The patient''s past medical history included Cardiac operation NOS in 2021. Concurrent medical conditions included Coronary heart disease, Coronary stent user, Arterial hypertension and Sleep apnea syndrome. On 07-Nov-2023, the patient received dose of mRNA-1273.815 (SPIKEVAX XBB.1.5) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE INACT SPLIT 4V (EFLUELDA) (unknown route) 1 dosage form in total. On 08-Nov-2023, after starting mRNA-1273.815 (SPIKEVAX XBB.1.5), the patient experienced ACUTE MYOCARDIAL INFARCTION (Myocardial infarction without ST elevation) (seriousness criteria hospitalization and medically significant). The patient was hospitalized from 08-Nov-2023 to 10-Nov-2023 due to ACUTE MYOCARDIAL INFARCTION. At the time of the report, ACUTE MYOCARDIAL INFARCTION (Myocardial infarction without ST elevation) was resolving. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 08-Nov-2023, Angiocardiogram: presence of high-grade intra-stent restenosis in the proximal IVA, as well as significant intra-stent restenosis in the intermediate branch.. On 08-Nov-2023, Electrocardiogram: ST segment sub-lags in II, III, and aVF.. On 08-Nov-2023, Troponin: 632 ng/L and 1983 ng/L. For mRNA-1273.815 (SPIKEVAX XBB.1.5) (Unknown), the reporter considered ACUTE MYOCARDIAL INFARCTION (Myocardial infarction without ST elevation) to be related. Concomitant medications were not provided. On 8.11.2023, the patient suddenly developed nausea and chest pain and was admitted to the emergency room. Intra-stent restenosis in the proximal part of the IVA could be successfully treated with a drug-eluting stent after balloon dilation; the high-grade stenosis of the intermediate branch was also treated with a balloon. In the discharge documents from the hospital, there is no mention of a diagnosis of cardiac decompensation and the diagnosis retained is a non-ST elevation myocardial infarction (NSTEMI). The clinical evolution was favorable subsequently and the patient was discharged on 10.11.2023. Note that the patient has never had any adverse effects following previous medication or vaccination. the worsening of pre-existing ischaemic heart disease are not among the known adverse effects of Efluelda or Moderna Spikevax XBB.1.5, nor of vaccines against influenza and SARS-CoV-2 in general. Treatment information was not reported. Company Comment: This is a Regulatory Authority case concerning a 79-year-old male patient, with known stented heart disease, heart surgery, high blood pressure and sleep apnea syndrome, who experienced the unexpected and serious (due to hospitalization and medically significant) AESI of Acute myocardial infarction, which occurred 1 day after an unspecified dose of SPIKEVAX 2023-2024 vaccine, and 1 day after Influenza vaccine, which remains as a co-suspect product. As reported, the patient suddenly developed nausea and chest pain and was admitted to the emergency room. The initial troponin level was at 632 ng/l and reached the peak at 1983 ng/l. The electrocardiogram showed ST segment sub-lags in II, III, and aVF. The coronary angiography showed the presence of high-grade intra-stent restenosis in the proximal IVA, as well as significant intra-stent restenosis in the intermediate branch. Intra-stent restenosis in the proximal part of the IVA could be successfully treated with a drug-eluting stent after balloon dilation; the high-grade stenosis of the intermediate branch was also treated with a balloon. In the discharge documents from the hospital, there is no mention of a diagnosis of cardiac decompensation and the diagnosis retained is a non-ST elevation myocardial infarction (NSTEMI). The clinical evolution was favorable subsequently and the patient was discharged 2 days after symptoms started. Causality assessed conservatively as related, due to close temporal relationship to vaccine. Patient?s underlying medical history could be risk factors for the event. The benefit-risk relationship of SPIKEVAX 2023-2024 vaccine is not affected by this report. Worldwide unique identification number was reported as CH-SM-2023-17784.


VAERS ID: 2724991 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-07
Onset: 2023-11-08
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E30 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Blood calcium, Electrocardiogram, Investigation, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), 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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: HALOPERIDOL; CLOPIDOGREL; LACTULOSE; ZYMA-D2
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2724847 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-24
Onset: 2023-11-25
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9868 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F642V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Fatigue, Hallucination, Insomnia
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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: ENALAPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2724241 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-25
Onset: 2023-11-30
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2023-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F212V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute generalised exanthematous pustulosis, C-reactive protein, C-reactive protein increased, Dermatitis exfoliative generalised, Erythema, Pemphigoid, Pruritus, Staphylococcal scalded skin syndrome, White blood cell count, White blood cell count increased
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow), 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? 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:


VAERS ID: 2724238 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-16
Onset: 2023-11-16
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Other       Purchased by: ?
Symptoms: Polymyalgia rheumatica
SMQs:, Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LOSARSTAD; PROGYNON [ESTRADIOL]; PREDNISOLONE; RECIKALC D FORTE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723662 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-09-07
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA XBB1.5710026A / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Dyspnoea, Headache, Malaise, Onychalgia, Pain, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (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? No
Previous Vaccinations:
Other Medications: INDAPAMIDE; RAMIPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723645 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-04
Onset: 2023-11-08
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED G18 / UNK LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Cough, Echocardiogram, Electrocardiogram, Mitral valve incompetence, Neutrophil count, Neutrophil count increased, Pericardial effusion, Pericarditis, White blood cell count, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: EPITOMAX; OROCAL D3
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723497 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ2834 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E733V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Autoimmune haemolytic anaemia
SMQs:, Haemolytic disorders (narrow), Systemic lupus erythematosus (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
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:


VAERS ID: 2723293 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-10
Onset: 2023-10-01
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Bedridden, Dysphagia, Illness, Malaise, Muscular weakness, Unresponsive to stimuli
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (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), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-24
   Days after onset: 23
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PENICILLIN [PENICILLIN NOS]; SOLPADEINE [CODEINE PHOSPHATE;PARACETAMOL]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723105 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-02
Onset: 2023-11-02
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Small intestinal obstruction
SMQs:, Gastrointestinal obstruction (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:


VAERS ID: 2723096 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-13
Onset: 2023-11-25
   Days after vaccination: 12
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Deafness unilateral
SMQs:, Hearing impairment (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:


VAERS ID: 2723095 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-24
Onset: 2023-11-24
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3093 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F852V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Chest discomfort, Dyspnoea, Ear swelling, Face oedema, Fatigue, Feeling abnormal, Headache, Hyperhidrosis, Muscle spasms, Pyrexia, Sudden hearing loss, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
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:


VAERS ID: 2723094 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-20
Onset: 2023-11-21
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Dizziness, Fall, Feeling abnormal, Loss of consciousness, Muscular weakness, Somnolence
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? Yes
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; ATORVASTATIN; RAMIPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723093 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-07
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9869 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F76 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Blood pressure increased, Blood pressure measurement, Chronic obstructive pulmonary disease, Dyspnoea, Fall, Head injury, Loss of consciousness, Memory impairment, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypertension (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-10
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:


VAERS ID: 2725473 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-09
Onset: 2023-12-09
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Injection site pain, Joint stiffness, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: BECLOMETHASONE [BECLOMETASONE]; EVOREL SEQUI; LEVOTHYROXINE; MOMETASONE; SALBUTAMOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2723070 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-19
Onset: 2023-11-21
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Diabetes mellitus inadequate control, Hypoaesthesia, Hypotonia, Muscular weakness, Paraesthesia, Productive cough, Respiratory distress, Sensory disturbance, Urinary incontinence
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sexual dysfunction (broad)

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

Write-up:


VAERS ID: 2723066 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-17
Onset: 2023-11-22
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E65 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Hemiparesis
SMQs:, 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), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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

Write-up:


VAERS ID: 2722679 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-23
Onset: 2023-10-28
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2023-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 RA / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED G12 / UNK LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Alanine aminotransferase, Arthralgia, Aspartate aminotransferase, Blood alkaline phosphatase, Computerised tomogram, Electromyogram, Gamma-glutamyltransferase, Investigation, Motor dysfunction, Neuralgic amyotrophy
SMQs:, Peripheral neuropathy (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (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: KEPPRA [LEVETIRACETAM]; PROCARBAZINE; MEDROL [METHYLPREDNISOLONE]; LOMUSTINE; VINCRISTINE SULFATE; URBANYL; DESLORATADINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2722601 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-09-01
Onset: 2023-09-20
   Days after vaccination: 19
Submitted: 0000-00-00
Entered: 2023-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Circulatory collapse, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (narrow), 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), Hypersensitivity (narrow), 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:


VAERS ID: 2722308 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-21
Onset: 2023-11-23
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2355 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F84 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood pressure measurement, Heart rate, Malaise, Stool analysis, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-26
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNAPAUSE E3; ENALAPRIL; AMLODIPINE; METOPROLOL; MACROGOL; COLECALCIFEROL; EUTHYROX; OMEPRAZOLE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2721680 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-19
Onset: 2023-10-28
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2023-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3108 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G33 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction, Specialist consultation
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-28
   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: ALDACTONE [SPIRONOLACTONE]; RAMIPRIL; PREVISCAN [FLUINDIONE]; BISOPROLOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2721300 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-10
Onset: 2023-11-10
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F642V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Burning sensation, Dizziness, Dyspnoea, Malaise, Nausea, Pain, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: LANSOPRAZOL; GABAPENSTAD; PANODIL; CONTALGIN; KALIUMCHLORID; SPIRONOLACTONE MYLAN; PROPRANOLOL; PANTOPRAZOLE SODIUM SESQUIHYDRATE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2721087 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-13
Onset: 2023-11-13
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Facial pain, Paraesthesia, Tinnitus
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Hearing impairment (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2721074 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-26
Onset: 2023-11-01
   Days after vaccination: 6
Submitted: 0000-00-00
Entered: 2023-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2272 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK LA / -

Administered by: Other       Purchased by: ?
Symptoms: Bursitis, Cellulitis, Erythema, Panniculitis, SARS-CoV-2 test, Skin warm, Vaccination site rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

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

Write-up:


VAERS ID: 2720956 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-22
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2023-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthritis, Hepatitis, Pyrexia
SMQs:, Hepatitis, non-infectious (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arthritis (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ATORVASTATIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2720934 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-09
Onset: 2023-11-09
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F642V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Cerebral haemorrhage, Cerebrovascular accident, Computerised tomogram head, Headache, Hydrocephalus, Lethargy, Neck pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-11
   Days after onset: 2
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:


VAERS ID: 2720717 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: General physical health deterioration
SMQs:

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

Write-up:


VAERS ID: 2731079 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-12-27
Onset: 2023-12-28
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3106 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F172V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Hemiplegia, Investigation
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRAVASTATIN; ELIQUIS; HEMIGOXINE; RILMENIDINE; CODOLIPRANE; COVERAM; ATENOLOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2720711 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: General physical health deterioration
SMQs:

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

Write-up:


VAERS ID: 2727784 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-08
Onset: 2023-11-09
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3093 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident
SMQs:, 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)

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: ALVEDON; PROPRANOLOL ACCORD; GABAPENTIN 1A FARMA; CANDESARTAN KRKA; PANTOPRAZOL ACTAVIS; ATORVASTATIN 1A FARMA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2730406 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-09
Onset: 2023-12-01
   Days after vaccination: 53
Submitted: 0000-00-00
Entered: 2024-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3108 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8060DM / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Guillain-Barre syndrome, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow), 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:


VAERS ID: 2729797 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-09
Onset: 2023-11-10
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G37 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: C-reactive protein, Cardiac telemetry, Diarrhoea, Dizziness, Fatigue, Influenza virus test, Nausea, Pallor, Respiratory syncytial virus test, SARS-CoV-2 test, Troponin T, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), COVID-19 (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, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ELIQUIS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729751 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-21
Onset: 2023-11-22
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fall
SMQs:, Accidents and injuries (narrow)

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

Write-up:


VAERS ID: 2729456 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-30
Onset: 2023-11-01
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2024-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X4A091V / UNK RA / -

Administered by: Other       Purchased by: ?
Symptoms: Lymphadenopathy, Superficial vein thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, 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? 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:


VAERS ID: 2729454 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-12
Onset: 2023-10-01
Submitted: 0000-00-00
Entered: 2024-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G06 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Heart rate, Heart rate increased, Influenza
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Infective pneumonia (broad), Dehydration (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? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: EPLERENON ACCORD; CARVEDILOL KRKA; FORXIGA; CLOPIDOGREL KRKA [CLOPIDOGREL HYDROCHLORIDE]; HJERTEMAGNYL [ACETYLSALICYLIC ACID]; ATORVASTATIN TEVA; ENTRESTO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729453 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-21
Onset: 2023-12-01
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2024-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F642V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Computerised tomogram thorax, Depressed level of consciousness, Electroencephalogram, Encephalopathy, Investigation, Magnetic resonance imaging head, Staring, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: BUVENTOL EASYHALER; BRUKINSA; PANODIL; TRIMBOW; MALFIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729107 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-14
Onset: 2023-10-14
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2024-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Scan, Suspected COVID-19
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: AMLODIPINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729088 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-31
Onset: 2023-11-04
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2024-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G04A / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Acute sinusitis, Biopsy skin, Blood culture, Blood electrolytes, Body temperature, C-reactive protein, C-reactive protein increased, Chest X-ray, Cutaneous vasculitis, Immunology test, Liver function test, Neutrophil count, Pyrexia, Renal function test, Rhinorrhoea, Scan brain, Urine analysis, White blood cell count
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vasculitis (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729086 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-13
Onset: 2023-12-14
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3G071V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Internal capsule infarction, Magnetic resonance imaging
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2729085 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-15
Onset: 2023-11-20
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2024-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9869 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F852V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Auscultation, Blood pressure measurement, Electrocardiogram, Fatigue, Heart rate decreased, Panic attack, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypoglycaemia (broad), Infective pneumonia (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:


VAERS ID: 2729084 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-04
Onset: 2023-12-08
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2024-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH7008 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G37 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Abortion missed, Alanine aminotransferase, Blood creatinine, Blood fibrinogen, Blood glucose, Blood grouping, Blood potassium, Blood sodium, Blood thromboplastin, Blood thyroid stimulating hormone, C-reactive protein, Coombs indirect test, HIV test, Haematocrit, Haemoglobin, Haemorrhage, Hepatitis B core antibody negative, International normalised ratio, Investigation, Platelet count, Prothrombin level, Red blood cell count, Serum ferritin, Thyroxine free, Toxoplasma serology, Ultrasound abdomen, White blood cell count
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (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? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2728468 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-19
Onset: 2023-10-26
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2023-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G27 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Cavernous sinus thrombosis, Diplopia, Fazekas scale, Leukoencephalopathy, Magnetic resonance imaging head, Transverse sinus thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow), Noninfectious encephalopathy/delirium (narrow), Demyelination (narrow), Central nervous system vascular disorders, not specified as haemorrhagic or ischaemic (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad)

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

Write-up:


VAERS ID: 2728458 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 2023-12-13
Submitted: 0000-00-00
Entered: 2023-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9869 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3G071V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Giant cell arteritis
SMQs:, Optic nerve disorders (broad), Vasculitis (narrow), Immune-mediated/autoimmune disorders (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:


VAERS ID: 2728442 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-12-12
Onset: 2023-12-13
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Electrocardiogram, Heart rate, Syncope, Ventricular extrasystoles
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Hypokalaemia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2728280 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-03
Onset: 2023-11-14
   Days after vaccination: 11
Submitted: 0000-00-00
Entered: 2023-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G33 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Investigation, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (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: UVEDOSE; LACRIFLUID; ACIDE FOLIQUE ARROW; TRIMEBUTINE; DOLIPRANE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2720531 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-03
Onset: 2023-11-17
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G33 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Angiogram, Auscultation, Body temperature, Brain natriuretic peptide, Bundle branch block right, Coagulation test, Coma scale, Disease recurrence, Echocardiogram, Electrocardiogram, Full blood count, Oxygen saturation, Pulmonary embolism, Troponin
SMQs:, Conduction defects (narrow), Embolic and thrombotic events, venous (narrow), Infective pneumonia (broad), Noninfectious myocarditis/pericarditis (broad)

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, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALLOPURINOL; ALPRAZOLAM; PAROXETINUM; CYAMEMAZINE; FUROSEMIDE; PERINDOPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2731059 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-10-25
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2355 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G01 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Antineutrophil cytoplasmic antibody, Antinuclear antibody, Auscultation, Blood creatine phosphokinase, Blood creatinine, Blood parathyroid hormone, C-reactive protein, DNA antibody, Glomerular filtration rate, Polymyalgia rheumatica, Prostatic specific antigen, Red blood cell sedimentation rate, Rheumatoid factor, Serum ferritin, White blood cell count, X-ray
SMQs:, Vasculitis (narrow), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (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: SIFROL; COVERSYL [PERINDOPRIL ARGININE]; ELIQUIS; LEXOMIL; DOLIPRANE; MONURIL; EDEX
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2731072 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-21
Onset: 2023-11-13
   Days after vaccination: 23
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody, C-reactive protein, Polymyalgia rheumatica, Positron emission tomogram, Rheumatoid factor, SARS-CoV-2 test, Ultrasound Doppler
SMQs:, Vasculitis (narrow), Immune-mediated/autoimmune disorders (narrow), COVID-19 (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, 10 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: LIPTRUZET; PLAVIX; KARDEGIC; LEVOTHYROX
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2727752 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-30
Onset: 2023-11-08
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2023-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F642V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: C-reactive protein, Computerised tomogram, Cytology, Investigation, Pericardial effusion, Pleural effusion, Pleuropericarditis
SMQs:, Systemic lupus erythematosus (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2727544 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-12-11
Onset: 2023-12-12
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG3106 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X4A081V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Bradycardia, Chills, Discomfort, Fatigue, Heart rate, Malaise
SMQs:, Arrhythmia related investigations, signs and symptoms (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: FEBUXOSTAT; COLCHIMAX [COLCHICINE;PAPAVER SOMNIFERUM POWDER;TIEMONIUM METHYLSULPHATE]; TEMERITDUO; XATRAL LP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2727543 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-17
Onset: 2023-11-19
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G01 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Mania
SMQs:, Psychosis and psychotic disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2727535 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-16
Onset: 2023-11-16
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1297 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G46 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Anion gap, Auscultation, Base excess, Blood bicarbonate, Blood fibrinogen, Blood lactic acid, Body temperature, C-reactive protein, Carbon dioxide, Chest X-ray, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Haematology test, Heart rate, Mean cell haemoglobin, Mean cell volume, Monocyte count, Monocyte percentage, Oxygen saturation, PCO2, PO2, Physical examination, Red blood cell analysis, Red cell distribution width, Tuberculin test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (broad)

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

Write-up:


VAERS ID: 2727197 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-12-08
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: APIXABAN; MIRTAZAPINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2726761 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-11-23
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 710025A / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Bradykinesia, Headache, Pain in extremity, Rash erythematous, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

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

Write-up:


VAERS ID: 2726454 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-01
Onset: 2023-11-15
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3F64 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: C-reactive protein, Investigation, Pleuropericarditis
SMQs:, Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Noninfectious myocarditis/pericarditis (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2726398 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-25
Onset: 2023-11-29
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Ultrasound Doppler
SMQs:, Embolic and thrombotic events, venous (narrow), Thrombophlebitis (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: AMLODIPINE; CANDESARTAN; VITAMIN D [VITAMIN D NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2726204 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-20
Onset: 2023-11-25
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2023-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E651V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Pneumonia
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2726203 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-11-08
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2023-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG31088 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8080CA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2725784 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-17
Onset: 2023-11-18
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1297 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G17 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Splenic artery thrombosis
SMQs:, Embolic and thrombotic events, arterial (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:


VAERS ID: 2725769 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-20
Onset: 2023-10-20
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9869 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8048CA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Blood pressure increased, Blood pressure measurement, Cyanosis, Dyspnoea, Fatigue, Heart rate increased, Ocular hyperaemia, Oxygen saturation, Oxygen saturation decreased, Rash, Restlessness, Salivary hypersecretion, Somnolence, Sudden death, Swollen tongue
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Akathisia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-21
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2713461 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2022-10-31
Onset: 2022-11-18
   Days after vaccination: 18
Submitted: 0000-00-00
Entered: 2023-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Polymyalgia rheumatica
SMQs:, Vasculitis (narrow), Immune-mediated/autoimmune disorders (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: ALENDRONIC ACID; CALCIUM;COLECALCIFEROL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2716554 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-07
Onset: 2023-11-08
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED G27 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Acute pulmonary oedema, Blood glucose, Blood pressure measurement, Body temperature, Coma, Heart rate, Lung disorder, Oxygen saturation, Vaccination complication
SMQs:, Cardiac failure (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-08
   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: ESCITALOPRAM; ABASAGLAR; METFORMINE [METFORMIN]; APIDRA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2716553 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-20
Onset: 2023-10-21
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 RA / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED - / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Asthenia, Condition aggravated, Fatigue, Headache
SMQs:, Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (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: ATENOLOL; XARELTO; MABTHERA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2716547 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-17
Onset: 2023-10-21
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH0832 / 1 RA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E1310 / UNK LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Audiogram, Deafness unilateral, Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up:


VAERS ID: 2716534 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-01
Onset: 2023-11-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3E713V / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Ventricular tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? Yes
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:


VAERS ID: 2715153 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-16
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Oxygen saturation, Oxygen saturation decreased, Physical examination, Taste disorder
SMQs:, Taste and smell disorders (narrow), Acute central respiratory depression (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-28
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: METOPROLOL SUCCINATE; ZOPICLONE ACTAVIS; SALBUTAMOL; LERKANIDIPIN ACTAVIS; ACETYLCYSTEIN MYLAN; OMEPRAZOLE; CALCIUM; FURIX [CEFUROXIME]; ANORO ELLIPTA; ISMO; MIRTAZAPINE AUROBINDO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715152 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-17
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Loss of consciousness, Malaise
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-19
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: OCULAC [POVIDONE]; ESOMEPRAZOLE; DOXAZOSIN; FURIX [CEFUROXIME]; SODIUM BICARBONATE BP; AMLO [AMLODIPINE BESILATE]; METOPROLOL; MADOPAR; ARANESP; PANODIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715151 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-20
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Cardiac arrest, Hyperhidrosis, Illness, Malaise
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-22
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: IMOVANE; KALEORID; MAGNESIUM; LAXOBERAL; SOBRIL; NOVORAPID; PARATABS; OXYCODONE; FURIX [CEFUROXIME]; VALSARTAN; SPIRON [SPIRONOLACTONE]; GABAPENTIN; IBANDRONIC ACID; ALLOPURINOL; METOPROLOL; ELIQUIS; FLIXOTIDE; TRESIBA; TRELEGY ELLIPTA; ESO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715150 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-14
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Chest pain, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-20
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALPRESS; PARACETAMOL; MAGNESIA MEDIC; ARITAVI; KALEORID; FURIX [CEFUROXIME]; CYANOCOBALAMIN; CONTALGIN; THEALOZ DUO
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715149 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-10
Onset: 2023-10-11
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Investigation, Malaise, Pyrexia, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-15
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LAXOBERAL; MULTIVITAMIN [VITAMINS NOS]; PANODIL; MOMETASON APOFRI; ESOPRAM; VITAMIN D NOS; SORBITOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715130 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2021-02-07
Onset: 2023-10-30
   Days after vaccination: 995
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 710023A / 1 - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / UNK - / -
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Heart rate, Injection related reaction, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (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: AMLODIPINE; RAMIPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2715125 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-10-07
Onset: 2023-10-07
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH XBB 1.5 / 1 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Lymphadenopathy, Lymphoma
SMQs:, Malignant lymphomas (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (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:


VAERS ID: 2714949 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-23
Onset: 2023-10-26
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2355 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3E321V / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Dysarthria, General physical health deterioration
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: AMIODARONE; RULID; PARACETAMOL; XARELTO; URBANYL; FORXIGA; ATORVASTATINE [ATORVASTATIN]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2714922 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-19
Onset: 2023-10-20
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Cardio-respiratory arrest, Cognitive test, Oxygen saturation, Pain, Tachypnoea
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-20
   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:


VAERS ID: 2714904 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-18
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Blood pressure measurement, Circulatory collapse, Electrocardiogram, Hypertensive crisis, Oxygen saturation, Palpitations, Syncope
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 (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2714876 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-10-26
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood creatinine, Blood parathyroid hormone, Blood phosphorus, Blood urea, C-reactive protein, Cerebral haemorrhage, Computerised tomogram head, Gamma-glutamyltransferase, Glycosylated haemoglobin, Haemoglobin, Intraventricular haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-26
   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: CANDESARTAN CILEXETIL; PANTOPRAZOLE SODIUM SESQUIHYDRATE; VITAMIN B1; ASS; TORASEMIDE SODIUM; AMLODIPINE MALEATE; ATORVASTATIN CALCIUM
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2716570 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-12
Onset: 2023-11-14
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1298 / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
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:


VAERS ID: 2712985 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-25
Onset: 2023-10-28
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G03 / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Blood test, Electrocardiogram, Hypertension, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (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: INUXAIR
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2712982 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-10-25
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G03 / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Angioedema, Migraine
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (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: NASONEX; NORSPAN [BUPRENORPHINE]; ALLOPUR; PARACETAMOL ORIFARM; AERIUS [DESLORATADINE]; OMNIC; PANTOPRAZOL KRKA; NEURONTIN [GABAPENTIN]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2712381 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Facial paralysis, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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:


VAERS ID: 2711346 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-17
Onset: 2023-10-17
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 RA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8092DA / UNK LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Auscultation, Blood pressure measurement, Body temperature, Chest X-ray, Heart rate, Oxygen saturation, Oxygen saturation decreased, Physical examination, Vomiting
SMQs:, Acute pancreatitis (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Respiratory failure (broad), Infective pneumonia (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, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2709289 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-16
Onset: 2023-10-22
   Days after vaccination: 6
Submitted: 0000-00-00
Entered: 2023-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GM7779 / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 6818211P1 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2023-10-22
   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: Co-Beneldopa; Rotigotine; Sitagliptin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2731057 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 2023-12-02
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ3093 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3G262V / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Blood pressure measurement, Heart rate, Heart rate decreased, Hemihypoaesthesia, Pruritus, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up:


VAERS ID: 2699031 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-09-30
Onset: 2023-09-30
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GM8341 / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 6818521P1 / UNK - / OT

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Electrocardiogram, Electrocardiogram ST segment depression, Pallor, Pollakiuria, Presyncope
SMQs:, Anticholinergic syndrome (broad), Other ischaemic heart disease (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Hypokalaemia (broad), Noninfectious myocarditis/pericarditis (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: Bisoprolol; Digoxin; Furosemide; Losartan; Spironolactone; Warfarin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2690417 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-09-21
Onset: 2023-09-21
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Syncope, Tachycardia
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (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:


VAERS ID: 2687542 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cough, Headache, Injection site pain, Myalgia, Pneumonia, Pruritus, Pyrexia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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: LEVOTHYROXINE
Current Illness:
Preexisting Conditions: Comments: No medical history information was reported.
Allergies:
Diagnostic Lab Data:
CDC Split Type: CLMODERNATX, INC.MOD20237

Write-up: Bronchopneumonia; Pruritus; cough; Myalgia; rash; headache; fever; Injection site pain; This case was received via an unknown source (no reference has been entered for a health authority or license partner) on 22-Sep-2023 and was forwarded to Moderna on 22-Sep-2023. This regulatory authority case was reported by a nurse and describes the occurrence of PNEUMONIA (Bronchopneumonia) in a 47-year-old female patient who received mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE for Influenza immunisation. No medical history information was reported. Concomitant products included LEVOTHYROXINE for an unknown indication. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (Bronchopneumonia) (seriousness criterion medically significant), PRURITUS (Pruritus), COUGH (cough), MYALGIA (Myalgia), RASH (rash), HEADACHE (headache), PYREXIA (fever) and INJECTION SITE PAIN (Injection site pain). At the time of the report, PNEUMONIA (Bronchopneumonia), PRURITUS (Pruritus), COUGH (cough), MYALGIA (Myalgia), RASH (rash), HEADACHE (headache), PYREXIA (fever) and INJECTION SITE PAIN (Injection site pain) was resolving. For mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. Reference number was reported as NR2308-002951. Treatment information was not reported. Company Comment: This is a Regulatory case concerning a 47-year-old female patient with no medical history reported, who experienced the serious (per medically significant) unexpected event of Pneumonia which occurred on an unknown date and unknown latency with a dose of mRNA-1273 BIVALENT.222 for COVID-19 Vaccination. No further clinical information or diagnostic tests results was disclosed for analysis. Treatment information was not provided. The event was resolving. The benefit-risk relationship of mRNA-1273 BIVALENT.222 is not affected by this report.


VAERS ID: 2675876 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Axillary pain, Ear pain, Neuralgia, Neuropathy peripheral, Paraesthesia, Urine output increased
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Hypokalaemia (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: PREGABALIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CLMODERNATX, INC.MOD20237

Write-up: Neuropathy; Neuropathic pain; Otalgia; Urine, increased volume; Paresthesia; Pain in the armpit; This regulatory authority case was reported by a nurse and describes the occurrence of NEUROPATHY PERIPHERAL (Neuropathy) in a 44-year-old male patient who received mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication. Concomitant products included PREGABALIN for an unknown indication. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. On an unknown date, the patient experienced NEUROPATHY PERIPHERAL (Neuropathy) (seriousness criterion medically significant), NEURALGIA (Neuropathic pain), EAR PAIN (Otalgia), URINE OUTPUT INCREASED (Urine, increased volume), PARAESTHESIA (Paresthesia) and AXILLARY PAIN (Pain in the armpit). At the time of the report, NEUROPATHY PERIPHERAL (Neuropathy), NEURALGIA (Neuropathic pain), EAR PAIN (Otalgia), URINE OUTPUT INCREASED (Urine, increased volume), PARAESTHESIA (Paresthesia) and AXILLARY PAIN (Pain in the armpit) had not resolved. For mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No treatment information was provided by the reporter. The reference number was reported as NR 2307-002896. Company comment- This regulatory authority case concerns a 44-year-old male patient with no medical history reported, who experienced the unexpected, serious (due to medically significant criteria) event of NEUROPATHY PERIPHERAL. A dose of mRNA-1273 vaccine was administered on an unknown date. Temporal association cannot be assessed due to lack of information on vaccination date and onset date of the event. No further details were available for medical review. At the time of the latest report the event had not resolved. The benefit-risk relationship of the mRNA-1273 vaccine is not affected by this report.


VAERS ID: 2673297 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNK / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNK / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNK / UNK - / -
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNK / UNK - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNK / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CAGSKCA2023AMR110337

Write-up: COVID-19; This serious case was reported by a consumer via regulatory authority and described the occurrence of covid-19 in a 42-year-old female patient who received Flu Seasonal QIV (influenza vaccine Quadrivalent unspecified season) for prophylaxis. Co-suspect products included TOZINAMERAN (COMIRNATY) for prophylaxis, TOZINAMERAN (COMIRNATY) for prophylaxis, TOZINAMERAN (COMIRNATY) for prophylaxis and FAMTOZINAMERAN, TOZINAMERAN (COMIRNATY ORIGINAL/OMICRON BA.4-5) for prophylaxis. On an unknown date, the patient received influenza vaccine Quadrivalent unspecified season, COMIRNATY, COMIRNATY, COMIRNATY and COMIRNATY ORIGINAL/OMICRON BA.4-5 (intramuscular). On an unknown date, an unknown time after receiving influenza vaccine Quadrivalent unspecified season, the patient experienced covid-19 (Verbatim: COVID-19) (serious criteria other: serious as per reporter). The outcome of the covid-19 was unknown. It was unknown if the reporter considered the covid-19 to be related to influenza vaccine Quadrivalent unspecified season. It was unknown if the company considered the covid-19 to be related to influenza vaccine Quadrivalent unspecified season. Additional Information: GSK receipt date: 13-AUG-2023 This report was one of several cases received as part of a line-listing, each containing minimal information. It was unknown if the reporter considered the covid-19 to be related to Comirnaty. No further information was expected.


VAERS ID: 2655523 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2022-10-28
Onset: 2022-10-29
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Influenza, Suspected COVID-19
SMQs:, Supraventricular tachyarrhythmias (narrow), Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications: SIMVASTATIN; APIXABAN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2632861 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Hypokinesia, Pain in extremity
SMQs:, Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: CLMODERNATX, INC.MOD20237

Write-up: Headache; Decreased movements; Pain in one limb; This regulatory authority case was reported by a nurse and describes the occurrence of HEADACHE (Headache), HYPOKINESIA (Decreased movements) and PAIN IN EXTREMITY (Pain in one limb) in a 63-year-old female patient who received mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (INFLUENZA) for an unknown indication. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (INFLUENZA) (unknown route) 1 dosage form. On an unknown date, the patient experienced HEADACHE (Headache) (seriousness criterion medically significant), HYPOKINESIA (Decreased movements) (seriousness criterion medically significant) and PAIN IN EXTREMITY (Pain in one limb) (seriousness criterion medically significant). At the time of the report, HEADACHE (Headache), HYPOKINESIA (Decreased movements) and PAIN IN EXTREMITY (Pain in one limb) had not resolved. For mRNA-1273 BIVALENT .222 (COVID-19 MODERNA SPIKEVAX BIVALENT INJECTABLE SUSPENSION (BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. The co-suspect was reported as seasonal influenza vaccine. No information on concomitant medication. No treatment information was provided by the reporter. The Reference folio number was reported as NR2304-002479. Company comment This is a regulatory case concerning a 63-year-old female patient with no medical history reported, who experienced the unexpected serious (medically significant) event of headache, hypokinesia and pain in extremity and received a dose of mRNA-1273.222 (BA.4/BA.5) vaccine. The vaccination date and the events exact onset date were not provided, thus, exact latency between vaccination and onset of the events could not be assessed. At the time of the last observation, the events had not resolved. The co-suspect was reported as seasonal influenza vaccine that could be a confounder for the events. No further clinical information was provided for review. The benefit-risk relationship of mRNA-1273.222 (BA.4/BA.5) is not affected by this report. Seriousness assessed as reported.


VAERS ID: 2600369 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2022-11-04
Onset: 2022-11-05
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5083 / 4 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 501191311 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute pulmonary oedema
SMQs:, Cardiac failure (narrow), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: BISOPROLOL AUROVITAS; ESPIRONOLACTON ACCORD; ADIRO; ENTRESTO; ATORVASTATINA [ATORVASTATIN]; CLOPIDOGREL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718534 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2021-03-24
Onset: 2023-11-05
   Days after vaccination: 956
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Angioedema, Anti-complement antibody, Complement factor C1, Complement factor C3, Dyspnoea, Localised oedema, Macroglossia, Obstructive airways disorder, Salivary hypersecretion
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Congenital, familial and genetic disorders (narrow), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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? Yes, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: KARDEGIC; ACEBUTOLOL; ROSUVASTATIN; UVEDOSE; LISINOPRIL; RAMIPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719911 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-31
Onset: 2023-11-08
   Days after vaccination: 8
Submitted: 0000-00-00
Entered: 2023-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ2770 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G35 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: General physical health deterioration, Hemiparesis, Scan brain
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:


VAERS ID: 2719910 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-31
Onset: 2023-11-08
   Days after vaccination: 8
Submitted: 0000-00-00
Entered: 2023-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HJ2770 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G35 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: General physical health deterioration, Hemiplegia, Ischaemic stroke
SMQs:, 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), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719901 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (FOREIGN) / CSL LIMITED UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Ecchymosis, Vascular purpura
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Vasculitis (narrow), Immune-mediated/autoimmune disorders (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:


VAERS ID: 2719777 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-11-23
Onset: 2023-11-23
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Schizophrenia
SMQs:, Psychosis and psychotic disorders (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: AMISULPRIDE; LEVOTHYROXINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719775 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-03
Onset: 2023-10-05
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER ASKU / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blister, Disease recurrence, Urinary tract infection
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALENDRONIC ACID; CALCIUM AND VITAMIN D; DOCUSATE; RAMIPRIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719632 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-13
Onset: 2023-11-15
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER X3F841V / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Blood pressure measurement, Body temperature, Fatigue, Heart rate, Hypertension, Malaise, Oxygen saturation, Oxygen saturation decreased, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Hypertension (narrow), Hearing impairment (broad), Respiratory failure (broad), Infective pneumonia (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? No
Previous Vaccinations:
Other Medications: IRBESARTAN; NOVOMIX; ATORVASTATIN; NOVORAPID; PLANTAGO OVATA; CITALOPRAM; COLECALCIFEROL; LETROZOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719450 (history)  
Form: Version 2.0  
Age: 84.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-26
Onset: 2023-10-26
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2252 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR X3E713V / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? Yes
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:


VAERS ID: 2719438 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-27
Onset: 2023-10-29
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH 23MH003 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8048CA / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Atrial fibrillation, Heart rate increased, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (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? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2719428 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-23
Onset: 2023-10-30
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2023-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2355 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Arrhythmia, Atrial fibrillation, Colonoscopy, Computerised tomogram thorax, Electrocardiogram ambulatory, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Supraventricular tachyarrhythmias (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (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: TAMUROX; PIRAMIL; METFORMIN; ORCAL; TULIP [ATORVASTATIN CALCIUM]; HYLAK [AMINO ACIDS NOS;ENTEROCOCCUS FAECIUM;ESCHERICHIA COLI;LACTOBACILLUS ACIDOPHILUS;LACTOBACILLUS
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718956 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-02
Onset: 2023-11-03
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1298 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Loss of consciousness, Transient ischaemic attack
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AMLODIPINE; CLOPIDOGREL ZENTIVA; GLYCEROL; DOCUSATE; EKLIRA GENUAIR; HYDROXOCOBALAMIN; LANSOPRAZOLE KRKA; MOMETASONE; PARACETAMOL; SALBUTAMOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718949 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-07
Onset: 2023-11-08
   Days after vaccination: 32
Submitted: 0000-00-00
Entered: 2023-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GM6363 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER 6817811P1 / UNK RA / -

Administered by: Other       Purchased by: ?
Symptoms: Guillain-Barre syndrome, Lumbar puncture, Nerve conduction studies
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (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:


VAERS ID: 2718946 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-08
Onset: 2023-10-08
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Decreased appetite, Dyspnoea, Habit cough, Heart rate increased, Joint swelling, SARS-CoV-2 test, Swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Dehydration (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: IBUPROFEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718664 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-11-08
Onset: 2023-11-08
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG2355 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Loss of consciousness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: ROSUVASTATINA + EZETIMIBA ALTER; PERINDOPRIL; UMECLIDINIUM BROMIDE;VILANTEROL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718637 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-12
Onset: 2023-10-13
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G38 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Cold sweat, Limb discomfort, Malaise, Mood altered, Pain, Rectal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (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:


VAERS ID: 2718580 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-09
Onset: 2023-10-10
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G25 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Blood pressure measurement, Blood test, Cardiac stress test, Chest pain, Condition aggravated, Dyspnoea, Echocardiogram, Electrocardiogram, Hypertension, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow)

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

Write-up:


VAERS ID: 2594216 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2022-12-15
Onset: 2022-12-24
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR W3F232U / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Blindness, Retinal vein occlusion
SMQs:, Embolic and thrombotic events, venous (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (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: AVAMYS; ALVESCO; CANDESARTAN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718532 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-23
Onset: 2023-10-23
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 LA / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / OT

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure systolic, COVID-19, Headache, Hypertension, Influenza like illness, SARS-CoV-2 test, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Hearing impairment (narrow), 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: COTAREG
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2718514 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-27
Onset: 2023-10-27
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER V8083EA / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Diarrhoea, Face oedema, Petit mal epilepsy, Pyrexia, Tremor, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (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? 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:


VAERS ID: 2718513 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-27
Onset: 2023-10-27
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH8656 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER V8083EA / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Angioedema, Oedema peripheral, Petit mal epilepsy, Pyrexia, Tremor, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (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? 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:


VAERS ID: 2718237 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-26
Onset: 2023-10-28
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1305 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U8031CA / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Blood pressure increased, Blood pressure measurement, Feeling hot, Headache, Pain in extremity, Palpitations
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Tendinopathies and ligament disorders (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:


VAERS ID: 2718210 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-15
Onset: 2023-11-16
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HH1301 / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G02 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Cardiovascular disorder, Myocardial infarction
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Retroperitoneal fibrosis (broad), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-11-16
   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: TERAZOSIN; NASA RHINATHIOL; ZOCOR; PANTOPRAZOLE; COVERSYL PLUS [INDAPAMIDE;PERINDOPRIL ARGININE]; LANTUS; SOTALOL; JANUVIA; ASAFLOW; GLURENORM; ZANIDIP
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2717891 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-30
Onset: 2023-07-11
Submitted: 0000-00-00
Entered: 2023-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Computerised tomogram thorax, Fibrin D dimer, Platelet count, Platelet factor 4, Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2731085 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-11-12
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2024-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Headache, Nausea, SARS-CoV-2 test, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: CLOPIDOGREL; LANSOPRAZOLE; MINTEC; MONTELUKAST; SERTRALINE; UNIPHYLLIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2717889 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-09-23
Onset: 2023-11-04
   Days after vaccination: 42
Submitted: 0000-00-00
Entered: 2023-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 710023A / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Phlebitis
SMQs:, Thrombophlebitis (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: ATORVASTATIN; EVACAL D3; PARACETAMOL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2717887 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Unknown  
Location: Foreign  
Vaccinated: 2023-11-17
Onset: 2023-11-17
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 710025A / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Fatigue, Feeling cold, Rash
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), 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:


VAERS ID: 2717361 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-10-24
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HD9871 / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER G38 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: RABEPRAZOL [RABEPRAZOLE]; SILODOSINA
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2717275 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-11
Onset: 2023-11-11
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dyspepsia, Hyperhidrosis, Nervousness, Palpitations, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific dysfunction (narrow), 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:


VAERS ID: 2716762 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Foreign  
Vaccinated: 2023-11-14
Onset: 2023-11-14
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: SARS-CoV-2 test, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

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

Write-up:


VAERS ID: 2716602 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated: 2023-10-13
Onset: 2023-10-22
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Deep vein thrombosis, Oedema peripheral, Ultrasound scan
SMQs:, Cardiac failure (broad), Angioedema (broad), Embolic and thrombotic events, venous (narrow), Thrombophlebitis (broad), Haemodynamic oedema, effusions and fluid overload (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: KALEORID; ENALAPRIL; RISON; HEMINEVRIN [CLOMETHIAZOLE]; AMLO [AMLODIPINE BESILATE]; MAGNESIA MEDIC; ESOPRAM; LAXOBERAL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2716601 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated: 2023-10-24
Onset: 2023-10-25
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH UNKNOWN / 1 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2023-10-26
   Days after onset: 1
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up:


VAERS ID: 2551423 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-11-05
Onset: 2022-12-19
   Days after vaccination: 44
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Public       Purchased by: ?
Symptoms: Aphonia, Bronchitis, Cough, Dyspnoea, Feeling abnormal, Influenza virus test negative, Laryngitis, Oropharyngeal pain, Pyrexia, Respiratory tract infection viral, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (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: Lisinopril; vitamin; CLARITIN
Current Illness: No
Preexisting Conditions: High blood pressure
Allergies: Codeine
Diagnostic Lab Data: COVID-19, Strep and Flu negative
CDC Split Type: vsafe

Write-up: Sore throat, then it became Laryngitis then a really loose cough. I couldn''t stop coughing and had no voice. I then had a fever and felt terrible. I felt short of breath and used my rescue inhaler, I''ve had exercise induced asthma in the past. I went to the doctor and she tested me. I was told it was a respiratory virus that when to bronchitis. I got a steroid shot and other medications. Eventually I got better after 12 days of feeling bad.


VAERS ID: 2550308 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-10-04
Onset: 2022-12-31
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Chills, Cough, Middle insomnia, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (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: Benazepril; clonidine; furosemide; gabapentin; labetalol; warfarin; rosuvastatin; CENTRUM SILVER; calcium with D+; PRILOSEC; ALIGN; low dose aspirin
Current Illness: None
Preexisting Conditions: AFIB
Allergies: CIPRO
Diagnostic Lab Data: COVID rapid test, positive; Strep test, negative
CDC Split Type: vsafe

Write-up: 12/31/2022 you woke up in the middle of the night with a sore throat. I was drained of energy, had a cough, chills and achy body off and on. On 1/3/23 I saw a nurse practitioner. She ran a COVID test and it came back positive. I was prescribed PAXLOVID and started it that day. Today I am about the same, but the throat is not as bad.


VAERS ID: 2605906 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-09-27
Onset: 2023-03-26
   Days after vaccination: 180
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 5 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Cough, Dry throat, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Throat irritation
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (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: Pantoprazole; ALLEGRA; calcium; vitamin D
Current Illness: None
Preexisting Conditions: Reflux
Allergies: Sulfa; CIPRO; latex; seasonal allergies; hay fever; pollen
Diagnostic Lab Data: 28MAR23 at home COVID test negative; 29MAR23 at home COVID test negative.
CDC Split Type: vsafe

Write-up: 3/26/2023 I was out of the country and had a funny feeling, a tickle, dry throat and I was feeling congested and tired. I found out several people I was with had been diagnosed with COVID. On 3/28/23 I tested negative with an at home COVID test. I took another at home COVID test this morning and it was negative. This is the worst thing I have had in 10 years. Today I am feeling fatigued, congested, my throat hurts, I am coughing and can feel it in my chest. I spoke with my doctor yesterday and she will not prescribe PAXLOVID unless I have a positive COVID test.


VAERS ID: 2615247 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-10-13
Onset: 2022-12-14
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2023-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CELEBREX
Current Illness: N/A
Preexisting Conditions: Migraines; Arthritis; Scoliosis
Allergies: Penicillin; morphine; latex; bananas
Diagnostic Lab Data: 14DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had body aches and fever for about day. I tested positive for COVID-19 on 12/14/2022. I had scratchy throat and body aches, and I was sick for a good two weeks. I didn''t really start feeling better until 03/2023. I am glad I did have the vaccines as I can''t imagine how I would have been without them. I contacted a medical provider and got the prescription for PAXLOVID. It left a terrible taste in my mouth.


VAERS ID: 2495112 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-10-17
Onset: 2022-10-17
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Dizziness, Exercise tolerance decreased, Fatigue, Palpitations, Urine analysis normal
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (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: Typhoid vaccine 1990s, Cardiac and respiratory distress, non-responsive for a day, in a coma.
Other Medications: Metformin ER; atorvastatin; low dose aspirin; multivitamin; magnesium; collagen peptide; CBD sublingual oil
Current Illness: None
Preexisting Conditions: Type 2 Diabetes
Allergies: Typhoid vaccine
Diagnostic Lab Data: 30 tests done at the doctor for blood and urine, all were normal results.
CDC Split Type: vsafe

Write-up: After the first few days, I was tired as I knew I would be. Then I started getting dizzy and having heart palpitations. I normally work out a lot and I couldn''t even walk around the block. I got very dizzy and felt like I was going to pass out. That''s what it has been so far. I get heart palpitations and I get exhausted every time I exert energy. It doesn''t seem to be getting any better. It just seems to be getting worse. I did call the doctor on Wednesday and they say saw me on Thursday. They ran a lot of lab work and everything seems to be normal so far. I will be following up with them.


VAERS ID: 2606064 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Georgia  
Vaccinated: 2022-09-22
Onset: 2023-02-02
   Days after vaccination: 133
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Body temperature increased, COVID-19, Chills, Dysgeusia, Feeling abnormal, Insomnia, Oropharyngeal pain, Productive cough, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Possibly to a Flu Vaccine several years ago that I got a rash but have not had any adverse events to Flu Vaccines since.
Other Medications: Metformin; Atorvastatin; Synthroid; Pantoprazole; Spironolactone; Ezetimibe; Losartan; Metoprolol; Xarelto; Ozempic; Low Dose Aspirin; Multivitamin; Metamucil
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Type II Diabetes; Hypothyroid; High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: 04FEB2023 - COVID-19 At Home Test - Positive; 09FEB2023 - COVID-19 At Home Test - Negative; 15FEB2023 - COVID-19 At Home Test - Positive; 19FEB2023 - COVID-19 At Home Test - Negative
CDC Split Type: vsafe

Write-up: The first thing I felt was a bit of a sore throat. That night I got no sleep. The next day I felt awful most of the day. I thought it might be allergies. On Saturday I felt awful and test for COVID-19 and it was positive. I started shivering. My temperature was 102.5 degrees. I was coughing and coughing stuff up. I called my doctor office and he called in Molnupiravir and I began taking it the same day. I started with a weird taste and then I started to lose my taste. After taking the medication, I started to feel better within a couple days. After testing negative on the 9th, on the 15th I had a rebound and tested positive again.


VAERS ID: 2621582 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Georgia  
Vaccinated: 2022-10-25
Onset: 2023-02-16
   Days after vaccination: 114
Submitted: 0000-00-00
Entered: 2023-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 052D22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Oropharyngeal pain, Photophobia, SARS-CoV-2 test positive, Streptococcus test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: Chronic Fatigue
Allergies: Gluten
Diagnostic Lab Data: 16FEB2023 COVID-19 Test - Positive; 16FEB2023 Strep Test - Negative
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 2/16/23. I had a sore throat, extreme fatigue, headache, and light sensitivity. I contacted my doctor but was not prescribed medication. I took Nyquil, Dayquil, and Advil. No other medications were taken. I am feeling better now.


VAERS ID: 2471820 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Georgia  
Vaccinated: 0000-00-00
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2022-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Computerised tomogram, Dehydration, Fall, Muscular weakness, Surgery
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Dehydration (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: None
CDC Split Type: vsafe

Write-up: I developed weakness in my right leg and a fall. At the end of that week, I saw a physician''s assistant. He said to drink more water as the result of a CT Scan during a follow up to surgery. I had major surgery on July 11, 2022. The CT Scan showed dehydration. He didn''t really address the issue in my leg, but I continue to have weakness. About four days ago, I fell again and the weakness has continued since then.


VAERS ID: 2610121 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Hawaii  
Vaccinated: 2022-10-01
Onset: 2023-03-24
   Days after vaccination: 174
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Ageusia, Asthenia, COVID-19, Chills, Dysphonia, Dyspnoea, Fatigue, Feeling cold, Nasal congestion, Oropharyngeal pain, Pain, Productive cough, SARS-CoV-2 test positive, Taste disorder
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (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: Metoprolol; multivitamin; vitamin C
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: COVID-19 home, positive, 03/25/2023
CDC Split Type: vsafe

Write-up: It started in the afternoon with a shiver that was so cold in my bones. The whole night I was having trouble breathing with nasal congestion. I had body aches. I took ADVIL, TYLENOL and THERAFLU to help with symptoms. I tested positive for COVID-19 the next morning of March 25th. It got worse and my sense of taste was not working, everything tasted too strong. I was coughing phlegm and I was weak and unable to breathe freely. This continued the rest of the weekend. I contacted my doctor on the 27th and received PAXLOVID. As of today, April 5th, I am unable to taste anything, and I still have a bit of a sore throat. I am hoarse and fatigued.


VAERS ID: 2539470 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Hawaii  
Vaccinated: 2022-10-04
Onset: 2022-10-16
   Days after vaccination: 12
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Hypersomnia, Pruritus, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (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: Vitamin D; multivitamin; aspirin; fish oil
Current Illness: N/A
Preexisting Conditions: Diabetes; Sarcoid; Fuchs Disease; Celiac
Allergies: Penicillin; morphine; DARVOCET
Diagnostic Lab Data: Home COVID-19, positive, 10/17/2022
CDC Split Type: vsafe

Write-up: On October 16, 2022, I tested positive for COVID-19. I slept a lot. I called the doctor on Monday. I was prescribed PAXLOVID. One of my symptoms was severe itching. I didn''t have any other symptoms. My fatigue and itching lasted about 5 days.


VAERS ID: 2596225 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Hawaii  
Vaccinated: 2022-09-11
Onset: 2022-09-21
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2023-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; Azelastine Nasal Solution; Finasteride; Fluticasone Propionate Nasal Suspension; Glyxambi; Losartan; Metformin; Montelukast; Tamsulosin; Topiramate; SAMe; Multivitamin; Fish Oil; Vitamin D; Vitamin B Complex
Current Illness: None
Preexisting Conditions: Type 2 Diabetes; Hypertension; High Cholesterol
Allergies: Cipro; Grass Molds; Molds
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: After the vaccination, I had a bit of soreness in my arm, but I didn''t experience anything out of the ordinary. About 10 days later, I noticed an unusual pain in my left hip. I tried stretching, but it got worse. It continued to get worse over the next few days. I couldn''t walk from the parking lot and my building, which was about 3/4 of a mile, without stopping. That''s not normal for me. I already had a regular doctor''s appointment scheduled. During my appointment, I mentioned it to my doctor. My doctor didn''t think much of it and said to wait to see if it goes away. It lasted for another five to seven days. I was on the verge of calling the doctor again, but it went away suddenly. It lasted two to three weeks total, but it hasn''t come back since then.


VAERS ID: 2606174 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Hawaii  
Vaccinated: 2022-09-26
Onset: 2023-03-01
   Days after vaccination: 156
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Suicidal ideation
SMQs:, Suicide/self-injury (narrow)

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: NOVOLOG
Current Illness: N/A
Preexisting Conditions: Diabetes
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Starting on 03/01/2023 I experienced suicidal ideation. I am unsure if it is vaccination related. I did seek treatment at an emergency room. I have follow up appointments.


VAERS ID: 2488241 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Iowa  
Vaccinated: 2022-09-16
Onset: 2022-10-16
   Days after vaccination: 30
Submitted: 0000-00-00
Entered: 2022-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7147B / 1 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphonia, Headache, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; azelaic acid gel; tretinoin cream
Current Illness: No
Preexisting Conditions: High blood pressure; Osteoporosis; Sciatica
Allergies: SUDAFED
Diagnostic Lab Data: COVID-19 antigen test negative
CDC Split Type: vsafe

Write-up: I had noticed symptoms beginning on Sunday October 16th. Before that I was sneezing but didn''t think anything of it. I noticed a tickle in my throat and 2 days later as we were traveling, my sneezing had continued and I had a runny nose, headache and slight sore throat. So I went to an urgent care to test for COVID-19 just in case and it was negative. I was diagnosed with a cold which I haven''t had in several years. I hadn''t been sick in any in so long. Today some of the symptoms have resulted but the runny nose has continued and my voice has been affected. Seems what was going on has moved down to my chest. I can breathe fine and my energy level is fine. The family we were visiting had been exposed to RSV.


VAERS ID: 2548914 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Iowa  
Vaccinated: 2022-10-01
Onset: 2022-12-24
   Days after vaccination: 84
Submitted: 0000-00-00
Entered: 2023-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Dysphonia, Fatigue, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Probiotic; krill oil; vitamin D3; melatonin; azithromycin; hydrochlorothiazide; levothyroxine; amlodipine; rosuvastatin; fenofibrate; LEXAPRO; tizanidine; pantoprazole; glimepiride; carvedilol; mirtazapine; metformin; gabapentin; EMBREL; AD
Current Illness: None
Preexisting Conditions: COPD; Rheumatoid Arthritis; Osteoarthritis; GERD; Hypothyroidism; Depression; High Blood Pressure; High Cholesterol; Fibromyalgia; Collagenous Colitis; Type 2 Diabetes
Allergies: RELAFEN; REMICADE
Diagnostic Lab Data: 12/25/2022 at home COVID-19 test positive; 12/31/2022 at home COVID-19 test negative; 1/02/2023 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: I started with a raspy voice on December 24, 2022, I tested positive for COVID-19 on December 25, 2022. I went to urgent care. They prescribed PAXLOVID. I started taking it the same day. It gave me diarrhea. I had the sore throat on December 25 and 26, 2022. I was very tired for a few days. I had a slight cough. On December 31, 2022, I tested negative for COVID-19. I also tested negative for COVID-19 on January 2, 2023. Now, I feel fine.


VAERS ID: 2611801 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Iowa  
Vaccinated: 2022-10-05
Onset: 2023-01-01
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Ear pain, Fatigue, Hunger, SARS-CoV-2 test positive
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Hypoglycaemia (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: MiraLAX; Probiotic; Vitamin B12; Vitamin D3; Amlodipine; Calcium Citrate; Eliquis; Gabapentin; Atorvastatin; Terazosin; Iron Tablet; Ipratropium
Current Illness: None
Preexisting Conditions: Hypertension; Type 2 Diabetes; Pulmonary Embolism
Allergies: Onions; Compazine; ACE Inhibitors; Silicone; Maple Tree Pollen; Prochlorperazine Edisylate; Prochlorperazine Maleate; Losartan; Lisinopril
Diagnostic Lab Data: 01/2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had an earache, but I didn''t have any other symptoms. The nurse said she had an earache when she had COVID-19. They doctor tested me for COVID-19. The result was positive. She prescribed Paxlovid. I took it twice a day for five days. I was exhausted and unusually hungry. Those were the only symptoms I experienced. It lasted for about four weeks. I still have lingering exhaustion.


VAERS ID: 2535468 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Iowa  
Vaccinated: 2022-09-15
Onset: 2022-12-12
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2022-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Feeling cold, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Pollen
Diagnostic Lab Data: 12/14/2022 COVID-19 antigen test positive
CDC Split Type: vsafe

Write-up: On 12/12/2022, I felt cold and had a bit of a cough and fatigue. Tuesday night, I woke up at 2 AM with chills and took my temperature which was 101. Took an at home COVID-19 test on 12/14/2022 and it was positive. I still have a little bit of a cough and very congested. My fever hung around until 12/15/2022 but it seems to be gone for today. I am still feeling very tired with general body aches.


VAERS ID: 2613696 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Iowa  
Vaccinated: 2022-10-11
Onset: 2023-02-14
   Days after vaccination: 126
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, COVID-19, Dyspnoea, Feeding disorder, Influenza virus test negative, Lethargy, Nasopharyngitis, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypoglycaemia (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 7 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Citalopram; baclofen; medroxyprogesterone
Current Illness: N/A
Preexisting Conditions: Muscular Dystrophy
Allergies: N/A
Diagnostic Lab Data: 14FEB2023 COVID-19 test positive; 14FEB2023 Blood panel, unknown; 14FEB2023 Flu test, negative
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 2/14/23. I had a scratchy throat and thought I was getting a cold. Later that day I was unable to breathe and went to the emergency room. I was hospitalized and they ran some tests and they thought they were going to have to intubate me, but it ended up they did not. They ended up giving me remdesivir through an IV for 5 days. I was also on a steroid. After being medicated for a couple days I was very lethargic and was unable to eat. This all lasted for about a week.


VAERS ID: 2561577 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Iowa  
Vaccinated: 2022-10-14
Onset: 2022-10-26
   Days after vaccination: 12
Submitted: 0000-00-00
Entered: 2023-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 061F22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, 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: After I got the second dose of the Pfizer COVID-19 vaccine, I developed body aches, which lasted for a couple of days
Other Medications: Levothyroxine; bupropion; pravastatin sodium; progesterone; atenolol; vitamin D; iron; baby aspirin.
Current Illness: None.
Preexisting Conditions: Left Bundle Branch Block; Hypothyroidism; High Cholesterol; Hypertension.
Allergies: Codeine.
Diagnostic Lab Data: 10/26/2022-10/29/2022 home antigen tests positive results; 10/30/2022 home antigen test negative result.
CDC Split Type: vsafe

Write-up: I received the Moderna Bivalent COVID-19 booster on 10/14/2022. On 10/26/2022, my daughter-in-law tested positive for COVID-19. I had recently spent time with her, so I decided to test myself. I took a home antigen test and got a positive result. I tested myself during the following days, and I didn''t test negative until 10/30/2022. I never really had any symptoms, but I contacted my NP, who prescribed me PAXLOVID, which I started taking on 10/26/2022.


VAERS ID: 2610150 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Iowa  
Vaccinated: 2022-10-01
Onset: 2023-01-14
   Days after vaccination: 105
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Myalgia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Low dose aspirin; multivitamin; vitamin D3
Current Illness: None
Preexisting Conditions: None
Allergies: Lisinopril; simvastatin
Diagnostic Lab Data: 01/15/2023 COVID-19 test positive; 03/29/2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: My symptoms started with muscle aches and pains. I am rarely a sick person. The next day, I tested myself for COVID-19. The result was positive. I messaged my doctor and asked what to do. I asked if I was a candidate for PAXLOVID. He prescribed PAXLOVID. I started it the same day. The pack was three pills. I experienced the symptoms for the next three days. By the 17th, I was symptom free, but I continued the PAXLOVID. Seven days after onset, I took another COVID-19 test. The result was still positive. Ten days from onset of symptoms, I took another COVID-19 test. The result was negative. On March 28, 2023, I developed a severe runny nose. The next day, I tested for COVID-19 test. The result was positive. I contacted my doctor and asked if I should consider PAXLOVID. He said it was up to me. I said I would like to take it. He prescribed it for me. The pack was 2 pills. I finished my doses. The runny nose lasted three days. I was feeling alright. On day 7, I took another COVID-19 test. The result was negative. Currently, I have head congestion, but the runny nose is gone.


VAERS ID: 2628548 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Idaho  
Vaccinated: 2022-10-18
Onset: 2022-11-01
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 017A22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Biopsy skin, Joint swelling, Oedema, Pruritus, Rash, Rash pustular, Vasculitis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vasculitis (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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: Calcium; Vitamin D3; Olmesartan-Amlodipine-Hydrochlorothiazide; Metoprolol; Omeprazole; Synthroid; Spironolactone; Pravastatin; Trazodone (As Needed); Xyzal (As Needed); Tylenol (As Needed)
Current Illness: None
Preexisting Conditions: Hypertension; High Cholesterol; Obstructive Sleep Apnea; Degenerative Joint Disease; Multinodular Goiter; Acid Reflux; Migraines; Hypertensive Kidney Disease; Diverticulosis; Spondylolisthesis of the Vertebrae (L4 and L5); Insomnia
Allergies: Flagyl; Levofloxacin; Tetracycline; Gentamycin; Bandage Adhesives; Sulfa Drugs; Lanolin
Diagnostic Lab Data: APR2023 - Punch Biopsy - Vasculitis Indicated
CDC Split Type: vsafe

Write-up: In November 2022, I experienced terrible itching of both of my ankles. I also had a lot of ankle swelling, as I had just been traveling. I kept experiencing itching. I developed a pustular rash that extended from the tops of my feet to the area halfway up my calves. I thought that maybe this had been caused by a soap or detergent I had used, because I had recently used brands I didn''t normally use. I went to my PCP, who diagnosed it as vasculitis, which she thought had been induced by amiloride I had recently taken. I then stopped taking amiloride and switched over to spironolactone, and everything seemed to clear up really well until early April 2023. During that period, the symptoms returned. I had the pustular rash in the same places as before again, only it was worse. This time around, the rash spread up my thighs, to my abdomen, to my chest, and to my back. I went back to the PCP. This time, she knew for certain that I had vasculitis, but she was unsure how to proceed. She didn''t know whether I should discontinue other medications, or if we were missing something else skin-related. I was referred to a dermatologist. The dermatologist affirmed that it was vasculitis, and she decided to do a punch biopsy, the results of which just showed signs of vasculitis. She then gave me a Kenalog injection. After the Kenalog injection, everything cleared up, including the rash and the itching. Ultimately, the dermatologist concluded that the vasculitis was edema-related. She told me that when traveling, I should wear support hose and keep my legs elevated and then see if those help prevent future incidents of vasculitis. She also told me that if I had any more skin issues, I am to return to her office.


VAERS ID: 2478522 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Idaho  
Vaccinated: 2022-10-01
Onset: 2022-10-11
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2022-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ear pain, Facial pain, Herpes simplex test, Lip blister, Oropharyngeal pain, Pain in jaw, Tongue blistering
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Osteonecrosis (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Latex; azithromycin
Diagnostic Lab Data: HSV1- Have not gotten results. HSV2- Have not gotten results.
CDC Split Type: vsafe

Write-up: I noticed that I got a blister on my lip. The next day I developed pain on the left side of my face under my eye, ear, and jaw line. I had a sore throat and another blister on my tongue. I went into the urgent care 10/13/2022 and the doctor thought I might have either singles, or just bad allergies. I went home and took a BENADRYL and today I am feeling so much better. I still have pain behind my ear, my face is starting to feel better.


VAERS ID: 2612340 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Idaho  
Vaccinated: 2022-10-09
Onset: 2023-01-01
   Days after vaccination: 84
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 3 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, C-reactive protein increased, Hypoaesthesia, Paraesthesia, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Sexual dysfunction (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: Citalopram; amitriptyline; MIRENA IUD; multivitamin; vitamin D; spironolactone; clindamycin
Current Illness: N/A
Preexisting Conditions: Possible COVID-19 09/14/2023; Never tested positive and never developed symptoms; Depression; OCD; Spectrum Disorder; PTSD; IBS; Possible Celiac Disease
Allergies: Amoxicillin; latex
Diagnostic Lab Data: 04/03/2023 Blood panel
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/09/2022. Approximately in 01/2023 I started to experience tingling in legs and arms throughout the day. It may be a nerve thing but not circulatory. If I change position it will go away but can be scary when I am driving. I wake up every morning with one or both of my extremities being numb and sometimes swollen. I had tests done on 04/03/2023 to include a blood panel. All blood work was fine except the C Reactive protein was high. I am now being referred to a specialist. I am seeing specialist to be determined up to 3 weeks. I stopped taking the spironolactone to see if reaction to the medication last week but I am still experiencing the tingling.


VAERS ID: 2540919 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Idaho  
Vaccinated: 2022-09-21
Onset: 2022-12-07
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CENTRUM multivitamin for women; fish oil; calcium with D3; atorvastatin; amlodipine besylate; losartan HCTZ; levothyroxine; 50/50 estrogen testosterone cream; progesterone
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Thyroid
Allergies: N/A
Diagnostic Lab Data: 09DEC2022 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: I started having a sore throat and then I started to take a MUCINEX decongestant and cough medicine ROBITUSSIN DM. It felt more severe than a regular cold. I felt feverish but didn''t have a high fever. I''m still feeling fatigued and congested but feeling better and sleeping good.


VAERS ID: 2523710 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Idaho  
Vaccinated: 2022-12-02
Onset: 2022-12-02
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 043H22A / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Gait disturbance, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxychloroquine, Nexium, Nuvigil, Metformin, Methadone, Lyrica, Oxycodone, Prednisone
Current Illness: none
Preexisting Conditions: Lupus, osteoarthritis, narcolepsy, variant angina, peripheral neuropathy,
Allergies: Morphine, Vicodin, Codeine, Tramadol, Ultram, Percoset,
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Began having sever pain in shoulders, lower back, hips, moderate pain in elbows, knees about 2hrs after vaccines. On 12/04 began having muscle pain in legs and arms. Have had difficulty walking and lifting. Have taken prednisone along with aspirin and Tylenol to help. Have a dr. appt on 12/06


VAERS ID: 2539295 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-11-08
Onset: 2022-11-29
   Days after vaccination: 21
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Cough, Ear pain, Lower respiratory tract infection, Paranasal sinus hypersecretion, SARS-CoV-2 test negative, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (broad), COVID-19 (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: Cetirizine; FLONASE; BENADRYL; ibuprofen; TYLENOL PM; vitamin C; multivitamin
Current Illness: None
Preexisting Conditions: Sinus Migraines
Allergies: Seasonal
Diagnostic Lab Data: 12/08/2022 at home COVID-19 test (x2) negative; 12/16/2022 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: I started experiencing a chest cold with coughing and heaviness in the chest. My sinuses got all stuffy and runny. That''s been going on for about three weeks. I''ve been using over the counter medications. I took several COVID-19 tests, but they were all negative. My right ear started hurting. I called the doctor to see if I could get in antibiotic for it. I couldn''t because my doctor was out of town. The nurse took me off one of my allergy medications and told me to take CLARITIN D and FLONASE. They also took my off MUCINEX and asked me to take ROBITUSSIN.


VAERS ID: 2591837 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-02
Onset: 2022-12-14
   Days after vaccination: 103
Submitted: 0000-00-00
Entered: 2023-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, COVID-19, Chest X-ray normal, Cough, Headache, Influenza A virus test negative, Influenza B virus test, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Aspirin
Diagnostic Lab Data: 12/16/2022 COVID-19 test positive, 12/16/2022 Flu A negative, 12/16/2022 Flu B negative, 12/16/2022 Chest X-ray negative
CDC Split Type: vsafe

Write-up: Started symptoms on 12/14/2022 and on 12/16/2022 went to a clinic and tested positive for COVID-19. Diagnosed with acute bronchitis. I didn''t not get rid of the cough until the end of January. I also still have headaches, but they are much less frequent.


VAERS ID: 2507384 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-10-24
Onset: 2022-11-09
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2022-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR UJ933AB / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthritis bacterial, Aspiration joint, Asthenia, Blood test abnormal, Culture negative, Infection, Injection site abscess, Injection site pain, Joint range of motion decreased, Malaise, Pain, Rotator cuff syndrome, Synovial fluid analysis, Synovial fluid cell count, Synovial fluid red blood cells positive, Synovial fluid white blood cells positive
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Arthritis (narrow), Tendinopathies and ligament disorders (narrow)

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? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ? amLODIPine 2.5 mg tablet, Take 1 tablet in the morning, Disp: 30 tablet, Rfl: 3 ? amLODIPine 5 mg tablet, Take 1 tablet by mouth daily., Disp: 90 tablet, Rfl: 3 ? ATORVASTATIN 40 mg tablet, TAKE 1 TABLET BY MOUTH DAILY, ? Ciclopirox 0.7
Current Illness: none
Preexisting Conditions: Primary open angle glaucoma of both eyes, mild stage ? Hypertension ? Type 2 diabetes mellitus ? CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min ? OA (osteoarthritis) of hip ? Osteoporosis ? Nuclear sclerosis of both eyes ? Hyperlipidemia ? CIN II (cervical intraepithelial neoplasia II) ? Tubular adenoma ? Normochromic anemia ? Advance directive discussed with patient ? Primary osteoarthritis of right knee ? Memory loss ? Cognitive impairment
Allergies: History of Penicillin at 20yoa. but patient does not remember the reaction. Tolerates cephalosporins
Diagnostic Lab Data: 11/11/22 Arthrocentesis L shoulder: Specimen Description Joint (Synovial) Fluid Reason For Test R/o septic shoulder Pathologist Review, Fluid No Fluid Type SYNOVIAL FLUID Appearance, Fluid TURBID Total Count, Fluid /uL 187,250 RBC, Fluid /uL 25,000 Total Nucleated Cell, Body Fluid /uL 162,250 Neuts, Fluid % 92.0 Comment: INTRACELLULAR AND EXTRACELLULAR BACTERIA REPORTED TO DR. ON 11/12/2022 Lymphs, Fluid % 1.0 Macrophages, Fluid % 7.0 Mesothelial Cells, Fluid % 0.0 Eos, Fluid % 0.0 Basos, Fluid % 0.0 Plasma Cell, Fluid % 0.0 Unclassified, Fluid % 0.0 Culture with gram negativebacilli Taken to OR 11/13/22 for washout. OR cultures are pending
CDC Split Type:

Write-up: Septic Arthritis: This is an 81 yo female who initially presented to the hospital 11/9/22 not feeling well with generalized weakness. Over the course of the next several days, pt began complaining of worsening L shoulder pain with restricted ROM. She was give one dose of steroids but this only helped minimally. Ortho was consulted and arthrocentesis performed; cell count was c/w infection. Pt subsequently went to OR 11/13 for washout. Was found to ave L subdeltoid abscess that tracked to joint. +rotator cuff tear. Notably, pt with worsening pain since Covid bivalent vaccine administered in L deltoid 10/26/22


VAERS ID: 2612495 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-13
Onset: 2023-02-11
   Days after vaccination: 151
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / N/A - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sinus pain, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Levothyroxine; Atenolol; Warfarin; Vitamin D3; Calcium; Magnesium; Allergy Shots;
Current Illness: N/A
Preexisting Conditions: Atrial Fibrillation
Allergies: Penicillin; Lactose
Diagnostic Lab Data: COVID-19 Home Test
CDC Split Type: vsafe

Write-up: I was not feeling well and I thought I had a sinus infection. My sinus hurt, I had a lot of phlegm and a high fever. I ended up doing a COIVD-19 Home Test and it was positive. I did reach out to my health care provider, and it was too late to get on a medication. I did end up feeling better after COVID but I had a sinus infection as well following it and I had to go in for an antibiotic as well.


VAERS ID: 2612481 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-10-07
Onset: 2023-02-27
   Days after vaccination: 143
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Ibuprofen; fish oil; calcium; vitamin D
Current Illness: N/A
Preexisting Conditions: High Cholesterol
Allergies: Sulfa
Diagnostic Lab Data: 01MAR2023 COVID-19 test positive; 11MAR2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I had a sore throat, congestion, and a headache. I contacted my doctor and was prescribed amoxicillin. I also took ibuprofen. I decided to take a COVID-19 test because I had a dentist appointment and I ended up testing positive. I contacted my doctor but was not prescribed medication. I took another COVID-19 test on day 10 and tested negative.


VAERS ID: 2539375 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-20
Onset: 2022-12-09
   Days after vaccination: 80
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Escitalopram
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 09Dec2022 COVID-19 test negative; 12DEC2022 COVID-19 test positive; 20DEC2022 COVID-19 test negative
CDC Split Type: vsafe

Write-up: Three months later, I woke up what I thought it a bad cold, congestion, headache, body ache, low fever (101 degrees). I took a COVID-19 test and it was negative, I took another test on Monday and it was positive; I called the doctor and she prescribed PAXLOVID for 5 days, I took another one yesterday and it was negative.


VAERS ID: 2557602 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-10-11
Onset: 2022-11-01
   Days after vaccination: 21
Submitted: 0000-00-00
Entered: 2023-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance, Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine; metoprolol; vitamin D2; STIOLTO inhaler; calcium; PRILOSEC; aspirin
Current Illness: N/A
Preexisting Conditions: Hypothyroidism; Emphysema; Rapid Heartbeat
Allergies: Milk
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: In November of 2022 I began to have right leg weakness and pain and I had trouble walking. I took one course of prednisone and tramadol. I did physical therapy for several weeks. I was using a cane for several weeks. The therapist identified that it was the muscle in my right quadricep that was weak.


VAERS ID: 2606772 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-20
Onset: 2023-02-09
   Days after vaccination: 142
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, COVID-19, Fatigue, Flank pain, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Tinnitus
SMQs:, Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hearing impairment (narrow), 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: Benicar; Metformin; Atorvastatin; Glimepiride
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Type II Diabetic; Hyperthyroidism
Allergies: Latex
Diagnostic Lab Data: COVID-19 Home Test
CDC Split Type: vsafe

Write-up: I have a bad headache and the next day I took a COVID-19 Home Test the next day and it was positive. I reached out to my health care provider, and they gave me Paxlovid. I had horrible body aches, and this pain in my back and flank that was excruciating. I also had a sore throat; a headache and I was so exhausted but starting the medication did help. I did notice that the tinnitus in my ears got worse and it has not gone away as well.


VAERS ID: 2574317 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-11-02
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 052D22A / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Lethargy, Malaise, Respiratory tract congestion, Respiratory tract infection, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide; amlodipine; buspirone; losartan; VIIBRYD; tizanidine; lorazepam; TYLENOL
Current Illness: Taking antibiotic during this time; unknown 10/2022
Preexisting Conditions: Fibromyalgia; Chronic Back Pain; Depression; Anxiety
Allergies: Unknown medication for antidepressant; hives
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had my vaccination on 11/02/2022. In 12/2022 my spouse became ill with respiratory infection. I got sick about 2 weeks later and I was sick for about 3 weeks. This included fatigue, congestions, lots of coughing, lethargic and runny nose. I went to urgent care and was prescribed antibiotics for respiratory infection. I do feel ok on 02/02/2023 but not 100%.


VAERS ID: 2531016 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-12
Onset: 2022-10-18
   Days after vaccination: 36
Submitted: 0000-00-00
Entered: 2022-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Pain, SARS-CoV-2 test positive, Somnolence
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: JARDIANCE; lisinopril/HCTHCZ; amlodipine; omeprazole; atorvastatin; calcium; glucosamine chondroitin; multivitamin; aspirin; YUVAFEM; AREDS; fish oil; vitamin B12; ranolazine; XYZAL; ipratropium nose spray
Current Illness: None
Preexisting Conditions: Questionable heart issues; high blood pressure; high cholesterol
Allergies: None
Diagnostic Lab Data: Home COVID test, positive
CDC Split Type: vsafe

Write-up: 10/18/22 I was feeling achy. I took a home COVID test and it was positive. The next day I was really tired, and I had to take a lot of naps that day. The next day I began to cough a lot. This lasted for the next 10 days. I have recovered.


VAERS ID: 2601842 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-20
Onset: 2022-10-01
   Days after vaccination: 11
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Biopsy uterus abnormal, Blood test normal, Congenital uterine anomaly, Endocrine test normal, Endometrial hyperplasia, Heavy menstrual bleeding, Polypectomy, Saline infusion sonogram, Surgery, Uterine polyp
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Congenital, familial and genetic disorders (narrow), Reproductive premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Uterine and fallopian tube tumours of unspecified malignancy (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: Fiber; Vivant
Current Illness: None
Preexisting Conditions: Polycystic Ovarian Syndrome; ADHD
Allergies: None
Diagnostic Lab Data: NOV2022 - Hormonal Blood Work - Nothing Abnormal; DEC2022 - Saline Ultrasound - Polyps Discovered
CDC Split Type: vsafe

Write-up: In October of 2022, we were attending a clinic for artificial insemination. They noticed that I had a number of uterine polyps and an abnormally heavy blood flow. They took a look and noticed a congenital uterine septum. I later had surgery to treat that and remove the polyps in January. When they looked at the biopsy of the polyps, there was endometrial hyperplasia without atypia. I am on a follow up course now of progesterone to take care of that issue.


VAERS ID: 2601931 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2022-09-20
Onset: 2023-03-02
   Days after vaccination: 163
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145C / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Brain fog, COVID-19, Fatigue, Feeling cold, Headache, Malaise, Oropharyngeal pain, Pain, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: All COVID-19 Vaccines - Flu like symptoms ( 24 hours)
Other Medications: Fish Oil; Omega 3; Magnesium; Vitamin B12; Turmeric; Vitamin D3
Current Illness: N/A
Preexisting Conditions: Lower back and neck issues
Allergies: Clindamycin
Diagnostic Lab Data: 04MAR2023 COVID-19 Test- Positive
CDC Split Type: vsafe

Write-up: My COVID-19 symptoms started on 03/02/2023 at night. I felt very run down. I was tired. I woke up with chilled, achy, foggy, headache, and low grade. On 03/04/2023 I tested with a home COVID-19 which was positive. I send my doctor message through my chart. They got back to me and stated that I would be eligible for the medication according to my age/health issues. They mentioned to take cold medication as per needed but nothing was prescribe to me. My doctor advised me to see him if I develop breathing issues or something out of the ordinary. I had a sore throat on the 3rd day. It subsided after 2 days. I had a strong cough on the 5th day with phlegm for the entire day but it was gone by the next day. I had a slight sinus congestion which was present as well but it might be because its spring coming soon.


VAERS ID: 2602238 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-18
Onset: 2023-02-03
   Days after vaccination: 138
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 3 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, Blood glucose decreased, Blood glucose increased, Bronchitis, Chest X-ray abnormal, Condition aggravated, Cough, Diabetes mellitus, Influenza virus test negative, Laryngitis, Nasopharyngitis, Pleural effusion, SARS-CoV-2 test negative, Type 1 diabetes mellitus
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (narrow), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (narrow), COVID-19 (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: NOVOLOG insulin pump; levothyroxine; enalapril; labetalol; amlodipine
Current Illness: N/A
Preexisting Conditions: Type 1 Diabetic; Hypertension
Allergies: N/A
Diagnostic Lab Data: Chest X-ray 02/07/2023 fluid in lungs, COVID-19 PCR test 02/07/2023 negative, Flu 02/07/2023 negative
CDC Split Type: vsafe

Write-up: It felt like a common cold with a really heavy cough, and I lost my voice. I lost my voice for 4 days and had Laryngitis for a total of 2 weeks. I had appointment with the urgent care center, and they completed a chest x-ray on 02/07/2023 which showed that there was fluid around the lungs. I was prescribed prednisone and a Z-PAK of azithromycin. I was also given albuterol breathing treatments. I was also diagnosed with bronchitis. I started feeling better as far as the cold symptoms, but it caused a whirlwind with my Type 1 Diabetes causing high and low blood sugars. It took about a month to completely recover. I had to work with my endocrinologist to get my blood sugars back under control.


VAERS ID: 2487282 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-10-15
Onset: 2022-10-16
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Impaired driving ability, Reading disorder
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? No
Previous Vaccinations:
Other Medications: Amlodipine; levothyroxine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: When I was reading my emails for work the next day I realized the letters were wiggly. I couldn''t make out what it was saying. I can''t tell if it is getting better or worse. It also impacts my driving. I have an appointment in December.


VAERS ID: 2563312 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-10-19
Onset: 2023-01-03
   Days after vaccination: 76
Submitted: 0000-00-00
Entered: 2023-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Herpes zoster, Neuralgia, Rash, Rash erythematous, Rash macular, Rash pruritic, Sleep disorder, Tenderness
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; vitamin D; calcium; women''s ONE A DAY 50 year old plus; vitamin C
Current Illness: N/A
Preexisting Conditions: High Cholesterol
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I have been diagnosed with Shingles since having had my COVID-19 vaccine. I noticed this rash that was red and splotchy and tender to the touch. It was on my right hip it then began to get more painful, it was burning, and itchy. It was bothering me enough that I was not sleeping. At first, I thought it may be a bug bite but as it spread and got worse, I reached out to my doctor and went in, and she confirmed what I had found with research and that it was shingles. They gave me an antiviral and some gabapentin to help with the nerve pain since shingles affects the nerves. I have been using calamine lotion which helps but it is still itchy and bothering me. I did have my flu vaccine the same day that I had my COVID-19 shot but I do not have the information on that shot, I also had never had a flu shot prior that day.


VAERS ID: 2604054 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-23
Onset: 2022-12-07
   Days after vaccination: 75
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Condition aggravated, Cough, Nasal congestion, Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin; Singulair; Levothyroxine; Symbicort; Omeprazole; Colestipol; Claritin; Iron; B Complex; Vitamin D-3; Fiber Gummies; Apple Cider Vinegar gummies; Cranberry Supplement
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Sulfa
Diagnostic Lab Data: 10DEC2023 COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: I started having a sore throat and a runny nose. I also experienced a lot of coughing with half of the time being productive, the other half being unproductive. I did not have a fever. Then I experienced a stuffy nose. My asthma kicked in, so I was told to use my Nebulizer. I was also given a course of Prednisone along with Benzonatate and an additional antibiotic.


VAERS ID: 2527077 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-07
Onset: 2022-10-24
   Days after vaccination: 47
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Ear discomfort, Ear pain, Fatigue, Hypoacusis, Impaired work ability, Influenza virus test negative, Malaise, Nasal congestion, Oropharyngeal pain, Productive cough, Pyrexia, Respiratory symptom, SARS-CoV-2 test negative, Sleep disorder, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (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: I always experience drowsiness, arm pain, body aches, and a slight fever whenever I get Moderna COVID-19 injections.
Other Medications: SINGULAIR; famotidine; LINZESS.
Current Illness: None.
Preexisting Conditions: Acid Reflux Disease.
Allergies: Penicillin; Z-PAK; erythromycin.
Diagnostic Lab Data: 10/27/2022 home antigen test negative result; 10/27/2022 clinical flu test negative result.
CDC Split Type: vsafe

Write-up: I received the Moderna COVID-19 booster on 9/7/2022. On 10/24/2022, I woke up at night with a sore throat. I felt a wave of fatigue and had a slight fever. On 10/25/2022, I developed respiratory symptoms that included stuffy nose, phlegm in the throat, clogged ears, an earache in the right ear. I had difficulty hearing, and listening is a key necessity for my job, as I am a psychologist. Not only that, but I also have pre-existing tinnitus, and it was exacerbated by the symptoms I developed. I took a home antigen test on 10/27/2022 and got a negative result. I was also given a flu test by my doctor, which also yielded a negative result. The doctor then prescribed me an antibiotic cough suppressant, which I ended up not taking. Instead, on the10/28/2022, I contacted my PCP, who prescribed ciprofloxacin. From then on, I took the ciprofloxacin with MUCINEX to treat my symptoms. Altogether, I was sick for 3 1/2 weeks. It was 4 weeks before I got my hearing back and felt fine again. Thankfully, I have the option of working remotely, so I didn''t miss too much work during my illness.


VAERS ID: 2609069 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2022-09-29
Onset: 2022-12-14
   Days after vaccination: 76
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Hypertonic bladder, Renal disorder, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (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: Enalapril Maleate; Low Dose Aspirin; Atorvastatin; Centrum Silver; Citrucel; Asmanex
Current Illness: None
Preexisting Conditions: High Blood Pressure; Heart Murmur
Allergies: Dust Mite; MSG
Diagnostic Lab Data: 12/14/2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: In December, my wife contracted COVID-19. Six days later, I tested positive for COVID-19. I contacted my doctor. She prescribed Paxlovid. I tested positive for COVID-19 for the next four days. I had I had a slight cough and postnasal drip for about two weeks. In January, I contacted my doctor again because COVID-19 seemed to have affected my kidneys. Now, I also take Mirabegron for an overactive bladder.


VAERS ID: 2608527 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2022-09-28
Onset: 2022-12-30
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / -

Administered by: Private       Purchased by: ?
Symptoms: Aortic aneurysm, Arrhythmia, Blood test abnormal, Computerised tomogram thorax normal, Dizziness, Echocardiogram abnormal, Electrocardiogram abnormal, Exercise tolerance decreased, Feeling abnormal, Heart rate increased, Oxygen saturation abnormal, Prostatectomy, Tinnitus, Valsalva maneuver
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Prostate malignant tumours (broad), Respiratory failure (broad), Infective pneumonia (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (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, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Alfuzosin; tamsulosin; levothyroxine; prednisone; fluticasone nasal spray; stinging nettle leaf; eyebright extract; glucosamine chondroitin; vitamin D; fish oil; SUPER BETA PROSTATE supplement
Current Illness: None
Preexisting Conditions: Sarcoidosis; Retinal Detachment in Right Eye; History of Enlarged Prostate (Surgically Corrected)
Allergies: Penicillin
Diagnostic Lab Data: 30DEC2022 ER Pulse Oximeter 176 BPM; 30DEC2022 EKG abnormalities detected; 30DEC2022 Bloodwork possible Pulmonary blood clot detected; 30DEC2022 CT scan of chest, no blood clot detected; 19JAN2023 Echocardiogram, Aortic Aneurysm detected
CDC Split Type: vsafe

Write-up: At about 9 AM on 12/30/2022, I started feeling strange. I felt sort of lightheaded and dizzy. I could hear my heartbeat in my ears and feel it a little bit. I called my doctor''s office and spoke to the triage nurse. I used my pulse oximeter, which gave strange readings. The nurse tried give me instructions on how to check my heartrate, but I couldn''t find my pulse. She then told me to go to the ER, which I promptly did. At the ER, the nurse measured my heartrate at 176 BPM. I then underwent an EKG. The ER doctor then instructed me to do the Valsalva maneuver, which I did. The first time brought my heartrate down. I then did it a second time, and it brought my heart back into rhythm. I stayed at the ER for about six hours, during which I was monitored. When they did my bloodwork, they found something concerning, so they did a CT scan of my lungs to check for blood clots. When the CT scan was performed, the results were normal. I was referred to a cardiologist, whom I am scheduled to see for the first time in the near future. On 1/12/2023, I saw a PA at a cardiology institute, and he scheduled an echocardiogram and a stress test. After I underwent the echocardiogram on 1/19/2023 and an aortic aneurysm was discovered, the stress test was cancelled. On 1/25/2023, I underwent a simple prostatectomy to treat an enlarged prostate issue I had been dealing with for at least 20 years. After my surgery, I was in the hospital for two days. I stayed at home and recovered for six weeks, and I was instructed to not do any heavy lifting. Ever since then, I have been doing fine and feel well enough to play golf and work out at the gym.


VAERS ID: 2606660 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-25
Onset: 2022-12-23
   Days after vaccination: 89
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Animal bite, Arthralgia, Brain fog, COVID-19, Chills, Cough, Decreased appetite, Diarrhoea, Dizziness, Headache, Hyperhidrosis, Inflammation, Nasopharyngitis, Oropharyngeal pain, Pain of skin, Paranasal sinus discomfort, Pyrexia, Rash pruritic, Rhinorrhoea, SARS-CoV-2 test positive, Secretion discharge, Wound
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: First 2 COVID-19 shots set off Colitis and Joint Pain lasting a month and a half for the Colitis. Moderna 43 years old
Other Medications: Lanthionine; azelastine; mometasone; fluticasone propionate; ALLEGRA; cetirizine hydrochloride; famotidine; montelukast; tryptophan; garlic pills; CULTURELLE; ALIGN; MSM; glucosamine; choline; turmeric; curcumin
Current Illness: No
Preexisting Conditions: Allergies; Joint Pain; Colitis; Asthma; Sinus Issues; Rash on face
Allergies: OMNICEF; clindamycin
Diagnostic Lab Data: 26Dec2022 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: 12/23/2022 I was bitten by a dog and treated by same doctor. Doctor cleaned wound and gave VOLTAREN for inflammation. That day I started to develop symptoms of fever and a runny nose, coughing, sinus pressure, headache, joint pain more than normal, typically it''s just knees and hips, this was all joints from ankles to neck up the spin, along with diarrhea, Skin hurt as well, chills, stomach pain. 12/26 positive on an at home COVID-19 test. Televisit with doctor on 12/27. Doctor prescribed PAXLOVID and to treat symptomatically. While on PAXLOVID, mucus changed viscosity from thick and gloopy to thin and runny, I developed a sore throat, the diarrhea was bad, and diminished appetite. On 1/1/2023 symptoms diminished to just the runny nose and mild cough. Then on 1/5 symptoms returned with greater volume of thick gloopy mucus, sinus pressure, headache, stomachache, joint pain, fever was worse than before with increased sweating that would necessitate changing of clothes multiple times a day, and diarrhea returned as well. During rebound, there was no skin sensitivity, but the rash was worse and itchy. Doctor advised this might be "Covid Rebound" by email and to treat symptomatically. Second time around, the symptoms were much worse with dizziness and brain fog developing. Doctor prescribed a second round of PAXLOVID. Symptoms gradually getting better starting on 2/6/2023 until finally ending on 2/12/2023. Participant reports they have had 3 colds between 2/12/2023 and time of reporting.


VAERS ID: 2597646 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2022-09-14
Onset: 2022-12-20
   Days after vaccination: 97
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS714SB / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Influenza like illness, Malaise, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (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: Atorvastatin; Tamsulosin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 20DEC2022 - At Home COVID-19 Test - Positive; 20DEC2022 - 20DEC2022 - At Home COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: On 12/20/2022, I woke up and I didn''t feel well. I felt cold like symptoms coming on. My wife had already woken up and was downstairs. We are both very worried about COVID-19, so before coming downstairs, I took a COVID-19 test and it was positive. I informed her from a distance about my results and then immediately started quarantining. I made an appointment for a consultation with my doctor and got in touch with her a few hours later. She prescribed Paxlovid, so my wife went to get that for me. I took it as prescribed. For the most part, the Paxlovid really helped. The doctor did warn me that I might "rebound." The COVID-19 wasn''t terrible. My fever never got that high. It never got any higher than the first day I checked it. On 12/25/2022, it had been five days and I ended quarantine. On 12/29/2022, around mid-morning, I was sneezing, and my wife suggested I take a COVID-19 test. That test was positive, but I had heard that you can test positive for a while after having COVID-19. I took my temperature, and it was around 100.4 and I normally run around 97.6. I treated it with Tylenol as I did before. I did a video consolation with a doctor in my primary care physician''s medical group. They suggested that I quarantine again because it sounded like a rebound case. I never loss my sense of taste or smell the first time I had COVID-19. The second time, I did lose both on the third night. That lasted for around 5 or 6 days before it returned. On the rebound case, I had more chills and flu like symptoms at the beginning and all I was taking was Tylenol. After a few days, my flu like symptoms got better. I ended my quarantine after five days.


VAERS ID: 2723015 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-21
Onset: 2022-10-22
   Days after vaccination: 31
Submitted: 0000-00-00
Entered: 2023-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / UNK - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Angioedema, Post-acute COVID-19 syndrome, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations:
Other Medications:
Current Illness: Autoimmune disorder (Autoimmune issues); Celiac disease; Hashimoto''s thyroiditis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: angiodema; long covid; hives; This spontaneous case was reported by a patient and describes the occurrence of ANGIOEDEMA (angiodema) in a 61-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7145B) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE (INFLUENZA) for an unknown indication. Concurrent medical conditions included Autoimmune disorder (Autoimmune issues), Hashimoto''s thyroiditis and Celiac disease. On 21-Sep-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular use) .5 milliliter and dose of INFLUENZA VACCINE (INFLUENZA) (unknown route) 1 dosage form. On 22-Oct-2022, after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced POST-ACUTE COVID-19 SYNDROME (long covid) and URTICARIA (hives). On an unknown date, the patient experienced ANGIOEDEMA (angiodema) (seriousness criterion medically significant). The patient was treated with PREDNISONE at an unspecified dose and frequency and EPINEPHRINE at an unspecified dose and frequency. At the time of the report, ANGIOEDEMA (angiodema), POST-ACUTE COVID-19 SYNDROME (long covid) and URTICARIA (hives) had not resolved. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular use), the reporter did not provide any causality assessments. No concomitant medications were reported. Lab data/results were reported as doctor diagnoses was vaccine induced long covid. Treatment medications also included steroid inhalers, epinephrine at ER, antihistamines. Company Comment: This is a spontaneous case concerning a 60-year-old female patient with a history of Autoimmune disorder, Hashimoto''s thyroiditis and Celiac disease, who experienced the serious (due to medically significant) unexpected event of Angioedema, which occurred on an unknown date after a dose of mRNA-1273 Bivalent .222 original and omicron BA.4/BA.5 vaccine. It was reported that treatment medications included steroid inhalers, epinephrine at ER, antihistamines. The outcome of the event was reported as not recovered. Patient?s medical history could be a contributing factor for the event. Influenza vaccine was considered as a co-suspect drug since it was administered on the same day of mRNA-1273 Bivalent .222. The benefit-risk relationship of mRNA-1273 Bivalent .222 original and omicron BA.4/BA.5 vaccine is not affected by this report.


VAERS ID: 2624146 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2022-10-21
Onset: 2023-04-02
   Days after vaccination: 163
Submitted: 0000-00-00
Entered: 2023-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Body temperature increased, COVID-19, Disturbance in attention, Hypophagia, Immobile, Laboratory test normal, Malaise, Mental impairment, Mobility decreased, Physical deconditioning, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine; Aspirin; Atenolol; CoQ10; Ethacrynic Acid; Insulin; Levothyroxine; Lisinopril; Omeprazole-Sodium Bicarbonate; Rosuvastatin; Vitamin B1; Vitamin C; Vitamin B6; Vitamin D3
Current Illness: None
Preexisting Conditions: Diabetes, Type I; Nonfunctioning Thyroid Gland
Allergies: Penicillin G Potassium; Tetanus Vaccine; Sulfa Drugs; Niacin ER; Cefuroxime; Other Antibiotics of Unknown Origin
Diagnostic Lab Data: 03APR2023 - Tests for COVID-19, Pneumonia, and RSV - Positive for COVID-19, Negative for Pneumonia and RSV
CDC Split Type: vsafe

Write-up: On the evening of 4/2/2023, I very quickly went into a trance when I started to feel ill. I was totally zoned out and immobile. I couldn''t function mentally or physically. I didn''t have the energy to move my body, and I couldn''t focus on what I was watching on TV. It was all very sudden; it was like running into a brick wall. I went to bed. I didn''t take any medicine on 4/3/2023. I also didn''t eat or drink anything, because I didn''t have the energy or desire to do it. When my wife arrived home from a trip later that day, she took my temperature, which was over 103. She called the doctor, who advised her to get me to the ER. I went to the ER and was admitted to the hospital. I was not released until 4/5/2023. At the hospital, I tested positive for COVID-19. I was also tested for RSV and pneumonia, and the results were negative for both. I was treated with remdesivir, albuterol, Tylenol, dexamethasone, enoxaparin, and intravenous fluids for hydration. I was released from the hospital on 4/5/2023. It took about three weeks before I was completely back to normal.


VAERS ID: 2596926 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-12
Onset: 2022-12-15
   Days after vaccination: 94
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Erythema, Fatigue, Malaise, Oropharyngeal pain, Pain of skin, Pyrexia, SARS-CoV-2 test positive, Sensitive skin
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: After all vaccinations arms would get sore.
Other Medications: Amlodipine; atorvastatin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Dust; pollen; shellfish
Diagnostic Lab Data: COVID-19 rapid test positive 12/16/2022
CDC Split Type: vsafe

Write-up: The symptoms didn''t really change much. I got a very sore throat, very short of breath, a high fever of about 102. My skin became super hypersensitive sore and red. I was dry hacking when I coughed. I tested myself on December 16, 2022, and I was positive for COVID-19. My cough extremely severe and my fever elevated to 102 so I went to urgent care the next day. I was prescribed PAXLOVID and TESSALON PEARLS. After a few days I began to feel improvement. I was really sick but started to feel better. I did feel better after the 5 days I still didn''t feel good. I was exhausted all the time which lasted for about 2 weeks.


VAERS ID: 2709848 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2023-10-28
Onset: 2023-11-02
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2023-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 11/2/23 tested positive for COVID on Abbott home test
CDC Split Type:

Write-up: Developed COVID symptoms 5 days after receiving both vaccinations and tested positive on home test


VAERS ID: 2544880 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-25
Onset: 2022-12-16
   Days after vaccination: 82
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, 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), 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? No
Hospitalized? No
Previous Vaccinations: COVID-19 breakthrough infection after dose 3 Pfizer January 2022.
Other Medications: Atorvastatin; vitamin D; famotidine; WAL ZYR; COLACE; aspirin; SMOOTH LAX.
Current Illness: N/A
Preexisting Conditions: Allergies; Lung issues; Asthma
Allergies: Sulfa
Diagnostic Lab Data: COVID-19 home test December 16, 2022 positive
CDC Split Type: vsafe

Write-up: I woke up with a slight sore throat. A couple of days before I was tired with a headache. I completed a COVID-19 home test and it was positive. By 5:00 PM I had a fever of 102.5, body aches, congestion and headache. I developed a little cough after a couple of days. I went to the clinic on Saturday, and they prescribed PAXLOVID, and I started taking it the same day. My symptoms did improve but it took a little while. By Sunday I was still symptomatic. My fever was still slightly elevated. I ran a fever for another 7 days. I am still extremely fatigued and I still have a little cough.


VAERS ID: 2695484 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Illinois  
Vaccinated: 2023-10-06
Onset: 2023-10-08
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER INFLUENZA VACCI / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Tinnitus
SMQs:, Hearing impairment (narrow)

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

Write-up: Tinnitus


VAERS ID: 2544777 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-11-15
Onset: 2022-12-22
   Days after vaccination: 37
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Fatigue, Headache, Pain, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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: MACROBID; methimazole; TYLENOL; probiotic; calcium; vitamin D; vitamin C; THERACRAN; eye supplement
Current Illness: N/A
Preexisting Conditions: Recurrent UTI; Post Op Lung Cancer Stage 1; Hyperthyroidism
Allergies: Lavender; seasonal; cold weather
Diagnostic Lab Data: COVID-19 home test, positive, 12/23/2022
CDC Split Type: vsafe

Write-up: On December 22nd I had a tickle throat and cough and a runny nose and headache. I had a fever on and off with chills. I was extremely tired and sore all over. I tested negative that night but positive for COVID-19 the following morning. I was prescribed and began taking PAXLOVID on December 23, 2022. The symptoms began to be better within about 5 hours but the symptoms from PAXLOVID were worse and included diarrhea. As of today, my nose is a little runny, but I have not had a fever in a day and a half. My headache is very mild.


VAERS ID: 2616275 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-30
Onset: 2023-01-06
   Days after vaccination: 98
Submitted: 0000-00-00
Entered: 2023-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Atrial flutter, Cardiac ablation, Echocardiogram abnormal, Electrocardiogram ambulatory abnormal, Electrocardiogram normal, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Noninfectious myocarditis/pericarditis (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: Metoprolol; oxybutynin; lisinopril-hydrochlorothiazide; vitamin D
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: Penicillin; BACTRIM
Diagnostic Lab Data: 13JAN23 normal; (?)Jan23 Echocardiogram, abnormal; (?)Holter Monitor, abnormal
CDC Split Type: vsafe

Write-up: 1/6/2023 I was experiencing heart palpitations, very strong and sometimes very lengthy of an hour or more. I mentioned it to my physician, and she said to keep an eye on it. It began to increase in frequency. I had an appointment with my physician about 2 weeks later, had an EKG which everything looked good. An echocardiogram and a Holter monitor for 48 hours were ordered. She suggested I see a Cardiologist. That doctor read the echocardiogram and the Holter monitor which showed a condition that needed addressed by a different cardiologist. He ordered ELIQUIS for me to start taking. I had an appointment with a different cardiologist. He said I had Atrial Flutter which could be taken care of with an ablation. I had the ablation on 4/12/23.


VAERS ID: 2595651 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-08
Onset: 2023-02-19
   Days after vaccination: 164
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthenia, COVID-19, Cough, Fatigue, Feeling abnormal, Gastric disorder, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: Rosuvastatin; MYRBETRIQ; losartan; fenofibrate; hydrochlorothiazide; vitamin D
Current Illness: N/A
Preexisting Conditions: Hypertension; Obese; Chronic Pain; Knee replacement 2013; Fall and Injury to shoulder and elbow 2021
Allergies: Erythromycin; metformin
Diagnostic Lab Data: 02/20/2023 COVID-19 positive
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/08/2022. On 02/19/2023 I had a cough that was getting worse. I tested COVID-19 positive on 02/20/2023. I called my doctor on 02/20/2023 and was informed to go to urgent care as I was out of the state. I went to a local urgent care in which I was prescribed PAXLOVID 02/21/2023. I feel the medication helped my cough. On 02/25/2023 I tested COVID-19 negative but I was still very weak with stomach problems. I came back home on 03/01/2023 and had 3 negative COVID-19 tests. I still had terrible fatigue and pain in my shoulder and elbow. I felt like my body was telling me my body is not right. I went to my orthopedist on 03/12/2023. They are unsure if it is lingering from COVID-19. I have started physical therapy to help my pain and energy levels.


VAERS ID: 2483151 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Illinois  
Vaccinated: 2022-09-06
Onset: 2022-09-26
   Days after vaccination: 20
Submitted: 0000-00-00
Entered: 2022-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Dysphonia, Feeling abnormal, Insomnia, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Lisinopril; letrozole; levothyroxine; ZOLOFT; multivitamin; calcium; 4 day of steroid pack methylprednisolone
Current Illness: I had a really bad spider bite and I was on declining pack of steroids
Preexisting Conditions: Undisclosed autoimmune illness; Breast cancer survivor
Allergies: Sulfur
Diagnostic Lab Data: COVID-19 test, positive
CDC Split Type: vsafe

Write-up: I felt like I had a very congested head cold, never ran a fever nor did I have a sore throat. I started coughing and currently still have the lingering cough. The cough is now making my throat sore. I took the PAXLOVID as well as OTC medication. I started feeling better around this time last week, but then over the weekend I started feeling crappy. I''m not testing positive for COVID-19 anymore and the doctor feels I could have caught a virus and not a rebound case. My voice is raspy currently. I feel worse today than I did when I had COVID-19 from coughing so much and not sleeping.


VAERS ID: 2632007 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Indiana  
Vaccinated: 2022-10-12
Onset: 2023-02-01
   Days after vaccination: 112
Submitted: 0000-00-00
Entered: 2023-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: FEB2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had chills, fever and body aches for two days after receiving the vaccine. I tested positive for COVID-19 in 02/2023. I contacted my doctor and got a prescription for PAXLOVID. I had no complications taking the medication. As of today, I have no lingering COVID-19 symptoms.


VAERS ID: 2539616 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Indiana  
Vaccinated: 2022-12-15
Onset: 2022-12-16
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site erythema, Injection site mass, Injection site warmth, Lymph node pain, Lymphadenopathy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (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: joint pain first pfizer COVID vaccine 2020
Other Medications: Ozempic, metformin, Lexapro, Diltiazam, furosemide, trazadone, ibuprofen
Current Illness: dental abcess
Preexisting Conditions: depression, diabetes
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Red, hot lump apporximately 3" of right upper arm. Fever of 101.3 degrees. extremely painful swollen lymph nodes along right collar bone. All present by about 9:00am the morning following the flu shot.


VAERS ID: 2561335 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Indiana  
Vaccinated: 2023-01-09
Onset: 2023-01-10
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6742 / 3 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Feeling hot, Headache, Pain, Poor quality sleep
SMQs:, Anticholinergic syndrome (broad), Depression (excl suicide and self injury) (broad), Vestibular 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin B
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: He started with dizziness described as the floor being unsteady. Almost like vertigo. He also had headaches, not sure if it was a specific place since he complained about the whole head, and he complained about body aches. He also was fatigued yet could not sleep well. His temperature was normal, not feverish however he complained that he felt like he had a fever. Doctor was not able to see him, so it was either wait 4 weeks for an appointment or go to the ER. We opted to stay at home. He has recovered a bit, just doing home care and giving him electrolytes. Within 12 hours he started to feel better. Everyday he felt better, and is almost fully recovered now 5 days later.


VAERS ID: 2520989 (history)  
Form: Version 2.0  
Age: 4.0  
Sex: Male  
Location: Kansas  
Vaccinated: 2022-11-22
Onset: 2022-11-23
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 LL / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LL / IM

Administered by: Public       Purchased by: ?
Symptoms: Tic
SMQs:, Dyskinesia (broad), Dystonia (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Listened to his heart and breathing
CDC Split Type: vsafe

Write-up: Within 24 hours of receiving the Pfizer Bivalent vaccine, we noticed that he started having a tick in his face. The pediatrician said it''s a facial tick/flinch. It''s like he is having Tourette''s. The doctor told us that it may be from the vaccine or it may just be something that is happening to him.


VAERS ID: 2565806 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Kansas  
Vaccinated: 2022-10-18
Onset: 2022-12-03
   Days after vaccination: 46
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Back pain, Neuropathy peripheral, Pain in extremity, Poor peripheral circulation, Swelling, Walking aid user
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; TOUJEO; NOVOLOG; pregabalin; imipramine; aspirin; furosemide; carvedilol; spironolactone; metolazone; potassium chloride; atorvastatin; oxygen; CORLANOR; TRADJENTA; pantoprazole; ENTRESTO; vitamin D3; vitamin B12; biotin
Current Illness: Gout
Preexisting Conditions: Kyphoscoliosis; Congestive Heart Failure; End Stage COPD; Asthma; Emphysema; Diabetes; Diabetic Neuropathy; Nearsighted; Venous Stasis Dermatitis; Arthritis
Allergies: Cilium fiber; levofloxacin
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I had foot pain from poor circulation, neuropathy, and swelling. I''ve had pain in my knees and upper and lower back. I use a walker for the pain. They gave me prednisone and methocarbamol one time. They gave me methylprednisolone and methocarbamol one time. I also used a TENS unit and stayed down as much as possible.


VAERS ID: 2494041 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Male  
Location: Kansas  
Vaccinated: 2022-09-01
Onset: 2022-09-15
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2022-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Nausea, Sleep disorder, Vomiting, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamin; Vitamin B Complex; Albuterol Sulfate; Inhaler; Vitamin D 3; Bumetanide; Eliquis; Losartan; Rosuvastatin; Citrulline; Tamsulosin; Triligy; Ventolin
Current Illness: N/A
Preexisting Conditions: COPD; High Blood Pressure;
Allergies: Penicillin
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Since the middle of September after my vaccination, I had woke up from nausea and threw up everything I had eaten before which was primarily undigested. The nausea and vomiting has continued since and the only thing that I can keep down is an English muffin. During the time in the hospital I projectile vomited. Last night I was woke up multiple times throughout the night, having the need to vomit., in which I did. So far today I have kept down my English muffin. When I went to see the internist, he stated he had seen this with Moderna vaccinations, however it is typically only a short term.


VAERS ID: 2471827 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Kansas  
Vaccinated: 2022-09-08
Onset: 2022-09-18
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2022-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Other       Purchased by: ?
Symptoms: Angina pectoris, Asthenia, Blood test normal, Chest pain, Cold sweat, Computerised tomogram normal, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Hyperhidrosis
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan; hydrochlorothiazide; multivitamin; vitamin D; lutein; probiotic
Current Illness: None
Preexisting Conditions: Ehlers Danlos Syndrome; Obesity
Allergies: Quinolone
Diagnostic Lab Data: Blood work 09/19/2022 normal results; EKG 09/19/2022 normal results; Echocardiogram 09/22/2022 normal results; Pulmonary CAT scan 09/26/2022 no blood clots indicated.
CDC Split Type: vsafe

Write-up: On Sunday, September 18th, I started having clammy sweats during the day. At night at 2AM, I woke up with severe pain in my chest. It felt like my heart was being squeezed. I went to the emergency room and they did blood work and an EKG. They said I had not had a heart attack. I followed up with my doctor later on Wednesday the 21st and during that time, I was continuing to have a squeezing pain feeling around my heart. I was also having the clammy sweats and having shortness of breath. My doctor sent me to have an echocardiogram on the 22nd and that came back fine. There was no problems. On Monday the 26th, she had me go do a pulmonary CAT scan and I didn''t have a blood clot. For the last two weeks, I have been resting and not doing a lot. It''s been progressively getting better. At 1:30 today, I''m going to see an infectious disease specialist. They thought maybe I had torn a chest muscle from my Ehlers Danlos, but it didn''t explain the clammy sweats throughout my body. We don''t know if it''s due to the vaccine since it was 10 days after or if it was long COVID, so I will be seeing the infectious disease specialist today. I''m getting better, but I still experience the clamminess and shortness of breath when doing certain activities. I''ve just been feeling weak and I feel like I don''t have as much stamina.


VAERS ID: 2602296 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Kansas  
Vaccinated: 2022-09-21
Onset: 2022-09-25
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breast cyst, Breast mass, Ultrasound breast abnormal
SMQs:

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: Fluticasone
Current Illness: None
Preexisting Conditions: Seasonal Allergies
Allergies: Seasonal; SECRET deodorant
Diagnostic Lab Data: 10/05/2022 Ultrasound, Complex Partial Cyst on Right Breast
CDC Split Type: vsafe

Write-up: I noticed a lump on my right breast. My doctor also noticed it several days later during my well woman visit. She suspected it was a cyst. She referred me to a radiologist to have an ultrasound. I was diagnosed with a complex partial cyst on my right breast. I was not given any other treatment aside from continuing self-breast exams. It resolved on its own, but I have a follow up in 6 months.


VAERS ID: 2544996 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Kansas  
Vaccinated: 2022-09-22
Onset: 2022-11-26
   Days after vaccination: 65
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 3 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Malaise, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 11/26/2022 COVID-19 positive
CDC Split Type: vsafe

Write-up: I had vaccination on 09/22/2022. I started to experience COVID-19 symptoms on 11/26/2022. I tested COVID-19 positive on 11/26/2022. I went to a clinic while overseas and given TYLENOL and decongestant. I do still have some fatigue and lingering cough on 12/28/2022.


VAERS ID: 2699780 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Kansas  
Vaccinated: 2023-10-19
Onset: 2023-10-19
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-10-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / N/A RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Decreased appetite, Deja vu, Headache, Nausea, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Convulsions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (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: Keppra, levothyroxine, tropsium, myrbetriq, welbutrin, magnesium,
Current Illness: Multiple sclerosis, hypothyroidism
Preexisting Conditions: Multiple sclerosis, hypothyroidism
Allergies: Toviaz, Nickle, azothiaprine
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Severe chills lasting greater than 8 hours, nausea, vomiting, Deja vu lasting several days. Loss of appetite, severe headache, body aches.


VAERS ID: 2558741 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Unknown  
Location: Kansas  
Vaccinated: 2022-10-01
Onset: 2023-01-02
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Fatigue, Feeling abnormal, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Guillain-Barre 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram; CLARITIN
Current Illness: N/A
Preexisting Conditions: Obesity; Depression
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test January 02, 2022 positive
CDC Split Type: vsafe

Write-up: I took a rapid test Monday morning when I got to work, and it was positive. I had no symptoms at the time but was required to test every week by my employer. About noon I was very tired and by Tuesday I was still very tired and congested. I made a telehealth appointment and was prescribed PAXLOVID by the doctor. I started the medication on Wednesday through Sunday. My symptoms improved by the following Monday. I was at about 70% and currently I am at about a 95% recovered. I am still experiencing brain fog but my energy is back to normal.


VAERS ID: 2517222 (history)  
Form: Version 2.0  
Age: 85.0  
Sex: Female  
Location: Kansas  
Vaccinated: 2022-10-25
Onset: 2022-10-01
Submitted: 0000-00-00
Entered: 2022-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Condition aggravated, Hypersensitivity, Off label use, Product use issue, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201322508

Write-up: she received a flu vaccine on the same day as this Covid Booser Vaccine; she received a flu vaccine on the same day as this Covid Booser Vaccine; she''s been itching so much its turned into a rash./Itching all over, is allergic to that/Every time, it itches; she''s been itching so much its turned into a rash.; is allergic to that; it has gotten worse; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. An 85-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 25Oct2022 as dose 3 (booster), single (Batch/Lot number: unknown) at the age of 85 years, in left arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), on 25Oct2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient had no relevant medical history. The patient took concomitant medications. Vaccination history included: BNT162b2 (DOSE 2, SINGLE), administration date: 06Jul2021, when the patient was 83-year-old, for COVID-19 immunization, reaction(s): "every time, it itches"; Bnt162b2 (DOSE 1, SINGLE), for COVID-19 immunization, reaction(s): "every time, it itches". The following information was reported: HYPERSENSITIVITY (non-serious) with onset Oct2022, outcome "not recovered", described as "is allergic to that"; CONDITION AGGRAVATED (non-serious) with onset Oct2022, outcome "unknown", described as "it has gotten worse"; RASH (non-serious) with onset Oct2022, outcome "unknown", described as "she''s been itching so much its turned into a rash."; PRURITUS (non-serious) with onset Oct2022, outcome "not recovered", described as "she''s been itching so much its turned into a rash./Itching all over, is allergic to that/Every time, it itches"; OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 25Oct2022, outcome "unknown" and all described as "she received a flu vaccine on the same day as this Covid Booser Vaccine". Therapeutic measures were taken as a result of pruritus. Additional information: Patient received the bivalent gray cap formulation of the Pfizer BioNTech Covid 19 vaccine and she had been itching so much its turned into a rash. States that she was itching all over and was allergic to that. She received a COVID Vaccine Booster and was itching all over. States that she told them it itches, and it has gotten worse. Patient stated that this started in Oct2022, and it has gotten worse. States she was using an unspecified itch cream. Patient had no dates or Lot Numbers available for any of her previous doses of the COVID Vaccines. Mentions that every time, it itches. Patient mentions having her second dose of the COVID Vaccine, she thinks, on 06Jul2021. Patient denies any concomitant medications. Patient then states that she had some unspecified pill the doctor gave her and then said it is bad for the patient brain. No further information provided related to this unspecified pill. Patient cannot recall how many doses of the COVID Vaccines she had prior to the booster that she received on 25Oct2022. Prior Vaccinations (within 4 weeks): If applicable, list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine Patient states that she received a flu vaccine on the same day as this COVID Booster Vaccine, 25Oct2022; NDC, Lot Number, Expiry Date was Unknown by the patient. The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-202201322830 same reporter/patient, diffrent drug dose/event;US-PFIZER INC-202201322724 same reporter/patient, diffrent drug dose/event;


VAERS ID: 2543665 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Kentucky  
Vaccinated: 2022-09-23
Onset: 2022-11-29
   Days after vaccination: 67
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus congestion, Sneezing, Throat irritation, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; losartan; rosuvastatin; pantoprazole; calcium; vitamin D; FLONASE; eye drops; injection OMNITROPE
Current Illness: No
Preexisting Conditions: Type 2 diabetes; Sleep apnea; High blood pressure
Allergies: Contrast dye
Diagnostic Lab Data: COVID-19 test negative on 11/29; positive on 12/1
CDC Split Type: vsafe

Write-up: It was a little bit of a sore throat; more tight than raw feeling. Nasal and sinus congestion, some sneezing and coughing, I never had a fever. At the urgent care they prescribed 5 day course of PAXLOVID and I started it on Friday 12/2.


VAERS ID: 2543789 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Kentucky  
Vaccinated: 2022-09-21
Onset: 2022-10-29
   Days after vaccination: 38
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 AR / SC
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data: COVID-19
CDC Split Type: vsafe

Write-up: The symptoms started with mild runny nose, cough, fatigue and headache. I did not see a doctor I was at home and took a COVID-19 test that was positive and I have medical training, so I treated myself at home.


VAERS ID: 2603966 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: Kentucky  
Vaccinated: 2022-09-21
Onset: 2023-02-01
   Days after vaccination: 133
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Colonoscopy normal, Gastric disorder
SMQs:

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: Multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. In 02/2023 I began having stomach issues. I had a visit with my provider and was referred to a gastroenterologist. I had a colonoscopy and results are in normal range.


VAERS ID: 2570980 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Kentucky  
Vaccinated: 2022-10-28
Onset: 2023-01-05
   Days after vaccination: 69
Submitted: 0000-00-00
Entered: 2023-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 017H22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Malaise, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Losartan; PRILOSEC; PEPCID; ZYRTEC; calcium; multivitamin; fish oil; coQ10; melatonin
Current Illness: None
Preexisting Conditions: Seasonal Allergies; High Blood Pressure; GERD
Allergies: BACTRIM; codeine; NSAID sensitivity; gabapentin
Diagnostic Lab Data: 05JAN2023 at home COVID-19 test positive; 11JAN2023 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: On 01/05/2023, I woke up with a slight headache. I went to work and around noon had a coughing fit. I then tested myself for COVID-19 and it was positive. I came home and called my doctor. They scheduled a video visit. I spoke with her and she said that since I have high blood pressure and my age qualified me to get PAXLOVID. I started taking that Thursday night. I took it for five days. I didn''t test myself again until the following Wednesday. I was negative. My symptoms were very slight to begin with. I had a headache off and on for a week after even finishing the PAXLOVID and was testing negative.


VAERS ID: 2643757 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Kentucky  
Vaccinated: 2023-05-09
Onset: 2023-05-09
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Brain fog, Condition aggravated, Diarrhoea, Fatigue, Hypersomnia, Loss of personal independence in daily activities, Pain in extremity, Peripheral swelling, Sleep disorder
SMQs:, Cardiac failure (broad), Angioedema (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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: Omeprazole; Premarin vaginal cream; Amitriptyline; Albuterol Sulphate; Rifaximin; Diphenoxylate Atropine; Metronidazole; Clobetasol Cream; Levothyroxine; Mupirocin; Trazodone; Spironolactone; Tramadol; Amlodipine; Ergocalciferol; Mirapex
Current Illness: NA
Preexisting Conditions: High Blood Pressure; Grave''s disease; Back Pain in the hip area; Restless leg Syndrome; Sleep Apnea
Allergies: Phenergan
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: Late in the evening I had trouble sleeping as the arm was sore. Unable to do anything for about 2 weeks. I experienced extreme fatigue. I just slept close to 24 hours a day for 2 weeks. Arm was swollen. Back Pain flared up as well. Saw doctor and he gave me some prednisone, a topical cream, and something for diarrhea. Follow up with Doc, reupped the diarrhea medications and to come back in things get worse. Symptoms have become less, but I still have fatigue and brain fog.


VAERS ID: 2610927 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Louisiana  
Vaccinated: 2022-10-05
Onset: 2023-03-28
   Days after vaccination: 174
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 5 AR / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anosmia, COVID-19, Chills, Cough, Dysphonia, Fatigue, Headache, Pain, Photophobia, Pyrexia, SARS-CoV-2 test positive, Throat irritation, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: COVID-19 Dose 1 and 2-Laid Me out for at least 24 hours. I had fever and fatigue
Other Medications: Vitamin D3; Centrum Adult Multi-Vitamin, Calcium; Magnesium with Vitamin D; Flonase; Estradiol Vaginal Inserts
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Caffeine
Diagnostic Lab Data: COVID-19 Home Test-March 29, 2023-Positive
CDC Split Type: vsafe

Write-up: I started getting a scratchy throat and having a nasal drip kind of thing on Tuesday the 28th. On the 29th my symptoms had gotten worse, so I tested for COVID-19. I had chills, body aches, headache, and a chest cough. I also had a weird sensitivity to light that caused me to have to wear sunglasses. I also lost my sense of smell. When I wore glasses, my headache was not that bad. I contacted my doctor, but I did not take antivirals. I took Advil, Tylenol, Mucinex, and Afrin nasal spray. I started feeling pretty good but on Monday April 3rd, 2023. I took a walk and all my symptoms returned. I had a tiny bit of fever, fatigue the headache and cough returned. It lasted for 24 hours. I still have hoarseness, fatigue, and I continue to wake up with a headache. I have symptoms but it''s not that bad.


VAERS ID: 2503772 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Louisiana  
Vaccinated: 2022-11-03
Onset: 2022-11-03
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA PF13CLLGH9697 / 2 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Off label use, Paraesthesia, Product use issue
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Medication errors (broad), Sexual dysfunction (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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: other medical history none
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201280005

Write-up: This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient. A 28-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 03Nov2022 at 12:00 as dose 2, single (Lot number: PF13CLLGH9697) at the age of 28 years, in left arm for covid-19 immunization; influenza vaccine (FLU VACCINE VII), on 03Nov2022 as dose 2, single (Batch/Lot number: unknown), in left arm for immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (DOSE 1, SINGLE; Lot number: PF13ELFP7150; Location of injection: Arm Left; Administration Time: 12:00 PM), administration date: 07Sep2022, when the patient was 28-year-old, for Covid-19 Immunization; Flu (DOSE 1), for Immunization. The following information was reported: PRODUCT USE ISSUE (non-serious) with onset 03Nov2022, outcome "unknown", described as "Pfizer bivalent start date: 03Nov2022; Flu shot start date: 03Nov2022"; OFF LABEL USE (non-serious) with onset 03Nov2022, outcome "unknown", described as "pfizer Bivalent/dose 2"; HYPOAESTHESIA (non-serious) with onset 03Nov2022 at 12:30, outcome "not recovered", described as "numbness"; PARAESTHESIA (non-serious) with onset 03Nov2022 at 12:30, outcome "not recovered", described as "pins, and needles sensation in the left side of body - hands, forearm, feet, calf, knee, thigh"; PARAESTHESIA (non-serious) with onset 03Nov2022 at 12:30, outcome "not recovered", described as "tingle". The events "tingle", "numbness" and "pins, and needles sensation in the left side of body - hands, forearm, feet, calf, knee, thigh" required physician office visit. Therapeutic measures were not taken as a result of paraesthesia, hypoaesthesia, paraesthesia.


VAERS ID: 2597083 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Louisiana  
Vaccinated: 2022-09-23
Onset: 2023-02-18
   Days after vaccination: 148
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Malaise, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: Pantoprazole; eye health complex; calcium magnesium intensive care; vitamin B12
Current Illness: None
Preexisting Conditions: Barrett''s Esophagus
Allergies: Sulfa
Diagnostic Lab Data: 02/20/2023 at home COVID-19 test positive; 03/10/2023 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: On February 18, 2023, I started coughing. Later that evening, I had a 99.9-degree fever. I woke up the next morning with a headache, and I was still coughing. I had a low-grade fever that evening as well. I went to be early and slept through the night. I took a COVID-19 test on February 20, 2023. The result was positive. I spoke to the COVID-19 nurse. I told her what my symptoms were, and she called in a prescription of PAXLOVID. I started PAXLOVID the next day. The only symptom I really had left by then was a cough. By Wednesday, I felt fine, but I had a lingering cough for about three weeks. It all felt like head congestion. I tested negative for COVID-19 about two and a half weeks later.


VAERS ID: 2620851 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Massachusetts  
Vaccinated: 2022-10-16
Onset: 2023-01-01
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / SC

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Nasal congestion, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, 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: Omega 3; baby aspirin; multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: JAN2023 COVID-19 test, positive; MAY2022 COVID-19 test, positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 01/2023. I took over the counter medication to help with my symptoms. I previously tested positive for COVID-19 in 05/2022 and I took PAXLOVID. Since having COVID-19 twice, I feel congested every day. I feel like I can blow my nose all day.


VAERS ID: 2568615 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-26
Onset: 2023-01-08
   Days after vaccination: 74
Submitted: 0000-00-00
Entered: 2023-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Cough, Culture stool negative, Diarrhoea, Influenza virus test negative, Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, X-ray normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: AIMOVIG; amitriptyline; calcium; vitamin D; vitamin B12; multivitamin; probiotic; topiramate; ospemifene
Current Illness: N/A
Preexisting Conditions: Migraines
Allergies: Lisinopril
Diagnostic Lab Data: 19JAN2023 Flu test negative; 19JAN2023 COVID-19 test negative; 19JAN2023 X-Ray normal; 19JAN2023 Blood panel normal; 20JAN2023 Stool culture normal
CDC Split Type: vsafe

Write-up: I started feeling ill on 1/8/23. I didn''t go to the doctor right away, but when I went, they believed that I had the Flu. I had a cough, runny nose, and a fever. Then I got diarrhea. The fever only lasted for about three days. I was prescribed benzonatate for my cough. I also took FLONASE, CLARITIN D, and ROBITUSSIN. I am still not 100 percent.


VAERS ID: 2605861 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-09-27
Onset: 2023-02-17
   Days after vaccination: 143
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Malaise, Nasopharyngitis, Respiratory disorder, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Respiratory failure (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan; levothyroxine; PEPCID
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: Latex
Diagnostic Lab Data: 19FEB2023 COVID-19 test, positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I began not feeling well on 02/17/2023 with cold like symptoms. I tested positive for COVID-19 on 02/19/2023. I contacted an urgent care to get the prescription PAXLOVID but did not take. I only took TYLENOL to help with my symptoms. As of today, I have a cough and I feel like I get respiratory illnesses easier.


VAERS ID: 2629928 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Massachusetts  
Vaccinated: 2022-11-01
Onset: 2023-04-04
   Days after vaccination: 154
Submitted: 0000-00-00
Entered: 2023-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 - / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Electrocardiogram normal, Hypertension
SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (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: Pravastatin; flaxseed; cinnamon
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Blood panel, normal, 04/2023; EKG, normal, 04/2023
CDC Split Type: vsafe

Write-up: In April 2023, I took my blood pressure and it read 258/185. Then I took again at several time again home, and it was consistently high for longer than a week. I visited the doctor mid-April. My pressure was high at the doctor as well.


VAERS ID: 2515395 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-09-28
Onset: 2022-10-30
   Days after vaccination: 32
Submitted: 0000-00-00
Entered: 2022-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Culture, Dyspnoea, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Moderna Dose 1 pain, fatigue, fever.
Other Medications: LEVEMIR insulin; metformin; trazadone; losartan; ZYRTEC; potassium chloride; PEPCID; glipizide XR; ezetimibe; montelukast
Current Illness: N/A
Preexisting Conditions: Asthma; Diabetes; Gastroparesis; Sleep Apnea; High Cholesterol
Allergies: Narcotics; statins
Diagnostic Lab Data: Strep test October 31, 2022 negative. Culture no results known October 31, 2022.
CDC Split Type: vsafe

Write-up: I had a sore throat. I thought it was strep, but the test was negative. I did not receive any antibiotics. It turned into a severe cold with runny nose, nasal congestion, chest congestion, and shortness of breath. These symptoms lasted 2-3 weeks. I took a maintenance inhaler which I usually only take when I feel compromised. I also used over the counter cough medicine and TYLENOL to treat these symptoms.


VAERS ID: 2609872 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-09-10
Onset: 2023-03-26
   Days after vaccination: 197
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 27MARCH023 - COVID-19- Test - Positive; 02APRIL2023 - COVID-19 Test - Negative; 04APRIL2023 - COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: No adverse reaction in September after the vaccine, until I got COVID, with no fever, only cough, congestion, fatigue, runny nose. I have the home test for COVID-19, and it was Positive. I called the doctor on Monday March 27th, and he prescribed Paxlovid, I took it for 5 days, 2 doses per day. Last Sunday I tested Negative, following the CDC giddiness, I waited 48 hours, when I tested it was Positive on April 4th. I don''t feel good now with congestion and running nose


VAERS ID: 2624104 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-19
Onset: 2023-04-06
   Days after vaccination: 169
Submitted: 0000-00-00
Entered: 2023-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray abnormal, Cough, Pneumonia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), COVID-19 (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: ELIQUIS; vitamin D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 6 & 9 & 11 & 15 & 18APR2023 COVID-19 negative; 4/21/23 Chest X-ray pneumonia on right lung
CDC Split Type: vsafe

Write-up: 4/6/2023 I started having congestion and a mild cough. I thought it was a cold or allergies. It progressed for two weeks with cough. 4/19/23 I did not have a fever but had a chest congestion. I saw the doctor on 4/21/23. Chest X-ray pneumonia on right lung. They gave me levofloxacin. I had a low grade fever about 100 on 20APR23.


VAERS ID: 2610632 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Massachusetts  
Vaccinated: 2022-09-19
Onset: 2023-03-03
   Days after vaccination: 165
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Headache, Malaise, Nasal congestion, Oropharyngeal pain, Pain, Productive cough, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: AD Block in Heart on left side; Osteoarthritis
Allergies: Aspirin; all non steroidal anti-inflammatory drugs
Diagnostic Lab Data: 6MAR23 PCR COVID test negative
CDC Split Type: vsafe

Write-up: 3/3/23 I had a sore throat, headache, cough, nasal congestion, achy all over which lasted for several days. The cough got deeper and more productive. On 3/6/23 I went to the urgent care, and I was prescribed benzonatate for my cough and I took TYLENOL for fever and aches. I tested negative with a COVID 19 PCR test. I was ill for 10 days.


VAERS ID: 2530954 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: Massachusetts  
Vaccinated: 2022-09-13
Onset: 2022-11-27
   Days after vaccination: 75
Submitted: 0000-00-00
Entered: 2022-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, COVID-19, Cough, Feeling hot, Headache, Influenza, Influenza like illness, Influenza virus test positive, Pharyngitis streptococcal, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test positive
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), 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: Vitamin D3; multivitamin; calcium citrate; biotin; finasteride; OZEMPIC; JARDIANCE; fluticasone; pravastatin sodium; metformin
Current Illness: N/A
Preexisting Conditions: Type II Diabetic; Obesity
Allergies: Amoxycillin
Diagnostic Lab Data: COVID-19 rapid test (11/30/22), flu test (11/30/22), Strep test (11/30/22), blood work (11/30/22)
CDC Split Type: vsafe

Write-up: I believe on 11/27 I started developing flu-like symptoms. Headache, feeling hot, congestion and developed a cough. On 11/29 I had a different medical event that I emailed my doctor, and they scheduled me to come in. I went in on 11/30 and still had my flu-like symptoms so they tested me for COVID-19, flu, and strep throat. In the parking lot I received the notification that I had contracted both strains of the flu. The office called me to advise on medications and isolating. Later on my COVID-19 results came back as positive as well, another call from my doctor. Later that day I also tested positive for strep throat. They prescribed antibiotics, said bed rest, water, isolation, and OTC for symptoms. I tested negative for COVID-19 twice on 12/9. Still dealing with some congestion but it feels like everything else is better.


VAERS ID: 2476600 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-01
Onset: 2022-10-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 051F21A / UNK - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Neuropathy peripheral, Pain in extremity, Ultrasound scan
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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: Test Date: 202210; Test Name: Ultrasound; Result Unstructured Data: showed no blood clots
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: neuropathy/ numbness in her and feet along with pains in her legs; numbness in her feet along with pains in her legs; This spontaneous case was reported by a patient and describes the occurrence of NEUROPATHY PERIPHERAL (neuropathy/ numbness in her and feet along with pains in her legs) in a 75-year-old female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 051F21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication. Previously administered products included for Product used for unknown indication: Johnson and Johnson COVID-19 vaccine on 11-Mar-2021. Past adverse reactions to the above products included No adverse event with Johnson and Johnson COVID-19 vaccine. On 01-Oct-2022, the patient received dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form and dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On 01-Oct-2022, the patient experienced NEUROPATHY PERIPHERAL (neuropathy/ numbness in her and feet along with pains in her legs) (seriousness criterion medically significant) and PAIN IN EXTREMITY (numbness in her feet along with pains in her legs). The patient was treated with HYDROCODONE BITARTRATE, PARACETAMOL (HYDROCODONE/ACETAMINOPHEN) at an unspecified dose and frequency. At the time of the report, NEUROPATHY PERIPHERAL (neuropathy/ numbness in her and feet along with pains in her legs) and PAIN IN EXTREMITY (numbness in her feet along with pains in her legs) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In October 2022, Ultrasound scan: showed no blood clots. Patient received Moderna vaccine at the same time as flu vaccine. Immediately after receiving the Moderna vaccine patient experienced numbness in feet along with pains in legs. Patient went to the hospital where they have done an ultrasound which showed no blood clots. Patient went to primary care doctor who gave hydrocodone acetaminophen for symptoms, which has a prescription for with her rheumatologist. After this was given, her rheumatologist cancelled the other prescription. No Concomitant medications were reported. Company comment: This spontaneous case concerns a 75-year-old, female patient with no reported medical history, who experienced the unexpected, serious (Medically significant) event of Neuropathy peripheral. The event occurred on the same day of administration of an unknown dose of mRNA-1273 BIVALENT .222. The patient was previously administered with an unknown dose of Johnson and Johnson vaccine approximately 19 months prior. It has been reported that the patient experienced numbness and pain on her lower extremities immediately after administration of unknown dose of mRNA-1273 BIVALENT .222, patient sought consult at an institution where ultrasound was done but no blood clots were detected. Patient sought consult to her primary care physician where she was given hydrocodone acetaminophen of unknown dosage and frequency as her medication. Details of concomitant medications and medical history were not provided. The outcome of the event was unknown at the time of the report. The benefit-risk relationship of mRNA-1273 BIVALENT .222 is not affected by this report. Events'' seriousness retained as per Important Medical Event List.; Sender''s Comments: This spontaneous case concerns a 75-year-old, female patient with no reported medical history, who experienced the unexpected, serious (Medically significant) event of Neuropathy peripheral. The event occurred on the same day of administration of an unknown dose of mRNA-1273 BIVALENT .222. The patient was previously administered with an unknown dose of Johnson and Johnson vaccine approximately 19 months prior. It has been reported that the patient experienced numbness and pain on her lower extremities immediately after administration of unknown dose of mRNA-1273 BIVALENT .222, patient sought consult at an institution where ultrasound was done but no blood clots were detected. Patient sought consult to her primary care physician where she was given hydrocodone acetaminophen of unknown dosage and frequency as her medication. Details of concomitant medications and medical history were not provided. The outcome of the event was unknown at the time of the report. The benefit-risk relationship of mRNA-1273 BIVALENT .222 is not affected by this report. Events'' seriousness retained as per Important Medical Event List.


VAERS ID: 2530983 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-09-12
Onset: 2022-12-03
   Days after vaccination: 82
Submitted: 0000-00-00
Entered: 2022-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Condition aggravated, Decreased appetite, Diarrhoea, Dizziness, Dyspnoea, Exposure to SARS-CoV-2, Feeling hot, Gastrooesophageal reflux disease, Headache, Heart rate increased, Nausea, Paranasal sinus discomfort, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Dehydration (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: None
Current Illness: None
Preexisting Conditions: Asthma; Acid reflux; Vitiligo; Tendinitis
Allergies: Environmental allergies; seasonal hay fever
Diagnostic Lab Data: COVID-19 test positive
CDC Split Type: vsafe

Write-up: I got the Covid booster on my upper left arm and the flu shot as well. I waited the fifteen minutes and was fine. I was exposed on the night of December 2 2022 and the morning of December 3 2022 because of this I quarantined and began taking rapid tests daily, on December 5 2022 my test came back positive. I kept quarantining and called my doctor who recommended quarantining for five days from date of positive test and after five days wear a mask for an additional five days and social distance. My first symptom was gastrointestinal with a lot of diarrhea which started on the evening of December third by the morning of December fourth I was nauseous with an increase in acid reflux a decrease in appetite as well I felt warmer than normal normally my temp is 97.8 degree far and it went as high as 99 degrees. I did have sinus pressure on my left side of my face which led to headaches. I felt mild heaviness in my chest. After day five symptoms cleared but a rapid heart would occur with activity this would create dizziness and me panting and out of breath. This is still occurring and my doctor is monitoring with a home heart rate monitor. My resting heart rate is 68 BPM it is now in the high seventies with light to moderate activity my heart rate will shoot up to between 120-140 BPM. I had a high of 154 BPM with moderate activity i.e.; climbed two flights of stairs. My doctor has had me taking GATORADE and PEDIALYTE. I did take DAYQUIL and NYQUIL and TUMS throughout.


VAERS ID: 2601833 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-01
Onset: 2023-01-15
   Days after vaccination: 106
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: ZYRTEC
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test unknown positive
CDC Split Type: vsafe

Write-up: I started with mild cold symptoms for a couple of days and then I had fever around 101. I had a telehealth visit with my doctor and I was prescribed PAXLOVID. I started the medication on the same day and in 2 days my symptoms improved. I have since recovered to from all symptoms.


VAERS ID: 2611406 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-06
Onset: 2023-02-13
   Days after vaccination: 130
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Ear pain, Headache, Paranasal sinus discomfort, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal
Diagnostic Lab Data: At home covid-19
CDC Split Type: vsafe

Write-up: 2/13 woke up with horrible headache around 2 AM. Later the same morning began having severe sinus pressure. 2/14 tested positive for COVID-19. Was prescribed PAXLOVID but did not take it. Sinus pressure and ear pain were the worst last 12 days.


VAERS ID: 2592240 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-09-04
Onset: 2023-01-19
   Days after vaccination: 137
Submitted: 0000-00-00
Entered: 2023-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Biopsy breast abnormal, Breast cancer female, Breast conserving surgery, Gene mutation identification test negative, Invasive ductal breast carcinoma, Magnetic resonance imaging breast abnormal, Mammogram abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Breast malignant tumours (narrow), Breast tumours of unspecified malignancy (broad), Non-haematological malignant tumours (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? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: LEXAPRO; TRILEPTAL; amitriptyline; SYNTHROID; pravastatin
Current Illness: N/A
Preexisting Conditions: Asthma; High Cholesterol; Depression; CVA
Allergies: PERCOCET
Diagnostic Lab Data: 25JAN2023 Genetic testing, negative; 18JAN2023 Biopsy, Carcinoma; 09FEB2023 MRI, confirmed diagnosis
CDC Split Type: vsafe

Write-up: I was having 6-month mammograms to keep an eye on a spot I found in 2021. When I went for my mammogram on January 6, 2023, the doctor found a new spot within the last 6 months. The spot was biopsied January 18th, 2023, and the next day it was confirmed that it was Invasive Ductal Carcinoma. I had genetic testing done and all the tests were negative so it''s not because of a genetic mutation. I had a Lumpectomy surgery on February 23, 2023, and I will be having radiation and chemotherapy starting this month. Surgery confirmed that I am stage 1A.


VAERS ID: 2612253 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Male  
Location: Massachusetts  
Vaccinated: 2022-09-17
Onset: 2023-03-14
   Days after vaccination: 178
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Cough, Decreased appetite, Diarrhoea, Dry throat, Dysgeusia, Dyspnoea, Dyspnoea exertional, Ear discomfort, Eye swelling, Feeling hot, Headache, Heart rate increased, Hyperhidrosis, Hypertension, Lip exfoliation, Lip swelling, Nasal congestion, Nasal discomfort, Palpitations, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Amlodipine; tadalafil
Current Illness: None
Preexisting Conditions: Asthma; High Cholesterol
Allergies: Shellfish
Diagnostic Lab Data: 15MAR23 at home COVID test positive; 18MAR23 at home COVID test positive; 22MAR23 at home COVID test positive; 2APR23 at home COVID test negative
CDC Split Type: vsafe

Write-up: 3/14/2023 that night I had a tickly and funny feeling in my throat. Throughout the night, I woke up with a very dry throat and stuffy. I woke up multiple times. I felt heart palpitations. I took FLONASE. This did not clean up my stuffy nose. The next afternoon, I had bad stomach problems. I took an at home COVID test and tested positive, 3/15/23. My nose started to run pretty bad that day and I had a dry cough. I started taking ibuprofen. On 3/16/23 I could not sleep at all, I was so congested and could only breathe through my mouth. I was not hungry. I had a high fever; I did not take my temperature. I felt very hot and had chills. My lips began to swell that evening and progressively got worse. My eyes were swollen. I took hydroxyzine and that brought the swelling down. On 3/17/23 I lost my sense of taste and smell. I still was very stuffy and breathing through my mouth. I checked my vitals. My blood pressure was a little high and my pulse was normal. I had a telehealth appointment and was prescribed PAXLOVID and began taking it that day. The next day, 3/18/23,the inside of my nostrils were burning. I was able to sleep fine. My saliva had a bitter taste. My nostrils were burning inside and I still had stuffiness. I feel asleep and when I woke up my oxygen level was 87. My blood pressure was elevated. I took another at home COVID test and it was positive. 3/19/23 A layer of skin fell of my top lip. My oxygen level was 92 and my heart rate was at 124. I had diarrhea and more stuffiness. On 3/19/23 My ears were clogged and was stuffy. I had a positive COVID test. On 3/20/23 I had a stuffy nose, headache and sweats. My stuffy nose was able to clear. 3/21/23 My vitals were better. The first day my smell was coming back. 3/22/23 the final day on PAXLOVID. Positive COVID test. 3/25/23 I still had congestion, sense of smell and taste still gone and I had a bad cough. Still testing positive for COVID. 3/26/23 I had more coughing fits and took albuterol. I am getting out of breath when moving. My heart rate jumps while sitting into the 100''s. 3/29/23 I began to smell again, still coughing and out of breath. 4/1/23 I had uncontrollable cough. 4/2/23 I tested negative with an at home COVID test. I continued to cough and have heart palpitations. Sense of smell and taste returning. On 4/4/23 I called the doctor because I still had symptoms. I was prescribed cetirizine, azelastine and prednisone. I completed prednisone and are still taking the other two prescriptions.


VAERS ID: 2481448 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: Massachusetts  
Vaccinated: 2022-10-13
Onset: 2022-10-13
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR 95ZA7 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect product formulation administered, No adverse event
SMQs:, Medication errors (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received Bivalent for her first dose of Covid instead of the primary series for ages 12+ up. Mom notified of immunization error. DPH notified. Patient has not had a reaction.


VAERS ID: 2540699 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-09-20
Onset: 2022-12-15
   Days after vaccination: 86
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Malaise, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; trazodone; coQ10; NASACORT; hydrocortisone cream
Current Illness: None
Preexisting Conditions: Asthma; allergies
Allergies: None
Diagnostic Lab Data: At COVID-19 test positive
CDC Split Type: vsafe

Write-up: Woke up 12/15 feeling not well. Sore throat, headache, and fatigue. Tested negative on at home COVID-19 test. Symptoms continued and added mild fever. Tested positive on 12/18 and called PCP. Was prescribed PAXLOVID and began to see an improvement in symptoms on 12/20. Symptoms have improved each day while on medication.


VAERS ID: 2614450 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-30
Onset: 2023-01-01
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fatigue, Pain, SARS-CoV-2 test positive
SMQs:, 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: N/A
Current Illness: N/A
Preexisting Conditions: IBS
Allergies: Aspirin; NSAIDS
Diagnostic Lab Data: JAN2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I felt tired and sore after receiving the vaccine. I was exposed to COVID-19 from my husband. I tested positive for COVID-19 in 01/2023. I contacted my doctor, and I got a prescription for PAXLOVID and ondansetron. I tolerated PAXLOVID without any complications. I could not tolerate ondansetron as it gave me diarrhea. As of today, I am feeling better with no lingering symptoms.


VAERS ID: 2516779 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-10-20
Onset: 2022-11-19
   Days after vaccination: 30
Submitted: 0000-00-00
Entered: 2022-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 061F22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Lacrimation increased, Nasal pruritus, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing, Somnolence
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lacrimal disorders (narrow), Hypersensitivity (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: COVID vaccines, sore arm for a few days
Other Medications: Aleve; Lisinopril; Montelukast; Calcium; Vitamin D3; Vitamin B12; Multivitamin
Current Illness: None
Preexisting Conditions: Overweight; Airborne Allergies; Asthma
Allergies: None
Diagnostic Lab Data: 19NOV2022 At Home COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I experienced COVID-19 after my vaccine. It started in 11-19-2022. I thought I was having allergy problems, itchy nose, runny eyes and by Sunday I was sneezing violently and I wore a mask. My symptoms had been cold symptoms, started with heavy congestion and sneezing. by Monday I can stay it stopped. I have been dealing with a bit of congestion, slight headache, I did not have a sore throat and fever. I am also kind of sleepy at times. I did take an at home COVID-19 test on 11-19-2022 and it was positive and my husband test was negative. At this time, we are masking at home, following CDC recommendations. I tested again yesterday and I am still positive.


VAERS ID: 2526601 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-07
Onset: 2022-11-14
   Days after vaccination: 68
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Aphonia, COVID-19, Chills, Feeling abnormal, Headache, Malaise, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 14NOV2022 COVID-19 test positive; 16NOV2022 PCR COVID-19 test positive; 26NOV2022 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/14/22. I had a fever, chills, body aches, loss of taste, headaches, and congestion. I was very sick for 5 days with these symptoms. Then on day 5, I lost my smell and taste, but was feeling a little better. I was still congested though. I went to the doctor on day 12 because I was still testing positive, and I still had postnasal drip. They did a rapid test, and I was negative at that time. They prescribed benzonatate, and FLONASE. They told me I could take any over-the-counter medications for allergies. On 12/6/22 I started to feel bad again. I had the same symptoms, but less severe and I lost my voice. I am still dealing with these symptoms.


VAERS ID: 2556259 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-10-07
Onset: 2022-11-27
   Days after vaccination: 51
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Atenolol; aspirin; vitamin B12; calcium citrate; vitamin D3
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: Sulfa; codeine; statin; amlodipine; lisinopril; losartan; chlorthalidone
Diagnostic Lab Data: COVID 19 home test November 28, 2022 positive
CDC Split Type: vsafe

Write-up: I had a headache, congestion and aches all over my body. I had a terrible cough and a very runny nose. I completed a home test on November 28, 2022, and it was positive. I called my doctor, and she reviewed the symptoms. She prescribed PAXLOVID. I started the prescription on the same day. I had 2 really bad days, but they started to improve after that. I got progressively better. It took about 9 days to completely subside. I still have a cough and a little runny nose. It''s not severe just annoying.


VAERS ID: 2550226 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-25
Onset: 2022-12-10
   Days after vaccination: 76
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Influenza virus test negative, SARS-CoV-2 test negative, Sleep disorder
SMQs:, Anaphylactic reaction (broad), COVID-19 (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: Water pill; SPIRIVA; vitamin C, E; zinc
Current Illness: No
Preexisting Conditions: COPD; Slightly elevated blood pressure; High cholesterol
Allergies: Tetracycline
Diagnostic Lab Data: COVID-19 and Flu tests negative
CDC Split Type: vsafe

Write-up: I started with a cough that got severe and couldn''t sleep. I went to the doctor and was prescribed a medication which I took. The cough is finally slowly going away. I have felt at times for a long time was exhausted after COVID-19 last year. I also have COPD.


VAERS ID: 2612293 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-09-30
Onset: 2023-01-01
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
SMQs:, 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: Pravastatin; Stirida;
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 01JAN2023 - COVID-19 Test - Positive; 09JAN2023 - COVID-19 Test - Positive; 14JAN2023 - COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: No effect after three months after the vaccine, but on Jan 1st did not feel well, I tested Positive with a COVID-19 home Test. I called my doctor and he prescribed Paxlovid and took it for 5 days. On Jan 9th I did a consultation I still tested Positive and in January 14th I tested Negative.


VAERS ID: 2556011 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-12-02
Onset: 2022-12-26
   Days after vaccination: 24
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / UNK RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Cough, Diarrhoea, Human rhinovirus test positive, Malaise, Nausea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), COVID-19 (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: N/A
Current Illness: N/A
Preexisting Conditions: HIV; Cold sores
Allergies: Penicillin; azithromycin; vitamin C supplements
Diagnostic Lab Data: 03JAN2023 Strep test negative; 03JAN2023 COVID-19 test negative; 03JAN2023 Rhinovirus positive
CDC Split Type: vsafe

Write-up: I had nausea, chills, and three days of terrible diarrhea, then 3 days of not so bad diarrhea. This lasted for about a week. About seven days later I was feeling sick again and tested positive for Rhinovirus. I had a sore throat for two days, congestion and a cough. I contacted my doctor, but no medication was prescribed. I did take SUDAFED, eucalyptus oil and garlic honey lemon tea.


VAERS ID: 2606568 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-12-28
Onset: 2023-03-21
   Days after vaccination: 83
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3270 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Hot flush, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 21MAR2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 3/21/23. I had fever, chills, cough, hot flashes, congestion, and fatigue. This has lasted for about eleven days so far. I contacted my doctor and was prescribed Benzonatate and I also took Mucinex. No toehr medications were prescribed.


VAERS ID: 2545741 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-28
Onset: 2022-10-17
   Days after vaccination: 19
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Abdominal pain, Blood test abnormal, Colitis ischaemic, Colonoscopy abnormal, Computerised tomogram abnormal, Diarrhoea, Diarrhoea haemorrhagic, Gastrointestinal inflammation, Inflammation, Stool analysis normal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amitriptyline; estradiol; multivitamin; fish oil; calcium plus vitamin D; fiber
Current Illness: None
Preexisting Conditions: Chronic Migraines; Spastic Colon
Allergies: Broad spectrum antibiotics; garlic
Diagnostic Lab Data: 17DEC2022 CAT scan, inflammation in large intestine; blood work; inflammation; stool analysis, nothing found; 01NOV2022 Colonoscopy, Ischemic Colitis
CDC Split Type: vsafe

Write-up: On 10/17/2022, I woke up with some abdominal pain. Through the course of the day, it progressed into diarrhea. By the afternoon, I was passing a lot of blood. I called my internist who advised that I go to the emergency room, which I did. They put me on an I.V. did a CAT scan, blood work, and a stool analysis. They told me to contact a gastroenterologist to have a colonoscopy done. I had that performed on 11/01/2022. This all gradually got a little better and then on 12/07/2022, I had a recurrence of the pain and diarrhea, but not the bleeding. That continued until around 12/11/2022. I was prescribed VIBERZI. The medication seemed to help the first day I took it, on 12/07/2022. The next day, I called my doctor because it was no longer helping, and I stopped taking it. I was prescribed something else, a little bit later, but have not taken it because I have not had another outbreak.


VAERS ID: 2621341 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-29
Onset: 2022-12-09
   Days after vaccination: 71
Submitted: 0000-00-00
Entered: 2023-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7168B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Lung neoplasm malignant, Pain in extremity, Pulmonary resection, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Non-haematological malignant tumours (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, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amlodipine; PEPCID; duloxetine; VALIUM; TYLENOL
Current Illness: N/A
Preexisting Conditions: Spinal Arthritis
Allergies: Nuts
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had a sore arm and I was tired after receiving the vaccine for about a day. One day I fainted, and I was transported to the emergency room. I was diagnosed with lung cancer on 12/09/2022. I was admitted for two days to the hospital. I had part of my lung removed in 03/2023 and waiting to see what the treatment will be.


VAERS ID: 2603983 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-23
Onset: 2022-12-09
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7164B / 3 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Epistaxis, Influenza virus test negative, Nasopharyngitis, Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), COVID-19 (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: 3/10/2021 Johnson and Johnson COVID-19 vaccine. Pain at injection site, abdomen, and down leg.
Other Medications: Multivitamin; Calcium; Iron; ZYRTEC
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Flu Negative, RSV Negative, COVID-19 Negative
CDC Split Type: vsafe

Write-up: Around December 9, I began having cold symptoms. Symptoms did not improve and I began having nose bleeds when I would cough. I went to urgent care and was diagnosed with a sinus infection. I was prescribed amoxicillin and told to switch to Claritin from Zyrtec. Completed course of Amoxicillin and symptoms improved during treatment but returned much worse when antibiotic was completed. Returned to a different urgent care clinic and was tested for Flu, RSV, and COVID-19, all were negative. They stated that the sinus infection was still present and was prescribed augmentin, sudafed , and nasal rinse with saline. After completing augmentin I continued with sudafed and nasal rinse due to residual congestion. Congestion cleared up around the end of January.


VAERS ID: 2463134 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-08
Onset: 2022-09-25
   Days after vaccination: 17
Submitted: 0000-00-00
Entered: 2022-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Lethargy, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), 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: Simvastatin; lorazepam; amitriptyline; NEXIUM; calcium citrate; biotin; magnesium citrate; potassium; L-methyl folate; vitamin D3; vitamin B12
Current Illness: None
Preexisting Conditions: None
Allergies: Doxycycline; FLAGYL
Diagnostic Lab Data: At home COVID-19 test: 09/25/2022-negative; At home COVID-19 test; 09/26/2022-postive
CDC Split Type: vsafe

Write-up: We recently took a trip out of town and attended the theater. I wore a mask for the entire trip, but others were not always masked. We returned home on 09/24/2022. On 09/25/2022 at 05:00PM my throat began to hurt, and my husband was also not feeling well. We both tested negative on at home COVID-19 tests. The next day, 09/26/2022, we tested again, and the results were positive. I called my doctor who prescribed us each PAXLOVID which we began taking that same day. My symptoms have not begun to improve yet. I''m still experiencing sore throat, fever, aches and pains, lethargy, stuffy nose, respiratory wheezing in my chest, and diarrhea.


VAERS ID: 2593265 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-09-06
Onset: 2022-12-24
   Days after vaccination: 109
Submitted: 0000-00-00
Entered: 2023-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Hypersomnia, Malaise, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (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: Levothyroxine; montelukast; armodafinil; atorvastatin; escitalopram; omeprazole; BREO ELLIPTA; super papaya enzyme plus; D-mannose; ALLER-FEX; pygeum extract; ginger root; resveratrol; pumpkin seed oil; acetyl L-carnitine; phosphatidyl seri
Current Illness: None
Preexisting Conditions: Knee issues; past eye issues
Allergies: None
Diagnostic Lab Data: COVID at home tests, 2 positive and 2 negative
CDC Split Type: vsafe

Write-up: 12/24/2022 I was feeling a little bit under the weather. I tested positive with a home COVID test on 12/25/2022. I was sneezing, coughing, runny nose and felt very tired. I began to sleep a lot more. I had no energy. I called the doctor on 12/26/22 and was prescribed PAXLOVID. I tested negative for COVID. After completing the PAXLOVID, I tested positive for COVID again. I was quite fatigued for around three weeks. I did not test negative again until 2 weeks and 5 days after testing positive the first time.


VAERS ID: 2603398 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-09-22
Onset: 2023-02-28
   Days after vaccination: 159
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Streptococcus test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prednisone; Metoprolol; Crestor; Multivitamin
Current Illness: No
Preexisting Conditions: No
Allergies: N/a
Diagnostic Lab Data: 2Mar2023 COVID-19 Rapid Test, positive. Strep Thorat, negative.
CDC Split Type: vsafe

Write-up: Woke up with a mild sore throat. Next day it was a raging sore throat, with fatigue and body aches. Did not have a fever. 3/2 went to Urgent care. Tested positive for COVID-19 on a rapid test. Tested for Strep Throat, negative. Doctor proscribed Paxlovid. Symptoms improved after 3 days, did not notice any effect of Paxlovid for the first couple of days. Symptoms disappeared after 5 days. Rebound of symptoms on day 8. Rebound symptoms were much milder, Sore throat, head and chest congestion. These symptoms lasted another 5 days, but cough, fatigue and a little bit of a head cold linger to time of reporting.


VAERS ID: 2470530 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Maryland  
Vaccinated: 2022-09-30
Onset: 2022-10-01
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INCPV20220007549

Write-up: high fever; severe chills; muscle aches; This is a spontaneous report received from a contactable reporter(s) (Nurse), Program ID: (003110). The reporter is the patient. A patient (no qualifiers provided) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 30Sep2022 as dose number unknown (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), on 30Sep2022 as unk, single (Batch/Lot number: unknown) for immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (Primary Immunization series complete; unknown manufacturer), for COVID-19 immunization. The following information was reported: PYREXIA (non-serious) with onset 01Oct2022, outcome "unknown", described as "high fever"; MYALGIA (non-serious) with onset 01Oct2022, outcome "unknown", described as "muscle aches"; CHILLS (non-serious) with onset 01Oct2022, outcome "unknown", described as "severe chills". Additional information: Day before reporting patient received both the new Pfizer Bivalent and the Flu shot and had a violent reaction. High fever, severe chills and muscle aches and frankly patient thought he/ she was dying. It was irresponsible, deadly and assinine of Pfizer to tell the PUBLIC that was okay. The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.


VAERS ID: 2489912 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Male  
Location: Maryland  
Vaccinated: 2022-10-01
Onset: 2022-10-15
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 1 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, Blood test normal, Body temperature increased, COVID-19, Cough, Dysphagia, Fatigue, Feeling abnormal, Fluid intake reduced, Laboratory test normal, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: March 2022 after 2nd COVID-19 Pfizer shot I experienced facial shingles. I went on antivirals for 5 days and it cleared up.
Other Medications: Pravastatin; azelastine
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: COVID-19 test positive; throat swab negative; Blood test to confirm no renal issues, normal.
CDC Split Type: vsafe

Write-up: My symptoms started with a tickle in my throat and I felt kind of ok on Sat. Sunday it was getting worse. I was traveling for work. On Monday I felt even worse but urgent care was already closed. I thought it was allergies so I was treating it with my allergy medication. The next morning I felt worse and even possibly from the allergy medication. I went to urgent care on Tuesday morning. My oxygen level was 93. I was given PAXLOVID. I started it on Tuesday and completed it on Saturday the 22nd. I was having a very difficult time swallowing because I couldn''t even drink liquid; my throat was very irritated. Mon and Tues I couldn''t drink much. Wed I could drink a little. Thru/ Friday I could drink a lot more. The PAXLOVID was definitely working because I was feeling better after each dose. The only side effect I experience of PAXLOVID was the metal taste in my mouth. I''m feeling now like I''m at the tail end of it, I don''t feel back to normal enough feeling still a little fatigued and have a slight temperature. After I talk for a while I cough a little bit. I also lost my voice entirely at one point and that is why I initially thought I had strep.


VAERS ID: 2579685 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-11-09
Onset: 2022-11-23
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D20A / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Cough, Dizziness, Headache, Joint swelling, Myalgia, Nausea, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone; Metformin; Atorvastatin; Ezetimibe; Losartan; Jardiance; Trulicity; Multivitamin; Ibuprofen
Current Illness: None
Preexisting Conditions: Diabetes
Allergies: Penicillin; Seasonal
Diagnostic Lab Data: 01/26/2023 At Home COVID-19 Test - Positive; 01/31/2023 At Home COVID-19 Test - Negative; 02/05/2023 At Home COVID-19 Test - Positive; 02/07/2023 At Home COVID-19 Test - Positive;02/09/2023 At Home COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: After the vaccination in November, I started having bad pain in my left hip that lasted about two weeks. After the hip pain subsided, the pain moved to my left wrist. It was swollen and sore. I couldn''t even touch it. The wrist pain lasted about three weeks. After that, the same thing happened to my right wrist. The pain in my right wrist lasted about three weeks. Then, it moved to the muscle between my neck and shoulder blade on the right side. The pain there lasted about a week and a half. The pain moved to my right bicep. It was sore to the touch and lasted about two weeks. All these episodes happened consecutively. I also tested positive for COVID-19 on January 26, 2023. I was prescribed Paxlovid. I took it for five days. The symptoms went away, and I tested negative for COVID-19 on January 31, 2023. On February 5, 2023, I rebounded and tested positive for COVID-19 again. As of today, I am still testing positive for COVID-19. My COVOD-19 symptoms included congestion, sore throat, fever between 99.7-degrees and 101-degrees, nausea, a slight cough, headache, and dizziness.


VAERS ID: 2494040 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-30
Onset: 2022-10-22
   Days after vaccination: 22
Submitted: 0000-00-00
Entered: 2022-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Bed sharing, Cough, Diarrhoea, Fatigue, Feeling abnormal, Headache, Hyperhidrosis, Mobility decreased, Nasopharyngitis, Nausea, Oropharyngeal pain, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Previous Moderna Vaccines-A few hours of spiked blood pressure that requires monitoring.
Other Medications: Lisinopril; Rosuvastatin; CoQ10; Vitamin D
Current Illness: None
Preexisting Conditions: Hypertension; High Cholesterol; Mild Heart Murmur
Allergies: Penicillin
Diagnostic Lab Data: 23OCT2022- At Home COVID-19 Test- Negative; 26OCT2022- At Home COVID-19 Test- Positive; 29OCT2022- At Home COVID-19 Test- Positive; 31OCT2022- At Home COVID-19 Test- Positive
CDC Split Type: vsafe

Write-up: On 10/22/2022, I woke up with a sore throat which lasted all day. On 10/23/2022, in the evening and into the next day, I experienced sneezing and sniffles with a mild headache. I took an at home COVID-19 test on 10/23/2022 and it was negative. On 10/24/2022, my symptoms persisted and got worse, I also had nausea and diarrhea. On 10/25/2022, the symptoms continued with more head cold like symptoms. That night, I was feeling off and not quite normal. On 10/26/2022, I tested myself again in the morning for COVID-19 and it was positive. I notified my physician, who called in a prescription for Paxlovid. My symptoms continued along with a mild dry cough. On 10/27/2022, my symptoms continued, and I also noticed that I had lost my sense of taste and smell. After around mid-day, I felt some relief in some of my symptoms but still felt off. On Thursday, I had a mild fever with sweating, but some lessening of the head cold symptoms with the exception of the headache. Friday, I spent most of the day in bed, and I had been experiencing fatigue this entire time. Saturday, I was still tired and running a fever on and off with a headache and my head cold symptoms were getting better. This morning, I am still experiencing fatigue and some minor fever. I''m still feeling a tinge of pain in the right side of my head. I finished my last dose of Paxlovid yesterday. As of yesterday, I''m experiencing an occasional cough with phlegm.


VAERS ID: 2491372 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-10-17
Onset: 2022-10-25
   Days after vaccination: 8
Submitted: 0000-00-00
Entered: 2022-10-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dysphonia, Headache, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 25OCT22 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 10/25/22. I had a sore throat, headache, fever, and body aches. I took an at home test and it was positive. I called the doctor, and they prescribed five days'' worth of PAXLOVID. I am feeling much better now since I started taking PAXLOVID. I still have a raspy voice, but other than that I feel good.


VAERS ID: 2597655 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Maryland  
Vaccinated: 2022-09-11
Onset: 2022-09-11
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Cardiac imaging procedure normal, Chest X-ray normal, Chest discomfort, Condition aggravated, Echocardiogram abnormal, Electrocardiogram abnormal, Heart rate irregular, Hypersomnia, Hypertension, Malaise, Migraine, Pain in extremity, Palpitations, Pericardial effusion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Third dose of Pfizer 12/04/2021 severe Migraine
Other Medications: None
Current Illness: None
Preexisting Conditions: High Blood Pressure; Chronic Migraines
Allergies: None
Diagnostic Lab Data: 12SEP2022 EKG, nothing abnormal; 13SEP2022 EKG, nothing abnormal; X-Ray, nothing abnormal; Blood work, nothing abnormal; 20DEC2022 Echocardiogram, fluid around heart; 23JAN2023 EKG, Heart Palpitation; 29DEC2022 MRI, nothing abnormal
CDC Split Type: vsafe

Write-up: Later that evening after receiving my fourth dose of Pfizer on 09/11/2022, I felt a tightness in my chest and my heart was beating uncontrollably. After each previous vaccine, I''ve had an extreme pain in my arm that went away after a day or so. After my third dose, I had a migraine and slept most of the day. I went to a local urgent care on 09/12/2022 because I was still feeling unwell. They did an EKG and didn''t see anything abnormal but said if the symptoms persisted to go the emergency room. So, on 09/13/2022, I went to the occupational health services at my work where they took my blood pressure, which was high. They also recommended the emergency room if symptoms continued. So, I went to the emergency room that night. They did a chest x-ray and EKG and didn''t see anything. They did a blood test to rule out blood clots. They suggested I see a cardiologist. I saw my cardiologist on 12/20/22. They did an echocardiogram. They noticed fluid around my heart and my blood pressure was still high. He prescribed amlodipine and I had a follow up in January with hopes that I would be able to come off of the medication and be transient. I had that follow up in January and my blood pressure was still high. He also did an EKG and detected heart palpitation. I have a follow up with him in August. I also had chronic migraines in late December to early January. I saw a neurologist who prescribed a nightly migraine medication.


VAERS ID: 2559517 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Maine  
Vaccinated: 2022-10-03
Onset: 2022-12-16
   Days after vaccination: 74
Submitted: 0000-00-00
Entered: 2023-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
SMQs:, 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: Simvastatin; calcium; glucosamine chondroitin; vitamin E; multivitamin; SEREVENT DISKUS
Current Illness: None
Preexisting Conditions: COPD
Allergies: None
Diagnostic Lab Data: 12/16/2022 at home COVID-19 test positive; 12/21/2022 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: On the 16th, I woke up feeling unwell. I took a COVID-19 test. The result was positive. My wife called the doctor and requested PAXLOVID. They called it in the pharmacy. I received it within the hour, and I immediately started treatment. I took it twice a day for five days. During that five-day period, I had no symptoms. On Wednesday, the 21st, I tested negative for COVID-19. Immediately after I tested negative, I didn''t have any other short-term effects. For the past month, I haven''t had any lingering effects either.


VAERS ID: 2620629 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Maine  
Vaccinated: 2022-09-29
Onset: 2022-10-30
   Days after vaccination: 31
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Atrial fibrillation, Cardioversion, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Heart rate increased, Hypertension, Illness, Malaise, Procedural failure
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (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: ADDERALL; magnesium; TRAVATAN
Current Illness: N/A
Preexisting Conditions: ADHD
Allergies: Ibuprofen; environmental
Diagnostic Lab Data: 07FEB2023 EKG Atrial fibrillation; 16FEB2023 Echocardiogram; 29MAR2023 Cardioversion failed
CDC Split Type: vsafe

Write-up: Around October 30th I was having a lot of malaise. I was very short of breath and had physical weakness. I went for an exam in the first week of February and there was the suggestion that I might need an antibiotic to kick this illness. They also found that I was in atrial fibrillation. I had a rapid heart rate. I did my blood pressure and pulse through November to December and found that it was high. I didn''t feel any fluttering, but I felt that my pulse and blood pressure was high. My health providers feel I was in atrial fibrillation for much longer than the initial finding in February. I am under treatment to get me out of atrial fibrillation. I have been started on numerous cardiac medications. They are planning to do an ablation.


VAERS ID: 2603326 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-22
Onset: 2023-02-06
   Days after vaccination: 137
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: SINGULAIR; EVISTA; PREVIDENT; SYMBICORT; ZOLOFT; VAGIFEM; calcium; multiple daily vitamin; vitamin B-12; turmeric; vitamin C; indole -3-curviserous; PRESERVISION
Current Illness: No
Preexisting Conditions: Asthma
Allergies: Codeine; lactose intolerance
Diagnostic Lab Data: 6FEB23 at home COVID test positive; 11FEB23 at home COVID test negative; 12FEB23 at home COVID test negative.
CDC Split Type: vsafe

Write-up: 2/6/23 I was coughing and no other symptoms. I took an at home COVID test and tested positive. I had a telehealth appointment and was prescribed PAXLOVID. I started the PAXLOVID that day for five days. I had chills for a couple of days and TYLENOL remedied the chills while taking the PAXLOVID. I was always wanting something hot to drink. I had a very dry cough that was nonstop and lasted for about three weeks. I was unable to produce phlegm. The medications I was taking for these symptoms were guaifenesin and TESSALON cough syrup and ROBITUSSIN.


VAERS ID: 2610771 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-10-04
Onset: 2022-12-31
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, COVID-19, Chest discomfort, Cough, Dizziness, Electrocardiogram normal, Fatigue, Muscular weakness, Persistent postural-perceptual dizziness, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (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: Vitamin D gummy; multivitamin
Current Illness: N/A
Preexisting Conditions: Exercise induced Asthma; Nasal polyps
Allergies: Environmental allergies; dogs; cats
Diagnostic Lab Data: 1/2/2023 COVID-19 positive; 22MAR23 Blood pressure, Blood work and EKG was all normal
CDC Split Type: vsafe

Write-up: Starting 12/31/22 in the morning with minor cough, tiredness and a feeling in my chest. I tested myself and got positive. Then I saw an ENT around 22MAR2023 I felt dizzy and weak on my arms and thought I was having a heart attack. He took my blood pressure and EKG was good. 24MAR23 you felt dizzy more frequently when I move my eyes or head around and it was persisted as I am moving around. I am going to see my doctor again soon.


VAERS ID: 2489885 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-09-13
Onset: 2022-10-18
   Days after vaccination: 35
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion
SMQs:, 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: Aspirin; hydrochlorothiazide; lisinopril; multivitamin; pravastatin; tamsulosin; tolterodine; METAMUCIL; melatonin
Current Illness: None
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: None
Diagnostic Lab Data: 10/20/2022 at home COVID-19 test positive; 10/24/2022 at home COVID-19 test positive; 10/26/2022 at home COVID-19 test positive.
CDC Split Type: vsafe

Write-up: My symptoms started with sinus congestion and runny nose. I thought I had a head cold. I tested positive for COVID-19 on October 20, 2022. I called my doctor. They called me back and asked me a lot of questions. I sent a copy of the test result to them through the portal. They said it was too late for the antiviral medication. They recommended molnupiravir. I took four pills twice a day for 5 days. I took another COVID-19 test this past Monday and still tested positive. I still have a headache, congestion, runny nose, and exhaustion. This morning, I tested positive again.


VAERS ID: 2601871 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-20
Onset: 2023-02-26
   Days after vaccination: 159
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: COZAAR; IMITREX; pantoprazole
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: KEFLEX; ampicillin
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: I was having a sore throat for about a week. That weekend I started coughing, sneezing, I had a low-grade fever, and I had a headache. I took a COVID-19 home test, and it was positive. I reached out to my health care provider, and they did give me PAXLOVID, but I did not end up taking anything for it. I still have a pretty bad cough and I was given a cough medicine and an inhaler as well.


VAERS ID: 2593883 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-09-07
Onset: 2023-01-03
   Days after vaccination: 118
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Allergic sinusitis, COVID-19, Cough, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test 01/07/2022 positive, COVID-19 PCR 01/07/2022 positive
CDC Split Type: vsafe

Write-up: I had a sore throat, cough, runny nose, nasal congestion and headache. I tested myself for COVID-19 on 01/07/2022 and it was positive. I went into urgent care and obtained a PCR COVID-19 home test which was also positive. I was taking FLONASE and methylprednisolone because on January 04, 2023 I was diagnosed with allergic sinusitis which was incorrect. I was prescribed PAXLOVID and took the whole course and was back to normal in about a week. I have recovered from all my symptoms currently.


VAERS ID: 2527859 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-24
Onset: 2022-11-11
   Days after vaccination: 18
Submitted: 0000-00-00
Entered: 2022-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, Cough, Feeling abnormal, Labyrinthitis, Laryngitis, Oropharyngeal pain, Streptococcus test negative, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; amlodipine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: Strep test negative 12-04-2022
CDC Split Type: vsafe

Write-up: I developed allergy like symptoms like postnasal drip onto my vocal cord. I thought that it was allergies, so I started to take a very the counter medication. I developed Laryngitis. After about 3 weeks, I went to the urgent care. I had no voice. This has happened in the past but It normally would resolve itself with less talking. My throat was so painful that I thought I had strep but was negative. The doctor found an inner ear infection and gave a prescription for AUGMENTIN for 7 days. I started to take the medication a week ago and I felt really bad all week long. I am finally starting to feel better. I was not coughing as much yesterday. He told me that the Laryngitis was viral. I do feel like I have recovered from my symptoms.


VAERS ID: 2593898 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-07
Onset: 2022-09-10
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angina pectoris, Blood pressure fluctuation, Blood pressure increased, Feeling hot, Flushing, Imaging procedure, Insomnia, Lymphadenopathy, Neck pain, Pain, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypersensitivity (broad), Arthritis (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PLAQUENIL; SYNTHROID; lisinopril; metoprolol succinate; baby aspirin; ADVAIR inhaler; albuterol inhaler; vitamin B12; vitamin D; probiotic
Current Illness: None
Preexisting Conditions: Systemic Lupus; Asthma; Thyroid Issues; Hypertension
Allergies: Gluten intolerance; chicken coop; sulfa drugs; seasonal tree pollen
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: My blood pressure began rising on the third day after receiving my COVID-19 booster. Based on recorded data in my blood pressure monitor. It continued rising for three weeks. On day 21, I went to the ER. My blood pressure was 250/150. They gave me medications to help prevent stroke and heart attack. They did a brain scan to see if I was having a stroke. They gave me a higher dose of the medications that were already listed in my chart and sent me home when my blood pressure went back down to normal levels. My blood pressure continued to rise gradually. I reported the rise to my doctor. He increased the dosages of my current blood pressure medications. As time went by, it continued to rise until I was on new medications and at much higher doses. It went up all through September, October, and November. They just kept giving me new blood pressure medications. In December, I requested a trial dose of prednisone from my Lupus doctor. It immediately worked. My blood pressure went down to almost normal. I tapered off the prednisone. As soon as I got down to 10mg, my blood pressure went back up, and I had to take high doses of medications to stay out of the ER. In January, I went back on 20mg of prednisone. After a week, I went back down to 15mg because things were stabilizing. My blood pressure went back down to almost normal. I reduced my blood pressure medications back down to the regular doses. When I tapered off the prednisone again, the whole thing just repeated itself when I got back down to 10mg. They put me back on 20mg of prednisone and higher doses of blood pressure medications, and the whole process started over again. At that point, the doctor agreed to put me on a very slow taper instead of every four or five days. I am now on a 30 day taper off the prednisone. All of February, I''ve taken 15mg of prednisone. My blood pressure has been normal. I am currently taking 12.5mg of prednisone for the month of March. I was able to taper to that amount successfully. I have been slowly lowering the dose of my blood pressure medications as my blood pressure has been below normal. When my blood pressure goes up, it goes up one point per minute. When the blood pressure is rising, I get some heart pain and radiating pain in my neck. I feel flushed and uncomfortably warm. Once my blood pressure reaches over 180, I start vomiting. When I''m off the prednisone, I will have the blood pressure surges multiple times a day. I go three or four days without sleep to keep enough medication in my body to keep my blood pressure below 180. When my blood pressure is controlled with prednisone, the rate of increase is about half of that. Over time, the surge comes almost to a complete halt with just the typical normal rise in blood pressure, but that only occurs after a few weeks at 15mg of prednisone. I feel it''s an autoimmune reaction because I have significant swelling in my lymph nodes. I cannot process any other labs until my prednisone levels are allowed to drop to 5mg. That has been unsuccessful so far. My original dose of metoprolol was 25mg and my original dose of lisinopril was 20mg. During the time they took me off the prednisone and my blood pressure rose, I took hydralazine five or six times a day. I took amlodipine. I alternated it with the hydralazine for surges. The metoprolol went up to 300mg per day. The lisinopril went up to 80mg per day.


VAERS ID: 2616905 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-25
Onset: 2022-11-01
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Laboratory test normal, Malaise, Nasopharyngitis, Sleep disorder, Weight decreased
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (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: Aspirin; TRELEGY; LIPITOR; amlodipine
Current Illness: N/A
Preexisting Conditions: COPD; Vascular Disease
Allergies: PLAVIX
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. In 11/2022, I developed a cold with a cough that has not gone away. I have had many tests and they don''t see anything wrong. I have lost 16 pounds and I cannot sleep because of the cough. I feel so worn down and tired of being sick.


VAERS ID: 2556163 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-09
Onset: 2023-01-04
   Days after vaccination: 87
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 1 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Diarrhoea, Dizziness, Headache, Malaise, Nasal congestion, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Taste disorder
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metoprolol tartrate; ELIQUIS; quazepam; vitamin D3; vitamin B complex; METAMUCIL; RESTASIS
Current Illness: None
Preexisting Conditions: Arrhythmia; Atrial Fibrillation; Ulcerative Colitis; Retinal Hemorrhage
Allergies: Seasonal; penicillin; sulfa drugs; nonsteroidal anti-inflammatory drugs; aspirin; ZOLOFT; CELEXA; BENTYL; KEFLEX
Diagnostic Lab Data: 01/05/2023 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: After the vaccination, I had a sore arm and a slight fever. I woke up on January 4, 2023, with a sore throat and a 100-degree fever. I had a little bit of diarrhea. Certain foods tasted different. I also had aches, weakness, and a headache. I''ve also experienced a wave of dizziness a few times. I''ve also had a stuffy nose and blow my nose frequently. On January 5, 2023, I had a telehealth appointment with my doctor for a different issue. I mentioned I was sick and asked if I should test for COVID-19 at home. She said yes. I took a COVID-19 test at home. The result was positive. I sent her a message after receiving my results to get advice on how to proceed. She told me to quarantine for five days. She said to wear a mask after five days if I left the house.


VAERS ID: 2598786 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-15
Onset: 2022-09-25
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9644 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Barbotage, Bone pain, Bursitis, Calcific deposits removal, Joint range of motion decreased, Muscular weakness, Pain, Pain in extremity, Tendon calcification, Tendon disorder, X-ray limb abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (narrow)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Instant Relief; Xanax; Cymbalta; Ibuprofen; Robaxin; Iron; Prenatal Vitamins
Current Illness: None
Preexisting Conditions: Congenital Absence of Anterior and Posterior Cruciate Ligaments in Both Knees; History of Bilateral Knee Replacements; Developmental Dysplasia of the Hip (Unilateral, Side Unknown); Pigment-Dispersion Syndrome (Bilateral); Fibromyalgia; History of Gastric Bypass (with Resulting Loss of 110 Lbs.)
Allergies: None
Diagnostic Lab Data: 22FEB - Shoulder X-Rays - Significant Right Rotator Cuff Calcification Tendinopathy within the Resorptive Phase with Associated Severe Subacromial Subdeltoid Calcific Bursitis Indicated
CDC Split Type: vsafe

Write-up: The events happened within two weeks of my receiving the fourth dose of the Pfizer COVID-19 vaccine. There was significant shoulder pain bilaterally, and it was more pronounced in the right shoulder than in the left. It radiated from the anterior of the shoulder into the clavicle at first. It also radiated from the shoulder to the elbow for about six months. The pain then became significantly worse, and it then radiated to the hand for the last two months. The aforementioned gradual radiation of the pain only affected the right arm. At that point, I went to my PCP, who referred to an orthopedist. My PCP prescribed Norco 5/325, which was not effective in treating the pain. I then saw the orthopedist, who ran X-rays of the right shoulder. The orthopedist diagnosed me with significant right rotator cuff calcification tendinopathy within the resorptive phase with associated severe subacromial subdeltoid calcific bursitis. There are no measurements indicated, but they are abnormally large. The orthopedist also prescribed me 50mg of tramadol, which I was to take every six to eight hours as needed. It reduced the pain significantly more than Norco did. I have undergone barbotage to have the calcifications broken up, and only 70% could be broken up. The procedure had to be halted after 70% of the calcifications had been removed, because further barbotage would have damaged the tendon. I am currently undergoing physical therapy once a week. After having had the barbotage procedure completed and the physical therapy commenced one week thereafter, the range of motion is now normal. In certain positions in the right shoulder, the range of motion is normal, but with some other positions, there is weakness.


VAERS ID: 2596927 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-13
Onset: 2022-11-14
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Escherichia infection, Escherichia test positive, Incontinence, Micturition urgency, Urinary tract discomfort, Urine analysis
SMQs:, Infective pneumonia (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CENTRUM SILVER; zinc; glucosamine; calcium; vitamin D
Current Illness: No
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: Urine check, E Coli
CDC Split Type: vsafe

Write-up: 11/14/2022 I had some urgency for urination and discomfort after I voided. It moved into borderline incontinence. I had an appointment on 11/16/2022 with the doctor. I had a urine check; my lungs and heart were checked. It was likely an infection which was later diagnosed with E. coli. I was prescribed cephalexin. I began taking the medication that day. It was a 5 day supply and my symptoms were resolved after 2 days.


VAERS ID: 2620619 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-11-26
Onset: 2023-04-04
   Days after vaccination: 129
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 024H22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: N/A
Current Illness: N/A
Preexisting Conditions: Diabetic
Allergies: N/A
Diagnostic Lab Data: 06APR2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I began not feeling well on 04/04/2023 with head and chest congestion, sneezing and runny nose. I tested positive for COVID-19 on 04/06/2023. I contacted my doctor and got a prescription for PAXLOVID. I tolerated the medication, but the taste was terrible. As of today, I have a little congestion, but it could be due to seasonal allergies.


VAERS ID: 2624628 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-31
Onset: 2022-10-31
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Blood test normal, Magnetic resonance imaging normal, Magnetic resonance imaging spinal abnormal, Pain, Pain in extremity, Peripheral nerve operation, Sciatica, Spinal operation
SMQs:, Retroperitoneal fibrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Solifenacin; ibuprofen; fluticasone; multivitamin; topiramate; amlodipine/olmesartan
Current Illness: None
Preexisting Conditions: None
Allergies: Hydroquinone; LYRICA; mushrooms
Diagnostic Lab Data: (?)JAN23 MRI L4 and L5 discs sitting on sciatic nerve; 26APR23 MRI ankle, no fractures; 26APR23 Bloodwork, normal
CDC Split Type: vsafe

Write-up: 10/31/22 I started having pain in the lower part of my back. I started having shooting pain down both of the back of my legs. It was extreme pain and would not cease. I went to the emergency room and was given a steroid shot. After a while, the pain eased up. I saw my PCP and she referred me to a spine doctor. The spine doctor told me it was sciatic nerve pain. The shot I was given, relieved the pain on my left leg, but it remained on my right leg. I went to physical therapy. On 3/31/23, I ended up having spine surgery on the discs that were on my sciatic nerve. On 4/13/23, I started getting right foot and ankle pain. I am wearing a boot and was told it was not related to the surgery. I had an MRI and bloodwork and no one can tell me where this pain is coming from. I am to go back in a month to see the doctor.


VAERS ID: 2505804 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-29
Onset: 2022-11-01
   Days after vaccination: 33
Submitted: 0000-00-00
Entered: 2022-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Feeling abnormal, Headache, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (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: Hydrochlorothiazide; Vitamin D; Potassium; Multivitamin; Probiotic; Simvastatin; Claritin
Current Illness: No
Preexisting Conditions: Prediabetic; High blood pressure; Emphysema
Allergies: Zyban
Diagnostic Lab Data: at home COVID-19 test - positive
CDC Split Type: vsafe

Write-up: I was sneezing, had a headache, coughing, tired. I tested myself and was positive. I felt for a couple of days then felt good. Today is my 10th day and I''ve been feeling bad again. I had trouble breathing yesterday. I did not take any antivirals.


VAERS ID: 2596983 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-13
Onset: 2023-03-01
   Days after vaccination: 169
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Eye pain, Feeling abnormal, Foreign travel, Headache, Malaise, Oropharyngeal pain, Poor quality sleep, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Glaucoma (broad), Depression (excl suicide and self injury) (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: LIPITOR; meloxicam; FOSAMAX; multivitamin; calcium; iron
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs; dust mites
Diagnostic Lab Data: At home COVID test, positive.
CDC Split Type: vsafe

Write-up: 3/1/2023 I was going to bed and I had a sore throat, it got really bad quickly. I also had a headache and did not sleep well at all that night. I felt bad the next morning. I had a headache, my eyeballs hurt, sore throat, a cough and chills. I assumed I felt bad because I slept so poorly. I was out of the country and did not see a doctor. I wasn''t feeling so sick that I was afraid, so I just kept going. That evening, I took a shower and went to bed earlier. The next day, I felt a little better, but did not feel good. On 3/5/23 I had a positive at home COVID test. I called my doctor the next morning and had a telehealth appointment. I was prescribed PAXLOVID and began taking it that day. I am feeling better, but am still congested.


VAERS ID: 2599890 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-12-04
Onset: 2022-12-14
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 019WNA / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, 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: None
Current Illness: None
Preexisting Conditions: Migraines.
Allergies: None
Diagnostic Lab Data: Appointment on 1/05/2023 with primary doctor, they determined it was likely Urticaria; however, they did not suggest it may be related to the vaccine/booster.
CDC Split Type:

Write-up: No immediate effects. After ~10 days I began to get welts/hives/red marks on my skin, generally wherever I cam in contact with anything. The worse the abrasion, the worse the mark. Persisted without reduction of symptoms until I began to take antihistamines a month later.


VAERS ID: 2597054 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-13
Onset: 2022-12-29
   Days after vaccination: 107
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
SMQs:, Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Sertraline; Trazadone; Lamotrigine; Vitamin D; Allertec; Sprintec
Current Illness: N/A
Preexisting Conditions: Depression; Anxiety
Allergies: Penicillin; Cats; Dogs; Seasonal Allergies
Diagnostic Lab Data: COVID-19 Home Test
CDC Split Type: vsafe

Write-up: I was having a scratchy throat and the next day that was moving to as sore throat. By 31st I had no taste or smell, my body achy and I developed congestion and a headache. I had been taking COVID-19 Home Tests every day, but it was not until 01/01 when it was positive. I was taking ibuprofen and resting, and they did not have me do anything else for my symptoms.


VAERS ID: 2468402 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-21
Onset: 2022-09-30
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2022-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Inner ear disorder, Laboratory test, Sleep disorder, Vertigo, Vertigo positional
SMQs:, Vestibular disorders (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: Vitamins
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Differin
Diagnostic Lab Data: Blood Test ER:
CDC Split Type: vsafe

Write-up: About one week after the vaccine, I woke up at 4AM and the room was spinning. When I sat up it got better. I laid back down and the room started spinning again. I continued to sit up but it had not improved by morning. It was positional and it did not effect me when I was sitting, walking or standing. My doctor sent me to the ER. I was tested and they suspected it was crystals in my inner ear. I was given medicine for my inner ear, and it seemed to work within an hour. I did not have the spinning feeling. When the medicine wore off it came back. I did some exercises that were advised for inner ear crystals. It has been five days and now it has improved, I have not had any symptoms today.


VAERS ID: 2604131 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-22
Onset: 2023-03-08
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Levothyroxine; Calcium Citracal; Multivitamin
Current Illness: None
Preexisting Conditions: Hypothyroidism
Allergies: None
Diagnostic Lab Data: 03/08/2023 Antigen COVID-19 Test - Positive; 03/19/2023 At Home COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: My husband was sick with cold symptoms. I had a scratchy throat and a slight headache, but I always have that, so I didn''t think much of it. He was running a fever, so we went to the medical facility on the cruise ship. He tested positive for COVID-19. Since he tested positive, they tested me for COVID-19 as well. The result was also positive. After that, my symptoms got worse. I was very congested, tired, and had a bad sore throat. We quarantined in our cabin for five days. After five days, I was still a little congested and had a cough, but they released us from quarantine. The medical facility gave us cough syrup, Tylenol, and cough drops. We also took Benadryl. I still have a slight cough but most of the symptoms are gone. I retested myself for COVID-19 upon returning home. The result was negative.


VAERS ID: 2600205 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-16
Onset: 2022-12-20
   Days after vaccination: 95
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chemotherapy, Condition aggravated, Mass, Pancreatic carcinoma, Surgery
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Non-haematological malignant tumours (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: N/A
Current Illness: N/A
Preexisting Conditions: Pancreatic Cancer; Migraines
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. On 12/20/2022, I had a mass removed and I was diagnosed with pancreatic cancer. I am being treated with chemotherapy.


VAERS ID: 2604073 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-24
Onset: 2022-11-01
   Days after vaccination: 38
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaemia, Blood test, Computerised tomogram, Giant cell arteritis, Headache, Inflammatory marker increased
SMQs:, Haematopoietic erythropenia (broad), Optic nerve disorders (broad), Vasculitis (narrow), Immune-mediated/autoimmune disorders (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: Cardizem
Current Illness: None
Preexisting Conditions: Osteoarthritis
Allergies: Buspar
Diagnostic Lab Data: Several rounds of Blood work and CT scans starting January 3, 2023 thru March 13, 2023.
CDC Split Type:

Write-up: Started with headaches for 2 weeks 6 weeks after vax. Anemia, high inflammatory markers. After 3 1/2 months of testing and 7 Drs I was diagnosed with Giant Cell Arteritis.


VAERS ID: 2623990 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-11-30
Onset: 2022-11-30
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Influenza like illness, Pain in extremity, SARS-CoV-2 test positive
SMQs:, Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro; Lipitor; Adderall
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa
Diagnostic Lab Data: 30NOV2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had a painful arm and flu like symptoms for about a day after receiving the vaccine. I tested positive for COVID-19 on 11/30/2022. I did not contact my doctor and just took over the counter medication to relieve my symptoms.


VAERS ID: 2603990 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-20
Onset: 2023-02-16
   Days after vaccination: 149
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 3 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Myalgia, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Nadolol; escitalopram; amlodipine; amitriptyline; estradiol; calcium; PREVACID; vitamin B12; vitamin D3
Current Illness: None
Preexisting Conditions: High Blood Pressure; GERD
Allergies: Penicillin
Diagnostic Lab Data: 20FEB23 at home COVID test positive; 22FEB23 at home COVID test positive
CDC Split Type: vsafe

Write-up: 2/16/23 I had symptoms of a cold. I had congestion, slight sore throat, weariness, and some muscle aches. I had this for four or five days. I had a positive COVID at home test on 2/19/23. I had a telehealth on 2/20/23 and was prescribed PAXLOVID, but I never took it because I felt better.


VAERS ID: 2524169 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-09-20
Onset: 2022-09-22
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cardiac arrest, Cardioversion, Implantable defibrillator insertion, Laboratory test, Pulse abnormal, Respiratory rate decreased, Resuscitation, SARS-CoV-2 test positive, Ventricular fibrillation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow), Noninfectious myocarditis/pericarditis (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, 25 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: TYSABRI; gabapentin; baclofen; tizanidine; LAMICTAL; ZOLOFT; MYRBETRIQ; ibuprofen; D3; vitamin B complex with vitamin C; men''s multivitamin
Current Illness: N/A
Preexisting Conditions: MS Second Progression
Allergies: N/A
Diagnostic Lab Data: COVID-19 test please call for the other test listed
CDC Split Type: vsafe

Write-up: On September 20, 2022, my husband received the vaccine. Then on September 22,2022 he tested positive for COVID-19 (at home test). Friday September 23, I tested positive myself. I did call his neurologist that he was COVID-19 positive. Patient didn''t have any real obvious symptoms because with him having MS he naturally has fatigue no runny nose, no coughing, or fever. On September 24, 2022, a little after 4 PM he had cardiac arrest we then called the ambulance and while waiting I performed CPR. The medics arrived and removed me from the room and continued CPR and started using the defibrillation Advanced care for ventricular fibrillation. Patient had slow breathing and weak pulse and was taken to the hospital. All the way until Oct 19, he remained in the care of the hospital. Unsure if this was caused by the vaccine or the positive test but patients'' doctors believe he may have always had a weak heart that was undetected and that the vaccine or the COVD-19 made it worse. He now has a ICD implant and now takes heart medication.


VAERS ID: 2637378 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-08
Onset: 2022-10-08
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Erythema, Feeling hot, Induration, Laboratory test abnormal, Pain in extremity, Peripheral swelling, Seasonal allergy, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conjunctival disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TOPROL XL; hydrochlorothiazide; losartan; hydralazine; clonidine patch; CENTRUM SILVER for women; calcium with vitamin D; coQ10
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: Latex; NORVASC
Diagnostic Lab Data: (?)May23 Bloodwork, negative for auto immune response; (?)MAY23 Inhalant test, Hay fever
CDC Split Type: vsafe

Write-up: 10/8/22 towards the evening, my arm became very red, hard, hot and swollen, about a 3 inch radius around the point of the vaccine. I sprayed lidocaine on the spot to relieve the pain which did cool it down. In January, I broke out in hives, big red whelps all over my torso. At the end of February, I went to see a Dermatologist. He sent me to an Allergy and Asthma doctor. I was prescribed about five antihistamines to take daily. I still have these whelps.


VAERS ID: 2546969 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-15
Onset: 2022-12-11
   Days after vaccination: 57
Submitted: 0000-00-00
Entered: 2022-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, COVID-19, Cough, Fatigue, Headache, Nausea, Pain, Parosmia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN
Current Illness: No
Preexisting Conditions: Microvalve prolapse with regurgitation
Allergies: Sulfa medication
Diagnostic Lab Data: COVID-19 test positive
CDC Split Type: vsafe

Write-up: Fever, headache, cough, runny nose, fatigue, nausea. I''ve noticed since there''s been some affect of my sense of smell. I went to the ER because I started throwing up and couldn''t stop until I got IV medication. I lost my voice and experienced achiness. I took PAXLOVID after going to the ER. I''m still somewhat fatigued and my voice and smell isn''t 100 percent back yet. I have a lingering cough.


VAERS ID: 2613700 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-09-26
Onset: 2023-01-01
   Days after vaccination: 97
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Prostatic operation
SMQs:

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? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Montelukast; Aspirin; Vitamin D3
Current Illness: N/A
Preexisting Conditions: Prostate Cancer
Allergies: Caparo; Sulfa
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I was diagnosed prostate cancer in 11/2021. I had prostate surgery on 01/2023. As of today, I am not receiving any treatment and I am feeling good.


VAERS ID: 2535176 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-09-15
Onset: 2022-12-09
   Days after vaccination: 85
Submitted: 0000-00-00
Entered: 2022-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bed sharing, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Levothyroxine; hydrochlorothiazide; norgestim-eth
Current Illness: N/A
Preexisting Conditions: Hyperthyroidism; High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: 09Dec2022 COVID-19 test negative; 11DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I was doing fine until I got COVID-19 last week, I had congestion, fatigue, a little cough but not much, like a cold, I had a COVID-19 home test, and it was negative (Friday night), on Sunday I took another hoe test, and it was positive. I called the doctor on Monday and he prescribed PAXLOVID.


VAERS ID: 2557614 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Michigan  
Vaccinated: 2022-10-02
Onset: 2022-12-02
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2023-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Limb mass, Pain in extremity, Superficial vein thrombosis, Ultrasound Doppler abnormal
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Cardiomyopathy (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PRIMSOL; lisinopril; allopurinol; bisoprolol: metformin; amlodipine; TRULICITY; REPATHA; multivitamin
Current Illness: N/A
Preexisting Conditions: Diabetes; High Blood Pressure; High Cholesterol
Allergies: N/A
Diagnostic Lab Data: Ultrasound on December 07, 2022 superficial blood clots confirmed, Ultrasound on December 14, 2022 superficial blood clot dissolving
CDC Split Type: vsafe

Write-up: I started feeling lumps in my left leg which progressively got worse. It was between my middle thigh and middle 2 days later I started to feel it in my right leg. The left leg was more intense and very painful. I went to the vascular surgeon who put me on regular aspirin, and I did an ultrasound on December 07, 2022. They confirmed that there was a superficial blood clot there. They wanted me to stay on a daily dose of aspirin. They did another ultrasound 1 week later. They saw that they were starting to dissolve. They had me switch to baby aspirin 1 a day. By the end of the 3rd week of December, they were pretty much back to normal.


VAERS ID: 2629121 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Michigan  
Vaccinated: 2022-10-06
Onset: 2023-04-16
   Days after vaccination: 192
Submitted: 0000-00-00
Entered: 2023-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Candida infection, Fatigue, Feeling abnormal, SARS-CoV-2 test positive, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: None
Current Illness: None
Preexisting Conditions: Glaucoma repaired with surgery
Allergies: Melon; strawberry; seafood; shellfish
Diagnostic Lab Data: 17APR2023 COVID-19 test positive; 20APR2023 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: On Sunday, I just felt a little bit off. My mom, who was going to be visiting, is in her 90''s, so I wanted to be checked for COVID-19. I went to a local clinic and was tested for COVID-19 and was positive. I wasn''t feeling too badly. I was mostly tired, but with company coming over, I wanted to be safe. He prescribed me molnupiravir. I believe I took it for ten days. I was more tired for that week. I took a nap every day. I wore my mask constantly, which I believe contributed to the fact that I developed thrush. I''m still experiencing a lot of fatigue. I don''t have to nap as much, but I''m just tired a lot.


VAERS ID: 2614617 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-10-07
Onset: 2023-02-21
   Days after vaccination: 137
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 027E22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Chest pain, Cough, Dyspnoea, Electrocardiogram abnormal, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow), Noninfectious myocarditis/pericarditis (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: Multivitamin; aspirin
Current Illness: N/A
Preexisting Conditions: IBS
Allergies: Amoxicillin; shellfish
Diagnostic Lab Data: COVID-19 test positive 02/21/2023. EKG 02/21/2023 a little abnormal. Blood work 02/21/2023 normal. Chest X-ray 02/21/2023 clear
CDC Split Type: vsafe

Write-up: It started with a sore throat, cough, runny nose, congestion, headache, body aches and fever at its 101 degrees. I started to have some chest pain and shortness of breath on February 24, 2023, so I went to the emergency room. They ran some test and a chest x-ray which was clear. I was given TYLENOL and I slept. I was discharged. I was not prescribed any medication at that point, but my symptoms were pretty bad. I had symptoms for another week before I went to my doctor for the wheezing and shortness of breath. I was prescribed an albuterol inhaler. My other symptoms were improved by this time. It took about a month to recover from all symptoms.


VAERS ID: 2535578 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-11-23
Onset: 2022-11-29
   Days after vaccination: 6
Submitted: 0000-00-00
Entered: 2022-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Photopsia, Scan abnormal, Vitreous detachment, Vitreous floaters
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Accidents and injuries (broad), Retinal disorders (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: COSAMIN DS; SLOWMAG; vitamin E; vitamin C; women''s 50+ advanced multivitamin; calcium plus vitamin D chew
Current Illness: None
Preexisting Conditions: None
Allergies: Hay fever; cephalexin
Diagnostic Lab Data: 11/30/2022 Eye exam with Retina scan, Posterior Vitreous Separation.
CDC Split Type: vsafe

Write-up: On November 29, 2022, I experienced flashes and floaters in my right eye. I called my eye doctor. They referred me to a Retina Specialist. The following day, the Retina Specialist diagnosed me with Posterior Vitreous Separation. I''m still experiencing the same symptoms. They are being monitored. I have a follow up in January.


VAERS ID: 2486583 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-10-18
Onset: 2022-10-19
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Chills, Dizziness, Erythema multiforme, Muscle strain, Pyrexia, Somnolence
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion, Buspirone
Current Illness: None
Preexisting Conditions: None
Allergies: penicillin, cephalosporin, seasonal
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Tuesday night I began to feel extremely drowsy, dizzy, and feverish. I began experiencing chills/rigors so badly muscle strain began. Thursday afternoon began to develop erythema multiforme, this worsened over night. I visited urgent care and was prescribed prednisone and advised to take antihistamines.


VAERS ID: 2478868 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-10-05
Onset: 2022-10-08
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2022-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Discomfort, Electrocardiogram normal, Full blood count normal, Limb discomfort, Magnetic resonance imaging normal, Metabolic function test normal, Paraesthesia, Urine analysis normal
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: Prenatal vitamin daily, daily prenatal DHA, 250 mg magnesium citrate daily, 1000 units vitamin d3 daily, 50 mg sertraline daily, one cetirizine daily, one spray Flonase per nostril daily
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Visit to ER on 10/08/2022: MRI, CBC lab panel, BMP lab panel, EKG, urinalysis all normal- recommended for outpatient neurology follow-up scheduled for December 28th, 2022
CDC Split Type:

Write-up: Right sided tingling and heaviness. Started with pins and needles in right great toe and spread as tingling and heaviness up right leg to right arm and right side of face


VAERS ID: 2508558 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-10-24
Onset: 2022-11-09
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2022-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Back pain, Blood test, Exposure during pregnancy, Foetal heart rate abnormal, Nausea, Ultrasound antenatal screen abnormal, Uterine dilation and curettage
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (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: Vitamin D3; gentle iron; magnesium citrate; METAMUCIL; fish oil; prenatal vitamin
Current Illness: Runny nose
Preexisting Conditions: Depression; Anxiety
Allergies: None
Diagnostic Lab Data: Blood work; ultrasounds
CDC Split Type: vsafe

Write-up: I have a 2 year old son, and I did not have any issues with my pregnancy. The estimated date of delivery for this unborn child was 06/15/2023. I had a couple of episodes of spotting between 4-5 weeks with right sided abdominal pain. I had an ultrasound to rule out ectopic pregnancy. The ultrasound showed an early intrauterine pregnancy so they scheduled another ultrasound follow-up. I got my flu/Covid shot on 10/24. After receiving the vaccines, I experienced a lot of back pain and increased nausea. I had the second ultrasound and it showed that the baby was measuring 6 days behind. I had a third ultrasound on 11/09, that showed the baby was continuing to measure behind and there was no longer a heartbeat. I had a DNC on 11/11/2022 because my body hadn''t started doing anything on its own.


VAERS ID: 2604134 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-09-23
Onset: 2023-02-13
   Days after vaccination: 143
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Malaise, Nasal congestion, Nasopharyngitis, SARS-CoV-2 test positive
SMQs:, 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: Initial 2nd dose I was ill for 1 day.
Other Medications: Multivitamins; Omega 3; Zyrtec; Vitamin B; Herbal Supplements; Vitamin D; Magnusson: Calcium; Rosuvastatin; Xiidra; Glucosamine
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Osteoporosis; Arthritis; Glaucoma
Allergies: Polymerase
Diagnostic Lab Data: 15FEB2023 COVID-19 Test- Positive; 19FEB2023 COVID-19 Test- Negative
CDC Split Type: vsafe

Write-up: My COVID-19 symptoms started on 02/13/2023 in the morning. I had a mild head cold. I had nasal congestions and slight headaches. I tested for COVID-19 infection with a home test on 02/15/2023. I called my doctor on the same day and he prescribe me Paxlovid for 5 days. On 02/19/2023 I did 3 COVID-19 test which were negative. As of today I completely recovered.


VAERS ID: 2568745 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-10-26
Onset: 2022-12-31
   Days after vaccination: 66
Submitted: 0000-00-00
Entered: 2023-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive, Sinus congestion, Sinus headache, Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: COVID-19 vaccinations, fever and chills.
Other Medications: Estrogen patch; progesterone; TYLENOL
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Tetanus toxoid
Diagnostic Lab Data: COVID-19 neg 01/01/2023 01/02/2023 01/03/2023, COVID-19 positive 01/07/2023
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/26/2022. On 12/31/2022 I started to experience a sinus headache, sinus congestion and a scratchy throat. I tested COVID-19 positive on 01/07/2023. I contacted my physicians office on 01/09/2023 and was prescribed PAXLOVID. I presently feel good on 01/26/2023.


VAERS ID: 2620625 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Minnesota  
Vaccinated: 2022-11-08
Onset: 2023-04-07
   Days after vaccination: 150
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 014H22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa; Vitamin D3; Calcium
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa; Vancomycin; Cephalexin
Diagnostic Lab Data: 07APR2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 4/7/23. I had fatigue, sore throat, cough, fever, and a headache. I contacted my doctor and was not able to get Paxlovid. They prescribed Prednisone and Flonase. I have been taking Nyquil as well. I have another appointment today because my sore throat came back, and I still have a cough.


VAERS ID: 2602434 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Minnesota  
Vaccinated: 2022-09-20
Onset: 2023-02-23
   Days after vaccination: 156
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Injection site rash, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: PAXLOVID
Diagnostic Lab Data: 23FEB2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I developed a small rash at the injection site and lasted a couple days. I had a slight fever, cough and runny nose on 02/23/2023 and I tested positive for COVID-19. I contacted my doctor and got a prescription for PAXLOVID. I took two doses and stopped because I developed a rash. As of today, I still have a slight cough.


VAERS ID: 2570683 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Missouri  
Vaccinated: 2022-10-26
Onset: 2022-10-30
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2023-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 021H2214 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Mobility decreased, Musculoskeletal stiffness, Pain, Pain in extremity, Periarthritis, X-ray limb abnormal
SMQs:, Systemic lupus erythematosus (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Osteonecrosis (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Immune-mediated/autoimmune disorders (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: ZESTORETIC; ONE A DAY vitamin
Current Illness: Partial dislocation in shoulder
Preexisting Conditions: None
Allergies: Tetracycline
Diagnostic Lab Data: 11NOV2022 XRAYS severe inflammation in right shoulder
CDC Split Type: vsafe

Write-up: I had a frozen shoulder in my right shoulder, it was extremely stiff, and I could not raise my arm. There was intense pain radiating from the shoulder down the arm. It''s been three months, it much better but still and going to physical therapy.


VAERS ID: 2483983 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Missouri  
Vaccinated: 2022-10-17
Onset: 2022-10-17
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Headache, Lymphadenopathy, Menstrual disorder, Pain, Pyrexia, Respiratory tract congestion, Tenderness
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 3rd dose COVID-19 vaccine I had the same axillary lymph node extreme swelling, uncontrolled bleeding with my menstrual cycle.
Other Medications: LEXAPRO; trazadone
Current Illness: No
Preexisting Conditions: Hypertrophic Cardiomyopathy
Allergies: No
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I have an extremely swollen axillary lymph node. I have tenderness and the standard body aches, fever, headache, congestion. Also experiencing extreme disruption to my mensural cycle.


VAERS ID: 2533429 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Missouri  
Vaccinated: 2022-09-08
Onset: 2022-09-23
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Breath sounds abnormal, Chest X-ray abnormal, Computerised tomogram normal, Dyspnoea, Laboratory test normal, Liver function test normal, Oxygen saturation decreased, Pneumonia, Renal function test normal, Respiratory syncytial virus infection, Total lung capacity decreased
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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? Yes
Hospitalized? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metoprolol; SINGULAIR; hydrochlorothiazide; PRILOSEC; vitamin C; albuterol inhaler; LEVEMIR; NOVOLOG
Current Illness: Breathing issues
Preexisting Conditions: Asthma; Diabetes; High Blood Pressure; High Cholesterol
Allergies: Penicillin; ACE inhibitors; beta blockers; enalapril; amoxicillin
Diagnostic Lab Data: 30NOV2022 chest X-ray, diagnosed Pneumonia; CT scan, nothing found; Pancreatic/Kidney/Liver panel normal
CDC Split Type: vsafe

Write-up: I have been experiencing a slow decline in my lung capacity. The rattling in my lungs has just gotten worse and worse. My O2 saturation readings have been getting lower. Around the 30th of November, I couldn''t breathe at all. I went to the emergency room that night and at first, they thought it was pneumonia and they gave me LEVAQUIN. They confirmed pneumonia with a chest x-ray. They performed a CT scan with contrast to rule out blood clots. They performed other tests and stated it was not bacterial pneumonia, but an RSV virus with pneumonia. I spent 5 days in the hospital on fluids, breathing treatments, and oxygen. I returned home with oxygen, and they are hoping to ween me off within the next two weeks. I was also prescribed prednisone, albuterol, and coughing pearls.


VAERS ID: 2531200 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Missouri  
Vaccinated: 2022-11-14
Onset: 2022-11-24
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2022-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 021H22A / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Dizziness, Fatigue, Feeling abnormal, Hypersomnia, Immunisation reaction, Malaise, Nausea, Pyrexia, SARS-CoV-2 test positive, Sleep disorder
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: My mom put off all vaccinations until I was 2yrs old because I would have a reaction in my legs and arms.
Other Medications: WELLBUTRIN; melatonin
Current Illness: N/A
Preexisting Conditions: Depression; Obese; Sleep Apnea
Allergies: Gelatin; salicylates
Diagnostic Lab Data: Home COVID-19, positive, 11/24/2022
CDC Split Type: vsafe

Write-up: On November 24, 2022, I woke up from a dead sleep with a fever of 100.5. I tried to rest but felt super sick and woke up dizzy and nauseous. I slept most of the day. The next day I felt better but contacted the doctor to let them know I tested positive for COVID-19. I was prescribed an anti-viral. A week after I finished the anti-viral I got a rebound case of COVID-19. I still feel "dumb" like I am not getting things quite right when I am trying to do stuff, like "COVID Brain". I am also still pretty fatigued.


VAERS ID: 2596955 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Missouri  
Vaccinated: 2022-11-09
Onset: 2023-02-20
   Days after vaccination: 103
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7165B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram thorax abnormal, Malaise, Pneumonia, Pneumonitis
SMQs:, Interstitial lung disease (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), 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? No
Previous Vaccinations:
Other Medications: Albuterol inhaler; Baby Aspirin; Atorvastatin; Ceprazine; Folic Acid; Hydrochloride; Losartan; Methotrexate; Metoprolol
Current Illness: None
Preexisting Conditions: Lung sarcoidosis, Hypertension
Allergies: Penicillin; Ibuprofen
Diagnostic Lab Data: 02/23/2023 CT Scan - positive for Pneumonitis
CDC Split Type: vsafe

Write-up: On 02/20/2023 I was not feeling well. I reached out to my Physician via Telehealth and was prescribed Antibiotics for 1 week afterwards I was still feeling sick and was sent to get a CT scan which confirmed that it was Pneumonia I was put on a course of Prednisone and a Nebulizer. I am feeling a lot better now.


VAERS ID: 2561434 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Missouri  
Vaccinated: 2022-10-14
Onset: 2022-11-25
   Days after vaccination: 42
Submitted: 0000-00-00
Entered: 2023-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Blood test, Cerebral haemorrhage, Choking, Computerised tomogram, Confusional state, Cough, Gait disturbance, Headache, Hypertensive emergency, Influenza virus test negative, Intensive care, Mobility decreased, Mucosal hypertrophy, Oropharyngeal pain, Respiratory syncytial virus test negative, Rhinalgia, SARS-CoV-2 test negative, Secretion discharge, Sick relative, Sinus pain, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (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, 9 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acyclovir; carbidopa-levodopa; clonazepam; divalproex sodium; FLOVENT inhaler; omeprazole; prednisolone acetate; SPIRIVA; temazepam
Current Illness: N/A
Preexisting Conditions: Parkinson''s; Bipolar Disorder; Neuropathy
Allergies: Tetracycline
Diagnostic Lab Data: 2022Nov29 COVID-19 (negative); 2022Nov29 Influenza (negative); 2022Nov29 RSV (negative); 2022Dec11 CT scan; 2022Dec CT scan; 2022Dec blood work
CDC Split Type: vsafe

Write-up: On November 25th I started with some nasal and sinus soreness, but no runny nose or congestion. It moved down to my throat where I just had a really sore throat. I also developed some hives but I develop hives very easily. On Monday I just so happened to have an ENT appointment, and he looked at my throat and stated it was probably some type of virus. I was tested for COVID-19, Flu, and RSV. Negative for all of them. They gave me a steroid to help, and then my son ended up getting sick. About a week later we both went to urgent care because I had developed a cough. They prescribed some penicillin to take along with the steroid. It didn''t feel like the cough was coming from my chest, it felt like drainage was coming from my head. My son tested positive for flu at that time, and ended up giving him half of my steroids, so I didn''t finish that regiment. I kept coughing and coughing but wasn''t coughing anything up, but it just felt like something was stuck in my throat and I couldn''t get it up and it made me start choking. I was in bed for about a week. Finally a clear mucus started coming up but it was so thick I couldn''t get it out and it was choking me and giving me massive headaches. I went to ER several times and they gave me a cough medicine and fentanyl several times, at one point I could barely walk and they still discharged. I was just coughing constantly and my head was banging and I was losing my balance and became confused. We called 911 and I was later diagnosed with two brain bleeds and a hypertensive emergency. I was in ICU for 3 days and they worked on getting my blood pressure down, and then I was in hospital for 6 more days. Doctor''s were in and out but I was heavily medicated but I know they discussed possible surgeries, stroke, and aneurisms, but none of that is on my chart. When I went back to my Parkinson''s neurologist, he said it could possibly have been a burst blood vessel.


VAERS ID: 2589368 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Missouri  
Vaccinated: 2022-09-15
Onset: 2023-02-19
   Days after vaccination: 157
Submitted: 0000-00-00
Entered: 2023-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Malaise, SARS-CoV-2 test negative, Sinusitis
SMQs:, COVID-19 (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: COVID-19 vaccination 03/2021 muscle and joint pain
Other Medications: FLOMAX; lisinopril; fish oil; potassium
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: 02/2023 COVID-19 negative
CDC Split Type: vsafe

Write-up: I had vaccination on 09/15/2022. On 02/19/2023 I became sick with sinus infection. I was COVID 19 negative. Over the counter medication was not working. I went to urgent care and was prescribed a med pack. The medication helped and I felt better in 3 to 4 days.


VAERS ID: 2544302 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Missouri  
Vaccinated: 2022-09-24
Onset: 2022-12-20
   Days after vaccination: 87
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Discharge, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: 2nd dose, COVID-19, Moderna, Rheumatoid Arthritis
Other Medications: INVERELL injections; carvedilol; iron; vitamin C; calcium; aspirin; multivitamin; COLACE; atorvastatin; vitamin E
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis; Diabetes; Crohn''s Disease; Knee Arthritis
Allergies: Penicillin; ENTOCORT
Diagnostic Lab Data: COVID-19 test, 12/22/2022, positive
CDC Split Type: vsafe

Write-up: I had sore throat, drainage, head congestion, tickled cough, fatigue, and headache. I tested positive for COVID-19 at home. My doctor prescribed me PAXLOVID. It took another 48 hours after I started feeling better. I still have a cough, headache, drainage, and fatigue. The symptoms are getting better everyday.


VAERS ID: 2617622 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Mississippi  
Vaccinated: 2022-10-19
Onset: 2022-10-01
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Magnetic resonance imaging abnormal, Nephrolithiasis, Pain, Renal stone removal
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (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: Pravastatin; losartan; amlodipine besylate; ZOLOFT; ginger; OZEMPIC injection
Current Illness: N/A
Preexisting Conditions: High blood pressure, Diabetes; High Cholesterol
Allergies: Ace inhibitors
Diagnostic Lab Data: JAN2023 MRI, two kidney stones
CDC Split Type: vsafe

Write-up: Pt cant find the lot number on the card, the pharmacy did not write it down. 12/18/2022 I went on a cruise and my lower was hurting on my right side. I had shoulder pain as well. I thought it was the way I was carrying my backpack which was heavy and strained myself. The pain got worse. I saw the Nurse Practitioner in Jan23 and she suggested doing the MRI and the results showed that I had two kidney stones one lodged in the kidney and that need to be taken out. I went to a surgical center - locally to get it out. I had to do it twice as they could not fully get it out and I have another appointment on 4/25/23 to see the urologist.


VAERS ID: 2601856 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Montana  
Vaccinated: 2022-09-20
Onset: 2023-03-16
   Days after vaccination: 177
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Nasal congestion, SARS-CoV-2 test positive, Sensation of foreign body
SMQs:, Anaphylactic reaction (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 20MAR2023 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: I felt tired, I had like a frog in my throat, a little bit of a cough, and a stuffy nose.


VAERS ID: 2598612 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Montana  
Vaccinated: 2022-09-15
Onset: 2022-12-22
   Days after vaccination: 98
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Clostridium test negative, Cough, Deafness unilateral, Diarrhoea, Ear discomfort, Ear infection, Fatigue, Impaired work ability, Influenza, Influenza A virus test negative, Influenza B virus test, Insomnia, Malaise, Nasal congestion, Nasal mucosal discolouration, Nasopharyngitis, Nausea, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sinus congestion, Sinusitis, Streptococcus test negative, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLER-TEC; FLONASE; multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Possible gluten intolerance
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: From the time I got my fourth dose, I felt fine. Then on 12/22/2022, I started coming down with cold symptoms, such as sore throat and fatigue. On 12/23/2022, those got worse, and I started to have coughing and nasal congestion. I also began to have diarrhea and moments of nausea without vomiting. The nasal congestion worsened and the coughing made it difficult for me to sleep. On about 12/23/2022, I went to the doctor and told them about the symptoms. I was told to use MUCINEX to treat. I continued to have symptoms through the holiday weekend. The symptoms worsened. I had severe sinus congestion, coughing, sore throat, sleeplessness, diarrhea, sporadic nausea, and fatigue. I don''t think the MUCINEX helped at all, because it didn''t alleviate the congestion or any of the other symptoms. I took another OTC cold medicine in conjunction with the MUCINEX, but it also didn''t help. On 12/23/2022, I took a home antibody test and got a negative result. Over the holiday, I skipped work, because I was so ill. I went to an urgent care clinic around this time. They prescribed me an amoxicillin mixture of some sort, prednisone, TESSALON PERLES for my cough, and a cough medicine with codeine. I think the codeine cough medicine helped a little. I took the prednisone only once at night, because it made me very restless, irritable, and sleepless. I stopped taking MUCINEX and started taking SUDAFED. I didn''t immediately have the antibiotic prescription filled, because the doctor advised me to wait a few days to see if the symptoms subsided on their own. The aforementioned symptoms persisted. Around 12/31/2022, I saw my PCP. I told him about the series of events. At that point, my sinus pressure had decreased, but it was still present. He performed an exam on me and diagnosed me with a sinus and ear infection. I think the SUDAFED was more effective than the MUCINEX, but since I had an infection, it was only able to alleviate the symptoms by a notch or two. My PCP advised me to get the prescription for the amoxicillin mixture that had been prescribed by the urgent care doctor. I began taking it, and within a few days, I started to feel better. The coughing and sinus pressure improved, and so did my sleep. I still had fatigue, though, and the diarrhea worsened. After a few days from 12/31/2022, I returned to the urgent care and told them that the diarrhea wasn''t improving and that I needed something for it. I also still had a sore throat at this point. The urgent care tested me for C. diff, and streptococcus, and I tested negative for both. They concluded that the diarrhea was caused by the antibiotic, because I had not been taking a probiotic with it. They also concluded that I had contracted another virus that caused the sore throat and fatigue. Throughout the time that the sinus pressure was increasing, I had become deaf in my left ear, because it was so clogged. When I went to the urgent care the second time, the sinus pressure and deafness were still present, but less severe and less painful. I think the antibiotics were helping me with regard to that. I then went home and started taking probiotics with my antibiotics. I had sinus congestion throughout January 2023, though it was less severe and less painful than before. I consulted with my PCP about it, and he advised me to continue taking SUDAFED. I was also taking probiotics to try to get my system back in order. I was also on the BRAT diet to help the diarrhea. I adhered to the BRAT diet until the diarrhea began to improve. Throughout January 2023, I had sporadic congestion, which I treated with SUDAFED. I began to feel better, and my hearing came back in my left ear. In February 2023, I continued to improve. I still had sporadic congestion and diarrhea, though they weren''t nearly as bad as they were at the end of December and beginning of January. By the middle of February 2023, I pretty much felt back to normal. On the early morning of 2/16/2023, my sore throat and severe sinus congestion returned. I took a COVID-19 test, and the result was negative. I chalked it up maybe to another cold, because that''s what it felt like. I took cold medicine and EMERGEN-C or AIRBORNE. I took a plane trip that day. Throughout the day, the sore throat and post-nasal drip continued, so I got a sinus rinse, ZICAM, and SUDAFED. From 2/16/2023 to 2/26/2023, I would just take SUDAFED, ZICAM, and EMERGEN-C. I would also do a sinus rinse multiple times a day. At that point, I was blowing out yellow mucus, so I think I likely had a sinus infection. By the time 2/26/2023, the yellow mucus had subside and been replaced by clear drainage. My symptoms had improved, and my sore throat was gone. I continued to have sporadic congestion. From 2/16/2023 to 2/26/2023, I noticed that when I was more congested, I had more nausea and fatigue. When my sinuses began to clear up, all of the other symptoms went away. From the first week of March 2023 until now, I have pretty much felt normal, though I still have occasional popping in the ears and sinus congestion. When I had COVID-19 in 2021, I had fatigue and diarrhea. When I got sick with the sinus infection in December 2022, some of it felt like cold symptoms and flu symptoms combined. I seldom get sick, but when I do get sick, I usually recover within a week. The symptoms I have had from December 2022 until now are outside the norm for myself. During my current illness, I have taken at least three home antigen tests and gotten negative results on all of them. I was also tested for COVID-19, influenza A, and influenza B during one of my trips to the urgent care, and I tested negative for all three of those. Overall, I feel better now, but the congestion just won''t fully go away. Whenever it rears its head, I take more SUDAFED and do another sinus rinse, and then it goes away within a day. At the time of this writing, it''s been about a week to two weeks since I have returned to feeling normal.


VAERS ID: 2509554 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Montana  
Vaccinated: 2022-10-24
Onset: 2022-11-08
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2022-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 1 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Exposure to SARS-CoV-2, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: Levothyroxine; atorvastatin; tamsulosin; vitamin D supplements
Current Illness: N/A
Preexisting Conditions: Hypothyroid; Smoldering multiple myeloma; Hyperlipidemia
Allergies: None
Diagnostic Lab Data: 11/8/2022 COVID-19 home test positive. 11/11/2022 Diagnostic COVID-19 test positive.
CDC Split Type: vsafe

Write-up: We were exposed to friends 2 days earlier. On 11/7/2022, my friend tested positive. On 11/8/2022, I felt sore throat it worsened overnight. On 11/9, I had low energy, malaise, that evening my sore throat worsened. I developed a slight intermittent cough. On 11/9 in the evening a little bit of coughing. On 11/10 did not feel better. on Friday, the 11/11, I contacted my doctor''s office. I went in for a test and tested positive. The doctor recommended PAXLOVID, I started taking that and took the last dosage this morning. By 11/12/2022, I would say I had recovered.


VAERS ID: 2544677 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Montana  
Vaccinated: 2022-09-26
Onset: 2022-11-25
   Days after vaccination: 60
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Laboratory test normal, Respiratory symptom
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; lisinopril; metformin; aspirin; fiber; fish oil; multivitamin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: N/A
Diagnostic Lab Data: 25NOV2022 Pneumonia test negative
CDC Split Type: vsafe

Write-up: On 11/25/22, I had lingering Bronchitis symptoms. I have had this before, so I recognized the symptoms immediately. I went to urgent care, and they tested for Pneumonia and the results came back negative. I was prescribed 5 days worth of prednisone and I did not feel better after taking all the prednisone. I contacted my doctor again and he prescribed albuterol and cough medicine, but I am unable to recall the name of the cough medication. After taking these medications, I started feeling better in about 4 days.


VAERS ID: 2606710 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-09-27
Onset: 2023-02-22
   Days after vaccination: 148
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, COVID-19, Chills, Fatigue, Headache, Oropharyngeal pain, Pain, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole; aspirin; milk thistle; coQ10; vitamin D3; fish oil; CITRACAL
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs; AUGMENTIN; deltoid
Diagnostic Lab Data: 22FEB23 at home COVID test, positive; 27FEB23 at home COVID positive; 28FEB 23 at home COVID test negative.
CDC Split Type: vsafe

Write-up: 2/22/2023 I started with a mild sore throat. By the next morning my arms and hands were aching. I also had a bad headache and was fatigued. I also had severe chills with around 102-degree temperature. I took an at home COVID test which was positive. I took acetaminophen. On 2/23/23 I called my doctor and was prescribed PAXLOVID which I began taking that day. I took this for five days. Around the third day, 2/25/23 I began improving. On 3/14/23 I went back to the doctor because I was still having a lot of residual symptoms. I was prescribed doxycycline, FLONASE nasal spray and an albuterol inhaler. I am feeling great now.


VAERS ID: 2555992 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-10-08
Onset: 2022-11-22
   Days after vaccination: 45
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood magnesium decreased, Blood potassium decreased, COVID-19, Heart rate increased, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (narrow), 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? Yes, 4 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: COQ10; rosuvastatin; amlodipine
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Glaucoma
Allergies: Lisinopril; losartan
Diagnostic Lab Data: 22NOV2022 COVID-19 test positive; 22NOV2022 Blood panel, low magnesium; low potassium
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/22/22. I went in to be checked for AFIB and they did a COVID-19 test and I ended up testing positive. The only symptom I had was a sore throat. My heartrate was very high, so they hospitalized me for four days. They prescribed ELIQUIS, metoprolol, and amiodarone.


VAERS ID: 2487239 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-09-08
Onset: 2022-10-18
   Days after vaccination: 40
Submitted: 0000-00-00
Entered: 2022-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Myalgia, Pyrexia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol; aspirin; women multivitamin; hair skin & nail
Current Illness: N/A
Preexisting Conditions: Overweight; Arrhythmia
Allergies: Sulfa; medical tape
Diagnostic Lab Data: 21OCT2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: After the vaccine everything was fine, I had normal muscle pain and fever, but then a month later, during holiday, I contracted COVID-19, I had mild symptoms that have been alleviated with medication. I did a home test that confirmed COVID-19, I called the doctor, and he prescribed the medication.


VAERS ID: 2604141 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-09-01
Onset: 2023-02-23
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, COVID-19, Cough, Lethargy, Malaise, Oropharyngeal pain, Pyrexia, 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D; Flonase; Prednisone
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Seasonal
Diagnostic Lab Data: 2023Feb23- COVID19 rapid at home test (Positive); 2023Feb24- Bloodwork
CDC Split Type: vsafe

Write-up: I had a sore throat, cough, and lethargy. I took an at home COVID19 rapid test, which was positive, the morning after the symptoms began. I scheduled a tele-health visit that same day. Because I did not have any recent kidney or liver analysis they asked me to come in and have some blood drawn. They then prescribed Paxlovid and Tessalon Perles. I had a few days of fever and malaise. After I finished the Paxlovid I had a few more onset of symptoms develop and scheduled another telehealth appointment but it was mild enough that they didn''t want to do anything else.


VAERS ID: 2564626 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-10-16
Onset: 2022-10-01
Submitted: 0000-00-00
Entered: 2023-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 051D22A / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood alkaline phosphatase increased, Bone scan abnormal, Ligament disorder, Ligamentitis, Orthosis user, Pain, X-ray normal
SMQs:, Liver related investigations, signs and symptoms (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Biliary system related investigations, signs and symptoms (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Rosuvastatin; vitamin D3; cinnamon; turmeric; coQ10
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Prediabetic
Allergies: Nickel
Diagnostic Lab Data: Bone skin, abnormal, unknown; X-Ray, normal, unknown.
CDC Split Type: vsafe

Write-up: My rib bones, the ligaments were inflamed, and it was painful when I bent forward. I had an X-Ray. But the X-Ray was done too late, and the inflammation had healed. I had a bone scan first and that doctor requested and X-Ray. The ligaments in my knees are acting up and it felt like my knees came apart. It was really, painful. I had to wear my knee brace. My alkaline phosphates are too high, and I do not have an explanation for this yet. I have had not treatment.


VAERS ID: 2536657 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-09-16
Onset: 2022-12-07
   Days after vaccination: 82
Submitted: 0000-00-00
Entered: 2022-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Flu like symptoms at least a month before; Tested negative for COVID
Preexisting Conditions: None
Allergies: Hydrocodone
Diagnostic Lab Data: COVID at home tests, positive and negative
CDC Split Type: vsafe

Write-up: 12/7/22 that evening, I had a sore throat. I had been talking all day and felt it was associated with that. I took 2 home COVID tests which were positive. I was tired with a sore throat. On 12/8/22 at night I had low grade fever, never got higher than 100.8. I had chills for about two to three days. I had a rapid antigen test at the pharmacy on 12/9/22, and it was positive. I had fatigue for a solid week. At one point I had a super mild cough that wasn''t even regular, just sporadic, and very mild. I have recovered. I had 2 negative COVID tests, the first one on 12/14/2022.


VAERS ID: 2536789 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-10-24
Onset: 2022-11-06
   Days after vaccination: 13
Submitted: 0000-00-00
Entered: 2022-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, Condition aggravated, Cough, Dyspnoea
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: Prenatal multivitamin; glycinin; TYLENOL; PEPCID; metformin; PROZAC; gabapentin; metoprolol; melatonin; allopurinol; amlodipine; lisinopril; trazadone; spironolactone; aspirin; DUONEB; albuterol; SPIRIVA
Current Illness: N/A
Preexisting Conditions: Diabetes type II; Spinal Stenosis; COPD; IBS; SCAD; Amputation in 08/2022
Allergies: Penicillin; sulfa; codeine; milk; shrimp; peanuts; seasonal; mold
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I began to notice a change in shortness of breath and coughing in early November, after receiving shot in late October. Went to doctor and was diagnosed with bronchitis, prescribed antibiotics and prednisone. Took medication according to doctor''s orders and vanquished the bronchitis without any difficulty. I have COPD and get bronchitis frequently so this was not an unusual occurrence.


VAERS ID: 2537714 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-09-16
Onset: 2022-12-03
   Days after vaccination: 78
Submitted: 0000-00-00
Entered: 2022-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abnormal dreams, Arthralgia, COVID-19, Cough, Dyspnoea, Fatigue, Middle insomnia, Mucosal discolouration, Mucosal hypertrophy, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Acyclovir
Current Illness: None
Preexisting Conditions: None
Allergies: Intolerance to MALARONE
Diagnostic Lab Data: At home COVID test, positive and negative
CDC Split Type: vsafe

Write-up: 12/3/2022 About mid-day, I had a sore throat. I drank tea with honey and a shot of brandy and it did not help. In the evening I took NYQUIL when I went to bed. The next day, I had more of a sore throat that went away that evening. I was very fatigued and stayed in bed pretty much all day. It felt like I had a head cold. That night I had really strange dreams, it was very weird. On 12/5/22, I took a home COVID test and it was positive. I called my doctor''s office and was prescribed PAXLOVID. I began taking it that afternoon. I took NYQUIL that night and had trouble breathing. I began having a runny nose. Around 2 in the morning, I was not having that much trouble breathing. I felt I was in a better place by 2 or 3 in the morning and was able to sleep for a while. On 12/6/22 I worked from home. That night, I slept better, but in the middle of the night I woke with real pain in the joints in my elbows. It felt like the worse arthritis. The next morning, they were still tender, but the pain had passed. 12/7/22, I was coughing, congestion and a runny nose with thick green mucous. By 12/8/22 I was feeling better and was a lot better by 12/9/22. 12/11/22 I took a home COVID test and it was negative. I was still coughing a little with thick mucous. I spoke to my doctor again and he put me on antibiotics which I have been taking and am now symptom free.


VAERS ID: 2488371 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-10-02
Onset: 2022-10-11
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2022-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: RYTARY; pregnenolone; vitamin C; folic acid
Current Illness: None
Preexisting Conditions: Parkinson''s Disease
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: Around two weeks after getting dose 5 I started to have swelling at the injection area. I contacted my doctor and she stated to continue with ice and massage injection area. It took the swelling about 5 days from the time I contacted my doctor for the swelling to go down.


VAERS ID: 2596074 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-09-12
Onset: 2022-12-22
   Days after vaccination: 101
Submitted: 0000-00-00
Entered: 2023-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Feeling abnormal, Influenza, Malaise, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 00DEC2022 at home COVID-19 test positive; 26DEC2022 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: Around 12/22/2022, I started feeling under the weather and thought I may be coming down with the flu. We were out of town at the time visiting a dying family member at a nursing facility. By the time we returned to where we were staying, I was feeling really run down. I continued to feel worse through to the morning. I had a very sore throat, body aches, and fever. I tested myself for COVID-19 and it was positive. I scheduled a telehealth visit and decided to take PAXLOVID. My doctor called that in for me and I began to take that and isolate. I continued to feel achy and have a sore throat, like really strong flu symptoms. Toward the end of my second day of PAXLOVID, I began to feel better. My doctor advised that I could end isolating after five days if wearing a mask. I felt better by the five days and returned home. Two other family members also developed COVID-19 at that time. I have not had any lingering symptoms.


VAERS ID: 2500180 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-10-08
Onset: 2022-10-01
Submitted: 0000-00-00
Entered: 2022-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
SMALLMNK: SMALLPOX + MONKEYPOX (JYNNEOS) / BAVARIAN NORDIC - / 1 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Injection site discolouration, Injection site discomfort, Injection site erythema
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 50mg spironolactone twice daily, 1mg estradiol twice daily
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: no
Diagnostic Lab Data:
CDC Split Type:

Write-up: site of monkeypox vaccine was red for two weeks following the injection and is currently black, with a green line (most likely a vein) seeming to run through it. no pain but somewhat discomforting


VAERS ID: 2552422 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-10-05
Onset: 2022-12-10
   Days after vaccination: 66
Submitted: 0000-00-00
Entered: 2023-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 057F22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: SYNTHROID; meloxicam; amlodipine; atorvastatin; FLOVENT inhaler; SYMBICORT inhaler; calcium; multivitamin; pantoprazole
Current Illness: N/A
Preexisting Conditions: Asthma; Ehlers-Danlos Syndromes; Heart Murmur
Allergies: CIPRO
Diagnostic Lab Data: COVID-19 home test December 11, 2022 positive
CDC Split Type: vsafe

Write-up: I had cold like symptoms. Sore throat, stuffed head, coughing and fatigue. I also lost taste and smell. I took TYLENOL and ROBITUSSIN DM to treat the symptoms. The doctor did not prescribe anything else but after 3 days I felt better but the fatigue lasted several weeks. I feel like I am currently recovered compared to how I felt. I also reached out to my allergy doctor who prescribed me prednisone which I did not end up taking.


VAERS ID: 2565857 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-10-21
Onset: 2022-12-28
   Days after vaccination: 68
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM
PNC20: PNEUMO (PREVNAR20) / PFIZER/WYETH - / N/A AR / -
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back injury, COVID-19, Cough, Exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Accidents and injuries (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: ADVAIR; albuterol; SINGULAIR
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I was having a sore throat and cough. I then took a COVID-19 home test because my daughter was not feeling well and tested and was positive, so I then did and was positive as well. I needed a PCR test for my work. I went into the pharmacy and got a COVID-19 PCR test and that was also positive. I had really mild cold like symptoms and none other than what is listed. I did end up hurting my back while being down with COVID-19 but that is really the most major lasting thing from this.


VAERS ID: 2565632 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-10-21
Onset: 2022-12-24
   Days after vaccination: 64
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 061F22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Lung disorder
SMQs:, Dementia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TRELEGY; albuterol; montelukast; saline nasal spray; calcium; vitamin D; zinc; fish oil; lutein
Current Illness: N/A
Preexisting Conditions: Asthma; COPD; Obesity
Allergies: Peanuts; pork; elm trees; ragweed; mold; pollen
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I started feeling a little tickle in my lungs. Several days went by and I was not feeling good. We went out of town, and I forgot my inhaler, so, I went to urgent care to get a prescription for albuterol, and they told me that I needed prednisone too.


VAERS ID: 2598265 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: North Carolina  
Vaccinated: 2022-09-14
Onset: 2023-01-26
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Headache, Pain, Paranasal sinus hypersecretion, Symptom recurrence, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Finasteride; sertraline; CIALIS; atorvastatin; vitamin B12; multi vitamin; fish oil; glucosamine; coQ10: TYLENOL; hydrocodone; KLONOPIN
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: On Thursday evening I had a scratchy throat, sinus drainage and I was slightly achy. The next morning the symptoms had increased, and I had a slight headache. I had a doctor tele visit and was prescribed PAXLOVID. I took the course of PAXLOVID. I felt better but then my symptoms came back, and I had a rebound case. My symptoms persisted another 8 days. I continue to have a dry cough.


VAERS ID: 2490007 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: North Carolina  
Vaccinated: 2022-09-12
Onset: 2022-10-12
   Days after vaccination: 30
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Pain, Respiratory tract congestion, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: ENTRESTO; spironolactone; JARDIANCE; calcium; gabapentin; atorvastatin; ZYRTEC D; COREG; metformin; baby aspirin; multivitamin; magnesium; montelukast
Current Illness: None
Preexisting Conditions: Diabetes; Heart failure
Allergies: Morphine; sulfa; red snapper; environmental dust; DARVOCET
Diagnostic Lab Data: 14Oct22 home COVID-19 test positive; 19Oct22 home COVID-19 test negative; 21Oct22 home COVID-19 test positive; 26Oct22 home COVID-19 test positive.
CDC Split Type: vsafe

Write-up: I contracted COVID-19. My symptoms included a scratchy throat, headache, congestion, coughing, and achiness. I did not have a fever though. I started a course of PAXLOVID.


VAERS ID: 2611576 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Nebraska  
Vaccinated: 2022-09-08
Onset: 2022-11-26
   Days after vaccination: 79
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, COVID-19, Cough, Nasopharyngitis, SARS-CoV-2 test positive, Tooth extraction
SMQs:, Anaphylactic reaction (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: Atorvastatin; Metroprola; Levothyroxine; Walfed; Coutin; Losartan; Hydroxychloroquine; Omega 3; Ternopol; Unsix XD; Folate; One a day Multivitamin; Calcium with Vitamin D; Baby aspirin
Current Illness: N/A
Preexisting Conditions: Thyroid; Heart Attack in 2007
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: On the 26th of November I had a little of a cough. I went on the 28th of November that I went and had a tooth pulled. That evening I heard from my daughter that they had tested positive. My husband and I both went to the doctor on the 29th of November and tested positive. My doctor prescribed Paxlovid. It felt like a head cold bronchitis cough.


VAERS ID: 2614609 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Nebraska  
Vaccinated: 2022-09-09
Onset: 2023-02-14
   Days after vaccination: 158
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER N/A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, 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: Tamsulosin; Omeprazole; Atorvastatin; Metformin; Valsartan; Potassium Citrate; Aspirin; Centrum; Align Probiotic
Current Illness: N/A
Preexisting Conditions: Type 2 Diabetes
Allergies: N/A
Diagnostic Lab Data: 14FEB2023 -- COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had contracted COVID-19 and tested positive on Valentine''s Day, 02/14/2023. I contacted my doctor the next morning and was prescribed Paxlovid for treatment and began the regime that same day. After a couple of days of treatment, I''m doing much better with no residual symptoms.


VAERS ID: 2620294 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Nebraska  
Vaccinated: 2022-10-20
Onset: 2022-10-27
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2023-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Cardiomegaly, Cardioversion, Echocardiogram abnormal, Fatigue, Feeling abnormal, Heart rate increased, Hypertension, Magnetic resonance imaging heart, Pain, Positive airway pressure therapy, Pulmonary function test, Sleep study abnormal, Somnolence
SMQs:, Cardiac failure (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (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: Metformin; carvedilol; sotalol; ELIQUIS; amlodipine; LASIX; irbesartan; SYNTHROID; glimepiride; daily multivitamin; red yeast rice
Current Illness: None
Preexisting Conditions: Diabetes Type 2
Allergies: Latex; penicillin; lisinopril; cephalosporins; statin drugs
Diagnostic Lab Data: 15NOV23 Echocardiogram, enlarged heart; (/)NOV23 Lung Fitness Tests, enlarged heart; (?)NOV MRI, enlarged heart; (?) Sleep Study, Sleep Apnea
CDC Split Type: vsafe

Write-up: 10/27/22 I woke up and did not feel good. I was tired, body ached and felt horrible. I felt like I wanted to go right back to sleep. This continued and I did not get better. On 11/15/22 I had an appointment with my doctor. My blood pressure and heart rate were high. I had an echocardiogram and found out my heart was slightly enlarged. I was referred to a pulmonologist. I saw the Pulmonologist at the end of November. I had different fitness tests with my lung and I also had an MRI of my chest at a later time. I also had a sleep study and am on a C-Pap Machine. I still continue to not feel well, feeling tired, body aches all the time. I just want to sleep all the time. This continued. At the beginning of March, I went into Atrial Fibrillation and had a Cardio Version done.


VAERS ID: 2476685 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Nebraska  
Vaccinated: 2022-09-17
Onset: 2022-10-06
   Days after vaccination: 19
Submitted: 0000-00-00
Entered: 2022-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / UNK RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, Rash, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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? No
Hospitalized? No
Previous Vaccinations: rash on neck after Pfizer COVID vaccine
Other Medications: Levothyroxine 88 mcg - 1/day @ morning (started 3/2020) Liothyronine 5 mcg - 1/day @ morning (started 2021) Duloxetine 30 mg - 1/day @ morning (started 3/2022) Fexofenadine 180 mg - 1/day @ morning Welchol 625 mg - 3/day @ night (started 20
Current Illness:
Preexisting Conditions: Celiac, psoriasis, leg swelling, low blood pressure, fatigue
Allergies: gluten (Celiac), lactose
Diagnostic Lab Data: 3 home COVID tests: negative 10/6, positive 10/8, positive 10/12
CDC Split Type:

Write-up: After the COVID vaccine, I have had a rash on my neck off & on. But I also have come down with COVID. Symptoms began 10/6, tested negative 10/6, tested positive 10/8, per on call dr. started Paxlovid 10/8, have isolated at home, tested positive again today 10/12, feeling better but still a few lingering symptoms


VAERS ID: 2597576 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: New Hampshire  
Vaccinated: 2022-09-01
Onset: 2023-03-01
   Days after vaccination: 181
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Blood test normal, Brain fog, COVID-19, Discomfort, Electrocardiogram normal, Exposure to SARS-CoV-2, Fatigue, Nausea, SARS-CoV-2 test negative
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (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: FLONASE; CLARITIN; multivitamin; fish oil; vitamin D
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Tree nuts
Diagnostic Lab Data: 00MAR2023 at home COVID-19 test negative; 08MAR2023 EKG, nothing abnormal; Blood work, nothing abnormal
CDC Split Type: vsafe

Write-up: On a Friday in early March, I began feeling quite fatigued. I was sure I had COVID-19 because the rest of my household had already tested positive. I had waves of nausea Friday-Sunday. Saturday and Sunday, the fatigue was to the point that I had to sit down after climbing the stairs. I also began feeling a pressure in my fingers, toes, and face a few days into COVID-19. I checked my blood pressure, and it was at 148 over 110, which I had never seen before. Since then, my blood pressure will sporadically go up like that. It doesn''t seem to matter what I''m doing; I may check my blood pressure and it will be high like that, but then it will go away on its own. My doctor has prescribed lisinopril for now to see if that helps. I actually never tested positive for COVID-19 through rapid tests. I called my doctor that weekend and was told that based on my symptoms and exposure, I was most likely positive and did not need further testing. I have been feeling some brain fog in the weeks following COVID-19, but that has mostly cleared now.


VAERS ID: 2721938 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: New Hampshire  
Vaccinated: 2022-10-25
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 0127E22A / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Influenza, Pain
SMQs:, Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications:
Current Illness: Asthma
Preexisting Conditions: Medical History/Concurrent Conditions: Obesity
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: She has also had COVID-19 twice; she has the flu; achy; tired; Headache; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (She has also had COVID-19 twice), INFLUENZA (she has the flu), PAIN (achy), FATIGUE (tired) and HEADACHE (Headache) in an elderly female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 0127E22A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication. The patient''s past medical history included Obesity. Concurrent medical conditions included Asthma. On 25-Oct-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (She has also had COVID-19 twice), INFLUENZA (she has the flu), PAIN (achy), FATIGUE (tired) and HEADACHE (Headache). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, COVID-19 (She has also had COVID-19 twice), INFLUENZA (she has the flu), PAIN (achy), FATIGUE (tired) and HEADACHE (Headache) outcome was unknown. Concomitant medication not reported. The patient had doses on 15 APR 2021 with lot number 030B21A, 14 MAY 2021 with lot number 005C21A, 10 DEC 2021 with lot number 029H21B, 26 MAY 2022 with lot number 032A27B. This case was linked to US-MODERNATX, INC.-MOD-2023-752214 (E2B Linked Report). This case was linked to MOD-2023-752134 (Patient Link).; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-752214:Case for Family Member


VAERS ID: 2609934 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New Hampshire  
Vaccinated: 2022-10-03
Onset: 2022-12-16
   Days after vaccination: 74
Submitted: 0000-00-00
Entered: 2023-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bacterial infection, Headache, Malaise, Mucosal discolouration, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin; vitamin D; ibuprofen; CLARITIN D; calcium; triamcinolone cream 0.025%; ketoconazole cream 2%; IUD
Current Illness: None
Preexisting Conditions: None
Allergies: Cats
Diagnostic Lab Data: 21DEC22 at home COVID test, inconclusive and negative; 28DEC23 at home COVID test negative
CDC Split Type: vsafe

Write-up: 12/16/2022 I had a cold, stuffy and runny nose, headache and a little bit of a sore throat. I was sick for about a week. The symptoms changed to be more like an infection with green mucous. I took three at home COVID tests which were all negative. I eventually went to an urgent care on 1/7/2023. I was diagnosed with a bacterial sinus infection and was prescribed amoxicillin-CLAV and began taking it that day for 10 days. The prescription cleared the infection up pretty quickly.


VAERS ID: 2489850 (history)  
Form: Version 2.0  
Age: 83.0  
Sex: Female  
Location: New Hampshire  
Vaccinated: 2022-09-24
Onset: 2022-10-17
   Days after vaccination: 23
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, COVID-19, Computerised tomogram thorax abnormal, Cough, Exposure to SARS-CoV-2, Nasal congestion, Pericardial effusion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow), 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? Yes, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Thyroxine; krill oil; vitamin D3; CALTRATE; torsemide; coQ10; glipizide; metoprolol; metformin; atorvastatin; calcium; warfarin; OCUVITE; vitamin B complex; TYLENOL
Current Illness: None
Preexisting Conditions: Diabetes; Obesity
Allergies: Sulfa
Diagnostic Lab Data: 17Oct2022 CT scan of heart. No additional heart damage; blood work, results unknown; 21Oct2022 at home COVID-19 test positive; 23Oct2022 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: I was traveling out of state and returned on 10/17/2022. That night I ended up in the hospital with fluid on my heart. I was admitted in the hospital for 3 days. I am diabetic and have been on a very low salt diet, but while traveling, I was unable to abide by that diet. While in the hospital they treated me with LAsix and insulin and informed me that they thought my issue was due to my poor diet and lack of activity while traveling. They didn''t test me for COVID-19 in the hospital. On Friday, I was informed that a friend tested positive for COVID-19. So, I tested myself and was also positive. I tested again on Sunday and was still positive. I had a little bit of stuffiness on Friday and had a bit of an irritated cough but no fever or loss of appetite or senses. By Sunday, when I woke up, even those symptoms were gone. Now, I am only experiencing an occasional cough, but even that is almost nonexistent. Everything was so mild; it didn''t even feel like a cold.


VAERS ID: 2608828 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: New Hampshire  
Vaccinated: 2022-09-07
Onset: 2023-01-31
   Days after vaccination: 146
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Nasal congestion, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: FINACEA topical; HYDROEYE
Current Illness: N/A
Preexisting Conditions: Dry Eye
Allergies: N/A
Diagnostic Lab Data: COVID-19 home, positive, 02/01/2023
CDC Split Type: vsafe

Write-up: The night of January 31, 2023, I began feeling nasal congested with a sore throat. The next morning, I woke up with the same symptoms. I tested positive for COVID-19 on February 1, 2023. I called my doctor and asked for prescription for PAXLOVID. I began taking this on February 2, 2023. The sore throat went away after 3 days. I had a low-grade fever off and on for about 6 days. The congestion lasted for two weeks. I tested negative on the 7th and 9th.


VAERS ID: 2606608 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: New Hampshire  
Vaccinated: 2022-09-28
Onset: 2022-12-23
   Days after vaccination: 86
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 LA / IM
PNC20: PNEUMO (PREVNAR20) / PFIZER/WYETH - / 1 LA / IM
TD: TD ADSORBED (TDVAX) / MASS. PUB HLTH BIOL LAB - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Chest X-ray abnormal, Dyspnoea, Fatigue, Influenza A virus test negative, Influenza B virus test, Pain, Pneumonia, Pyrexia, Respiratory syncytial virus infection, Respiratory syncytial virus test positive, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (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? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pravastatin; lisinopril; suboxone; TRELEGY; fish oil; calcium; multivitamin formula mineral; coq10; gingko biloba
Current Illness: None
Preexisting Conditions: COPD; Osteoarthritis; Relapsed in Polychondritis; High Cholesterol; High Blood Pressure
Allergies: Surgical tape; CHANTIX
Diagnostic Lab Data: 23DEC22 at home COVID negative; 30DEC22 COVID test negative; 30DEC23 Chest X ray, double pneumonia; 30DEC23 RSV positive; 30DEC23 Flu A & B, negative; 30DEC23 Bloodwork, within range
CDC Split Type: vsafe

Write-up: 12/23/2022 I had fever of 103 degrees, extreme fatigue, body aches and breathing difficulties. I did an at home COVID test which was negative. I went to the hospital because I could not breathe on 12/30/22. I was admitted. I was diagnosed with RSV and double pneumonia. I was tested for COVID which was negative. I was on IV antibiotics and morphine. I had shots of prednisone every day while in the hospital. I was on oxygen the whole time I was in the hospital. I was discharged on 1/4/2023 with oxygen because I had a low level but did not use it. I was also sent home on prednisone. It took about six weeks to recover.


VAERS ID: 2533185 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: New Hampshire  
Vaccinated: 2022-09-14
Onset: 2022-11-29
   Days after vaccination: 76
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaemia, Asthenia, Blood glucose normal, Blood test abnormal, Dizziness, Feeling abnormal
SMQs:, Haematopoietic erythropenia (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Vestibular disorders (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: Amlodipine; sumatriptan; vitamin B12; vitamin C; vitamin D3; vitamin E; glucosamine chondroitin; cranberry; omega-3; iron; multivitamin; turmeric; calcium; magnesium; zinc
Current Illness: N/A
Preexisting Conditions: Migraines; Cancer
Allergies: NSAIDS
Diagnostic Lab Data: 29NOV2022 Blood panel, anemic
CDC Split Type: vsafe

Write-up: I had repeated spontaneous weakness and lightheaded. I felt like I had the flu, but I did not. My blood sugar levels were fine also. Normal things that make me tired were wiping me out. The last time I went to the doctor, my blood work came back Anemic. They are looking at my blood count more closely now.


VAERS ID: 2461905 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-23
Onset: 2022-09-25
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS71628 / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Electrocardiogram normal
SMQs:, Anaphylactic reaction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Moderna Dose 3 date 10/27/21 age 36 developed hives a month later.
Other Medications: Spironolactone; multivitamin; calcium supplement
Current Illness: None
Preexisting Conditions: None
Allergies: Gluten
Diagnostic Lab Data: Electrocardiogram- normal
CDC Split Type: vsafe

Write-up: So I felt pressure and chest pain and I went home and took a rest and the next day I was trying to schedule an appointment with my doctor and I could not get an appointment so I contact the urgent care via phone and I was advised to come in person so they could check the status of my heart but by the time I got there I didn''t have the chest pain just the pressure. They did a Electrocardiogram and there was no sign of a heart attack, I went home and today I feel better the chest pain is not there but hopefully the pressure will go away tomorrow. I was advised to take ibuprofen for the discomfort.


VAERS ID: 2552464 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Unknown  
Location: New Jersey  
Vaccinated: 2022-10-06
Onset: 2022-10-06
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 027E22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dizziness, Fatigue, Headache, Malaise, Pyrexia, SARS-CoV-2 test positive, Visual impairment
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Moderna Dose 2, elevated heart rate, emergency room overnight observation April 3rd, 2021
Other Medications: Levothyroxine; allopurinol; atorvastatin; cetirizine; calcium with vitamin D; vitamin B complex; multivitamin
Current Illness: N/A
Preexisting Conditions: Thyroid Deficiency
Allergies: Penicillin; sulfa; cephalosporin; naproxen
Diagnostic Lab Data: COVID-19 home December 28, 2022 positive
CDC Split Type: vsafe

Write-up: About 6 hours after receiving the vaccine, I felt dizzy like I was going to pass out. I was seeing spots before my eye. I had to sit down and put my head down. My doctor took me home and the next day all my symptoms were gone. On December 27, 2022, I woke up with a fever, headache and was extremely tired. I felt rather crappy. 100.9 was the highest fever I had. I tested for COVID-19, and it was positive. My doctor prescribed molnupiravir. My symptoms improved on the 4th day. I have completely recovered from my symptoms. I am still tired, and the fever has been gone for more than a week.


VAERS ID: 2541959 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New Jersey  
Vaccinated: 2022-09-08
Onset: 2022-12-18
   Days after vaccination: 101
Submitted: 0000-00-00
Entered: 2022-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chest pain, Cough, Fatigue, Feeling abnormal, Influenza virus test negative, Oropharyngeal pain, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I have gotten sick from Flu vaccines in the past.
Other Medications: Fluoxetine; amlodipine; lisinopril; metformin; atorvastatin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Type 2 Diabetic
Allergies: Penicillin
Diagnostic Lab Data: 18DEC2022 COVID-19 test positive; 18DEC2022 Flu test negative; 18DEC2022 RSV test negative
CDC Split Type: vsafe

Write-up: I started to feel bad and decided to take a home test. I tested positive on 12/18/22. I had a sore throat, chest pain, fever, cough, and fatigue. I went to an urgent care, and they tested me, and they told me that I was negative. I was prescribed azithromycin from the urgent care. I decided to take another home test because I didn''t believe the test result at the urgent care, and I tested positive at home again. I decided to go to the emergency room, and they tested me again and that is when I tested positive at the doctor office. They prescribed 5 days'' worth of PAXLOVID.


VAERS ID: 2545860 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-28
Onset: 2022-12-25
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; hydrochloride
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: I was having a headache starting on Christmas and it lasted until Tuesday evening. During that time frame I did end up with a fever but the highest it went was 100.6 and it responded to medication. I was also having some cold symptoms. I did a take a COVID-19 home test on Monday and that was positive. I called my doctor on Tuesday because the headache has lasted that long. By Wednesday they offered me the antiviral for my COVID-19, but I declined as I was doing better. On the same day I got my Moderna Bivalent COVID-19 vaccine I also got a flu shot but I do not have the information on that. At this point I am feeling better and only have a little postnasal drip and cold like symptoms.


VAERS ID: 2555099 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: New Jersey  
Vaccinated: 2023-01-05
Onset: 2023-01-05
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6743 / 3 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chills, Off label use, Pain, Product use issue, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other medical history: none.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202300008342

Write-up: This is a spontaneous report received from a contactable reporter(s) (Pharmacist). The reporter is the patient. A 30-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 05Jan2023 at 14:30 as dose 3 (booster), single (Lot number: GJ6743) at the age of 30 years, in right arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 05Jan2023 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose Number: 2, Batch/Lot No: er8732), administration date: 21Mar2021, when the patient was 28-year-old, for COVID-19 immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: el3302), administration date: 28Feb2021, when the patient was 28-year-old, for Covid-19 Immunization. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 05Jan2023, outcome "unknown" and all described as "flu vaccine 5Jan2023/pfizer Bivalent 5Jan2023"; PAIN (non-serious), ARTHRALGIA (non-serious) all with onset 06Jan2023 at 08:00, outcome "not recovered" and all described as "body/joint aches"; CHILLS (non-serious) with onset 06Jan2023 at 08:00, outcome "not recovered"; PYREXIA (non-serious) with onset 06Jan2023 at 08:00, outcome "not recovered", described as "low grade fever"; VOMITING (non-serious) with onset 06Jan2023 at 08:00, outcome "not recovered", described as "multiple episodes of vomiting". Therapeutic measures were not taken as a result of vomiting, pyrexia, pain, chills, arthralgia. Additional information: The events occurred within 24 hours of booster vaccine. Other vaccine in four weeks was reported as yes. No other medications in two weeks were reported. Patient did have covid prior vaccination and did not test for covid post vaccination. No known allergies were reported. Other medical history was none. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2533140 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-14
Onset: 2022-12-06
   Days after vaccination: 83
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: ONE A DAY multivitamin; calcium; colestipol; famotidine; pantoprazole; prednisone; CELEBREX; methotrexate; folic acid
Current Illness: None
Preexisting Conditions: Pemphigus
Allergies: Penicillin; MACROBID
Diagnostic Lab Data: At home COVID test, positive
CDC Split Type: vsafe

Write-up: 12/6/2022 I began, around 8:00PM, with a headache and then chills. I woke up the next morning with body aches, congestion and headache. This lasted most of the day. I begin coughing during the day. On 12/7/22, I tested positive for COVID with an at home test. I called my doctor and made an appointment. 12/8/22, I had a telehealth appointment and was prescribed PAXLOVID. I began taking it that evening. My symptoms all lasted through Thursday, 12/8/22. Since then, it has gotten better each day. I am just experiencing being extra tired for the past few days. My last dose of PAXLOVID was 12/14/22.


VAERS ID: 2554743 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-27
Onset: 2022-10-19
   Days after vaccination: 22
Submitted: 0000-00-00
Entered: 2023-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Venlafaxine; raloxifene; fenofibrate; CLARITIN; L-methylfolate; vitamin D3; vitamin B12; calcium; vitamin C; AREDS 2 with multivitamin; LUMIGAN eye drops.
Current Illness: None.
Preexisting Conditions: None.
Allergies: Pistachios; sunflower seeds; hay fever; cat dander; pollen.
Diagnostic Lab Data: Home antigen tests 10/21/2022, 1/1/2023, 1/3/2023 positive results. Home antigen tests 1/4/2023, 1/5/2023, 1/6/2023 negative results.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent booster for COVID-19 and a flu shot on 9/27/2022. On around 10/19/2022, I had cold-like symptoms and a headache. The cold-like symptoms consisted of a mild sore throat, nasal congestion, and coughing. I took a home antigen test on 10/21/2022, and the result was positive. I called my doctor''s office and got a prescription for PAXLOVID, which I began taking 10/21/2022. By 10/23/2022, most of my symptoms were gone. I felt a little tired and still had a slight headache, but I otherwise felt fine. By the time I finished the 5-day course of PAXLOVID, I was completely symptom-free. I don''t remember the date, but I did take another test and got a negative result. On 12/28/2022, I had cold-like symptoms. I had previously tested myself for COVID-19 and gotten a negative result, and my symptoms were improving at this point. However, on 1/1/2023, I noticed that my symptoms were getting worse again, so I took another home test and got a positive result. I had nasal congestion, cough, slight headache, and a sore throat. On 1/2/2023, I called my doctor and was prescribed PAXLOVID again. I began taking the PAXLOVID that day. My symptoms improved very quickly. By the evening of 1/3/2023, my sore throat (the most troublesome symptom) was gone. My congestion was almost gone, and I wasn''t coughing. I tested myself on 1/3/2023, and the result was positive. I took more home tests on 1/4/2023, 1/5/2023, and 1/6/2023, and all of them yielded a negative result. At the time of this writing, I feel fine and have no residual symptoms.


VAERS ID: 2478353 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-15
Onset: 2022-09-15
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Borrelia test, Hypersensitivity, Injection site discolouration, Intensive care, Lymphadenopathy, Peripheral swelling, Pruritus, Rash pruritic, SARS-CoV-2 test, Skin warm, Somnolence, Staphylococcus test, Swelling, Swelling face, Swollen tongue, Throat tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
Hospitalized? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Metformin; CRESTOR; vitamin D; vitamin B12; probiotic; BENADRYL; famotidine
Current Illness: N/A
Preexisting Conditions: Asthma; Diabetes Type 2; Overweight
Allergies: Sulfa drugs; clindamycin; lisinopril; lamb
Diagnostic Lab Data: Blood work; COVID-19 testing; MRSA testing; tick bite test
CDC Split Type: vsafe

Write-up: I got home from the vaccine and within about a half an hour was extremely sleepy. I woke up around 9PM and my tongue, face and neck were swollen on my right side as well as the lymph nodes under my right armpits so I went to the hospital. After being in the hospital 3 days I noticed the area around the injection site was white. Once I was discharged, I continued to have allergic reactions of swelling and itching. It happened under my arms and on my thighs. It was extreme swelling like I had a baseball under my arm. Also on my feet, it looked like I had pads on the balls of my feet. They were sometimes hot to touch as well. It continued for about 2 and a half weeks. The last thing I remember having was itchy rashes. Then I woke up and my tongue again was really big and my throat was close to closing. I came back to the hospital and am currently in ICU. It took the doctors a long time to get the swelling down. More doctors are being called in to see why it happened again and was worse than the first event. I hope to be discharged today. I am just waiting to hear my blood work results.


VAERS ID: 2510923 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-10-10
Onset: 2022-10-22
   Days after vaccination: 12
Submitted: 0000-00-00
Entered: 2022-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (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: Propranolol; trazodone
Current Illness: N/A
Preexisting Conditions: Tremors
Allergies: Penicillin; naproxen
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I was sneezing and I thought it was allergies. I had a really bad runny nose. My husband had COVID-19 so I took a test and the line appeared bright. I then called the doctor did a telehealth appointment and then he called instead. We talked about how I was sneezing, and he prescribed PAXLOVID. Within two days I started to notice a turnaround from taking the medication. I did get a slight fever 99.4 was the peak.


VAERS ID: 2461595 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: New Jersey  
Vaccinated: 2022-09-14
Onset: 2022-09-14
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Back injury, Back pain, Body temperature, Chills, Pyrexia, Vaccination site pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Accidents and injuries (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: Test Date: 20220921; Test Name: fever; Result Unstructured Data: 100.6
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: Hurt my back/pain in his back; Lifted something that was too heavy and injured his back; Shivering; Fever; Injection site soreness; This spontaneous case was reported by a patient and describes the occurrence of BACK PAIN (Hurt my back/pain in his back), BACK INJURY (Lifted something that was too heavy and injured his back), VACCINATION SITE PAIN (Injection site soreness), CHILLS (Shivering) and PYREXIA (Fever) in a 73-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication. No Medical History information was reported. On 14-Sep-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Intramuscular) 1 dosage form and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 14-Sep-2022, the patient experienced VACCINATION SITE PAIN (Injection site soreness). On 21-Sep-2022, the patient experienced BACK PAIN (Hurt my back/pain in his back), BACK INJURY (Lifted something that was too heavy and injured his back), CHILLS (Shivering) and PYREXIA (Fever). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency. At the time of the report, BACK PAIN (Hurt my back/pain in his back), BACK INJURY (Lifted something that was too heavy and injured his back), VACCINATION SITE PAIN (Injection site soreness), CHILLS (Shivering) and PYREXIA (Fever) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Sep-2022, Body temperature: 100.6. Patient had received 4 doses of the Moderna COVID-19 vaccine by intramuscular injection, 2 in Mar-2021, 1 in Aug-2021, and the most recent bivalent booster dose on 14-Sep-2022. Patient took a CDC gummy in the morning after doing that napped that afternoon. Later, woke up from his nap and patient was shivering and had a fever of 100.6. He continued to had pain in his back and a fever. Patient was taking Tylenol for his symptoms. Patient spoke to his HCP who did not seem to have any notion about what caused his symptoms.


VAERS ID: 2602454 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New Jersey  
Vaccinated: 2022-09-16
Onset: 2022-12-21
   Days after vaccination: 96
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Hypogeusia, Hyposmia, Insomnia, Malaise, Nasal congestion, Oropharyngeal pain, Productive cough, Pyrexia, SARS-CoV-2 test positive, Secretion discharge, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Synthroid; Lexapro; Hormone Replacement Therapy; Amlodipine; Multivitamin; Calcium plus Vitamin D
Current Illness: N/A
Preexisting Conditions: Hypothyroidism; Depression;
Allergies: Penicillin; Azithromycin; Sulfa; Seasonal Allergies
Diagnostic Lab Data: COVID-19 Home Test
CDC Split Type: vsafe

Write-up: I was feeling this scratchiness in my throat, and it was really sore. I also had this weird feeling that may be something like postnasal drip, but it had not really started yet. I took a COVID-19 Home Test, and it was negative. The next day I was feeling feverish and then by Friday I was not doing well, and I took another test, and it was positive. I called my healthcare provider, and they advised that I just continue with OTC medications to help with symptoms. I ended up having stuffiness, was blowing my nose and was sneezing and coughing. It was a productive cough, and I had a lot of mucus coming up. I did not lose my taste and smell, but they were muted so to speak. I was so fatigued and tired but I could not sleep. I did end up with a fever of 101.5 for about two days. I started feeling better after about four days but the cough lingered for a few weeks and that did make sleeping a challenge for quite some time.


VAERS ID: 2613455 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Mexico  
Vaccinated: 2022-09-09
Onset: 2023-04-01
   Days after vaccination: 204
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Streptococcus test negative, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3; Magnesium Citrate
Current Illness: N/A
Preexisting Conditions: Osteoarthritis; Allergy Asthma
Allergies: Seasonal Allergies; Opiates
Diagnostic Lab Data: 04APR2023 - COVID-19 Test - Positive; 04APR2023 - Strep Test- Negative
CDC Split Type: vsafe

Write-up: I started having a tickle in my throat on Saturday April 1, 2023. Then it became a cough. On Sunday I had a cough and fever. Monday I a cough fever, sore throat, headache, and body ache. I sought on Tuesday and that''s when I tested positive for COVID-19. All of my symptoms continued through Thursday April 6, 2023. On Friday the sore throat and fever was gone, but cough, congested head, and runny nose was still present. I''m still coughing, and the headache comes and goes. I frequently blow my nose.


VAERS ID: 2567775 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: New Mexico  
Vaccinated: 2022-10-24
Onset: 2022-11-22
   Days after vaccination: 29
Submitted: 0000-00-00
Entered: 2023-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 6 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Back pain, Cardiac function test abnormal, Chest pain, Differential white blood cell count normal, Ejection fraction, Electrocardiogram T wave inversion, Electrocardiogram normal, Full blood count normal, Hypertension, Lipids, Low density lipoprotein increased, Metabolic function test normal, Scan myocardial perfusion abnormal
SMQs:, Cardiac failure (broad), Dyslipidaemia (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (broad), Hypokalaemia (broad), Noninfectious myocarditis/pericarditis (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: Omeprazole
Current Illness: None
Preexisting Conditions: None
Allergies: Aspirin; codeine; penicillin; elm; seasonal
Diagnostic Lab Data: 12/14/2022 Blood pressure, normal; 12/14/2022 ECG 12 Lead, normal Sinus Right Access and Prior Inferior Infarct; 12/15/2022 CBC No Diff, normal; 12/15/2022 Lipid panel, LDL Cholesterol high; 12/15/2022 Comprehensive Metabolic Panel, normal; 01/03/2023 Stress test with Myocardial Profusion, Reversible Mild Small Inferior Defect, resolves with prone imaging, likely suggestive of soft tissue artifact, Left Ventricular Ejection Fraction: 68%, initial T-Wave Inversions that flip to normal with exercise
CDC Split Type: vsafe

Write-up: I experienced severe back and chest pain. I thought I was having a heart attack. I took my blood pressure. It was around 185/110. I watched my blood pressure. It stayed high, but I went to sleep. The next day, I checked my blood pressure. It was still high, but it had improved. I took it easy and kept an eye on it. It kept improving. By Friday, it was normal, but I went to see a Cardiologist on December 14, 2022 anyway.


VAERS ID: 2598635 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: New Mexico  
Vaccinated: 2022-09-12
Onset: 2023-03-06
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Headache, Nasopharyngitis, Oropharyngeal pain, Pain, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: After the first dose of the Pfizer COVID-19 vaccine, I was so tired that I slept for nearly 24 hours.
Other Medications: SYNTHROID; trazodone; diclofenac; metformin; omega 3
Current Illness: None
Preexisting Conditions: Diabetes Type II
Allergies: None
Diagnostic Lab Data: 06MAR2023, 14MAR2023 home antigen tests positive results
CDC Split Type: vsafe

Write-up: My kids tested positive for COVID-19 on 3/6/2023, so I tested that day and also got a positive result. On the morning of 3/7/2023, I had chills, fatigue, headache, sore throat, sinus congestion, coughing, and body aches. I felt really bad, so I called my doctor and was prescribed PAXLOVID. I felt pretty bad for three days (3/7/2023-3/10/2023), but by 3/12/2023, I felt better. I still feel tired a lot and have head cold symptoms. I took another COVID-19 test on 3/14/2023 and got a positive result.


VAERS ID: 2610810 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Nevada  
Vaccinated: 2022-09-24
Onset: 2023-03-19
   Days after vaccination: 176
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Chills, Headache, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Astatine; Baby aspirin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 19MAR2023 - COVID - 19 at home test - Positive
CDC Split Type: vsafe

Write-up: I woke up with a fever and chills with a very painful ache feeling in my joints with a bad headache. I took a home test and it was positive, I contacted my doctor and was prescribed a 5 day paxlovid treatment. I was better after a few days.


VAERS ID: 2586949 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2023-02-17
Onset: 2023-02-17
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GM1767 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Arthritis, Gait disturbance, Injection site erythema, Injection site swelling, Joint stiffness, Limb mass, Myalgia, Nausea, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Arthritis (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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: Amlodipine; triamterene; TYLENOL
Current Illness: N/A
Preexisting Conditions: Arthritis
Allergies: Peanuts
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: After the vaccination, I had swelling and redness at the injection site. I also had on top of my right hand, lumps. They did go away the next day. After few days I started to have inflammation of my joints, muscle aches, pain, and stiffness on all of my joints, and nausea. Now I''m to the point that I have to have assistance walking. The doctor prescribed for me some prednisone pack and muscle relaxers.


VAERS ID: 2559557 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-10-13
Onset: 2022-11-29
   Days after vaccination: 47
Submitted: 0000-00-00
Entered: 2023-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingles vaccine I had flu-like symptoms overnight and it subsided after that night.
Other Medications: Metformin; metoprolol; folic acid; LEXAPRO; baby aspirin; ibuprofen
Current Illness: N/A
Preexisting Conditions: Pre-Diabetes; High Blood Pressure
Allergies: Penicillin; latex; benzoin
Diagnostic Lab Data: 01DEC2022 COVID-19 at home test positive; 03DEC2022-COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: The only symptoms I had was a deep croupy cough.


VAERS ID: 2613957 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-10-05
Onset: 2023-03-13
   Days after vaccination: 159
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Influenza like illness, Pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 13MAR2023 -COVID-19 Test - Positive; 23MAR2023 - COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: I woke up with severe flu like symptoms, headache, and body ache. I tested positive COVID-19 that same day. The second day of having the COVID-19 I decided to call the telehealth doctor and she prescribed Paxlovid. After two days of taking Paxlovid my flu like symptoms started to subside although I did have a rash on my back as a side effect. After another five days, I tested negative. My cough has been lingering even after testing negative.


VAERS ID: 2526672 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Nevada  
Vaccinated: 2022-09-07
Onset: 2022-10-09
   Days after vaccination: 32
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: SYNTHROID; gabapentin; TYLENOL arthritis
Current Illness: N/A
Preexisting Conditions: Arthritis; Compressed disc in back
Allergies: Aspirin
Diagnostic Lab Data: COVID-19 home test, positive, 10/09/2022
CDC Split Type: vsafe

Write-up: On October 9, 2022, I started with a mild headache and then to sore throat which became severe. I got congested and had a stuffy nose. I tested positive for COVID-19 on October 9, 2022. I got a rescue inhaler because of history of bronchitis. I just stayed on the TYLENOL and no other changes to medications were necessary.


VAERS ID: 2499668 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Nevada  
Vaccinated: 2022-09-28
Onset: 2022-09-28
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Illness, Influenza, Malaise
SMQs:, Infective pneumonia (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: USMODERNATX, INC.MOD20226

Write-up: This spontaneous case was reported by a patient and describes the occurrence of MALAISE (feeling lousy), ILLNESS (been in bed for 5 weeks since received flu shot and Moderna Covid-19 vaccine on the same day), INFLUENZA (flu immediately after the Moderna Covid-19 vaccine and the flu shot) and HEADACHE (Immediately after received the vaccine had a headache) in a 79-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7146B) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) for an unknown indication. No Medical History information was reported. On 28-Sep-2022, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient received dose of INFLUENZA VACCINE (FLU [INFLUENZA VACCINE]) (unknown route) 1 dosage form. On 28-Sep-2022, the patient experienced MALAISE (feeling lousy), ILLNESS (been in bed for 5 weeks since received flu shot and Moderna Covid-19 vaccine on the same day), INFLUENZA (flu immediately after the Moderna Covid-19 vaccine and the flu shot) and HEADACHE (Immediately after received the vaccine had a headache). At the time of the report, MALAISE (feeling lousy), ILLNESS (been in bed for 5 weeks since received flu shot and Moderna Covid-19 vaccine on the same day) and HEADACHE (Immediately after received the vaccine had a headache) outcome was unknown and INFLUENZA (flu immediately after the Moderna Covid-19 vaccine and the flu shot) had not resolved. No concomitant medications were reported. First dose on 16-Feb-2021 lot number 007M20A, second dose 6-Mar-2021 Lot No. 032M20A left Arm and first booster dose on 20-Nov-2021 Lot number 018F21A left arm. Patient did not know which arm he received the vaccine in. The patient went to see his physician and the physician sent him to the emergency room. Several tests were run on the patient and they all returned normal. The patient reported that because he had been in bed for 5 weeks that must have received a bad batch of the Moderna Bivalent Vaccine. No treatment information was provided.


VAERS ID: 2598681 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-09-15
Onset: 2022-10-14
   Days after vaccination: 29
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cardiac stress test, Electrocardiogram abnormal, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Noninfectious myocarditis/pericarditis (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: Lisinopril
Current Illness: Polycystic Kidney Disease
Preexisting Conditions: Polycystic Kidney Disease
Allergies: N/A
Diagnostic Lab Data: EKG 02/14/2023 Palpitations were seen.
CDC Split Type: vsafe

Write-up: I started to get heart palpitations around mid-October. It was worrisome so I went to my primary care physician. She did a general health check but could not tell if my heart was beating out of rhythm. I had a visit with a cardiologist on February 14, 2023. He was able to determine that I was having palpitations. He indicated that this could be completely benign and have no health effects at all. I had to do an EKG done and the doctor was able to see the palpitations. I have an upcoming appointment for additional testing. They are going to do an electrocardiogram and another electrocardiogram stress test in June. I can still feel it. Its not as often or frequently but its still a thing.


VAERS ID: 2505860 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Nevada  
Vaccinated: 2022-10-06
Onset: 2022-11-03
   Days after vaccination: 28
Submitted: 0000-00-00
Entered: 2022-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Lovastatin; Atenolol; Losartan; Zoloft; Multi Vitamin; Aspirin; Ambien; Xanax
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: Penicillin VK
Diagnostic Lab Data: COVID-19 Home Test-November 3rd, 2022-Positive COVID-19 Rapid Test-Positive-November 4, 2022
CDC Split Type: vsafe

Write-up: I had a runny nose with a sore throat. I also had a headache and a cough. I tested positive on November 3, 2022. I went to the clinic and they performed a PCR test on November 4. The doctor prescribed Paxlovid. It took about 3 days for me to feel better. All of my symptoms pretty much subsided over the 3-day period except a runny nose and I am now testing negative.


VAERS ID: 2609197 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-09-02
Onset: 2022-10-01
   Days after vaccination: 29
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH 30130BA / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (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: Prednisone; calcium; DHEA; estradiol; progesterone; vitamin D; vitamin E
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis; Osteoporosis
Allergies: Sulfa; penicillin; amoxicillin; tetracycline; gluten; mushrooms; cranberries
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I have more severe pain in all of my joints everyday all of the time. We tried a nerve pain killer which made me too sick so I couldn''t take it and it wasn''t working anyway. We are trying a different medication to see if it works.


VAERS ID: 2610945 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-09-11
Onset: 2023-01-31
   Days after vaccination: 142
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH FH9694 / 6 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Myalgia, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Synthroid; Levothyroxine; Eliquis; Digoxin; Vitamin D; Multivitamin
Current Illness: N/A
Preexisting Conditions: Atrial Fibrillation
Allergies: Tegretol
Diagnostic Lab Data: 01FEB2023-COVID-19 Test- Positive; 08FEB2023-COVID-19 Test-Negative
CDC Split Type: vsafe

Write-up: Started on 01/31/2023 I had a cough and muscle aches. I tested for COVID-19 on 02/01/2023 and it was positive. I reached out to my provider, and she prescribed Lagevrio. I had the cough for a couple weeks but now improved.


VAERS ID: 2593933 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Nevada  
Vaccinated: 2022-09-07
Onset: 2022-11-21
   Days after vaccination: 75
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Eye disorder, Eye haemorrhage, Fatigue, Feeling abnormal, Headache, Malaise, Nausea, Respiratory tract congestion, SARS-CoV-2 test positive, Visual impairment
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (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? Yes
Hospitalized? No
Previous Vaccinations: After the COVID-19 boosters, my arm was sorer than it was after I received the primary doses. After the boosters, it hurt to mov
Other Medications: LEVOTHROID; LOTENSIN; XARELTO; omeprazole; metoprolol; vitamin D
Current Illness: None
Preexisting Conditions: Hypertension; Hypothyroidism; History of Pulmonary Embolism
Allergies: None
Diagnostic Lab Data: 27NOV2022 Eye exams, eye bleed detected; DEC2022 Eye exam, massive eye bleed detected; 19FEB2023 Rapid antigen test COVID-19 detected
CDC Split Type: vsafe

Write-up: I had started noticing some issues with my left eye on about 11/23/2022. I wasn''t seeing as well out of my left eye, and I noticed that whenever I looked at things, my vision in my left eye seemed darker than that in the right eye. And whenever I closed my eyes, I could see little shapes in the left eye. On 11/27/2022, when I woke up, I couldn''t see much out of the left eye, so I called my ophthalmologist and went to see him that same day for an emergency visit. He said that I had a bleed in the left eye, and he referred me to a retina specialist, whom I saw the first week in December 2022. The retina specialist informed me that I had a "massive bleed" in the left eye and injected EYLEA in the left eye on 1/5/2023. On 1/6/2023, he injected a gas bubble in the left eye. I had to hold my head down for nine days afterwards, which wasn''t easy. I received another EYLEA injection on 2/9/2023, and I am scheduled for another EYLEA injection in March 2023. At the time of this writing, I think that my vision is improving to some degree. The dark spot in my left is now smaller, and I can see the eye chart better whenever I go to the eye doctor. During the December 2022 visit, the ophthalmologist advised me to begin taking PRESERVISION supplements, which I have done. On 2/19/2023, I woke up and felt awful. I had a horrible headache, a cough, a little bit of congestion, and a horrible fatigue. I decided to go to urgent care. I was tested for COVID-19, and the result was positive. The urgent care prescribed LAGEVRIO. I felt somewhat better within a couple of days of starting. The cough went away. I still have the residual fatigue. I had a couple of days in which I had a headache, a couple of days in which I had nausea. I also had the chills for quite a few days. During my time with COVID-19, I seemed to roll through all the symptoms that are listed by the CDC, except I didn''t lose my senses of taste and smell. The fatigue was pervasive and persistent, though. Whenever I would perform simple tasks, I would have to stop and rest for a while. I consulted with my GP, and he told me that I needed to move as much as possible and not succumb to the fatigue. I had to force myself to move, but I think it helped me feel better. I also kept an eye on my oxygen levels, and they were always within normal range. The COVID-19 was at its worst for three days, but it got better afterwards, though I still wasn''t completely over it. At this point, the fatigue persists and I still get the chills, but otherwise I feel fine.


VAERS ID: 2741708 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New York  
Vaccinated: 2023-12-04
Onset: 2024-01-22
   Days after vaccination: 49
Submitted: 0000-00-00
Entered: 2024-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH HG 5967 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Dizziness, Ear pain, Feeling of body temperature change, Headache, Malaise, Nausea, Oropharyngeal pain, Respiratory syncytial virus test, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, Sneezing, Streptococcus test, Throat irritation
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (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: Levothyroxin, iron pill, vit D, folic acid, lisinopril, esomeprazole, qvar, fluticasone propionate, atorvastatin, monteleukast. No longer remember if took albuterol sulfate (prn) that date, or TUMs for calcium.
Current Illness:
Preexisting Conditions: Lymphedema, asthma, hashimoto, high cholesterol, high BP, osteopenia, GERD, anemia, hernia,long covid
Allergies: Several medications
Diagnostic Lab Data: 1/25. Rapid tests for strep, RSV, covid-19 at urgent care. Pos for covid.
CDC Split Type:

Write-up: Mon eve- scratchy throat, congestion- unsure if getting sick. Tues: runny nose, sneezing, sore throat, def sick. By Wed: dizzy, nauseous, terrible headache that tylenol didnt help, constant sneezing, ear ache, hot & cold, breathing poorly, coughing. Thurs: tested pos for covid -19.


VAERS ID: 2620814 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-10-22
Onset: 2023-03-14
   Days after vaccination: 143
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 021F22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Malaise, Pain in extremity, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (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: Amlodipine; losartan; sertraline; ZYRTEC; calcium; vitamin B complex; ALIGN
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Seasonal allergies
Diagnostic Lab Data: 19MAR2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had a sore arm after receiving the vaccine for about a day. I started feeling symptoms on 03/14/2023. I tested positive for COVID-19 on 03/19/2023. I contacted my doctor and got a prescription for PAXLOVID, but I started feeling better without and I did not take it. I took ADVIL to help with the headache and fever. As of today, I do not have any lingering symptoms of COVID-19.


VAERS ID: 2452073 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-09-12
Onset: 2022-09-17
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2022-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: Apples; pears; peaches: plums; stone fruit
Diagnostic Lab Data: COVID-19 rapid test - positive; PCR pending results
CDC Split Type: vsafe

Write-up: Congestion, lots of nasal fluid and cough, fatigue have been pretty mild. The doctor did a rapid and PCR test were given yesterday 9/19/22. She prescribed me FLONASE and MUCINEX but I''m not feeling that bad so haven''t taken anything.


VAERS ID: 2504506 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-09-27
Onset: 2022-10-01
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2022-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 1 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Musculoskeletal chest pain, Nausea, Tenderness
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Metformin; losartan; duloxetine; atorvastatin; pantoprazole; meloxicam; multivitamin; iron
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; Diabetes; High Cholesterol
Allergies: LAROTIN
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I sat for 15 minutes after the vaccine, after that I went home, I was fine until 2 1/2 weeks ago. I started to feel pain under my chest underneath the ribs, I could not touch the area, I felt nauseous, I still have the pain, tender to the touch, but not as severe as last week. I called my doctor, and they gave an appointment, another doctor saw me, and he does not know what it is, tomorrow I will have an ultrasound and if nothing shows other tests will be done.


VAERS ID: 2473702 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-09-20
Onset: 2022-10-07
   Days after vaccination: 17
Submitted: 0000-00-00
Entered: 2022-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH J2524 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Joint swelling, Weight bearing difficulty, X-ray
SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: Levothyroxine; Lisinopril
Current Illness: No
Preexisting Conditions: High blood pressure; Hypothyroidism
Allergies: Codeine; Hydrocodone; Nickle
Diagnostic Lab Data: xray - no breaks
CDC Split Type: vsafe

Write-up: My left knee became non weight bearing and swollen. I got up in the morning and couldn''t put weight on it.


VAERS ID: 2621072 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-10-14
Onset: 2023-02-26
   Days after vaccination: 135
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Hypersomnia, Laboratory test normal, Malaise, Migraine, Oropharyngeal pain, Productive cough, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (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: After each of my first four doses of COVID-19 vaccines, I had fatigue, general malaise, and headaches. Each time, the length of
Other Medications: Escitalopram; Vitamin D3; Vitamin B Complex
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 26FEB2023, 27FEB2023 - Home Antigen Tests - Negative Results; 01MAR2023 - Home Antigen Test - Negative Result
CDC Split Type: vsafe

Write-up: On the night of 2/26/2023, I had a scratchy throat. On 2/27/2023, I continued to have a scratchy throat. I took a home antigen test and got a negative result. On 2/28/2023, I began to have a severe sore throat. I took yet another home antigen test and got another negative result. I then developed a severe migraine. On 3/1/2023, I woke up feeling very sick. I had the sore throat and migraine. I took another home antigen test and got a positive result. I was sick for over two weeks. I also had severe fatigue and spent a lot of time sleeping. I began to feel better on 3/4/2023. I was still extremely tired at this point, though, and I developed a slightly productive cough. I went to the doctor on 3/13/2023. I was given an albuterol inhaler, and I took Mucinex. Within another week or so, I began to feel better. It took a good three weeks before I was back to my old self. The cough persisted until about 3/20/2023.


VAERS ID: 2622313 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-10-25
Onset: 2023-03-26
   Days after vaccination: 152
Submitted: 0000-00-00
Entered: 2023-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2542 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Bronchitis, Malaise, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (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: Amlodipine; Atorvastatin; Vitamin D
Current Illness: N/A
Preexisting Conditions: Hypertension; GERD
Allergies: Bee Stings; Penicillin
Diagnostic Lab Data: 03APR20230 COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I began not feeling well on 03/26/2023 with a sore throat and with cold symptoms. I went to the doctor and was bronchitis on 04/03/2023 and I got prescription for an antibiotic. I was tested for COVID-19, and it was negative.


VAERS ID: 2556146 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-10-07
Onset: 2022-12-27
   Days after vaccination: 81
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Malaise, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Hydrochloride; amlodipine; lovastatin; aspirin
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: Sulfa; penicillin
Diagnostic Lab Data: COVID-19 positive 12/29/2022
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/07/2022. I had symptoms 12/27/2022 to include congestion and cough. I tested COVID-19 positive on 12/29/2022. I contacted my physician and had a telehealth appointment on 12/30/2022. Told to give a day to take PAXLOVID and to only take if symptoms worsened. I felt started to feel better on 12/31/2022 and decided to not take the PAXLOVID. I still feel under the weather as of 01/10/2023. Today was the first day I tested COVID-19 negative.


VAERS ID: 2617725 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-09-09
Onset: 2022-10-07
   Days after vaccination: 28
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Condition aggravated, Cough, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clopidol; Metoprolol; Rosuvastatin; Potassium Chloride; Triamterene; Losartan; Azelastine Nasal Spray; Levocetirizine; Aspirin; Glucosamine; Coq 10
Current Illness: NA
Preexisting Conditions: High Blood Pressure; Coronary Artery disease
Allergies: NA
Diagnostic Lab Data: 9Oct2022 At Home COVID-19 test, positive and Rapid COVID-19 test, both positive.
CDC Split Type: vsafe

Write-up: 10/7/2022 Started with a cough. Cough got worse 10/8. 10/9 Tested with an At Home COVID-19 test, positive. Went to Walk in clinic. Tested there with Rapid COVID-19 test, positive. Doctor recommended participant go to the Hospital. Proscribed Paxlovid but cautioned to consult with PCP due to possible medical interaction. At Hospital I received a one-time infusion of I believe Remdesivir. Release from hospital after infusion and had a pill for coughing proscribed. Over the next 10 days there was a few instances of mild fever hitting 99 degrees, cough diminished.


VAERS ID: 2600234 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-09-14
Onset: 2023-02-22
   Days after vaccination: 161
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Nasopharyngitis, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: After I had the Shingrix, I experienced a lot of body aches and pain at injection site for about 24 hours. Sometimes my annual f
Other Medications: Montelukast; losartan; CLARITIN
Current Illness: N/A
Preexisting Conditions: Asthma; Seasonal Allergies
Allergies: Mold; tree pollen
Diagnostic Lab Data: 25FEB2023 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: On Wednesday the 22nd I had a very tight cough. It seems different from normal seasonal cough. On Saturday the 25th my wife asked for a COVID-19 at home test for her and myself and both tests were positive. I experience diarrhea in the middle of the night. Body aches and pains and cough. My fever was 101 degrees. I took TYLENOL. The next day I felt better. I had a lingering cough for about two weeks. Mostly the symptoms are gone except for the occasional cough. When I called the doctor on the 27th, since it was the 5th day, the anti-viral probably wouldn''t help a lot. Since I was not in distress, I decided to follow her advise. After that first day, it really felt like a regular cold.


VAERS ID: 2612326 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-09-07
Onset: 2023-01-01
   Days after vaccination: 116
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, No adverse event, Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Multivitamin; fiber gummies
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa
Diagnostic Lab Data: JAN2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse event after receiving the vaccine. I tested positive for COVID-19 in 01/2023. I started with a headache and a fever, so I contacted my doctor and got a prescription for PAXLOVID. I tolerated the medication without any complications. I did have a rebound case of COVID-19 and it was all in my sinuses. I had a green discharge from my nose for about two weeks. As of today, I do not have any lingering symptoms of COVID-19.


VAERS ID: 2599563 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-09-16
Onset: 2023-02-20
   Days after vaccination: 157
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Malaise, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 20FEB2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I began no feeling well on 02/19/2023 with a scratchy throat, congestion and runny nose. The symptoms progressed and I test positive for COVID-19 on 02/20/2023. I contacted my doctor and got the prescription for Paxlovid. I tolerated the medication and was able to take the whole prescription. I still have a lingering cough.


VAERS ID: 2531468 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-09-12
Onset: 2022-11-13
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphasia, Aphonia, COVID-19, Chills, Fatigue, Feeling abnormal, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Levothyroxine; triamterene; losartan
Current Illness: N/A
Preexisting Conditions: Hypothyroidism; Hypertension
Allergies: N/A
Diagnostic Lab Data: 14NOV2022 at home COVID-19 test positive, 15NOV2022 PCR COVID-19 test positive
CDC Split Type: vsafe

Write-up: On Sunday 11/13/2022, I was starting to feel rundown and tired with a sore throat. On Sunday evening I started to come down with chills without a fever. The next morning I had a sore throat and chills and decided to test myself with an at home test for COVID-19, it came out positive. I reached out to my doctor to have a telehealth visit and she was able to prescribe PAXLOVID for me to take. After the telehealth visit I needed a confirmation PCR test. My doctor scheduled one and then it also came back positive as well. I started the PAXLOVID the afternoon on Monday and took it for the five days. As of now I am feeling fine, however, during the first couple of days I was extremely tired and my throat was hurting extremely bad. I lost my voice as well and could not speak however it did come back quickly.


VAERS ID: 2564543 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-10-20
Onset: 2023-01-18
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2023-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Injection site pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Extravasation events (injections, infusions and implants) (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Shingles vaccination 3/4 years ago
Other Medications: Citalopram; low dose aspirin; FLONASE; multivitamin; calcium; glucosamine
Current Illness: N/A
Preexisting Conditions: Sinus issues; Depression; Seasonal Affective Disorder; Repetitive Stress injury in right arm; Long term effects of tibia fracture on right knee (swelling)
Allergies: N/A
Diagnostic Lab Data: 2023Jan18 COVID-19 rapid (positive)
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 1/18/23. On 1/14/23 I hosted a large celebration for my son, so that event was stressful and wonderful, but I suspect that is where I contracted COVID. On Jan 18th, I woke up with a sniffley nose and took a COVID-19 rapid at home test and it was positive. Later on that day I started to feel much worse and called my doctor. I was prescribed PAXLOVID and started taking it that same day. That night I had a fever and lots of coughing and congestion. I also experienced some fatigue and brain fog. I never tested my fever at night, it would have been much higher I think, but when I did check I was at 99.8. By the evening of January 19th I felt much better, and today 1/20, I feel even better, except for the PAXLOVID mouth, the metallic bitter taste. It happens within a half hour of the dose and 10 hours later fades. Also, in retrospect, thinking back to the last few months, the vaccination injection site has been painful whenever pressure is applied, even this far out if I lean against it.


VAERS ID: 2576555 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: New York  
Vaccinated: 2022-11-04
Onset: 2023-01-01
   Days after vaccination: 58
Submitted: 0000-00-00
Entered: 2023-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SC

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Blood test abnormal, Contusion, Dry skin, Fatigue, Insomnia, Massage, Pruritus, Psoriasis, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (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: LEXAPRO; gabapentin; vitamin; METHY-PROTECT; adenosyl hydroxy B12; COLON X; 3A magnesia; daily multivitamin; IMN-V DROP; DIM DETOX; zinc somaplex; coQ10 power; tri salts; OMEGA BENEFIT; ROSAVIN; THYRO-CARE; S-acetyl-glutathione; vitamin D3-
Current Illness: Cold
Preexisting Conditions: Lyme Disease; Cold sores-mouth
Allergies: Dust mites; cat hair
Diagnostic Lab Data: Blood panel drawn previously unrelated, date will be shared with provider since it was recent. Results unknown as results are under review 11-2022
CDC Split Type: vsafe

Write-up: I developed hives and itchiness all over the body excluding my face. They lasted for 3 weeks. The hives lasted for 2 weeks. I had poison ivy level itchiness which caused it to be difficult to sleep. I saw my doctor around the 2nd week of January. She prescribed prednisone after I had taken BENADRYL all weekend and showered with SELSUN BLUE. The itching was so bad that I developed black and blue bruises on my legs, arms, and back. I had had a massage and thought that it could be the massage oil. I took the prednisone, and it didn''t help. I was using more steroids and removed spicy foods from my diet. I was only able to wear very soft loose clothing. I was advised not to drink alcohol. I was on the prednisone for 10 days and I was advised not to do any activities that would cause me to sweat and irritate the rash. My knees were so painful I wanted to cry. I took oatmeal baths and psoriasis. I used eczema creams as well. It didn''t go away until last week. All the symptoms subsided except for a little dry skin. I am still very tired as well.


VAERS ID: 2526738 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-10-26
Onset: 2022-12-05
   Days after vaccination: 40
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Nausea, Pyrexia, SARS-CoV-2 test positive
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin
Current Illness: N/A
Preexisting Conditions: Sleep Apnea
Allergies: Eggplant
Diagnostic Lab Data: 06DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I started having bad chills and a fever of 102. The next day, I woke up and didn''t feel any better. I took a rapid test on 12/6/22 and tested positive. I called the doctor, and they prescribed 5 days'' worth of PAXLOVID. I have been feeling better up until today. I have had the metallic taste in my mouth that everyone talks about. Since lunchtime today, I have been feeling a little nauseated.


VAERS ID: 2593798 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-09-07
Onset: 2022-11-01
   Days after vaccination: 55
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: 18 years of age, 1969, Yellow Fever vaccine, poor reaction
Other Medications: Metoprolol; atorvastatin; finasteride; tamsulosin; ZYRTEC; aspirin; vitamin D; fish oil; MIRALAX; BENEFIBER; multivitamin
Current Illness: None
Preexisting Conditions: High Blood Pressure
Allergies: None
Diagnostic Lab Data: 04JAN2023 at home COVID-19 test positive; 09JAN2023 at home COVID-19 test negative; 12JAN2023 at home COVID-19 test positive; 17JAN at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: In November, I started having coughing symptoms three or four days after my grandson was diagnosed with RSV. My coughing symptoms persisted for the next month; I didn''t take any real medication other than MUCINEX. I wouldn''t describe it as severe, but it was annoying. I later developed COVID-19. My symptoms were extremely mild. I noticed some nasal congestion and a very short interval of soreness in my throat. I tested for COVID-19 and was positive. My temperature only got up to 99 degrees and that only lasted one day. I called my physician and was prescribed PAXLOVID and a steroid. I isolated for five days and tested negative after the five days. I spent one night out of isolation and then felt congested again, so I tested again the next morning and was positive. I isolated another five days but was only mildly symptomatic again and did not take any additional medication.


VAERS ID: 2545673 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: New York  
Vaccinated: 2022-09-26
Onset: 2022-12-25
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Feeling of body temperature change, Nasopharyngitis, Poor quality sleep, SARS-CoV-2 test positive, Sleep disorder, Sneezing
SMQs:, Anaphylactic reaction (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (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: Baby aspirin; amlodipine; metoprolol; multivitamin; vitamin C
Current Illness: N/A
Preexisting Conditions: Multiple Myeloma; Leukemia; Bone Marrow Transplant
Allergies: Penicillin
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: Sunday, we had family over for Christmas. I woke up with night freezing and with chills which kept me up and not sleeping well. I woke up Monday with a full-blown cold, sneezing, chills, and going back and forth between being freezing cold and then too hot. Tuesday, I took a COVID-19 home test and that was positive. I called my doctor, and they gave me PAXLOVID and that has helped a ton and my symptoms are better thus far. I did also get my flu shot on the same day that I got my COVID-19 but I do not have the information on that shot.


VAERS ID: 2631922 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-11-12
Onset: 2023-04-12
   Days after vaccination: 151
Submitted: 0000-00-00
Entered: 2023-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Conjunctivitis, Cough, Ear discomfort, Ear infection, Malaise, Middle ear effusion, Nasopharyngitis, Otorrhoea, SARS-CoV-2 test negative
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hearing impairment (narrow), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), COVID-19 (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: Lisinopril-Hydrochlorothiazide, Amphetimine-Dextroamphetimine
Current Illness: None
Preexisting Conditions: High Blood Pressure , ADHD , ODC
Allergies: None
Diagnostic Lab Data: 13APR23-COVID Test-Negative: (?)APR23-COVID Test-Negative; (?)APR23-COVID Test-Negataive
CDC Split Type: vsafe

Write-up: 4/12/2023 I appeared to have a severe cold. I had coughing, possible fever, pink eye and felt sick. I went to the doctor and was prescribed antibiotic drops for my eyes and a Z-Pack. I took a COVID test which was negative. Over the week-end, it moved into my left ear and I developed into an ear infection. The antibiotic did not help, but the pink eye did clear up. The ear infection, the following week, became pretty severe with drainage. I took 2 more at home COVID tests that came back negative. I went back to the doctor about a week later and was prescribed antibiotic drops for my ears and Amoxicillin. My left ear infection did clear up and I began feeling better. The ear infection may have perforated my ear which I have not fully recovered from. I went to an ENT doctor because of fluid in my ear. He said it can take a long time to go away. I still feel like I have blockage and fluid in that ear. I was given exercises to do for my ear. I still have issues with my coughing. have an appointment to go back on May 24, 2023.


VAERS ID: 2550093 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-10-01
Onset: 2022-12-18
   Days after vaccination: 78
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Dizziness, Fatigue, Feeling abnormal, Headache, Pain, Pain in extremity, Paranasal sinus discomfort, Pyrexia, SARS-CoV-2 test positive, Sinus pain
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I came down with COVID in December. I was lightheaded, had chills, fever, and body aches. I had headache and sinus pains. It started on the 18th and continued until the 21st. For the most part the fever broke and everything cleared except the headache, the sinus pressure, and the fatigue. That continued for the rest of the week. Consciously now I am recovered except for the occasional brain fog and my fatigue doesn''t seem to clear. The headache seems to come and go, but the exhaustion does not seem to clear. I consulted with the doctor and was not given PAXLOVID because I did not have blood work on file and was not able to go into the lab due to having COVID. I also took the influenza vaccine at the same time as my COVID vaccine in October, in the same arm. I had arm soreness with this but nothing else.


VAERS ID: 2551521 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-01
Onset: 2022-12-19
   Days after vaccination: 79
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 027E22A / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, Chills, Cough, Headache, Hypogeusia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin; vitamin D; vitamin C
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin; seasonal allergies
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I contracted COVID. My symptoms started with headache and sore throat. The next day I tested positive and had chills and fever that was not being reduced by ADVIL or TYLENOL. I also had head congestion. The head congestion lasted for 10 to 14 days. And head coughing. I retested positive on the 30th of December. I took all over the counter medication to help calm symptoms. I also lost my taste and smell. I am recovered now but my taste is diminished but all other symptoms did clear with time.


VAERS ID: 2555880 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-10
Onset: 2022-12-12
   Days after vaccination: 63
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19
CDC Split Type: vsafe

Write-up: I didn''t really have any symptoms, but my husband was positive, so I tested after having sneezing. The next day I went and tested at a local pharmacy, and I was positive for COVID-19. I treated the symptoms at home, and I did recover within 2 weeks or so.


VAERS ID: 2550797 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-03
Onset: 2022-12-01
   Days after vaccination: 59
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Constipation, Cough, Dizziness, Feeding disorder, Impaired driving ability, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 1st, 2nd, and 3rd dose of Moderna I have a fever for 24 hours.
Other Medications: Escitalopram; meloxicam PRN
Current Illness: Cold; cough; runny nose
Preexisting Conditions: ITP
Allergies: N/A
Diagnostic Lab Data: 02DEC2022 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: Chills, body ache, fever. It was terrible. I was in so much pain in my body. Cough, runny nose, and sneezing. I could not use the bathroom or eat. I was living on cold medicine. That persisted for 10 days. On days 11 and 12, I was so dizzy that I couldn''t drive a vehicle.


VAERS ID: 2604418 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-11
Onset: 2023-02-09
   Days after vaccination: 151
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dysgeusia, Dyspnoea, Fatigue, Insomnia, Malaise, Oropharyngeal pain, Pain, Pharyngitis streptococcal, Rhinorrhoea, SARS-CoV-2 test positive, Streptococcus test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Taste and smell disorders (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Levothyroxine; bupropion; LEXAPRO; losartan; metoprolol succinate; metformin; amlodipine; baby aspirin; CRESTOR; PRILOSEC
Current Illness: None
Preexisting Conditions: Diabetes, Type II; Prinzmetal Angina; Hypothyroidism
Allergies: None
Diagnostic Lab Data: 11FEB2023 home antigen test, positive result; 25FEB2023 rapid antigen test, negative result; 25FEB2023 Streptococcus test, positive result
CDC Split Type: vsafe

Write-up: On 2/9/2023, I had a runny nose and sore throat. I was on a cruise at the time. On 2/10/2023, I continued to get sicker with a very runny nose, body aches, and fatigue. I flew home that day. I was so out of breath that it took me an hour to walk from the plane to the shuttle at the airport, because I kept stopping on account of being out of breath. I threw up once that day. I woke up very sick the morning of 2/11/2023. I did a home antigen test, which immediately yielded a positive result. I then called my doctor, who prescribed me PAXLOVID, which I began taking on 2/12/2023. The runny nose, sore throat, and fatigue lasted for maybe ten days. The PAXLOVID left a foul taste in my mouth. I then felt better on 2/14/2023 and 2/15/2023, only to develop strep throat subsequently. I tested positive for strep throat on 2/25/2023. I had assumed that the symptoms of what I now know to be strep throat were just a continuation of the COVID-19. It took about twelve days for me to recover from the strep throat. On 2/25/2023, I was given a rapid test for COVID-19, and the result was negative. At the time of this writing, I''m doing fine, except I''m having trouble sleeping at night. I don''t think it''s COVID-19 related, but I do think that my illnesses may have thrown off my sleep cycle.


VAERS ID: 2450304 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-10
Onset: 2022-09-11
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature, Hyperhidrosis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: ORENCIA
Current Illness: Rheumatoid arthritis
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetic (Comments: Diabetic)
Allergies:
Diagnostic Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:high grade fever
CDC Split Type: USPFIZER INC202201162438

Write-up: a high grade fever; sweating; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient. A 76-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 10Sep2022 at 15:00 as dose 4 (booster), single (Lot number: GJ5342) at the age of 76 years, in left arm for covid-19 immunisation; influenza vaccine (FLU VACCINE VII), as dose number unknown, single (Batch/Lot number: unknown). The patient''s relevant medical history included: "Rheumatoid arthritis" (ongoing), notes: She has rheumatoid arthritis (RA) and on she is on an immune suppression drug Orencia. She was diagnosed with RA before receiving COVID-19 vaccines and about 26 years ago; "Diabetic" (unspecified if ongoing), notes: Comments: Diabetic. Concomitant medication(s) included: ORENCIA taken for rheumatoid arthritis. Vaccination history included: BNT162b2 (Dose: 1, Date given: 30Jan2021, Manufacturer: Pfizer, Lot: EL9253, Expiration: Unknown, Dose given: Unknown, Time given: Unknown), administration date: 30Jan2021, when the patient was 74-year-old, for COVID-19 Immunization; BNT162b2 (Dose: 2, Date given: 21Feb2021, NDC: Unknown, Lot: GL9267, Expiration: Unknown, Dose given: Unknown, Time given: Unknown), administration date: 21Feb2021, when the patient was 74-year-old, for COVID-19 Immunization; Moderna (Dose: 3, Date: Dec2021, Manufacturer name: Moderna), administration date: Dec2021, when the patient was 75 years old, for COVID-19 Immunization. The following information was reported: PYREXIA (non-serious) with onset 11Sep2022 at 09:30, outcome "unknown", described as "a high grade fever"; HYPERHIDROSIS (non-serious) with onset 11Sep2022 at 09:30, outcome "unknown", described as "sweating". Relevant laboratory tests and procedures are available in the appropriate section. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2601762 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-20
Onset: 2023-01-01
   Days after vaccination: 103
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain lower, Abdominal pain upper, Ultrasound scan vagina, Urinary tract infection, Urine analysis normal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Levothyroxine; multivitamin; calcium; vitamin B; ADVIL
Current Illness: Fever and cough 2 weeks prior to vaccine undiagnosed
Preexisting Conditions: Hashimoto''s Disease
Allergies: Sulfa drugs; loratadine
Diagnostic Lab Data: Transvaginal Ultrasound February 23, 2023, normal, inconclusive. Urinalysis test negative February 2023
CDC Split Type: vsafe

Write-up: I have had lower left abdominal pressure with occasional pain that has not let up in 3 months. It''s not debilitating but it is persistent. Occasionally it is accompanied by an ache or pain in my upper left abdomen just above my ribs. I saw a doctor in early February and the pain feels similar to ovulation pain but when it did not go away so I called my doctor. She sent me for further testing. I had a transvaginal Ultrasound which was inconclusive. My doctor did complete a urinalysis test for a UTI, and it was negative. Less than a week later I began having much more severe symptoms and it was determined that I had a UTI. I was prescribed an antibiotic. The medication temporarily lessoned the symptoms but did not make them go away. My physician recommended me schedule an appointment for a Transvaginal Ultrasound which had no findings. A short time later upper abdominal pressure began and would come and go. The provider indicated that she would prescribe something else but I have not been able to make contact to have the medication prescribed. My symptoms have not gotten better so I do plan to follow up with the provider.


VAERS ID: 2604790 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-26
Onset: 2023-03-16
   Days after vaccination: 171
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, COVID-19, Malaise, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: 16MAR2023 COVID-19 test positive; APR2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had no adverse event following the vaccine. I began not feeling well with upset stomach, congestion and just not feeling well. My whole family was sick, and I was the last one to test positive for COVID-19 on 03/16/2023. I contacted my doctor and told her I tested positive, and she said let them know if I got worse. I took over the counter medication to help with my symptoms. As of today, I continue to have sinus pressure and a sore throat, but I test negative for COVID-19. I previously tested positive for COVID-19 in 04/2022.


VAERS ID: 2606592 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-28
Onset: 2023-02-05
   Days after vaccination: 130
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Multivitamin; fish oil; glucosamine chondroitin MSM; meloxicam; SINGULAIR; vitamin D; FLONASE
Current Illness: None
Preexisting Conditions: Asthma; Enlarged Prostate; Chronic Back Pain; Sciatica
Allergies: Seasonal; penicillin
Diagnostic Lab Data: 02/05/2023 antigen COVID-19 test, positive
CDC Split Type: vsafe

Write-up: On February 5, 2023, I woke up with a very mild sore throat and mild congestion. I took a home antigen COVID-19 test. The result was positive. I reached out to my doctor on February 6, 2023. He started me on PAXLOVID. The symptoms subsided in a couple of days, but I isolated for five days.


VAERS ID: 2521989 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-19
Onset: 2022-11-22
   Days after vaccination: 34
Submitted: 0000-00-00
Entered: 2022-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Activated partial thromboplastin time shortened, Alanine aminotransferase normal, Anion gap, Antibody test negative, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage decreased, Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride decreased, Blood creatinine normal, Blood glucose normal, Blood lactic acid, Blood magnesium, Blood potassium decreased, Blood sodium normal, Blood urine present, Carbon dioxide decreased, Chromaturia, Colostomy, Computerised tomogram abdomen abnormal, Computerised tomogram abdomen normal, Culture negative, Differential white blood cell count, Electrocardiogram normal, Eosinophil count decreased, Eosinophil percentage decreased, Full blood count, Glucose urine absent, Gram stain, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, International normalised ratio increased, Intestinal perforation, Intestinal resection, Liver function test, Lymphocyte count, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin decreased, Mean cell volume decreased, Mean platelet volume increased, Metabolic function test, Monocyte count, Monocyte percentage, Neutrophil count increased, Neutrophil percentage increased, Peritonitis, Platelet count normal, Protein total normal, Protein urine present, Red blood cell count increased, Red cell distribution width normal, Scan with contrast normal, Sinus rhythm, Specific gravity urine normal, Urine abnormality, Urine analysis, Urine ketone body present, White blood cell count increased, pH urine normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver-related coagulation and bleeding disturbances (narrow), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal perforation (narrow), Ischaemic colitis (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Rosuvastatin; pantoprazole; duloxetine; atenolol chlorthalidone; lorazepam; vitamin D3; meclizine; ADVIL; TYLENOL
Current Illness: None
Preexisting Conditions: High Blood Pressure; Ongoing Hip Surgery Recovery
Allergies: None
Diagnostic Lab Data: 11/22/2022 Emergency CT scan, perforated bowel and peritonitis; 11/22/2022 APTT 25.5; 11/22/2022 Protine INR 12.2; 11/22/2022 type and screen, O positive antibody negative; 11/22/2022 lactic acid 6.6; 11/22/2022 Hepatic Function Panel, total proteins 7.8, Albumin 4.5, alkaline phosphatase 81, ALT19, AST 22, Total Bilirubin 0.7; 11/22/2022 Basic Metabolic Panel, sodium 136, potassium 2.9, chloride 9.2, CO2 22, Anion Gap 22, Glucose 122, DUN 12, Creatinine 0.7, calcium 10.4; 11/22/2022 CBC with Auto differential, WBC 13.3, RBC 5.74, Hemoglobin 14.3, Hematocrit 43.8, MCV 76.3, MCH 24.9, MCHC 32.6, RDW 14.2, Platelets 374, MPV 10.6, Neutrophils 86.3, Immature Granulocytes 0.3, Lymphocytes 9.3, Monocytes 3.9, Eosinophils 0.1, Basophils 0.1, Neutrophils Absolute 11.51, Lymphocytes 1.24, Monocytes Absolute 0.52, Eosinophils Absolute 0.01, Basophils 0.02, Immature Granulocytes 0.04; 11/22/2022 Culture Body Fluid, not present; 11/22/2022 Gram Stain, no results; 11/22/2022 Anaerobic Culture, Anaerobic Gram Negative Rod, Anaerobic Gram Positive Cocci; 11/22/2022 Urinalysis, Specific Gravity 1.02, PH 8.0, yellow, slightly cloudy, Glucose negative, Bilirubin negative, Ketones 15, blood, urine small, protein 30; 11/25/2022 EKG, normal sinus rhythm, normal ECG; 11/26/2022 magnesium, 1.6; 11/28/2022 CT pelvis abdominal with contrast dye, impression post surgical changes, no intra abdominal free air
CDC Split Type: vsafe

Write-up: My bowel perforated on November 22, 2022. I took an ambulance to the hospital. I had an emergency CT scan. It also showed Peritonitis. I had emergency surgery to remove the offending piece of bowel, flush out the area, and install a colostomy bag. They covered the incision, but they left it open. On the 8th day in the hospital, they closed the incision. They discharged me yesterday. They also gave me several medications.


VAERS ID: 2609130 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-03
Onset: 2023-02-23
   Days after vaccination: 143
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Malaise, No adverse event, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Citalopram; azelastine
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data: 26MAR2023 COVID-19 test positive; 10MAR2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I started not feeling well on 02/23/2023 with a sore throat, stuffy head, fatigue and a cough. I tested positive for COVID-19 on 03/10/2023. I did not contact my doctor as it already been two weeks. I took acetaminophen and a cough medication to help with symptoms. I started feeling bad again and retested for COVID-19 and it was positive on 03/26/2023. As of today, I still have a scratchy throat and I cough sometimes.


VAERS ID: 2584317 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-22
Onset: 2022-11-15
   Days after vaccination: 54
Submitted: 0000-00-00
Entered: 2023-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Angiogram normal, Blood creatine phosphokinase normal, Blood test normal, COVID-19, Chills, Dizziness, Dysstasia, Full blood count normal, Gait disturbance, Headache, Laboratory test normal, Magnetic resonance imaging head normal, Muscle fatigue, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vestibular function test normal
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amitriptyline; azathioprine; calcium with vitamin D; coQ10; dicyclomine; estradiol; famotidine; FLONASE; GAVISCON; MIRALAX; SIMPONI infusions; sucralfate; vitamin B12; vitamin D
Current Illness: N/A
Preexisting Conditions: Rheumatoid Arthritis; Small Intestinal Bacterial Overgrowth; GERD; Mild Stable Interstitial Lung Disease
Allergies: Cefdinir; COMPAZINE; dextromethorphan; doxycycline; NSAIDS; PPI''s
Diagnostic Lab Data: COVID-19 antigen test 11/17/2022 positive, CPK December 2022 normal, Blood Panel, CBC, Chem 7, CTA, January 28, 2023, normal. Brain MRI January 29, 2022 normal. Vestibular testing January 29, 2023 normal
CDC Split Type: vsafe

Write-up: First, I had a mildly sore throat. I had very quick onset chills, Fever of 102, headache and O2 level of 90%. My muscles were very fatigued and painful. I had a negative PCR test on the 16th at 10AM in the morning. I completed an antigen PCR COVID-19 test and it was positive. My oxygen seemed to be better on this date. I called my doctor and had a telemedicine visit. He prescribed PAXLOVID and I started to take it the same day. My symptoms gradually improved but the headache lingered. Once the fever and headache improved, my muscles continued to be sore for 3 to 4 weeks. I was given a CPK in December 2022 and it was normal. I took TYLENOL to treat the symptoms. It impacted my gate, but it was normal by Christmas. I had an odd, strange hospitalization on January 28, 2023. I woke up on the 28th and I was very dizzy. I could not stand up due to feeling dizzy around 7AM. I called my doctor''s office and was advised to go to the ER. They did a blood panel which was normal as well as a CTA that was normal. I had a brain MRI on the January 29th that was normal along with Vestibular testing which also was normal. My symptoms resolved in about 8 hours. I was discharged around noon on the 29th. They gave me 1 meclizine around 3 PM and that''s when my symptoms dissolved. I have been fine since then. My physician indicated that he did not know why this happened.


VAERS ID: 2533392 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-10
Onset: 2022-11-11
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Influenza like illness, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; finasteride; rosuvastatin; losartan
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: ACCUPRIL
Diagnostic Lab Data: 12NOV2022 COVID-19 at home negative; 13NOV2022 COVID-19 at home positive; 14NOV2022 COVID-19 at home positive
CDC Split Type: vsafe

Write-up: Initially I had flu like symptoms, a cough, slight fever 99.9 degrees subsequently 101.6 degrees and after two to three days was normal. General aches.


VAERS ID: 2489822 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-14
Onset: 2022-10-15
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Muscle tightness, Osteoarthritis, Pain, Pain in extremity, X-ray of pelvis and hip abnormal
SMQs:, Dystonia (broad), Osteonecrosis (broad), Arthritis (narrow), Tendinopathies and ligament disorders (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: Simvastatin; alendronate sodium; ginkgo biloba; biotin; PRESERVISION AREDS 2; magnesium; calcium with vitamin D; multivitamin; CELLGEVITY
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Osteopenia
Allergies: Penicillin; sulfa; azithromycin
Diagnostic Lab Data: Bi Lateral Hip X-ray Friday October 21, 2022 mild Osteoarthritis, no new symptoms.
CDC Split Type: vsafe

Write-up: It started on the next day with the usual aches and tiredness. The next day I noticed that all my muscles were still tight especially in my hip and quads area. It continued to get worse to get worse to where I was not able to do my physical therapy or the walks. It truly hurt. It was a 6 or 7 on a scale of 1-10. I took heavy dose of ibuprofen, but the pain continued. Friday was the worse. I went to the doctor, and he told me to go back and start the physical therapy again and to gradually start walking. He also advised me to continue to take the ibuprofen for pain. My pain is about a 2 in my quads and I walked this morning for a short period, so the symptoms are not gone but are getting better.


VAERS ID: 2488202 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-10-03
Onset: 2022-10-10
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2022-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Infection, Inflammation, Mucosal hypertrophy
SMQs:

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: After 2nd shingles vaccine I had flu symptoms and wasn''t able to get out of bed for a day in Nov 2021.
Other Medications: Alopurinol; losartan; metformin; meloxicam; gabapentin; coQ10; omeprazole; magnesium oxide; B complex; pravastatin; vitamin D; cinnamon
Current Illness: Sinus infection; exacerbation of asthma
Preexisting Conditions: Gout; History of asthma; History of anemia; Hypolipidemia; Hypertension; Insulin resistance; Prediabetes; Peripheral neuropathy
Allergies: Opioids; AUGMENTIN; cephalexin; diuretic hydrochlorothiazide
Diagnostic Lab Data: CT Scan, no polyps sinuses were open, some thickening of lining from previous scan done 4 years prior.
CDC Split Type: vsafe

Write-up: I had sinus surgery in 2017 and have a history of sinusitis. I saw the doctor before then because I''ve had 2 episodes and was on medication twice, my thought is that it didn''t clear. Doctor said it was either chronic infection or inflammation and placed me on antibiotic.


VAERS ID: 2613000 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-26
Onset: 2023-03-21
   Days after vaccination: 176
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nasal congestion, Pyrexia, Respiratory tract congestion, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: On March 21st I started with a runny nose. I took THERAFLU. That following Saturday it got worse I started with a fever. That following Monday I went to see the doctor. I went to the local clinic. I had fever, nasal congestion, and some chest congestion. They prescribed me amoxicillin for 7 days and that resolved the issue.


VAERS ID: 2543601 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-22
Onset: 2022-11-22
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Electrocardiogram, Hypoaesthesia, Nerve compression, Pain, Paraesthesia, X-ray, X-ray limb
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Accidents and injuries (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Afib
Allergies: N/A
Diagnostic Lab Data: EKG, X-ray
CDC Split Type: vsafe

Write-up: On November 22 I woke up in a lot of pain, I felt like someone curb stomped my shoulder in the middle of the night. I went to the doctor. The Friday after the November holiday, I started having numbness and tingling in my arm and I thought it had something to do with my heart. The doctor ran EKG and X-ray''s of my neck and shoulder. They found a pinched nerve. Unsure of the cause they referred me to a spine and pain management specialist. Followed up with some specialist and they could find the cause, so I was scheduled for an MRI this week. I am currently in physical therapy and taking a muscle relaxer (pregabalin). Plan on making a callback to update the report.


VAERS ID: 2597026 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-13
Onset: 2022-10-30
   Days after vaccination: 47
Submitted: 0000-00-00
Entered: 2023-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu mild reactions sometime. Tetanus shot, sore arm
Other Medications: LEVOTHROID; magnesium; meloxicam; multivitamin; NOVOLOG insulin; omeprazole; CREON; rosuvastatin; vitamin D3
Current Illness: N/A
Preexisting Conditions: Pancreas Brittle Diabetic; Esophageal Varices; Stage Four Cirrhosis of the Liver
Allergies: N/A
Diagnostic Lab Data: COVID-19 PCR test positive
CDC Split Type: vsafe

Write-up: It began with a sore throat and general malaise. I don''t remember anything after that. I felt like I was coming down with something. I tested negative twice using a home COVID-19 test and it was negative. I went to an urgent care center on October 30th and had a COVID-19 PCR test which was positive. I took an antiviral. I was ill for 1 week. My fatigue lasted for 2 or 3 weeks. I would say I am completely recovered now.


VAERS ID: 2593815 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Ohio  
Vaccinated: 2022-09-07
Onset: 2022-10-25
   Days after vaccination: 48
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fall, Knee arthroplasty, Knee operation, Patella fracture, Walking aid user
SMQs:, Accidents and injuries (narrow), Arthritis (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. In October 2022 I had to have both knees replaced. During physical therapy I fell and broke kneecap which required an additional surgery. As of today, I continue to take physical therapy to learn to walk without a walker.


VAERS ID: 2616741 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-10-22
Onset: 2023-03-27
   Days after vaccination: 156
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Feeding disorder, Headache, Pain, SARS-CoV-2 test positive
SMQs:, 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: Multivitamin; glucosamine chondroitin; vitamin D3; low dose aspirin; hydrochlorothiazide; losartan
Current Illness: None
Preexisting Conditions: None
Allergies: BENTYL
Diagnostic Lab Data: 26MAR2023 at home COVID-19 test negative; 27MAR2023 at home COVID-19 test positive; PCR COVID-19 test positive; 29MAR2023 at home COVID-19 test positive; 31MAR2023 at home COVID-19 test positive; 02APR2023 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: My partner and I went on a five-day cruise. We flew down on 03/19/2023. The cruise was 03/20/2023-03/25/2023. We flew home on 03/25/2023. On our connecting flight, my partner started feeling unwell. We both tested for COVID-19 on Sunday. I was negative at that time. I tested again on Monday, and I was positive. We both wore masks on all of our flights. We did not wear masks on the cruise. I woke up with a headache and body aches on 03/27/2023. I spent all day that Monday in bed. I only got up to drink water. I wasn''t able to eat until that evening. My main symptoms were the headache, body aches, and I was very fatigued through that whole week. It progressively got better. The first two days were the worst for me. We called a doctor on Sunday, for my partner. He was prescribed PAXLOVID. He began taking it that Sunday night. I began taking it the following day.


VAERS ID: 2616193 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-10-01
Onset: 2022-12-05
   Days after vaccination: 65
Submitted: 0000-00-00
Entered: 2023-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Work       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Patient isolation, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Tenderness
SMQs:, Anaphylactic reaction (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: N/A
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Gout
Allergies: N/A
Diagnostic Lab Data: 05DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had a little tenderness in the arm for about a day. I tested positive for COVID-19 on 12/05/2022. I had a massive runny nose, congestion, fatigue and cough. I reached out to my doctor but never heard back from her. I stayed home isolated, rested and stayed hydrated. As of today, I do not have any lingering COVID-19 symptoms.


VAERS ID: 2483635 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Ohio  
Vaccinated: 2022-09-15
Onset: 2022-10-01
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2022-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 5 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Erythema, Itching scar, Pustule, Scratch
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (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: LEVOTHYROXINE; FLUVASTATIN; LOSARTAN HCTZ; ATENOLOL; PAROXETINE; VITAMIN D NOS; MULTIVITAMINS [VITAMINS NOS]
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: itchiness on the BCG/TB vaccination scar; Small pustules; Scratching it made it worse; Redness; This spontaneous case was reported by a patient and describes the occurrence of ITCHING SCAR (itchiness on the BCG/TB vaccination scar), PUSTULE (Small pustules), SCRATCH (Scratching it made it worse) and ERYTHEMA (Redness) in a 69-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7144B) for COVID-19 vaccination. Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication. Concomitant products included LEVOTHYROXINE, FLUVASTATIN, HYDROCHLOROTHIAZIDE, LOSARTAN POTASSIUM (LOSARTAN HCTZ), ATENOLOL, PAROXETINE, VITAMIN D NOS and MULTIVITAMINS [VITAMINS NOS] for an unknown indication. On 15-Sep-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient started INFLUENZA VACCINE (unknown route) at an unspecified dose. In October 2022, the patient experienced ITCHING SCAR (itchiness on the BCG/TB vaccination scar), PUSTULE (Small pustules), SCRATCH (Scratching it made it worse) and ERYTHEMA (Redness). At the time of the report, ITCHING SCAR (itchiness on the BCG/TB vaccination scar), PUSTULE (Small pustules), SCRATCH (Scratching it made it worse) and ERYTHEMA (Redness) had not resolved. The patient received moderna dose 1 on apr-2021, dose 2 was received 6 weeks after dose 1, first booster dose and second booster dose on apr-2022. The patient had never tested COVID positive or diagnosis. Patient had no allergies. The adverse event did not cause patient to seek medical care. The patient never had experienced a similar event in the past. It was reported that symptoms were improved. Treatment medication included topical cream. This case was linked to MOD-2022-660219, MOD-2022-660211 (Patient Link).


VAERS ID: 2547270 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: Oklahoma  
Vaccinated: 2022-11-05
Onset: 2022-11-05
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Pain
SMQs:, 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: Escitalopram; hydroxyzine
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: HALDOL
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Shoulder pain still feels like right after vaccination even though so much time has passed. If left arm is down by my side it''s fine but if I lift it up it is painful. I do have an upcoming appoint with Dr. on January 4th, 2023.


VAERS ID: 2625607 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Oklahoma  
Vaccinated: 2022-09-01
Onset: 2022-11-01
   Days after vaccination: 61
Submitted: 0000-00-00
Entered: 2023-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, No adverse event, SARS-CoV-2 test positive
SMQs:, 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: NOV2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 11/2022. I contacted my doctor via the patient portal and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I am feeling better with not lingering symptoms.


VAERS ID: 2579930 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Oklahoma  
Vaccinated: 2022-09-12
Onset: 2022-09-01
Submitted: 0000-00-00
Entered: 2023-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 3 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Alopecia, Arthralgia, Myalgia, SARS-CoV-2 test, Stress
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness: Seasonal allergy
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Comments: Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:Seasonal allergies, Compazine and Augmentin. Tested with covid: March 2021
Allergies:
Diagnostic Lab Data: Test Date: 202103; Test Name: COVID-19 virus test; Test Result: Positive ; Result Unstructured Data: Not hospitalized
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: massive hair loss; stress; all my joints and muscle, it is so painful; body aches and pains everywher; This spontaneous case was reported by a patient and describes the occurrence of ALOPECIA (massive hair loss), STRESS (stress), ARTHRALGIA (all my joints and muscle, it is so painful) and MYALGIA (body aches and pains everywher) in an adult female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. AS7140C) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE for an unknown indication. Question:Describe relevant medical history/conditions, allergy, concomitant diseases and risk factor.Answer:Seasonal allergies, Compazine and Augmentin. Tested with covid: March 2021. The patient''s past medical history included COVID-19 in March 2021. Previously administered products included for Product used for unknown indication: PFIZER BIONTECH COVID-19 VACCINE (Lot number was EN6201, dose number 1) on 22-Feb-2021, PFIZER BIONTECH COVID-19 VACCINE (Lot number was EN6206, dose number 2) on 17-Mar-2021, PFIZER BIONTECH COVID-19 VACCINE (Lot number was FE3592, dose number 3) on 26-Sep-2021 and Influenza; for Drug use for unknown indication: Compazine and AUGMENTIN [AMOXICILLIN SODIUM;CLAVULANATE POTASSIUM]. Past adverse reactions to the above products included No adverse event with AUGMENTIN [AMOXICILLIN SODIUM; andCLAVULANATE POTASSIUM], Compazine, Influenza, PFIZER BIONTECH COVID-19 VACCINE, PFIZER BIONTECH COVID-19 VACCINE and PFIZER BIONTECH COVID-19 VACCINE. Concurrent medical conditions included Seasonal allergy. On 12-Sep-2022, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (unknown route) 1 dosage form. In September 2022, the patient experienced ALOPECIA (massive hair loss), STRESS (stress), ARTHRALGIA (all my joints and muscle, it is so painful) and MYALGIA (body aches and pains everywher). The patient was treated with DULOXETINE HYDROCHLORIDE (CYMBALTA) for Stress, at an unspecified dose and frequency and ETODOLAC at a dose of twice. At the time of the report, ALOPECIA (massive hair loss), STRESS (stress), ARTHRALGIA (all my joints and muscle, it is so painful) and MYALGIA (body aches and pains everywher) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): In March 2021, SARS-CoV-2 test: (Positive) Not hospitalized. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant product reported by reporter. Patient received other vaccines in the 4 weeks prior to COVID-19 vaccine. Patient received influenza vaccine on same day. Patient experienced symptoms of massive hair loss, body aches and pains everywhere within less than 2 weeks. Affected parts were legs, hips down the legs to my feet, back, hands, all joints and muscle, it was so painful, if sat too long or laid down too long and tried to stand it was very hard. Within 2-3 weeks, Cymbalta dose was increased twice.


VAERS ID: 2608523 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Oklahoma  
Vaccinated: 2022-09-15
Onset: 2023-02-14
   Days after vaccination: 152
Submitted: 0000-00-00
Entered: 2023-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Shingles dose 2, the area was very painful, and I had muscle soreness for about 2 days. 01/28/2019
Other Medications: Levothyroxine; vitamin B12; calcium; vitamin D3
Current Illness: N/A
Preexisting Conditions: Underactive Thyroid; Osteopenia
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test positive February 16, 2023
CDC Split Type: vsafe

Write-up: I had congestion, coughing, sore throat and postnasal drip. I also had a headache. I took a COVID-19 home test on February 16, 2023, and it was positive. I contacted my doctor and he prescribed PAXLOVID. I was only able to take it for 1 day as I was not able to tolerate the taste and it caused me severe diarrhea. I took TYLENOL. My symptoms improved over a weeks'' time. It took me a week and a half for it to be all gone.


VAERS ID: 2566068 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Oklahoma  
Vaccinated: 2022-10-21
Onset: 2022-12-01
   Days after vaccination: 41
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Headache, Pyrexia, SARS-CoV-2 test positive, Thirst
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin; atorvastatin; hydrochlorothiazide; losartan; SINGULAIR; estradiol; ZOLOFT; calcium citrate; FLONASE; aspirin low dose; fish oil; vitamin B complex; lysine; zinc; vitamin C; magnesium; vitamin E; ZYRTEC; PEPCID
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Seasonal Allergies
Allergies: Azithromycin; latex; scopolamine
Diagnostic Lab Data: 02DEC2022 COVID-19 at home test positive; 17DEC2022 COVID at home positive; 20DEC2022 at home negative
CDC Split Type: vsafe

Write-up: On the evening of December 1st I woke up with chills early morning and every couple hours with thirst, headache I took some TYLENOL to help with fever I slept on the airplane I got home about 4PM. I was running a fever and got up to 101.5 degrees. I dragged myself to bed and slept. I went to emergency room with extreme coughing and trouble breathing. I received an albuterol inhalation treatment and oral steroid. After about two days I declined and then was prescribed a long dose oral steroid. Right now I have a lingering cough.


VAERS ID: 2500213 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Oklahoma  
Vaccinated: 2022-11-02
Onset: 2022-11-03
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-11-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient reported of having no allergies. Patient did not have COVID positive test.
Allergies:
Diagnostic Lab Data: Test Date: 20221103; Test Name: Fever; Result Unstructured Data: 101 F
CDC Split Type: USMODERNATX, INC.MOD20226

Write-up: Fever of 101 degrees; This spontaneous case was reported by a patient and describes the occurrence of PYREXIA (Fever of 101 degrees) in a 76-year-old male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) for COVID-19 vaccination. Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for Flu vaccination. Patient reported of having no allergies. Patient did not have COVID positive test. On 02-Nov-2022, the patient received dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On 02-Nov-2022 at 5:30 AM, the patient received fourth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On 03-Nov-2022, after starting mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)), the patient experienced PYREXIA (Fever of 101 degrees). The patient was treated with ACETYLSALICYLIC ACID (ASPIRIN (E.C.)) at an unspecified dose and frequency. At the time of the report, PYREXIA (Fever of 101 degrees) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Nov-2022, Body temperature: 101 F. Patient reported about Concomitant medication, but he did not specify on what medication. Patient received the flu shot at the same. On 28-JAN-2021, patient received first dose, Lot no. unknown. On 25-FB-2021, patient received second dose, Lot no. unknown. On 25-OCT-2021, patient received third dose, Lot no. unknown.


VAERS ID: 2620920 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Oklahoma  
Vaccinated: 2022-09-22
Onset: 2022-11-18
   Days after vaccination: 57
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 6 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, COVID-19, Chest X-ray normal, Chills, Dysphonia, Fatigue, Feeling hot, Gait inability, SARS-CoV-2 test positive, Urine analysis abnormal, White blood cells urine positive
SMQs:, Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Chronic kidney disease (broad), Tubulointerstitial diseases (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: When I got the first dose of the Shingrix vaccine, my arm became red and swollen. It was so painful that I decided not to get th
Other Medications: NATUREMD GUT CONNECT 365; methotrexate; chlorthalidone; losartan; metoprolol; pantoprazole; folic acid; gemfibrozil; ezetimibe; baby aspirin; VASCEPA; REPATHA injection; HUMIRA injection
Current Illness: None
Preexisting Conditions: Rheumatoid Arthritis; Hyperlipidemia; Hypertension; Macrocytic Anemia
Allergies: N-phenylethylenediamine
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: On about 11/18/2022, I developed fatigue that lasted maybe two or three days. I was so fatigued that I went to bed at about 5:00 PM. I had the chills, so I covered up with every blanket in the house. At around 8:00 PM, I awakened, and I was extremely hot. I attempted to take a step to go to the bathroom, but I was unable to walk. I then called 911, and I was transported to the ER. At the ER, I underwent a COVID-19 test. They also did bloodwork and a urinalysis. A few white cells were detected in the urine, but not enough to cause alarm. The COVID-19 test yielded a positive result. I underwent a chest X-ray, which was normal. I was given fluids, which helped. The results of my bloodwork were also normal. I stayed at the ER for about five hours before I was discharged. I notified my rheumatologist, who prescribed me PAXLOVID. The main symptoms I experienced with COVID-19 were fatigue and hoarseness. I took a home antigen test about 18 days after being treated at the ER, and the result was positive. My rheumatologist then advised me to self-isolate for another week and then test myself again. Seven days after he told me that, I took another home antigen test, and the result was negative. The worst part of my illness was the isolation. I recuperated upstairs, while my family stayed downstairs. I really missed and needed the human contact.


VAERS ID: 2495253 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Oregon  
Vaccinated: 2022-09-22
Onset: 2022-10-02
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2022-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Lethargy, Malaise, Musculoskeletal discomfort, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: FOCUS FACTOR; vitamin D3; multivitamin; rosuvastatin; lisinopril; krill fish oil
Current Illness: N/A
Preexisting Conditions: Obesity
Allergies: Alcohol
Diagnostic Lab Data: COVID-19 positive 10/05/2022
CDC Split Type: vsafe

Write-up: I had my vaccination 09/22/2022. On 10/02/2022 I tested COVID-19 negative. I started to have mild symptoms to include lethargic and feeling not well. I tested COVID-19 positive on 10/05/2022. I isolated and used throat lozenges. My throat was so sore and neck was frozen in place.


VAERS ID: 2544779 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-09-23
Onset: 2022-09-25
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Nausea, Vertigo, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (narrow), Infective pneumonia (broad), 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? No
Previous Vaccinations:
Other Medications: CELEBREX; gabapentin; oral ketamine; oral naltrexone; calcium; vitamin C; vitamin D; magnesium; probiotic; vitamin B complex; iron
Current Illness: N/A
Preexisting Conditions: Chronic Regional Pain Syndrome; Degenerative Disc Disease
Allergies: Adhesives
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/23/2022. On 09/25/2022 the room started to move I got nauseated and threw up. It lasted for 24 hours. I didn''t do anything except rest. I experienced the vertigo again when contracting COVID-19 on 11/27/2022.


VAERS ID: 2594161 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-09-07
Onset: 2023-02-21
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Condition aggravated, Cough, Dyspnoea, Electrocardiogram abnormal, Feeling abnormal, Lethargy, Malaise, Palpitations, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Diltiazem; pravastatin; XARELTO; TYLENOL PM
Current Illness: None
Preexisting Conditions: Atrial Fibrillation; Diabetes, Type II; Neuropathy in Feet
Allergies: Aspirin; ibuprofen
Diagnostic Lab Data: 21FEB2023 EKG Atrial Fibrillation detected; 21FEB2023 Rapid antigen COVID-19 test positive result; 26FEB2023 home antigen test negative result
CDC Split Type: vsafe

Write-up: I was supposed to go for a colonoscopy that day, but I woke up with my heart racing and difficulty breathing. I recognized it as the symptoms of atrial fibrillation. At about 8 AM, I took about 30 mg of diltiazem. I took another at 8:30AM and another at 9:00AM, but they had no effect. I went to the ER, and an EKG was taken right away. The EKG verified that I had atrial fibrillation. They then put me in one of the room and monitored my situation. The doctor ordered a larger dose of diltiazem, which didn''t have any effect. I was then given metoprolol, which got my atrial fibrillation down from 158 BPM to about 94 BPM. While I was there, a routine COVID-19 test was done, and the result was positive. I didn''t have any symptoms, so this was a surprise. I was discharged at about 1:00 PM. I then went home. I had a telehealth visit with a doctor, who prescribed me PAXLOVID. I began taking it that day and took it for five days. The following Thursday, I began to have COVID-19 symptoms that included sinus congestion and coughing. I also had continuous atrial fibrillation. I felt weak and lethargic and generally awful. I tested negative on the following Sunday, 2/26/2023. I began to feel better. I still had atrial fibrillation, though, so I scheduled an appointment to see a cardiologist, which was on 3/6/2023. He has scheduled an echocardiogram for me in the near future, and he would like to perform a catheter ablation. At the time of this writing, the atrial fibrillation continues.


VAERS ID: 2533530 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-09-09
Onset: 2022-10-27
   Days after vaccination: 48
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Chills, Condition aggravated, Discomfort, Feeling abnormal, Feeling cold, Headache, SARS-CoV-2 test positive
SMQs:, Dementia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Flu vaccine with thimerosal had given me an allergic reaction that caused a very intense burning sensation.
Other Medications: KIRKLAND multivitamin; coQ10; vitamin D3; fish oil
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Thimerosal
Diagnostic Lab Data: 18OCT2022 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: In October of 2022, I was traveling on an airplane. I was feeling completely fine on the flight. In the airport I was starting to feel bad, then from the next flight I started to come down with chills and could not get warm. The next day I started to feel a headache come on, and feeling very uncomfortable. I had chills that continued and I never came down with a fever. On 10/28/2022 I took an at home COVID-19 test that came out positive. I tried to get in touch with my doctor however was unsuccessful. I was not short of breath or any lung issues. I contacted 911 to ask what I should do and I was then taken to the ER. I was given PAXLOVID and started it on the 29th of October. After that I was in bed for a very long time. I was isolated for about 5 days from my husband. Around six days I was starting to feel better and after 10 days I was back to normal. At this point my health is good and I am only having continuous hip pain from before.


VAERS ID: 2515309 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-10-26
Onset: 2022-11-18
   Days after vaccination: 23
Submitted: 0000-00-00
Entered: 2022-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Decreased appetite, Headache, Nausea, Panic attack, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin; Tramadol; Fenofibrate; Buspirone; Aspirin; Cetirizine; Cyclobenzaprine; Duloxetine; Omeprazole; Mirtazapine; Topiramate; Phentermine; Vitamin D3 Gummies; Vitamin B12 Gummies; Caltrate Chewables; Vitamin C Chewables; Melatonin Gu
Current Illness: None.
Preexisting Conditions: Severe Osteoarthritis; Fibromyalgia; High Cholesterol; Generalized Anxiety Disorder; Overweight; Chronic Pain in C3 and L4 Vertebrae (Results of Accident in 2006); History of Total Knee Replacement (Right); Hard of Hearing (Both Ears).
Allergies: Gabapentin; Tramadol; Erythromycin; Codeine.
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I received a flu shot and a Pfizer Bivalent booster for COVID-19 on 10/26/2022. On 11/18/2022, I was driving when I suddenly felt nauseous. I pulled over on the side of the road and threw up into a storm drain. As I threw up, there was what felt like one big slam from a hammer on the back of my head, and it was the beginning of a severe headache. It took me about 10 minutes to recover. I just stood outside and held onto my car until I felt I would be able to manage driving. I still had the headache at this point, but it was less severe. I then drove to my daughter''s and lay down. As I was lying down, the pain slowly faded away. I had never had this happen before, so I didn''t know what was going on. I had had nausea the day before, also, but it wasn''t as severe. I was just queasy and had a loss of appetite. On 11/20/2022(?), I was on the toilet straining, and the explosion in the back of my head occurred again. I had a severe headache that was like the one I had had on 11/18/2022. I sat on the toilet for a while and massaged the back of my head. The severe pain continued, but for how long I can''t say. After the pain eased up a little, I got up and had another lie down. After I went to lie down, the pain lasted for about another hour. On 11/21/2022, the headache started again. This time, there was no explosion. It was in the back of my head, and it felt like a shadow of the headaches I had had on 11/18/2022 and 11/20/2022. The pain lasted all day. After my grandchildren got out of school later in the day, I made arrangements for their care and went with my son to the ER. At the ER, I had a severe anxiety attack or panic attack. Because of the attack, I ended up not being treated at the ER. I then went home. At the time of this writing, the headache from 11/21/2022 continues. The pain isn''t so severe, and rather than being concentrated just in the back of the head like the previous headaches, it affects every area of my head. The only parts not affected are the areas behind the ears and the crown of my head. I saw a doctor on 11/22/2022 and I was prescribed 800mg of ibuprofen for my headache and diazepam for my severe anxiety. Since I have been taking the ibuprofen, the pain has persisted, but it is no longer debilitating.


VAERS ID: 2601736 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Oregon  
Vaccinated: 2022-09-19
Onset: 2023-02-27
   Days after vaccination: 161
Submitted: 0000-00-00
Entered: 2023-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Pyrexia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: All COVID-19 and flu vaccinations; soreness at injection site and fatigue
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 Negative 02/27/2023
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/19/2022. On 02/27/2023 I developed symptoms to include congestion low grade fever and cough. The urgent care gave me a cough suppressant and decongestant. I went back to the urgent care 4 days later as I was getting worse and they prescribed an antibiotic.


VAERS ID: 2593965 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Oregon  
Vaccinated: 2022-09-09
Onset: 2023-01-28
   Days after vaccination: 141
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bronchitis, COVID-19, Chest discomfort, Cough, Fatigue, Feeling abnormal, Headache, Listless, Myalgia, Pain, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atenolol; lisinopril; LANTUS; JARDIANCE; rosuvastatin; metformin; isosorbide mononitrate; montelukast; OZEMPIC; levothyroxine
Current Illness: None
Preexisting Conditions: Diabetes, Type II; Coronary Artery Disease; Thyroid Issues; Osteoarthritis
Allergies: Codeine; gabapentin; dust; grasses; molds
Diagnostic Lab Data: 30JAN2023 home antigen test positive result; 04FEB2023 home antigen test negative result; 05FEB2023 home antigen test negative result
CDC Split Type: vsafe

Write-up: I started feeling poorly on Saturday. I wasn''t sure whether it was just a virus, such as the flu or whether it was COVID-19. My wife had been exposed to COVID-19 recently. We began to feel worse over the weekend. I didn''t do the COVID-19 test until 1/30/2023, and the result was positive. I felt extremely fatigued, achy, listless. I developed a sinus infection. I had a fever on Monday that lasted a short while, and it was 101.4, and that was the highest that it got. I continued to feel bad. On Monday, I had a sort of tickle in the chest, but I didn''t have a cough or any real signs of congestion. On Tuesday, the tickle in my chest began to develop into mild congestion. I began coughing. My sinus congestion worsened considerably. The mucus changed color from yellow to green. I sent information to my doctor through the online portal, and she prescribed me PAXLOVID. I went to urgent care on Thursday morning and was examined by the physician there. I was diagnosed with a severe sinus infection, for which I was prescribed a ten-day supply of AUGMENTIN. I also developed bronchitis. By Thursday evening, my chest congestion was significantly worse. I coughed up significant amounts of phlegm. I contacted my PCP''s office and informed them of my condition. I was advised to go on an albuterol nebulizer, which I wasn''t able to start until the following Monday. When I started using the albuterol nebulizer and saline solution, the relief was pretty quick. I continued using the nebulizer for over a week until the congestion and the like began to subside. The sinusitis finally resolved on the eighth day of the AUGMENTIN supply. The cough continued for at least another five days after I finished the AUGMENTIN. At the time of this writing, I continue to struggle with fatigue, occasional headache, muscle aches, and joint aches. However, I no longer have respiratory symptoms. On 2/4/2023 and 2/5/2023, I tested negative for COVID-19. This was my fourth bout of COVID-19 since January 2022. I was able to recover from the first three bouts pretty quickly, but the fourth bout took my surprise because of the severity of the symptoms.


VAERS ID: 2610902 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-10-05
Onset: 2023-02-01
   Days after vaccination: 119
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ear pruritus
SMQs:

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: Turmeric
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa; Seasonal
Diagnostic Lab Data: Physical exam of the ear, normal, 03/30/2023
CDC Split Type: vsafe

Write-up: My ears began to itch towards the end of February or early March 2023. My right ear itches about three times more than the left. I went to the walk-in clinic on March 30th. The itch occurs on the inner ear area, and I use water drops or cotton ball to help. There was a physical exam of my ear, and nothing was found. The prescription I was given for Flonase was over the counter. I was advised to take my allergy medication. Neither of those worked and I went back using the salt-water solution to help. I have an ENT appointment on April 20, 2023. At this time, I have not felt pain and there has not been any discharge.


VAERS ID: 2596492 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Oregon  
Vaccinated: 2022-09-10
Onset: 2023-01-05
   Days after vaccination: 117
Submitted: 0000-00-00
Entered: 2023-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Nasal congestion, Nasal irrigation, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: ZYRTEC; finasteride; vitamin D; probiotic
Current Illness: N/A
Preexisting Conditions: Asthma; Irritable Bowel Syndrome
Allergies: Lactose intolerant; sulfa drugs; amoxicillin
Diagnostic Lab Data: 07JAN2023 COVID-19 test positive; 19JAN2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: I experienced major fatigue, nasal congestion, fever, and headache. I had a cough that lasted about four weeks. I used my albuterol inhaler, DAYQUIL, NYQUIL, and nasal irrigation for treatment.


VAERS ID: 2617718 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-10-18
Onset: 2023-01-07
   Days after vaccination: 81
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Chills, Influenza like illness, Malaise, Pharyngitis streptococcal, Pyrexia, SARS-CoV-2 test positive
SMQs:, Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: Losartan; Protonic
Current Illness: N/A
Preexisting Conditions: Hypertension; Arthritis
Allergies: N/A
Diagnostic Lab Data: 01/07/2023 COVID-19 Positive 03/2023 Strep Throat
CDC Split Type: vsafe

Write-up: I had vaccination on 10/18/2022. On 01/07/2023 I started to have flu like symptoms. It started with growing pain in the side of my hip. I started to have a low-grade fever with chills. I tested COVID-19 Positive from 01/07/2023 to 01/16/2023. I became ill again in 03/2023 and was diagnosed with Strep Throat. I was given a test which showed I was COVID-19 Positive again. I did have a rebound of Strep shortly after as well.


VAERS ID: 2597618 (history)  
Form: Version 2.0  
Age: 81.0  
Sex: Female  
Location: Oregon  
Vaccinated: 2022-09-14
Onset: 2023-02-27
   Days after vaccination: 166
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Malaise, Mobility decreased, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Tendinopathies and ligament disorders (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: Losartan; furosemide; ramelteon; AREDS2; vitamin D-3; TYLENOL
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: 27FEB2023 COVID-19 antigen at home test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 February 27th, 2023. I had a sore throat, coughing, and fever that spiked to 102. I was too sick to do anything besides stay in bed. I took the 5 days of PAXLOVID, after four more days I fell sick again. I had a telehealth visit with my doctor.


VAERS ID: 2511682 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-13
Onset: 2022-11-14
   Days after vaccination: 32
Submitted: 0000-00-00
Entered: 2022-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 027E22A / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, 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: Multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: I was having a headache on Monday long with fatigue. On Tuesday I was starting to get congestion and runny nose the next day the congestion was worse so that Wednesday I did a COVID-19 home test and it was positive. I called my doctor and they had me get zinc and vitamin D3 and C along with putting me on PAXLOVID. I am very fatigued right now.


VAERS ID: 2545635 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-09-26
Onset: 2022-12-14
   Days after vaccination: 79
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Fatigue, Headache, Pain in extremity, Productive cough, SARS-CoV-2 test positive, Secretion discharge
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (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: ZETIA; amlodipine; clopidogrel; losartan potassium; hydrochlorothiazide; venlafaxine HCL ER; clonazepam; finasteride; tamsulosin; WELLBUTRIN
Current Illness: N/A
Preexisting Conditions: Heart Arrhythmia; Heart Stints; High Blood Pressure; Benign prostatic hyperplasia; Anxiety; Depression
Allergies: NEURONTIN
Diagnostic Lab Data: COVID-19 at home rapid test positive (12/14/22); COVID-19 rapid at home test positive (12/25/22)
CDC Split Type: vsafe

Write-up: I woke up on 12/14 and felt extremely fatigued and very achy in my thighs and legs, hips. Very severe headache, which was unusual. I took a home test for COVID-19 and came back positive. I think the symptoms lasted about 3 to 4 days. I called the doctor and was given the option of taking antivirals but declined. I''m still testing positive 12/25 but the doctor said that wasn''t unusual. I had a productive cough that I was coughing up green stuff before I contracted COVID-19, and she prescribed a mucus thinner. It turned white, but then turned green again after COVID-19 so my doctor prescribed an antibiotic for sinusitis and possible bronchitis.


VAERS ID: 2602218 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-09-20
Onset: 2023-02-24
   Days after vaccination: 157
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alcohol use, COVID-19, Chills, Discomfort, Exposure to SARS-CoV-2, Fatigue, General physical health deterioration, Headache, Impaired work ability, Insomnia, Mobility decreased, Pain, Pyrexia, SARS-CoV-2 test positive, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Tendinopathies and ligament disorders (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: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: 25FEB2023 at home COVID-19 test positive; 08MAR2023 at home COVID-19 test positive; 10MAR2023 at home COVID-19 test positive; 12MAR2023 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: On 02/24/2023, I began to feel a headache around 06:00 or 07:00PM. I had been drinking alcohol, so I assumed it was due to that. However, it did not go away, and I had a difficult night sleeping. My wife had tested positive for COVID-19, so I had slept on the couch. By morning, I didn''t sleep at all and was uncomfortable and achy. I took an at home COVID-19 test and was positive. As the day went on, I deteriorated. I had aches, fever, and bad chills. I was in bed for the next few days. I started PAXLOVID on 02/25/2023. My first dose was around 01:00PM. The 02/25/2023 was the worst. During the next few days, it got a bit better and I was able to get out. I was able to resume work around Tuesday or Wednesday, but I would get fatigued. I was feeling better by the following weekend. However, 03/08/2023, I woke up with a bad headache that felt like a sinus infection. I had a telehealth appointment with my doctor and was prescribed and antibiotic. In the past, when I''ve had sinus infections, the antibiotics helped very quickly, but that did not happen this time. I was able to work 03/08/2023 and 03/09/2023. My wife suggested I take another COVID-19 test and was positive again. I was out again for around 3 days. I was out for 03/08/2023-03/11/2023. By 03/12/2023, I was able to move around again and was able to work by the next day. So by the time it was all over, it took around a month for me to fully recover.


VAERS ID: 2618046 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-09-17
Onset: 2023-01-01
   Days after vaccination: 106
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Computerised tomogram thorax, Cough, Productive cough, Sleep disorder, Sputum discoloured
SMQs:, Anaphylactic reaction (broad), Infective pneumonia (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: Fluticasone Propionate
Current Illness: None
Preexisting Conditions: Dupuytren''s contracture (Right Hand Only); Bilateral Hearing Loss (Managed with Hearing Aids); Bilateral Tinnitus (Stronger in Right Ear)
Allergies: None
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I began having a persistent cough in January 2023. It became productive after a few weeks. The phlegm was kind of green, so I thought I must have an infection, so I called my PCP on 1/23/2023 and saw him in person on 1/24/2023. I underwent a chest X-ray, and I was put on Advair and prednisone. No anomalies were detected in the X-ray. After I started the Advair and prednisone, the productive cough continued, but I felt better and was able to sleep better at night. I felt like the medications were masking the underlying issue, though. On 1/26/2023, my PCP ordered a CT scan, which I underwent on 2/3/2023. The CT scan results were fairly inconclusive, though the radiologist thought they showed minor scarring of the lungs, which the pulmonologist thought later was an overread. The pulmonologist now thinks that the symptoms may be indicative of seasonal allergies and/or latent asthma. I am currently taking fluticasone and an albuterol inhaler, ipratropium bromide, and OTC decongestant with guaifenesin and dextromethorphan (as needed). My cough is now much milder, but it is still present.


VAERS ID: 2497703 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-21
Onset: 2022-11-02
   Days after vaccination: 42
Submitted: 0000-00-00
Entered: 2022-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Ectopic pregnancy, Exposure during pregnancy, Nausea, Salpingectomy, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Uterine and fallopian tube malignant tumours (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: Prenatal; calcium plus vitamin D
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Blood work; ultrasound, ectopic pregnancy with a ruptured left fallopian tube.
CDC Split Type: vsafe

Write-up: I had a Ectopic pregnancy yesterday. I had severe abdominal pain with nausea and vomiting and so I went to the ER. I had to have my left fallopian tube taken out. I''ve had 3 pregnancies, 2 termed deliveries 2019 and 2017, and 1 ectopic pregnancy. The estimated date of delivery was to be June 27, 2023. I was 6 weeks pregnant.


VAERS ID: 2603357 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-22
Onset: 2023-01-15
   Days after vaccination: 115
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pyrexia, Sinusitis, Upper respiratory tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Keppra, Multi Vitamin
Current Illness: None
Preexisting Conditions: Epilepsy; Mild Asthma
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: 1/15/23 I had a fever of a little over 100 and sinus infection. I contacted my doctor and started taking Augmentin that day. In March I had an upper respiratory infection, maybe ears or sinus and I took Tetracycline.


VAERS ID: 2504465 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-14
Onset: 2022-10-28
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2022-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Anosmia, Asthenia, COVID-19, Cough, Fatigue, Gait inability, Headache, Nasal congestion, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: Metformin; nifedipine; TRI SPRINTEC; cetirizine; montelukast; levothyroxine; daily vitamin; fish oil; VICTOZA
Current Illness: No
Preexisting Conditions: High blood pressure; PCOS; Type 2 diabetes
Allergies: No
Diagnostic Lab Data: COVID-19 positive
CDC Split Type: vsafe

Write-up: I started getting symptoms Friday night. I had fatigue and exhaustion and was enough to have me unable to walk 35 feet for about 5 days; and I''m used to walking 7 miles a day. I was really congested, sinus, nasal and some coughing for 5 days. I loss sense of smell on Sunday and it returned on Friday. I had a headache that started on Friday and lasted the full week; TYLENOL didn''t make it go away. I started PAXLOVID on Sunday. The majority of my symptoms have resolved but I''m not back to my regular energy level and stamina. There is still some lingering fatigue.


VAERS ID: 2541978 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-22
Onset: 2022-10-01
   Days after vaccination: 9
Submitted: 0000-00-00
Entered: 2022-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Condition aggravated, Pneumonia, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), COVID-19 (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: CLARINEX; SINGULAIR; ZYRTEC; SYMBICORT; ASTELIN nasal spray; FLONASE; BEST WELLNESS daily multivitamin; BEST WELLNESS folic.
Current Illness: N/A
Preexisting Conditions: Asthma; Allergies
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: Beginning in October my asthma became worse. I spoke to my allergist in November that I was having to use my emergency inhaler more often. I saw my allergist on November 15th, and they gave me a nebulizer due to an asthma attack. I was seen in the urgent care center for asthma attack I was given prednisone and a different inhaler. I was diagnosed with pneumonia. I saw my doctor via virtual visit, and they prescribed more prednisone due to uncontrollable asthma attacks. As of now I have used my rescue inhaler and nebulizer nonstop for almost a few months. I am now just starting to feel like I do not need to use it all the time. I did not test positive for COVID19 on time in that span of time.


VAERS ID: 2604061 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-09-24
Onset: 2022-10-15
   Days after vaccination: 21
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Amlodipine, Lisinopril, Tamsulosin, Bureupropion, Levothyroxine, Omeprazole, Atorvastatin, Tetrazine, Wixela, Spiriva Respimat , Albuterol, Fiber, 50 and over Multi Vitamin, Stool Softener, Miralax prescrition
Current Illness: None
Preexisting Conditions: Asthma , COPD, Type 2 Diabetes
Allergies: Penicillin
Diagnostic Lab Data: 15OCT22- At Home COVID Test - Positive; 25OCT22- At Home COVID test - Positive; 30OCT22- At Home COVID test - Negative.
CDC Split Type: vsafe

Write-up: 10/15/2022 I had a fever when I woke up. I had no other symptoms. I took an at home COVID test which was positive. I took Dayquil around the clock for four or five days and had no symptoms after taking the Dayquil. The fever went away after the first day. I tested at 10 days and was still positive. On 10/30/22 I had a negative at Home COVID test.


VAERS ID: 2611582 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-15
Onset: 2023-03-01
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Nasal congestion, No adverse event, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Celebrex; Rosuvastatin; Levothyroxine; Multivitamin; Probiotic; Flonase
Current Illness: N/A
Preexisting Conditions: Arthritis; Hypothyroidism
Allergies: Sulfa; Shellfish; Mushrooms; Chocolate; Seasonal Allergies
Diagnostic Lab Data: MAR2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse event after receiving the vaccine. I tested positive for COVID-19 in 03/2023. I had a stuffy and runny nose with a cough. I contacted a provider and got a prescription for Paxlovid. I tolerated the medication, but it changed my sense of taste with a metallic taste. As of today, I do not have any lingering symptoms of COVID-19.


VAERS ID: 2541484 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-11-21
Onset: 2022-11-21
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3274 / 4 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lymphadenopathy, Neck pain, Off label use, Pain in extremity, Product use issue, Rash erythematous, Vaccination site pain
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), 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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201387265

Write-up: Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps./He noticed the rash after pain started in his arm; Swollen lymphnodes; sore neck; Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps; Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps.; Location of injection for vaccine received same date: Flu shot - left arm; Location of injection for vaccine received same date: Flu shot - left arm; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the parent. A 16-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 21Nov2022 as dose 4 (booster), single (Lot number: GJ3274) at the age of 16 years, in left arm for covid-19 immunisation; influenza vaccine (INFLUENZA VACCINE), on 21Nov2022 as dose 1, single (Batch/Lot number: unknown), in left arm. The patient had no relevant medical history. There were no concomitant medications. Vaccination history included: BNT162b2 (Dose Number: 3, Batch/Lot No: FL3209, Location of injection: Arm Left), administration date: 10Jan2022, when the patient was 15-year-old, for COVID-19 immunization; BNT162b2 (Dose Number: 2, Batch/Lot No: EW0178, Location of injection: Arm Left), administration date: 03Jun2021, when the patient was 15-year-old, for COVID-19 immunization; BNT162b2 (Dose Number: 1, Batch/Lot No: EW0168, Location of injection: Arm Left), administration date: 13May2021, when the patient was 14-year-old, for COVID-19 immunization. The following information was reported: PRODUCT USE ISSUE (non-serious), OFF LABEL USE (non-serious) all with onset 21Nov2022, outcome "unknown" and all described as "Location of injection for vaccine received same date: Flu shot - left arm"; VACCINATION SITE PAIN (non-serious) with onset 05Dec2022, outcome "recovering", described as "Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps"; RASH ERYTHEMATOUS (non-serious) with onset 05Dec2022, outcome "recovering", described as "Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps."; PAIN IN EXTREMITY (non-serious) with onset 05Dec2022, outcome "recovering", described as "Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps./He noticed the rash after pain started in his arm"; LYMPHADENOPATHY (non-serious) with onset 05Dec2022, outcome "recovering", described as "Swollen lymphnodes"; NECK PAIN (non-serious) with onset 05Dec2022, outcome "recovering", described as "sore neck". The events "patient got a rash on the injection point of his arm which moved down his arm with painful red bumps./he noticed the rash after pain started in his arm", "swollen lymphnodes", "sore neck", "patient got a rash on the injection point of his arm which moved down his arm with painful red bumps" and "patient got a rash on the injection point of his arm which moved down his arm with painful red bumps." required physician office visit. Therapeutic measures were taken as a result of pain in extremity, lymphadenopathy, neck pain, vaccination site pain, rash erythematous. Additional information: Patient got a rash on the injection point of his arm which moved down his arm with painful red bumps. He also had swollen nymphonids which is creating a sore neck. He noticed the rash after pain started in his arm and is not sure how long the rash existed before the pain. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. Treatment received for the adverse event: Steroid cream. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19.


VAERS ID: 2606759 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-20
Onset: 2023-01-24
   Days after vaccination: 126
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER N/A / 1 - / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Feeling cold, Nasal congestion, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Melatonin; Trazadone
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data: 01/24/2022 - COVID-19 Test Positive
CDC Split Type: vsafe

Write-up: I had vaccination on 09/20/2022. On 01/24/2023 I had nasal congestion low grade fever and felt cold all day. I took a COVID-19 test Positive and contacted my doctor office. I was prescribed Paxlovid. I currently feel fine on 03/30/2023.


VAERS ID: 2609039 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-10-05
Onset: 2023-01-01
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH AS7162D / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Malaise, Middle insomnia, SARS-CoV-2 test positive, Sleep disorder
SMQs:, Depression (excl suicide and self injury) (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Older Shingles vaccine, 09/2013, I had a large red and hot spot on my arm at the injection site.
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: JAN2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 in 01/2023. I found out I was positive five days after m symptoms started so I did not contact my doctor. I took over the counter medication to help with my symptoms. As of today, I still have the fatigue that I never feel rested. My sleep habits have changed too. I wake up and have difficulty going back to sleep.


VAERS ID: 2564641 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-19
Onset: 2022-12-15
   Days after vaccination: 57
Submitted: 0000-00-00
Entered: 2023-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Diarrhoea, Eating disorder, Fatigue, Nausea, Oropharyngeal pain, SARS-CoV-2 test positive, Vomiting, Weight decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Taste and smell disorders (narrow), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin C; terbinafine hydrochloride.
Current Illness: None.
Preexisting Conditions: Back pain issues.
Allergies: None.
Diagnostic Lab Data: 12/16/2022-12/29/2022 home antigen tests, positive results; 12/30/2022, 12/31/2022 home antigen tests, negative results.
CDC Split Type: vsafe

Write-up: I received the Moderna Bivalent booster and a flu shot on 10/19/2022. On 12/15/2022, I developed fatigue. On 12/16/2022, the fatigue was even worse. At about 5:30PM, I took a home antigen test and got a positive result. I then went to bed and made sure to isolate from my husband. I couldn''t really eat and lost about 10-12 lbs., because I couldn''t smell or taste anything. I also had diarrhea and vomiting, so I couldn''t keep anything down. Whenever I vomited, it was often just a yellow liquid, because I hadn''t eaten anything. I also developed a sore throat and cough on 12/16/2022. I also had a low-grade fever of 100.1 on 12/16/2022 and 12/17/2022. I lost my senses of smell and taste completely; when my husband brought me cinnamon, I couldn''t even smell or taste it. The smell and taste did not return for about 2 1/2 weeks. I treated my diarrhea with IMODIUM, and it helped. By the time 12/19/2022 rolled around, much of the vomiting, nausea, and diarrhea has subsided. On 12/19/2022, I went to an urgent care clinic. The doctor examined me and said that my lungs were clear. My symptoms had started to subside for the most part, and I had no fever, so she told me that I didn''t need an antiviral. I continued to test positive until 12/30/2022, which was when I finally tested negative for the first time.


VAERS ID: 2528979 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-11-21
Onset: 2022-11-22
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 014H22A / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Ear swelling, Fatigue, Pain, Pyrexia, SARS-CoV-2 test positive, Tinnitus
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hearing impairment (narrow), Hypersensitivity (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Spironolactone; atorvastatin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 rapid at-home test 11/23/22
CDC Split Type: vsafe

Write-up: I was vaccinated with both a flu shot and a COVID-19 bivalent booster on 11/21. The symptoms started on 11/22, and at first, I thought it was because of the vaccinations. It began with a slight fever and a feeling of achiness. The fever dissipated by mid-day but the achiness increased. Toward the evening I had developed a cough. The following morning there was still a cough and body aches, but no fever. Overall, I felt worse than the day before so I took an at home rapid COVID-19 test, which was positive. For the next four or five days, there wasn''t a whole lot of change. I was really fatigued and took a lot of naps. The cough went away but the aches never went away until after a week or so, but the fatigue stayed. By then my ears started to bother me, a ringing in the ears and the feeling that the inside of my ears were swollen. I went to see my doctor about my ears on 12/5 because it was the only remaining symptom. He gave me an antibiotic, there has been some improvement, but it is not entirely clear yet. The ringing has decreased but is not entirely gone. It started off in both ears but is now just in one.


VAERS ID: 2537675 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-09-16
Onset: 2022-12-07
   Days after vaccination: 82
Submitted: 0000-00-00
Entered: 2022-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinus congestion, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Dementia (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: WELLBUTRIN; daily women''s super vitamin; calcium; iron
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Home COVID tests, positive and negative.
CDC Split Type: vsafe

Write-up: 12/07/2022 I felt like I had a cold coming on with post nasal drip, runny nose and feeling a little out of it. At 5:00PM, I took a home COVID test and it was positive. The next day my prominent symptom was a bad headache throughout the day. As the day progressed my nasal drip became more mucous. I called my doctor and she prescribed PAXLOVID and I began it on 12/9/2022. On 12/09/22, I continued to have congestion in my sinus, my headache was gone. I felt better with a little bit of a cough and congestion. I took another home COVID test on 12/13/22 and it was negative. I have recovered.


VAERS ID: 2612947 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-13
Onset: 2022-11-07
   Days after vaccination: 25
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 030622B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Hyposmia, Oropharyngeal pain, SARS-CoV-2 test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 08NOV2022 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I just got really tired after receiving the vaccine. Late in the day on 11/07/2022 I had a sore throat. I tested positive for COVID-19 on 11/08/2022. I contacted my provider and got a prescription for Paxlovid. The taste was terrible and I vomitted once after eating some soup. As of today, I am feeling better, but my sense of smell is little off.


VAERS ID: 2639089 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-10-08
Onset: 2023-04-14
   Days after vaccination: 188
Submitted: 0000-00-00
Entered: 2023-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 062F22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Lower respiratory tract infection, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 14APR2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have any complications after receiving my Moderna Dose 4 vaccine. I tested positive for COVID-19 on 04/14/2023. I only had two symptoms with COVID-19, fever and coughing. I went to my doctor and got a prescription for an antibiotic for an infection in my chest and for cough. As of today, I feel better with no lingering symptoms.


VAERS ID: 2555861 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-10-07
Onset: 2022-12-19
   Days after vaccination: 73
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 062F22A / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Nasal disorder, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Skin erosion, Sneezing, Throat irritation, Toothache
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Atorvastatin; fluticasone; atenolol; TRULICITY; metformin; valacyclovir; amlodipine benazepril; ibuprofen; FLEXERIL; omeprazole; triamterene HCTZ; multivitamin CENTRUM SILVER; vitamin D; magnesium; DESCOVY
Current Illness: N/A
Preexisting Conditions: Diabetes; Hypertension
Allergies: Sulfa drugs
Diagnostic Lab Data: COVID-19 home test December 21, 2022 positive
CDC Split Type: vsafe

Write-up: My throat was scratchy, and my nose felt raw. The next day my nose started to run, and I had sneezing and coughing. The 3rd day my nose really started to run a lot. I tested negative on Tuesday and positive on Wednesday December 21, 2022, for COVID-19. I called my doctor and had a virtual appointment and he prescribed PAXLOVID which I started to take later on the December 22, 2022. By this time, I had a slight fever of 99.7 and a mild headache had developed. My teeth hurt really bad for some reason. I started to feel better after 2 doses of the PAXLOVID. I still have slight sniffles, cough and some brain fog but I feel I have completely recovered.


VAERS ID: 2479424 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-01
Onset: 2022-10-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Off label use, Product use issue, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC202201227185

Write-up: Urticaria onset Day 4 generalized upper extremities and face; Pfizer COVID vaccine (01Oct2022 11:00) administered with Influenza vaccine (01Oct2022); Pfizer COVID vaccine (01Oct2022 11:00) administered with Influenza vaccine (01Oct2022); This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 61-year-old female patient (not pregnant) received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 01Oct2022 at 11:00 as dose 5 (booster), single (Lot number: GH9693) at the age of 61 years, in left arm for covid-19 immunisation; influenza vaccine (INFLUENZA), on 01Oct2022 as single dose (Batch/Lot number: unknown), in right arm for immunisation. The patient''s relevant medical history included: "Known Allergies: Penicillin" (unspecified if ongoing). There were no concomitant medications. Vaccination history included: Covid-19 vaccine (Primary series of immunization completed, Manufacturer Unknown), for Covid-19 Immunization; Covid-19 vaccine (DOSE 3 (BOOSTER), SINGLE), for Covid-19 Immunization; Covid-19 vaccine (DOSE 4 (BOOSTER), SINGLE), for Covid-19 Immunization. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 01Oct2022, outcome "unknown" and all described as "Pfizer COVID vaccine (01Oct2022 11:00) administered with Influenza vaccine (01Oct2022)"; URTICARIA (non-serious) with onset 05Oct2022 at 18:00, outcome "recovered" (Oct2022), described as "Urticaria onset Day 4 generalized upper extremities and face". Therapeutic measures were taken as a result of urticaria. Additional information: Treatment for urticaria included unspecified antihistamines. The patient has no covid prior to vaccination. The patient was not covid tested post vaccination. No follow-up attempts are possible. No further information is expected.


VAERS ID: 2693131 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-28
Onset: 2022-10-28
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Maternal exposure during pregnancy, Vaccination site pain
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: Allergy (patient takes over the counter allergy medication); Asthma
Preexisting Conditions: Comments: Patient was taking Prenatal vitamins.
Allergies:
Diagnostic Lab Data:
CDC Split Type: USMODERNATX, INC.MOD20237

Write-up: Patient had a sore left arm; Drug exposure during pregnancy; This spontaneous retrospective pregnancy case was reported by a patient and describes the occurrence of VACCINATION SITE PAIN (Patient had a sore left arm) and MATERNAL EXPOSURE DURING PREGNANCY (Drug exposure during pregnancy) in an adult female patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 049D22A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE for Prophylaxis. Patient was taking Prenatal vitamins. Concurrent medical conditions included Asthma and Allergy (patient takes over the counter allergy medication). On 28-Oct-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and INFLUENZA VACCINE (unknown route) at an unspecified dose. Last menstrual period and estimated date of delivery were not provided. On 28-Oct-2022, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Drug exposure during pregnancy). On an unknown date, the patient experienced VACCINATION SITE PAIN (Patient had a sore left arm). The delivery occurred on an unknown date, which was reported as Unknown. For neonate 1, The outcome was reported as Delivered NOS. At the time of the report, VACCINATION SITE PAIN (Patient had a sore left arm) outcome was unknown and MATERNAL EXPOSURE DURING PREGNANCY (Drug exposure during pregnancy) had resolved. For mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (Unknown), the reporter did not provide any causality assessments. No concomitant medications were reported. No treatment medications were reported. Company Comment: This is a spontaneous case of Maternal exposure during pregnancy concerning an adult female patient with no relevant medical history, who experienced the non-serious expected, event of vaccination site pain, which occurred on an unknown date after a dose of mRNA-1273 BIVALENT .222 (original and omicron BA.4/BA.5, received as the fifth dose of COVID-19 vaccination schedule. Patient received Influenza vaccine on the same day of vaccination with mRNA-1273 BIVALENT .222, which was considered as a co-suspect drug. The benefit-risk relationship of mRNA-1273 BIVALENT .222 (original and omicron BA.4/BA.5) is not affected by this report. This case was linked to US-MODERNATX, INC.-MOD-2023-743819, US-MODERNATX, INC.-MOD-2023-743824 (E2B Linked Report).; Sender''s Comments: US-MODERNATX, INC.-MOD-2023-743819:Same patient, PFS vaccine dose US-MODERNATX, INC.-MOD-2023-743824:Same patient, Monovalent dose


VAERS ID: 2620624 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated: 2022-10-24
Onset: 2023-04-01
   Days after vaccination: 159
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Bronchitis, Cough, Respiratory disorder, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Hypersensitivity (broad), Respiratory failure (broad), COVID-19 (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: Modafinil; RESTASIS; RETINA A; PEPCID; valsartan; valacyclovir; meloxicam; potassium chloride; metoprolol; LASIX; rosuvastatin; multivitamin; fiber gummies; vitamin D3; calcium carbonate
Current Illness: None
Preexisting Conditions: Osteoarthritis; HTV
Allergies: Adhesive tape
Diagnostic Lab Data: 5APR23 at home COVID test negative
CDC Split Type: vsafe

Write-up: 4/1/23 I started with a scratchy sore throat. I then started sneezing a lot, runny nose and all upper respiratory. Then it went from a dry progressive cough to a croupy cough. I took an at home COVID test on 4/5/23 and it was negative. I was diagnosed with bronchitis and started on azithromycin on 4/11/23. It ran its course.


VAERS ID: 2552533 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated: 2022-10-03
Onset: 2022-12-14
   Days after vaccination: 72
Submitted: 0000-00-00
Entered: 2023-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation, Upper-airway cough syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLEGRA
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Duck eggs
Diagnostic Lab Data: 14DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 12/14/22. I had a congestion, postnasal drip, fever, body aches, and scratchy throat. I contacted my doctor but was not prescribed medication. I took over-the-counter medication, FLONASE, and TYLENOL. These symptoms lasted until 1/2/23. I am feeling much better now, but a still having postnasal drip. Other than that, I am good.


VAERS ID: 2593870 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Rhode Island  
Vaccinated: 2022-09-07
Onset: 2023-02-16
   Days after vaccination: 162
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Pain, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Severe swelling from Pneumonia vaccination that resulted in hospital visit 15 years ago
Other Medications: Cetirizine; montelukast sodium; amlodipine; losartan potassium; ARNUITY ELLIPTA; albuterol
Current Illness: N/A
Preexisting Conditions: Asthma; Hypertension
Allergies: Erythromycin
Diagnostic Lab Data: 2023Feb16 COVID-19 rapid (positive); 2023Feb20 COVID19 rapid (positive); 2023Feb22 COVID19 rapid (negative); 2023COVID19 rapid (negative)
CDC Split Type: vsafe

Write-up: On February 16th I had a dry cough. I did an at home COVID-19 test and it was positive. I called my doctor because I have asthma and hypertension and I was concerned. She put me on a five day treatment of PAXLOVID. I never experienced any severe symptoms, it was all pretty mild. I did experience some fatigue, body aches and chills but no fever.


VAERS ID: 2483953 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-10-10
Onset: 2022-10-18
   Days after vaccination: 8
Submitted: 0000-00-00
Entered: 2022-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chiropractic, Limb discomfort, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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: Escitalopram; bupropion HCL XL; multivitamin
Current Illness: None
Preexisting Conditions: Depression; Anxiety
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I woke up on 10/18/2022, and my right arm, through my fingers was tingling like it was asleep. That continued through the day and my arm felt heavy. I went to the chiropractor who ensured that everything was in alignment, but nothing changed. They advised that I report it if it did not get better the next day. It is still tingling in my fingers now, and it is worse when I sleep.


VAERS ID: 2545650 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-09-28
Onset: 2022-12-10
   Days after vaccination: 73
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Myalgia, Nasal congestion, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Productive cough, SARS-CoV-2 test positive, Sinus congestion, Upper-airway cough syndrome
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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: Metoprolol; TRELEGY; albuterol as needed; montelukast; biotin; super B complex; multivitamin with iron; vitamin D3; aspirin; hemp gummies
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; Asthma; Asthma Bronchitis
Allergies: Latex; adhesives; raspberry; peaches; cinnamon; peppers; sensitivity to wheat; Z-PAK; amoxicillin; doxycycline
Diagnostic Lab Data: Home COVID-19, positive, 12/15/2022
CDC Split Type: vsafe

Write-up: On December 10, 2022, I woke up with a lot of nasal and sinus congestion that included a lot of post-nasal drainage and sinus pressure. I had an extreme headache and muscle/body aches. I had a mild sore throat and a bad cough with lots of phlegm. I did not run a fever at all during this time. My oxygen level stayed in the mid 90s. I tested positive with a home COVID-19 test on December 14, 2022. As of today, I am still coughing and have fatigue.


VAERS ID: 2561986 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-10-13
Onset: 2022-12-16
   Days after vaccination: 64
Submitted: 0000-00-00
Entered: 2023-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 05002214 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, COVID-19, Headache, Myalgia, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: .25 MG CLONAZEPAM DAILY
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: SULFA
Diagnostic Lab Data: ER visit on 12/17/2022. I wasn''t that ill but wanted Paxlovid Rx & it was the weekend so I couldn''t go to my doctor. My temp was 101. Lungs were clear (they said). BP normal.
CDC Split Type:

Write-up: Very sore throat, headache, body and muscle aches, congestion. Fatigue after a couple days - that subsided but lasted the longest - 2 weeks I would say. Then we tested positive again. Second time I had a little congestion, a minor headache. Nothing serious.


VAERS ID: 2595675 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-09-08
Onset: 2022-09-08
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2023-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Immunisation reaction, Pyrexia, Rash erythematous, Restlessness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Akathisia (broad), Noninfectious encephalopathy/delirium (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: COVID 19 vaccines, rash and fever after each dose
Other Medications: Valsartan HCTZ; omeprazole; CALTRATE; METAMUCIL; pravastatin; hydroxyzine HCL; famotidine; montelukast; stool softener; magnesium; alendronate; XOLAIR shots
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; Acid Reflux; Cholesterol; Unidentified Hives; Osteoporosis-right hip; Osteopenia in left hip; Degenerative Disk Disease; Sciatica
Allergies: Codeine
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: 09/08/2022 COVID arm spread across my chest. I was restless and started to run fever. The next morning, I noticed the red spots across my chest. I used a topical cream called clobetasol propionate to treat the symptoms. It took 2-3 days to recover. I took TYLENOL and ibuprofen for the fever. My fever was around 102.0.


VAERS ID: 2577283 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: South Carolina  
Vaccinated: 2022-10-10
Onset: 2022-12-01
   Days after vaccination: 52
Submitted: 0000-00-00
Entered: 2023-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 RA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Dysphagia, Fatigue, Insomnia, Loss of personal independence in daily activities, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Multivitamin; fish oil; calcium; vitamin D3; baby aspirin; rosuvastatin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 2022Dec5 COVID-19 rapid (positive)
CDC Split Type: vsafe

Write-up: On a Thursday night, 12/1, I started having a very extreme sore throat, difficult to swallow and sleep. Friday morning It felt better but Friday night it was extreme again. On Saturday I tried to do some chores but I was very tired, I had to take a nap that afternoon. On Sunday I tried to get treatment, I got an appt at the pharmacy clinic, appt for Monday morning. They gave me a COVID-19 test which came back positive. They sent me home, and I isolated. I was taking ADVIL to help me sleep over the weekend, the clinic didn''t prescribe anything because of the time line. By Wednesday I was feeling better, wasn''t falling asleep. Thursday I felt okay, good enough to go out to a scheduled event but stayed home to isolate. I think I was good at that point, overall it was very mild besides the extreme sore throat the first few days.


VAERS ID: 2533158 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-09-14
Onset: 2022-11-24
   Days after vaccination: 71
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative
SMQs:, Anaphylactic reaction (broad), COVID-19 (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: SYNTHROID; carvedilol; simvastatin; solifenacin; zinc; vitamin D3
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: At home COVID test, negative
CDC Split Type: vsafe

Write-up: 11/24/2022 I had typical cold symptoms. A runny nose, a cough and sinus drainage. I had no fever. It ran its course, became a little worse. I had a telehealth visit a few days later and was given prescriptions for cough, does not know name, and a nasal spray. After a couple of weeks, I recovered.


VAERS ID: 2550052 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: South Carolina  
Vaccinated: 2022-10-04
Onset: 2022-12-01
   Days after vaccination: 58
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Computerised tomogram abdomen normal, Dehydration, Diarrhoea, Gastrointestinal disorder, Malaise, Stool analysis normal
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Dehydration (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: CRESTOR; levothyroxine; FLONASE; calcium; fish oil; vitamin B12; vitamin D3
Current Illness: None
Preexisting Conditions: Thyroid issues
Allergies: Penicillin
Diagnostic Lab Data: CT of stomach, normal; Blood work, abnormal due to dehydration; Stool samples, normal.
CDC Split Type: vsafe

Write-up: 12/1/2022 I started having stomach problems, drastic diarrhea and I was pretty sick. I had an appointment with my doctor on 12/14/2022 and he did CT of stomach, blood work and stool samples. The stool samples came back normal. The CT was normal. Blood work was abnormal due to dehydration. Eventually, everything, as of this past week is doing good, I feel normal.


VAERS ID: 2593959 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: South Carolina  
Vaccinated: 2022-09-07
Onset: 2023-02-25
   Days after vaccination: 171
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation, White blood cell count normal
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Lisinopril; levothyroxine; fenofibrate; aspirin; daily multivitamin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: N/A
Diagnostic Lab Data: 25FEB2023 COVID19 test positive, 25FEB2023 Blood Work test normal (White Blood count was 7.6 Value), 07MARCH2023 COVID19 test negative, 09MARCH2023 COVID19 test negative
CDC Split Type: vsafe

Write-up: I contracted COVID-19 on 02/25/2023. I had congestion, dry cough and scratchy throat. I then seen my provider with curbside and he prescribed medications TESSALON PERLES and MEDROL. I completed my doses of medications. I retested for COVID-19 on 03/07/2023 and 03/09/2023 both negative.


VAERS ID: 2627016 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: South Dakota  
Vaccinated: 2022-10-24
Onset: 2022-11-11
   Days after vaccination: 18
Submitted: 0000-00-00
Entered: 2023-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Blood test abnormal, COVID-19, Computerised tomogram head abnormal, Cough, Diarrhoea, Fatigue, Feeling abnormal, Headache, Impaired work ability, Malaise, Musculoskeletal chest pain, Myalgia, Nasopharyngitis, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test positive, Sinusitis
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: When I received my first COVID-19 vaccine on 1/12/2021, I had an anaphylactic reaction. It was given within 90 days of a bout of
Other Medications: Allegra D 24; Bariatric Multivitamin for Women 50+; Probiotic; Vitamin D3; Super B Complex; Vitamin C; Red Yeast Rice; Fish Oil; Calcium for Bariatric Patients; Flonase; Tylenol (As Needed)
Current Illness: None
Preexisting Conditions: Chronic Allergies; Chronic Orthopedic Issues of the Right Knee and Left Achilles Tendon
Allergies: Wasp Venom; Erythromycin; Bovine Manure Dust
Diagnostic Lab Data: 15NOV2022 - Home Antigen Test - Positive Result; 25NOV2022 - Home Antigen Test - Negative Result; 04MAY2023 - CT Scan of Head - Pockets of Infection in Frontal Sinuses Detected
CDC Split Type: vsafe

Write-up: On the afternoon of 11/11/2022, I began to have the symptoms of what I thought was a bad cold. I had a very sore throat and a chest cough. On 11/12/2022, the symptoms continued. I took Mucinex DM, which helped. I took the daytime capsules during the day and the nighttime capsules at night. On 11/13/2022, I got up and had to go to work. I used cough drops, Tylenol, and a mask that day. When I got home at about 6 PM, I took the Mucinex DM for nighttime and Extra Strength Tylenol. On that night, my coughing became really bad, and my sore throat worsened. I also had extreme fatigue. On 11/14/2022, I felt awful. I stayed home from work. I had a cough, sore throat, headache, extreme fatigue, and sporadic fever. I took Mucinex DM daytime formula and Extra Strength Tylenol. On 11/15/2022, I woke up with all of the same symptoms. I then took my dogs out for a walk and experienced extreme gastrointestinal distress. I had terrible diarrhea, and I ended up soiling myself before I was able to make it home. When I got home, I took a home antigen test and got a positive result. I immediately called my doctor and spoke to one of the nurses to ask about Paxlovid. Unfortunately, though, it was too late for me to start taking it. The nurse advised me to continue the medicine regimen that I was already on, because I had just had my vaccine recently. We were hoping that the booster would help speed the healing process. I stayed at home and followed the regimen, but the symptoms continued day after day. On 11/21/2022, I saw my doctor. I underwent bloodwork and told my doctor that there had been no improvement in my condition. After doing the blood test, she prescribed doxycycline hyclate (100mg, twice a day), prednisone (20 mg). If I remember correctly, they were both supposed to be taken for ten days, but I''m not sure. She also gave me an albuterol sulfate inhaler and told me that if it didn''t get better by 11/23/2022 or 11/24/2022, I was to start taking the meds she had prescribed. She had prescribed them in advance, because it was a holiday week, and the clinic and local hospital would both be closed at that time. I felt so bad that I started taking them on 11/22/2022; my coughing was so bad that my ribcage muscles hurt! I was still sick, but when I tested myself on 11/25/2022, I got a negative result. Despite the negative result, though, I still felt terrible for another week. I had extreme fatigue, body aches, sporadic fever, and coughing. After a period of further recuperation, I was finally able to return to work on 12/2/2022. I have been ill ever since. I still have uncontrollable coughing, fatigue, sinus drainage, and I have gone through five rounds of meds! I have also had a sinus infection ever since I had COVID-19. I have been given three rounds of doxycycline plus prednisone to treat it. On 3/28/2023, I saw an ENT I had been referred to. He prescribed 40mg of prednisone a day for five days and 20 mg of prednisone for an additional five days. He also gave me Levaquin, which I was to take for eight days. While I was on those meds, the symptoms cleared. Every time I finished taking them, though, the symptoms returned between four and ten days afterwards. I saw my ENT earlier this morning, 5/4/2023. I underwent a CT scan of my head. The ENT has said that I need sinus surgery. I have pockets of infection in my frontal sinuses on either side of my nose and under my eyes. The surgery has not yet been scheduled, but it''s supposed to be sometime in the next couple of weeks.


VAERS ID: 2682663 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Tennessee  
Vaccinated: 2022-09-12
Onset: 0000-00-00
Submitted: 0000-00-00
Entered: 2023-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 057F22A / 3 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Cerebrovascular accident
SMQs:, 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)

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: stroke; This spontaneous case was reported by a patient and describes the occurrence of CEREBROVASCULAR ACCIDENT (stroke) in a female patient of an unknown age who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 057F22A) for COVID-19 prophylaxis. Co-suspect product included non-company product INFLUENZA VACCINE (FLU VACCINE VII) for an unknown indication. Previously administered products included for Product used for unknown indication: Covid-19 vaccine (two vaccines). Past adverse reactions to the above products included COVID-19 with Covid-19 vaccine. On 12-Sep-2022, the patient received third dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form and dose of INFLUENZA VACCINE (FLU VACCINE VII) (unknown route) 1 dosage form. On an unknown date, the patient experienced CEREBROVASCULAR ACCIDENT (stroke) (seriousness criterion medically significant). At the time of the report, CEREBROVASCULAR ACCIDENT (stroke) outcome was unknown. Concomitant medication not reported. She had the initial two vaccines, then she ended up with COVID and was treated, and her last Moderna COVID-19 bivalent vaccine was on 12 Sept 2022. Last week, she was in contact with someone who may have tested positive last night 10 Sep 2023. She did not have any symptoms or fever. She was hoping that she was protected. She was hoping that she wasn''t protected when she saw her. She had a stroke and was not able to have transportation to the hospital. She took the flu vaccine on the same day that she took the Moderna bivalent vaccine on 12 Sep 2022. Her doctor said it was ok. Company comment: This spontaneous case concerns an adult female patient, with no relevant medical history reported, who received a dose of mRNA-1273.222 (Original/Omicron BA.4/5) vaccine (reported as third dose of her COVID ? 19 vaccination schedule), and experienced the unexpected, serious (medically significant) AESI of cerebrovascular accident. Latency cannot be properly assessed since exact onset date was not provided. No further clinical details were provided for medical reviewing. Co-suspect product includes Influenza vaccine which was administered on the same day as mRNA ? 1273.222. The benefit-risk relationship of mRNA-1273.222 (Original/Omicron BA.4/5) vaccine is not affected by this report.


VAERS ID: 2487038 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Tennessee  
Vaccinated: 2022-09-16
Onset: 2022-09-18
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA A577145V / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Cough, Headache, Sinus disorder
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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trecadrine; acid reflux medication; potassium; TYLENOL; CLARITIN
Current Illness: Unknown
Preexisting Conditions: Severe sinus problems; acid reflux; prediabetes
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: Increased sinuses about 2 days after the vaccine that won''t go away. Strong cough. Headaches. My hip pain from a surgery I had 40 years ago is flaring again. It is still ongoing, not sure if it is vaccine related or not since I have a lot of sinus issues, however almost after every dose this happens. However this time I had a strong cough, but I also took a flu shot at the same time.


VAERS ID: 2600398 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Tennessee  
Vaccinated: 2022-09-17
Onset: 2023-02-01
   Days after vaccination: 137
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Bone pain, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Osteonecrosis (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Potassium; Levothyroxine; Warfarin; Clopidogrel; Vitamin D; Vitamin B12; Vitamin K2; Propranolol; Testosterone Injection
Current Illness: N/A
Preexisting Conditions: On Second Aortic Valve; CHF
Allergies: High-Dose Aspirin
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I have a tremor in my hands when I''m in a stressful movement like to turn steering wheel in my car or a fine motor skill I will have a tremor. Pain in my left elbow joint. It feels like it''s a bone bruise.


VAERS ID: 2529054 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-11
Onset: 2022-10-31
   Days after vaccination: 50
Submitted: 0000-00-00
Entered: 2022-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, COVID-19, Chills, Cough, Diarrhoea, Dyspnoea, Fatigue, Malaise, Myalgia, Nausea, Oropharyngeal pain, Pulmonary pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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: NEXIUM
Current Illness: N/A
Preexisting Conditions: GERD; Obesity; Hypertension
Allergies: Sulfa
Diagnostic Lab Data: COVID-19 PCR test was positive on 11/06/22, COVID-19 rapid nasal swab was negative on 11/6/22
CDC Split Type: vsafe

Write-up: I contracted COVID-19 on 10/31/22 with symptoms of fatigue, cough, shortness of breath, lung pain, burning sensation in lungs, congestion, sore throat, fever, chills, myalgia, diarrhea, and nausea. I was prescribed PAXLOVID on 11/07/22. I was ill for 12 days before my symptoms began to improve. I am still experiencing lingering symptoms of cough and sore throat.


VAERS ID: 2529286 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-10
Onset: 2022-12-03
   Days after vaccination: 84
Submitted: 0000-00-00
Entered: 2022-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Headache, Laryngitis, Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: COVID-19 Moderna dose 2, fever, chills, night sweats, migraine, swollen lymph node April 19/2021.
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 rapid nasal swab home test was positive on 12/04/22
CDC Split Type: vsafe

Write-up: I contracted COVID-19 with symptoms of sore throat, congestion, severe headache, cough, loss of smell, loss of taste, fatigue, and laryngitis. I was prescribed PAXLOVID but instructed not to take it if I felt better by day 5. I was ill for 5 days before my symptoms began to resolve so I did not take PAXLOVID. I am still experiencing fatigue, and lingering cough. I am still not fully recovered.


VAERS ID: 2560886 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-14
Onset: 2022-12-31
   Days after vaccination: 78
Submitted: 0000-00-00
Entered: 2023-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Dyspepsia, Feeling abnormal, Headache, Influenza A virus test negative, Influenza B virus test, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific dysfunction (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; hydroxyzine; ferrous sulfate
Current Illness: No
Preexisting Conditions: No
Allergies: N/A
Diagnostic Lab Data: 31DEC2022 positive on at home COVID-19 and rapid COVID-19 test. 31DEC2022 negative Flu A & B
CDC Split Type: vsafe

Write-up: 12/31/2022 runny nose. Tested positive on an at home COVID-19 test. Binax brand. Tested again on rapid test, negative for Flu A & B. 1/1/2023 severe headache, cough, body aches, fever peaking at 101, chills, brain fog, and digestive issues. This lasted about 8 days tapering off. Tele visit on 1/5. Doctor recommended stopping NYQUIL and see if fever is under control. Fever did not spike. Brain fog lingers.


VAERS ID: 2456121 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-18
Onset: 2022-09-18
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH 6H9703 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Head discomfort, Headache, Hyperhidrosis, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? 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: Aches and headache started after dinner the day of the shot. Slightly elevated temperature by around 10pm (99 deg F). Escalating fever and chills throughout the night, reaching at least 100.4 F. Cranial pressure and aches throughout Monday, as well as fatigue (more than just due to bad sleep). Monday night had more chills (did not check for fever) and aches. Tuesday morning felt ok enough to go to work, but by 11:30 chills set in again. Measured a temperature of 101.6 F around 2PM. Fever, chills, and aches continued into the evening. Tuesday night experienced sweats, but no chills or aches. By Wednesday all symptoms had resolved.


VAERS ID: 2611569 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-14
Onset: 2022-11-15
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test normal, Cardiac disorder, Computerised tomogram abnormal, Muscle spasms, Urine analysis normal
SMQs:, Retroperitoneal fibrosis (broad), Dystonia (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: JANUMET; low dose aspirin; amlodipine; LEVOXYL; liothyronine; atorvastatin; metoprolol; flecainide; vitamin D3; vitamin B12; PRESERVISION; fish oil; XYZAL; PROVENTIL HSA inhaler; UBRELVY
Current Illness: N/A
Preexisting Conditions: Diabetes; Hashimoto Disease; High Blood Pressure; Calcified Aortic Valve; High Cholesterol; Atrial Tachycardia; Arthritis; Raynaud''s Phenomenon; Chronic Migraine
Allergies: BENTYL; CELEBREX; tetracycline; KEFLIN; amoxicillin; carbamazepine ER; MASTISOL adhesives; JENTADUETO
Diagnostic Lab Data: CT Scan, Degenerative changes found, November 29, 2022. Urinalysis, normal November 29, 2022. Blood test November 29, 2022 normal range
CDC Split Type: vsafe

Write-up: I had severe back pain after having the 4th dose of the COVID-19 vaccine. It started about 2 weeks before November 29, 2022. I had back spasm and I attempted to treat the pain with Ibuprofen, but the intensity got worse. I tried a muscle relaxer when ibuprofen didn''t work but that didn''t help either. So, I went to the emergency room. They treated me with pain medication, and they did a CT scan on November 29, 2022. There was concern about my heart, but they did find anything. The sent me home with pain medicine and codeine but I still. I had the muscle pains after being prescribed JENTADUETO. The pain went away 3 days after I stopped this medication. I did this on my own because I felt it was associated. I since completed recovered. I also went to physical therapy for almost a month and that helped also. I''m due to see my doctor next week for my final follow up.


VAERS ID: 2533369 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-13
Onset: 2022-10-29
   Days after vaccination: 46
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain lower, Ageusia, Anosmia, COVID-19, Computerised tomogram, Feeling abnormal, Nephrolithiasis, Pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: D12; D3; atenolol; pravastatin
Current Illness: N/A
Preexisting Conditions: High Blood pressure; Mitro veil and heart
Allergies: N/A
Diagnostic Lab Data: CAT scan, COVID-19 test at home
CDC Split Type: vsafe

Write-up: November 29 on the day I tested positive for COVID-19 along with my wife. I was feeling bad and having runny nose and I had no smell or taste. We isolated until the pain started. December 3 lower abdominal pain. I went to the ER, and they discovered a kidney stone. I was given medication then sent home. I took extra strength TYLENOL and that helped eliminate the pain.


VAERS ID: 2560814 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-14
Onset: 2022-11-09
   Days after vaccination: 26
Submitted: 0000-00-00
Entered: 2023-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypersensitivity, Paranasal sinus discomfort, Tinnitus
SMQs:, Angioedema (broad), Hearing impairment (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: LOTREL; ZYRTEC; low dose aspirin; sertraline; atorvastatin; calcium with vitamin D; multivitamin; fish oil; NASACORT
Current Illness: No
Preexisting Conditions: Hypertension; Allergies
Allergies: Dust; molds; pollen
Diagnostic Lab Data:
CDC Split Type: vsafe

Write-up: I started to notice a ringing in my ears in early November. The ringing would vary in intensity from barely noticeable up to a 4 to 5 on a 10 scale of intensity. On 12/19 or 20 I sought out my doctor. Doctor advised blood pressure was not the issue and believed it to be related to allergies and sinus pressure. Advised to use SUDAFED and a nose spray. This caused the ringing to subside though it is getting worse again. It is usually the left side but uncommonly both. Occasional peaks at 4-5, but peaks of 3 is typical. Follow up with doctor Jan 30.


VAERS ID: 2594679 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-08
Onset: 2023-01-20
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, COVID-19, Chills, Cough, Hepatic pain, Laboratory test, Malaise, Nasal congestion, SARS-CoV-2 test positive
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Valsartan; metoprolol; loratadine; pantoprazole; rosuvastatin; famotidine; fexofenadine; testosterone injection; vitamin B-12; PRESERVISION AREDS 2 eye vitamin mineral; multivitamin; milk thistle; coQ10; vitamin D3; fish oil
Current Illness: High Blood Pressure
Preexisting Conditions: High Blood Pressure; Arthritis
Allergies: BEXTRA
Diagnostic Lab Data: 20JAN2023 COVID-19 test positive, 23FEB2023 Blood work test, normal
CDC Split Type: vsafe

Write-up: I started having symptoms on 01/20/2023 with mild cough, nasal congestion and shivering. I noticed when I coughed, I had pain in my abdominal area. I was having pain in my liver. I seen my provider and prescribed PAXLOVID 5 day supply. Then a week later I had rebound COVID-19. Same symptoms but worst. I did have follow up labs.


VAERS ID: 2525435 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-04
Onset: 2022-11-26
   Days after vaccination: 83
Submitted: 0000-00-00
Entered: 2022-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7144B / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), COVID-19 (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: ZYRTEC; buspirone; vitamin D
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: 27NOV2022 COVID-19 test negative; 28NOV2022 COVID-19 test negative; 28NOV2022 flu test negative
CDC Split Type: vsafe

Write-up: I had chest congestion, productive cough, fatigue, and a fever. I did not test positive for COVID-19, and I took several tests. I was not prescribed medications. I am feeling better now, but I am still dealing with a cough.


VAERS ID: 2573171 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-11-01
Onset: 2022-12-24
   Days after vaccination: 53
Submitted: 0000-00-00
Entered: 2023-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Levoxyl; Farxiga; Boniva; Wellbutrin; Trazodone; Famotidine; Atorvastatin; Multivitamin; Bone Builder, Vitamin D3; Remifemin; Turmeric; Baby Aspirin; Magnesium; B12; CoQ10;
Current Illness: None
Preexisting Conditions: Seasonal allergies; hypothyroidism; Angina;
Allergies: None
Diagnostic Lab Data: COVID-19 x2 - 1 Negative and 1 Positive
CDC Split Type: vsafe

Write-up: Began not feeling well on 12/24 and had a minor cough. 12/25 still had cough and tested for COVID-19 but was negative. Later that day I began having extreme fatigue and chills. It felt as if I had a bad cold. The next morning the symptoms persisted and I developed congestion, headache, and sore throat. I tested positive for COVID-19 and called PCP. PCP prescribed Paxlovid, steroid pack, and cough suppressant. Symptoms improved over the next 5 days, day 7 I was feeling much better, and then my symptoms returned. Took 2.5 weeks for me to completely recover from COVID-19.


VAERS ID: 2471824 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-21
Onset: 2022-09-22
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Gait disturbance, Pain
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Valsartan; carvedilol; flecainide; ELIQUIS; amlodipine; oxybutynin; atorvastatin; AREDS 2 PRESERVISION supplement
Current Illness: N/A
Preexisting Conditions: Arthritis Knee
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I have arthritis in my knees and I get steroid shots every 3 months. Prior to getting the shot, I was working in the yard normally. The next day after getting the shot, it was like I never received the shot. It is extremely painful to move around. It hurts when I walk. It felt like the steroid was no longer affective. I contacted the doctor and was advised that they were not able to give an additional dose as I had to wait another month to be eligible. The recommended I take TYLENOL over the counter, and it helped slightly but I am still in pain.


VAERS ID: 2507152 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-01
Onset: 2022-10-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: Ear infection, Feeling cold, Headache, Influenza virus test negative, Oropharyngeal pain, SARS-CoV-2 test negative, Secretion discharge, Sinus congestion, Sinus disorder, Streptococcus test negative, Toothache
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Cetirizine; fluticasone; levothyroxine; tizanidine; gabapentin; fenofibrate; clonazepam; ramelteon; vitamin D2; docusate; morphine
Current Illness: N/A
Preexisting Conditions: PTSD; Chronic Pain
Allergies: Adhesives on bandages; capsaicin
Diagnostic Lab Data: COVID-19 test 11-04-2022 negative, flu test, Strep test.
CDC Split Type: vsafe

Write-up: I started with head congestion and my sinuses were killing me. I could not wear my glasses because they were too heavy for me. I felt like my upper teeth hurt. I advised to go to the emergency room to get it treated. I was already treating it with over-the-counter medicine. For a whole week I had a sore throat and headache. I was extremely cold. I took SUDAFED but it did not help with my symptoms. I was taking over the counter nasal spray. It would help for a couple of hours, but it became too much for me. The mucus started to go down my throat, so I had to do something since I was scheduled for surgery the next day. I went to the emergency clinic and they gave me an amoxicillin, bromphen PSE DM, and magic mouth wash. I was given COVID-19, Flu, and Strep test which were negative. They indicated I had an ear infection in the left ear and mucus was running down my sinus. My symptoms have not improved. I have surgery scheduled tomorrow and done.


VAERS ID: 2603571 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-16
Onset: 2023-01-11
   Days after vaccination: 117
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Malaise, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: 2007, 43, allergic reaction to flu, anaphylactic shock
Other Medications: VICOPROFEN; FLEXERIL; SOMA; LYRICA; CYMBALTA; XANAX; BYSTOLIC; lisinopril; LIPITOR; metformin; SINGULAIR; ALLEGRA; albuterol inhaler rescue; omeprazole; ORTHO BIOTIC; FLONASE
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; Diabetic; High Blood Pressure; Tachycardia; Asthma
Allergies: Nuts; nut oil; shellfish; iodine; codeine; penicillin; morphine
Diagnostic Lab Data: COVID-19 home, positive, 01/11/2023
CDC Split Type: vsafe

Write-up: On January 11, 2023, I had a terrible headache and a cough with congestion. My chest began to feel heavy and had a low-grade fever. I tested positive for COVID-19. The next day I was feeling worse with heavy tight chest with wheezing. I contacted my doctor the next day. I was prescribed LEVAQUIN and prednisolone. I was advised to use my nebulizer with albuterol. I was sick for about 4 more days.


VAERS ID: 2603472 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-20
Onset: 2022-09-22
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase normal, Anaemia, Aspartate aminotransferase normal, Autoimmune disorder, Bilirubin conjugated, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin unconjugated, Blood chloride normal, Blood electrolytes normal, Blood lactate dehydrogenase normal, Blood potassium normal, Blood sodium normal, C-reactive protein normal, Condition aggravated, Fatigue, Globulin, Haematocrit decreased, Haemoglobin decreased, Laboratory test abnormal, Lipids normal, Liver function test normal, Lymphocyte percentage, Mean cell haemoglobin increased, Pain, Pain in extremity, Platelet count normal, Protein total normal, Rheumatoid factor negative, Treponema test negative, White blood cell count decreased, pH urine increased
SMQs:, Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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: 07/09/2022 Moderna COVID-19 dose 4: age 61, I was very tired and had body aches.
Other Medications: Collagen; WELLBUTRIN; calcium; vitamin D; LOVAZA omega 3; vitamin K; LIPITOR; tizanidine; turmeric with valerian and melatonin; UNISOM; omeprazole; KLONOPIN; PROLIA; SOTOPELLE pellet; estrogen and progesterone cream; minoxidil
Current Illness: None
Preexisting Conditions: Undifferentiated Connective Tissue Disorder; Osteopenia; Anxiety; Spinal Stenosis
Allergies: None
Diagnostic Lab Data: 12/09/2022 VDRL negative; 12/09/2022 VSG 34 High; 12/09/2022 Hepatic Panel, normal; 12/09/2022 TGP, normal; 12/09/2022 TGO, normal; 12/09/2022 Total Bilirubin, normal; 12/09/2022 Direct Bilirubin, normal; 12/09/2022 Indirect Bilirubin, normal; 12/09/2022 Alkaline Phosphate, normal; 12/09/2022 Total Proteins, normal; 12/09/2022 Albumin, normal; 12/09/2022 Globulin, normal; 12/09/2022 LDH, normal; 12/09/2022 C-Reactive Protein, normal; 12/09/2022 Electrolytes, normal; 12/09/2022 sodium normal; 12/09/2022 potassium normal; 12/09/2022 chloride normal; 12/09/2022 Lipid, normal; 12/09/2022 Rheumatoid Factor, normal; 12/09/2022 Complete Biometric Hematocrit Erythrocytes, low; 12/09/2022 Hemoglobin, low; 12/09/2022 Hematocrit, low; 12/09/2022 MCH, high; 12/09/2022 Platelets, normal; 12/09/2022 Leukocytes 4.39; 12/09/2023 Lymphocytes 28.6; 12/09/2022 Urine PH high
CDC Split Type: vsafe

Write-up: I was feeling very tired. I had a lot of aches in my body. My arm hurt the most. I was tired with the other vaccines, but this one was the worst. It felt like I had to be in bed because I was so tired, and everything hurt. When I went to see my doctor in December, my lab work showed my VSG was high and my hemoglobin was low. My doctor told me my autoimmune condition was back. I had been in remission for a long time. He prescribed corticosteroids, etoricoxib, MYDOCALM-A, and LYRICA. He also gave me a vitamin B12 injection every other day. My lab work looked better after treatment, but I still have anemia. I have a follow-up appointment next week.


VAERS ID: 2475529 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-10-01
Onset: 2022-10-04
   Days after vaccination: 3
Submitted: 0000-00-00
Entered: 2022-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7164B / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Arthralgia, Body temperature increased, COVID-19, Diarrhoea, Headache, Nausea, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, SARS-CoV-2 test positive, Sinus disorder, Sinus operation
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Olmesartan; metoprolol; fluticasone
Current Illness: No
Preexisting Conditions: Hypertension; Asthma
Allergies: Azithromycin; KEFLEX; CELEBREX; gentamycin; codeine
Diagnostic Lab Data: COVID-19 test positive
CDC Split Type: vsafe

Write-up: This was the second time I had COVID-19. Runny nose, sore throat, headache, sinus pressure, temp increase to 101, joint pain. The symptoms still continue but are better. I still have sinus involvement and drainage. I was given PAXLOVID 5 day course. I was also taking ADVIL and both reacted badly. I would say that NSAIDs and PAXLOVID do not mix at all. As a result of both I got nausea, acidic diarrhea and upset stomach. I''m still tested positive today.


VAERS ID: 2499127 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-17
Onset: 2022-10-24
   Days after vaccination: 37
Submitted: 0000-00-00
Entered: 2022-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7147B / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (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: KEPPRA; lamotrigine; multivitamins; amlodipine; simvastatin; daily aspirin; COLACE
Current Illness: N/A
Preexisting Conditions: Cancer survivor
Allergies: None
Diagnostic Lab Data: 10/26/2022 COVID-19 home test positive
CDC Split Type: vsafe

Write-up: On Monday, I noticed the symptoms: coughing, runny nose, just not feeling good. Tested positive on Tuesday, 10/26/2022. On Wednesday, 10/27/2022 I reached out to my doctor, and they prescribed PAXLOVID. I started feeling better on day one. I completed the course of 5 days.


VAERS ID: 2475661 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-18
Onset: 2022-09-22
   Days after vaccination: 4
Submitted: 0000-00-00
Entered: 2022-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (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: LIVEDO; metformin; gabapentin; omeprazole; vitamin C; B6; vitamin D3; zinc picolinate; quercetin; turmeric; melatonin
Current Illness: No
Preexisting Conditions: I always have a cough and post nasal drip
Allergies: Codeine
Diagnostic Lab Data: COVID-19 - positive
CDC Split Type: vsafe

Write-up: I had post nasal drip, my nose was runnier and a cough; no more that I have right now. I had a COVID-19 test and that''s how I found out I had it, otherwise I wouldn''t have known. I took PAXLOVID.


VAERS ID: 2492546 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-05
Onset: 2022-10-20
   Days after vaccination: 15
Submitted: 0000-00-00
Entered: 2022-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abnormal faeces, COVID-19, Cough, Diarrhoea, Drainage, Gastrointestinal disorder, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), 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: Estrogen; progesterone; allergy shots; ALLEGRA; FLONASE; eye drops; multivitamin; fish oil
Current Illness: N/A
Preexisting Conditions: Pain issues; total hip replacement; High stress level; depression; anxiety.
Allergies: Seasonal allegries
Diagnostic Lab Data: 3 COVID at home test.
CDC Split Type: vsafe

Write-up: My peak symptoms were on the 21st of October, and I had a bad sore throat overnight and some coughing. On the 22nd I tested positive for COVID. I had the typical coughing, sneezing, runny nose and also a bad headache. On the 20th I also had a headache and a very sore throat. I also had clear drainage. I also noticed that my stool smelt horrible. My symptoms peaked overnight on the 21st and then on the 22nd I called my health insurance and spoke to the NP. Another symptom I had was diarrhea. I had GI problems. I attribute the GI issues to COVID, but I did not attribute the allergy symptoms to COVID at the time. I have tested negative 3 times now in a row.


VAERS ID: 2597745 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-14
Onset: 2022-10-01
   Days after vaccination: 17
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Haematological infection, Kidney infection
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Sepsis (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: VALIUM; dronabinol; FLOVENT; sucralfate; guanfacine; B12 injection; ESTRACE; ferrous gluconate; VENTOLIN HFA; promethazine; cetirizine; SINGULAIR; PEPCID; vitamin A; albuterol-ipratropium
Current Illness: Sinus infection
Preexisting Conditions: Osteoporosis; POTS; DIsc
Allergies: Penicillin; sulfa; FLAGYL
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: No issues after the vaccine, but long term after, I had Asthma. I was in the hospital twice, for a blood infection, in April and June 2022. The first was for kidney infection, the 2nd time they did not know. Mid-October I started with Asthma, and I used an inhalator.


VAERS ID: 2602338 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-21
Onset: 2023-01-01
   Days after vaccination: 102
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Erythema, Stress, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Systemic lupus erythematosus (broad), Hypersensitivity (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin; Ozempic; Rosuvastatin; Telmisartan; Sertraline; Vitamin B; Zyrtec
Current Illness: N/A
Preexisting Conditions: Diabetes; High Blood Pressure
Allergies: Lisinopril
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Anytime I get stressed I develop hives from my chest down to my knee. The concentration is usually in the area but does affect other areas. My lips, my back, neck, and face. I went to urgent care, and they gave me a steroid shot and Hydroxyzine and Montelukast Sodium around February 12, 2023, and March 04, 2023. I have had flare ups off and on, but I went to urgent care. My doctor prescribed Famotidine and told me to take over the counter Claritin. The symptoms are very noticeable. They are bright red like mosquito bites. The most recent flare covered the entirety of my body excluding my neck. I have also had a lot of joint pain. I have arthritis. The pain in my hips and ankle are new. I was not prescribed any medication to treat these symptoms.


VAERS ID: 2599512 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-16
Onset: 2023-01-12
   Days after vaccination: 118
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: N/A
Current Illness: N/A
Preexisting Conditions: High Blood Pressure
Allergies: N/A
Diagnostic Lab Data: 12JAN2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have a reaction to the vaccine. I tested positive for COVID-19 while on vacation on 01/12/2023. I isolated for seven days per instructions on the cruise ship. I do not have any lingering symptoms.


VAERS ID: 2600073 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-16
Onset: 2023-01-01
   Days after vaccination: 107
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Diarrhoea, Full blood count abnormal, Lethargy, Lymphocyte count decreased, Malaise, Metabolic function test abnormal, Monocyte count increased, Nausea, Neutrophil count decreased, White blood cell count decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; fluoxetine; pantoprazole; SYNTHROID; trazadone; ZYRTEC
Current Illness: None
Preexisting Conditions: Hypothyroidism; GERD; Depression; High Cholesterol
Allergies: Seasonal; AUGMENTIN
Diagnostic Lab Data: 02/17/2023 Comprehensive Metabolic Panel, elevated SGOT and SGPT; 02/17/2023 CBC, WBC Low, Neutrophils Low, Lymph Low, Mono High; 03/08/2023 Comprehensive Metabolic Panel, normal; 03/08/2023 CBC, normal
CDC Split Type: vsafe

Write-up: I had chronic diarrhea for several weeks. I was going to the bathroom about four or five times a day. It was starting to get super inconvenient. I got really sick the day before I went to the doctor. I was experiencing weakness, lethargy, diarrhea, and nausea. I went to the doctor on February 17, 2023. They did blood work and prescribed ciprofloxacin and FLAGYL metronidazole. She told me to take my medications and to retest in two weeks. I retested in two week. Everything was normal.


VAERS ID: 2622477 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-22
Onset: 2022-11-01
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2023-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7164B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Arthritis, Bursitis, Joint range of motion decreased, Ligament rupture, Magnetic resonance imaging abnormal, X-ray abnormal
SMQs:, Systemic lupus erythematosus (broad), Accidents and injuries (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (narrow), Immune-mediated/autoimmune disorders (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: Atomoxetine; Fluoxetine; Levothyroxine; Biotin; Calcium
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Sulfa Drugs; Seafood
Diagnostic Lab Data: 30MAR2023 - X-Rays - Arthritis Diagnosed; 17MAR2023 - MRI - Bursitis and Ligament Tear in Left Shoulder Detected
CDC Split Type: vsafe

Write-up: I got my fourth dose of Moderna COVID-19 vaccine in October 2022. Sometime in November 2022, I started having pain and reduced range of motion in the left shoulder. I saw my PCP in January 2023, and he referred me to a physical therapist. On about 1/24/2023, I began seeing a physical therapist. At the time of this writing, I still see the physical therapist usually twice weekly. Since I have been seeing the physical therapist, I now have less pain and slightly more range of motion. At this point, there is no set time limit for me to receive the therapy, so the length of time is at my discretion. I have taken Tylenol from time to time to treat the pain when it''s bad enough, but I usually don''t find it necessary. I also saw an orthopedist on 3/30/2023. He took X-rays, and I was diagnosed with arthritis. He gave me a steroid shot. After the steroid shot, I had slightly more range of motion, but it didn''t last long. On 3/17/2023, I underwent an MRI of the left shoulder. Bursitis and a partial tear of a ligament were detected. No recommendations have been made with regard to the treatment of those conditions, though I have called them and am awaiting a reply.


VAERS ID: 2620799 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-10-14
Onset: 2022-11-01
   Days after vaccination: 18
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Atrial fibrillation, Blood test normal, Cardiac monitoring abnormal, Heart rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (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? No
Previous Vaccinations:
Other Medications: TRELEGY; REPATHA; ezetimibe; azathioprine; vitamin B12; vitamin D3; fish oil
Current Illness: N/A
Preexisting Conditions: COPD; Crohn''s disease; Blockage in Heart
Allergies: N/A
Diagnostic Lab Data: 2/20/2023 Blood work normal
CDC Split Type: vsafe

Write-up: Sometime mid Nov 2022 before the 11/8/22 Heart rate went up to 188 and went back to normal after 15 min and it happened again a couple days later. I see a Cardiologist every 6 months and saw her and got a heart monitor. This happened again 2/20/23 and I wore a heart monitor for 2 weeks and had Afib over 1100 over 2 weeks. They gave me beta blocker. I will see my cardiologist again in May2023 to see of the medicine is working.


VAERS ID: 2613787 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-08
Onset: 2022-11-01
   Days after vaccination: 24
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Deafness unilateral, Ear pain, Electronystagmogram abnormal, Nasopharyngitis, 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? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I got a rash after a TDAP vaccine in 2015.
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 20MAR2023 VNG test, positive for Unilateral weakness in left ear
CDC Split Type: vsafe

Write-up: I thought that I had a cold at first. This lasted for weeks, and it got to the point I thought I had a bad ear infection. I contacted a doctor, and she recommended a nasal spray and a decongestant. My cold symptoms went away but the ear pain didn''t. On 1/10/23, I had an episode of Vertigo, and this went on through 1/15/23. I went to urgent care, and they gave me meclizine. I have been taking this medication and been dealing with this since January. I have been doing rehabilitation and they told me that I have lost 50% hearing in my left ear. I am still dealing with this at this time. I am having a hard time with my balance right now.


VAERS ID: 2545603 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-09-28
Onset: 2022-11-04
   Days after vaccination: 37
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 030G22B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bacterial infection, Blood test abnormal, COVID-19, Cystoscopy, Hypotension, Malaise, Nephrolithiasis, Pain, Pyrexia, SARS-CoV-2 test positive, Sepsis, Stent placement, Stent removal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
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: Simvastatin; hydroxyzine; centrum silver; escitalopram; levothyroxine; fluticasone propionate nasal spray; CLARITIN; testosterone cypionate; cyanocobalamin
Current Illness: None
Preexisting Conditions: Hypothyroidism; Localized Amyloidosis Colon; Chronic Pain; Borderline High Cholesterol; Anxiety; Low Testosterone
Allergies: Dust mites; mold
Diagnostic Lab Data: 11/10/2022 at home COVID-19 test positive; 11/11/2022 at home COVID-19 test positive; 11/11/2022 rapid COVID-19 test positive; 11/11/2022 blood work, bacterial infection and sepsis
CDC Split Type: vsafe

Write-up: On October 24, I had a cystoscopy. They destroyed the kidney stone and added a stint. On my way home, I was in so much pain, I stopped at another emergency room. I feel like I contracted COVID-19 there. On November 7, 2022, they removed the stint and told me I had a bacterial infection. The next week, I started feeling sick. I took two COVID-19 tests at home. The results were positive for both tests. I had a mild fever that fluctuated between 99-degrees to 101-degrees. My wife took my blood pressure. It was low. She took me back to the emergency room on Friday, November 11, 2022. They tested me for COVID-19. The results were positive. I also had a bacterial infection and was septic. They transferred me to a different hospital on November 12, 2022. I was there until November 15, 2022. When I was released, I was negative for COVID-19 and everything else. It took me about three weeks to start feeling better, but it could have been a combination of things.


VAERS ID: 2545571 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-28
Onset: 2022-12-27
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Lisinopril; multivitamin; atorvastatin; vitamin D3
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: On Tuesday night I went to bed with a cough. When I woke up the next day my cough was worse, my throat was sore, and I had a slight headache. I took a home COVID-19 test, and it was positive. My doctor advised I use TYLENOL and MUCINEX to help with the congestion. This was yesterday and today my throat is a little sore still but not as bad as it was. I will be making sure I get plenty of liquids as my doctor advised as well. I did have my flu shot the same day that I had my COVID-19 Bivalent shot, but I do not have the information for that shot.


VAERS ID: 2614151 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-10-07
Onset: 2023-03-17
   Days after vaccination: 161
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Public       Purchased by: ?
Symptoms: Anticoagulant therapy, Arthralgia, Computerised tomogram abnormal, Erythema, Groin pain, Magnetic resonance imaging abnormal, Pain, Pain in extremity, Surgery, Thrombectomy, Thrombosis
SMQs:, Anaphylactic reaction (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Osteonecrosis (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prazosin; hydrazine; CETAPHIL; FLONASE
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 03/17/2023 MRI and CAT Scan, positive for blood clot
CDC Split Type: vsafe

Write-up: I had vaccination on 10/07/2022. On 03/17/2023 I ended up in the hospital. I had a small pinch in my calf a few days prior. I thought it was a sports injury. The pain radiated from calf to behind my knee cap with a red line. It was sore in that area. On 03/17/2023 the pain was from top of foot up the calf all the way up to my groin. The red line was visible. I went to the urgent care and they did a MRI and CAT Scan. I had a massive blood clot and I was rushed into surgery. The blood clot was pulled out but they couldn''t get all of it. I am presently on blood thinners and I am being monitored with a specialist.


VAERS ID: 2537756 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-19
Onset: 2022-12-16
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2022-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CRESTOR; LOVAZA; gabapentin; baby aspirin; XYZAL; LEXAPRO; metoprolol; FLEXERIL; iron; vitamin D; calcium; magnesium
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; Osteoarthritis; Irregular Heartbeat; Anxiety
Allergies: Prednisone; hydrocodone
Diagnostic Lab Data: 17DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 12/17/22. I started having symptoms on 12/16/22. I had congestion, sore throat, cough, a bad headache, and body aches. I went to urgent care and was prescribed 5 days'' worth of PAXLOVID, benzonatate, and albuterol. I felt terrible until 12/19/22 and I started to feel a lot better. I still have some congestion, but other than that I feel pretty good.


VAERS ID: 2614480 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-12
Onset: 2023-03-29
   Days after vaccination: 168
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 053D22A / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphthous ulcer, Dysphagia, SARS-CoV-2 test negative, Sacroiliac joint dysfunction, Streptococcus test positive
SMQs:, 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), Arthritis (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 29MAR2023 Strep test - Positive; 29MAR2023 COVID-19 Test - Negative
CDC Split Type: vsafe

Write-up: I tested positive for Strep on 3/29/23. I had a slight sore throat and difficulty swallowing. I also had some canker sores on my tongue. I contacted a doctor and was prescribed Penicillin. This lasted for about a week but was prescribed 10 days'' worth of medication. I am feeling much better now.


VAERS ID: 2624650 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-24
Onset: 2023-04-01
   Days after vaccination: 189
Submitted: 0000-00-00
Entered: 2023-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Sciatica
SMQs:

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: Metformin
Current Illness: N/A
Preexisting Conditions: Diabetic
Allergies: Bees; penicillin; aloe vera; BACTRIM; strawberries; shellfish
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had no adverse reaction to the vaccine. I have a history of sciatica pain. In 04/2023, I had a flare up and went to the doctor and got a prednisone shot. I have been referred to physical therapy and will start this week.


VAERS ID: 2550236 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-10-02
Onset: 2022-12-19
   Days after vaccination: 78
Submitted: 0000-00-00
Entered: 2023-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: SYNTHROID; XIIDRA; estradiol; vitamin D3, D-mannose; RHEUMATE; turmeric; fish oil; PRESERVISION; biotin; FLORASTOR probiotic
Current Illness: None
Preexisting Conditions: Thyroid removed
Allergies: Cedar; BACTRIM
Diagnostic Lab Data: 12/19/2022 at home COVID-19 test negative; 12/20/2022 at home COVID-19 test negative; 12/21/2022 at home COVID-19 test positive; 12/31/2022 at home COVID-19 test negative
CDC Split Type: vsafe

Write-up: I contacted my doctor through the portal telling her I tested positive for COVID-19. She prescribed PAXLOVID. I started it that night. It was supposed to be five days of treatment, but I only took it for two and a half days. PAXLOVID made me feel worse. I couldn''t eat or sleep. My symptoms were mild. I just felt tired. I also had a sore throat, congestion, and chills. The chills only lasted the first night. It took me two weeks before I tested negative for COVID-19 again.


VAERS ID: 2544640 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-22
Onset: 2022-12-26
   Days after vaccination: 95
Submitted: 0000-00-00
Entered: 2022-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Influenza virus test, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: Estradiol; progesterone
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa drugs
Diagnostic Lab Data: Covid test; flu test
CDC Split Type: vsafe

Write-up: I caught Covid a few months after my last Covid booster. I have congestion, cough, sneezing, headache, and fatigue. I am currently experiencing those symptoms. I also had the flu vaccine at the same time as the Covid booster.


VAERS ID: 2613088 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-10-07
Onset: 2023-03-27
   Days after vaccination: 171
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Quarantine, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Metoprolol; hydrochlorothiazide; potassium citrate
Current Illness: N/A
Preexisting Conditions: Obesity; Kidney Stones; Hyperlipidemia; Super Ventricular Tachycardia
Allergies: Seasonal allergies
Diagnostic Lab Data: 03/30/2023 test COVID-19 positive
CDC Split Type: vsafe

Write-up: I had my vaccination on 10/07/2022. I started to have a cough on 03/27/2023. I had a telehealth appointment on 03/28/2023. I tested COVID-19 positive on 03/30/2023. I quarantined and I presently feel better on 04/11/2023.


VAERS ID: 2551558 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Texas  
Vaccinated: 2022-10-05
Onset: 2022-12-14
   Days after vaccination: 70
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 060F22A / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bronchitis, COVID-19, Chest X-ray abnormal, Chest discomfort, Cough, Dehydration, Fatigue, Headache, Influenza virus test negative, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Cardiomyopathy (broad), Infective pneumonia (broad), Dehydration (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: Home antigen tests 12/15/2022, 12/20/2022, 12/25/2022 positive results; Home antigen tests 12/26/2022, 12/28/2022 negative results; Rapid antigen test, Chest X-Ray, RSV test, Flu test 12/15/2022 COVID-19 and Acute Bronchitis detected, negative for Flu and RSV.
CDC Split Type: vsafe

Write-up: I received the Moderna Bivalent COVID-19 booster and a flu shot on 10/5/2022. On 12/14/2022, I started to have cold-like symptoms that included a slight sore throat, a slight cough, headache, and body aches. On 12/15/2022, I took 2 home antigen tests, and they both yielded positive results. I began having chest discomfort, so I went to the ER on 12/15/2022. At the ER, I was tested for COVID-19, RSV, and the flu. They also took chest X-rays. I tested positive for COVID-19 and also had acute bronchitis, but I tested negative for the flu and RSV. At the ER, I was given acetaminophen and a saline solution intravenously, because I was also dehydrated. I was then prescribed MUCINEX for the cough and cold symptoms. I was also prescribed benzonatate to treat the cough, prescription strength TYLENOL, an albuterol inhaler for the bronchitis, and a 6-day supply of MEDROL 4mg tablets. My symptoms improved within a day. I tested again 5 days later and still got a positive result. I tested again on 12/25/2022 and got another positive result. On 12/26/2022, I finally got a negative test result. I took another test on 12/28/2022, I took another home test and got another negative result; after that, I felt that it was safe to be around my family. At the time of this writing, I still have some fatigue, but I otherwise feel fine.


VAERS ID: 2612286 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Texas  
Vaccinated: 2022-09-23
Onset: 2023-03-14
   Days after vaccination: 172
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA A57143C / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anticoagulant therapy, Computerised tomogram thorax abnormal, Echocardiogram normal, Pulmonary thrombosis, Ultrasound scan normal
SMQs:, Embolic and thrombotic events, venous (narrow), 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? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations: DPT-Reaction action. Event happened as a child.
Other Medications: Actonel; Amlodipine; Baby Aspirin; Vitamin B-Complex; Carvedilol; Cos amine ASU; Levothyroxine; Lisinopril; Lovastatin; Omeprazole; Slow Iron; Vitamin D3; Tums; Multi-Vitamin
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Arthritis
Allergies: Apples, Erythromycin; Ketoconazole
Diagnostic Lab Data: Catscan-March 14-Multiple clots found on both sides. Catscan-March 13, 2023-Clot discovered on one sides Ultrasound-No clots found Echocardiogram-Heart normal-
CDC Split Type: vsafe

Write-up: I had a CT scan for something else and they found a blood clot in my lung. My doctor sent me immediately to the emergency room. I had another catscan and they admitted me to the hospital after finding clots in both lungs. I had a few shots of blood thinner and put me on Xarelto. I was kept in the hospital for 1 day and released. I have since seen my doctor who referred me to a hematologist. Who advised that I would be on this medication for the rest of my life.


VAERS ID: 2509628 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Utah  
Vaccinated: 2022-11-05
Onset: 2022-11-16
   Days after vaccination: 11
Submitted: 0000-00-00
Entered: 2022-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GG3275 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Feeling abnormal, Viral infection
SMQs:, Anaphylactic reaction (broad), Dementia (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: Omeprazole
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Codeine; cefdinir
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: Starting on Wednesday November 9, 2022, I woke up really tired. As the week went on I developed a cough, and I was not feeling really good. On Friday I went to the doctor, and I had a really deep cough. They told me I had a virus. I was prescribed TESSALON and told to rest and drink plenty of water. On the weekend I did not feel much better. As of today, I am feeling better. I still have the cough and it is deep from my chest.


VAERS ID: 2618379 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Utah  
Vaccinated: 2022-10-19
Onset: 2022-10-20
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2023-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Feeling abnormal, Mobility decreased, Muscle spasms, Pain, Urine analysis normal
SMQs:, Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Tendinopathies and ligament 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? No
Previous Vaccinations:
Other Medications: LEXAPRO; ALESSE; multivitamin; vitamin C; vitamin D
Current Illness: Cold
Preexisting Conditions: Chronic Pain; Anxiety; Depression
Allergies: Seasonal; latex
Diagnostic Lab Data: 10/24/2022 Blood test, normal; 10/24/2022 Urinalysis, normal
CDC Split Type: vsafe

Write-up: I started having super bad cramps. They felt like period cramps, but they were way worse. I couldn''t get out of bed. I also had body aches as well. I didn''t feel good. I took ibuprofen 600mg, but that didn''t do anything. I ate and wasn''t pregnant at the time. I went to urgent care. They did blood and urine tests, but they didn''t find anything. It''s still occurring. I take ibuprofen. They are messing around with my birth control, but I do not have a diagnosis yet.


VAERS ID: 2615284 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Utah  
Vaccinated: 2022-10-11
Onset: 2023-03-28
   Days after vaccination: 168
Submitted: 0000-00-00
Entered: 2023-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Headache, Pyrexia, SARS-CoV-2 test positive, Sinus disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Alfuzosin; oxybutynin; finasteride; atorvastatin; binifibrate; omeprazole; escitalopram; lisinopril; docusate sodium; multivitamin; fish oil; glucosamine chondroitin
Current Illness: None
Preexisting Conditions: Heart Disease; Kidney Issues; High Cholesterol
Allergies: None
Diagnostic Lab Data: 03/29/2023 at home COVID-19 positive
CDC Split Type: vsafe

Write-up: It felt like I had a head cold. It was accompanied by a fever of about 101-degrees. I tested for COVID-19 the next day. The result was positive. The symptoms included severe lack of energy, extreme sinus issues, and headache. I received PAXLOVID. They gave me a lighter dose because of my previous kidney issues. I took ibuprofen on a regular basis during that time as well. They told me to stop taking atorvastatin while I was taking PAXLOVID.


VAERS ID: 2593892 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Male  
Location: Utah  
Vaccinated: 2022-09-07
Onset: 2023-01-19
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Acute kidney injury, Angiogram normal, Arrhythmia, Asthma, Blood calcium decreased, Blood pressure increased, Blood test abnormal, COVID-19, Cardiac function test, Cardiac imaging procedure normal, Cardiac stress test normal, Chest X-ray abnormal, Chest discomfort, Diarrhoea, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Hyperhidrosis, Hypertensive crisis, Hypocalcaemia, Lung disorder, Mitral valve incompetence, Night sweats, Peripheral swelling, Pollakiuria, Renal impairment, Respiratory disorder, SARS-CoV-2 test positive, Scan with contrast normal, Stress, Tachycardia, Troponin increased, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (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), Dementia (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Tumour lysis syndrome (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Opportunistic infections (broad), COVID-19 (narrow), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Daily multivitamin; vitamin B complex; losartan; rosuvastatin; diclofenac; trazadone; montelukast; FLONASE; testosterone
Current Illness: None
Preexisting Conditions: Asthma; Hypertension; Hyperlipidemia
Allergies: None
Diagnostic Lab Data: EKG, an arrhythmia and tachycardia; CT Angiogram with Contrast, normal; Echocardiogram, mitral valve regurgitation; Heart MRI stress test, normal; Bloodwork, showed an acute kidney injury, varying levels of high white blood cell count, and other abnormal individual white blood cells., Blood calcium level was hypocalcemic, elevated Troponin levels
CDC Split Type: vsafe

Write-up: 1/19/2023 that evening I began having frequent urination and I had a pretty bad night sweat that night. The next morning, I started having, what I thought was an asthma attack, trouble breathing. The next day I began having trouble breathing and felt fatigued. I started using my inhaler. The night sweat was worse the night of 1/20/23, drenched my sheets, along with the frequent urination. 1/21/23 I continued to have trouble breathing and felt more fatigued. I was on a cruise ship and the captain made an announcement that there were cases of COVID on the ship. That night was the worst night sweat of all. You could wring out the sheets I sweated so bad. 1/22/23 in the morning, I am still super fatigued. I checked into the airport to fly home. I had diarrhea. I began having daytime sweating. I did a home COVID test and it was positive. My temperature was normal. My blood pressure was elevated. I went to an urgent care clinic, that day, I had a COVID test and it was positive. I was prescribed PAXLOVID and prednisone. My blood pressure was elevated. I began taking the PAXLOVID that same day. I began feeling better, my lungs started clearing up a little bit. After the course of the medications, I was still not feeling right. I was still having occasional night sweats. At that point, I went into urgent care on 1/29/23 complaining about my respiratory issues and my blood pressure was elevated higher than the week before. I had a chest x-ray which looked mostly good, there was a spot that did not look normal. I was prescribed a Z PAK. The Z PAK helped a little bit, but did not solve everything. I was on that for 5 days or a week. On 2/2/23 I had a telehealth visit. Told me to give the antibiotic more time to work. On 2/6/23 I went to a pharmacy and had a positive COVID test. On 2/10/23 I was going downhill again. My blood pressure was still high, I had swelling in my hand. Another chest x-ray was done and nothing had change. The did bloodwork was normal and I was diagnosed an acute kidney injury. I was given a breathing treatment in the office to clear out my lungs. I was prescribed a second blood pressure medication, lamtidine. 2/13/23 my blood pressure is critically high. I had a telehealth appointment and was sent to the emergency room. I went that day. I had an EKG which was normal. My blood pressure was very elevated. My blood pressure went down while in the emergency room, they said stress was probably causing the elevated blood pressure. They discharged me and said to see my primary care doctor. I saw my primary care doctor on 2/14/23 and he started me on a third blood pressure medication, olmesartan. He also put me on another round of prednisone and antibiotics because my lungs were still not clear. That still did not correct my blood pressure issue. On 2/15/23 my blood pressure is sky high. I began having some chest discomfort. I went to the ER that day. The EKG I had was abnormal and my blood pressure is well of 200/100 and something. I was given IV labetalol. That got me out of my hypertensive crisis. They kept me overnight for observation. More heart tests were run. There was troponin in my bloodstream indicating I had heart muscle that was dying off. My white blood cell count was 19.2, extremely high. The next day, my blood pressure is mostly normal. My heart checked out, for the most part, fine. I have mild mitro valve regurgitation, but said it was very mild and did not need treatment. I was released, with my blood pressure stable, but not normal. I was told to follow up with my primary physician. I started self-medicating with my blood pressure medicine, experimenting with the different blood pressure medications. The amlodipine at an increased dose seemed to work the best. I am able to stay below emergency levels at home, on my own. I saw my primary physician on 2/27/23 and he prescribed another blood pressure medication, MATZIM. My lung and kidney functions are not back to normal. That starts helping, but need to take more, so I began taking a double dose. I tested positive for COVID. I am supplementing with amlodipine along with the MAXIM. I went back for a follow up visit on March 7. I have been referred to an internal doctor. I am now waiting to see what the next step is.


VAERS ID: 2617194 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-24
Onset: 2023-01-20
   Days after vaccination: 118
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, 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: Gabapentin; Lisinopril; Zetia; Singulair; Dexilant; Allegra; Vitamin D3; Omega 3; Vitamin B; Lithium Orotate
Current Illness: N/A
Preexisting Conditions: Fibromyalgia; Bipolar Disorder II; Seasonal Allergies
Allergies: Bananas; Avocados; Melons; Mango; Papaya; Dairy
Diagnostic Lab Data: 20JAN2023 - COVID-19 At Home Test - Positive
CDC Split Type: vsafe

Write-up: I felt like I was getting a cold. I was tired, no fever, nasal drainage. I didn''t have serious symptoms. I did not suffer greatly.


VAERS ID: 2501757 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-24
Onset: 2022-10-30
   Days after vaccination: 36
Submitted: 0000-00-00
Entered: 2022-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Lethargy, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: Multivitamin; blood pressure medication
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: COVID-19 positive at home test
CDC Split Type: vsafe

Write-up: I had runny nose for the first 24 hours then became very lethargic and had headaches. That''s as far as it went, I slept it off for a couple of days. I took over the counter TYLENOL and SUDAFED since it didn''t get any worse I didn''t need to take any antivirals. I''m a little stuffy today but feel fine and don''t have any other symptoms.


VAERS ID: 2604145 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-17
Onset: 2022-11-28
   Days after vaccination: 72
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 3 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Atrial fibrillation, Impaired work ability, Joint fluid drainage, Joint swelling, Mobility decreased, Staphylococcal infection
SMQs:, Supraventricular tachyarrhythmias (narrow), Parkinson-like events (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (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: Metformin; vitamin C; vitamin B12; vitamin B3; CLARITIN D
Current Illness: N/A
Preexisting Conditions: Diabetic
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I did not have an adverse event after receiving the vaccine. On 11/28/2022 I developed AFIB while at rest. I went to the emergency room for observation and test. They gave me multiply medications via intravenous. I am being ween off medication. In 01/2023 I developed knee pain and swelling in my right knee. I went to clinic for orthopedics. They drained fluid from my knee and then went to the emergency room. Two days I later I had surgery and they found I had MSSA (Meticillin-Sensitive Staphylococcus aureus). I worked from home for a month due to the care I required. As of today, I am feeling better and able to move around.


VAERS ID: 2507228 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-30
Onset: 2022-11-07
   Days after vaccination: 38
Submitted: 0000-00-00
Entered: 2022-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 055F22B / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anosmia, COVID-19, Chills, Cough, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Upper respiratory tract congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: COSENTYX; vitamin D
Current Illness: No
Preexisting Conditions: Psoriatic Arthritis
Allergies: No
Diagnostic Lab Data: COVID-19 positive
CDC Split Type: vsafe

Write-up: I had a fever and a lot of upper respiratory congestion. I lost sense of smell for 1 day. I had a lot of chills and a sore throat, and lots of coughing. I still have some symptoms today and it''s day 7. I''m on PAXLOVID.


VAERS ID: 2543555 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-23
Onset: 2022-12-03
   Days after vaccination: 71
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: JARDIANCE; rosuvastatin; losartan; glipizide; metformin; omeprazole
Current Illness: N/A
Preexisting Conditions: Diabetes; Hypertension
Allergies: Penicillin; VASOTEC
Diagnostic Lab Data: COVID-19 at home test
CDC Split Type: vsafe

Write-up: I returned from a trip, and I was feeling fine for the first 4 days. I sat next to someone that was very ill because of the person sitting next to me on our way on the trip. I had a runny nose very mild cough. It was so mild I thought it was seasonal allergies. I took a at home COVID-19 test and it was positive and then went to the local clinic the next day. I was given some medication that I had never heard of, and I never got worse. My case was so mild that within days I didn''t have any more issues. I am not sure if it was the medication (LAGEVRIO) or that my case was so mild.


VAERS ID: 2503410 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-04
Onset: 2022-11-01
   Days after vaccination: 28
Submitted: 0000-00-00
Entered: 2022-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Cough, Ear discomfort, Fatigue, Headache, Hypopnoea, Influenza virus test negative, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative, Viral infection
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Respiratory failure (narrow), COVID-19 (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: None
Current Illness: No
Preexisting Conditions: Sarcoidosis; Celiac disease
Allergies: Gluten
Diagnostic Lab Data: Flu, COVID-19, Bronchitis, pneumonia, negative; chest x-ray, clear.
CDC Split Type: vsafe

Write-up: On Tuesday 11/1 I was tested for the flu and COVID-19, it''s also not bronchitis or pneumonia but it''s some kind of viral infection. Sore throat, headache, clogged ears, nasal congestion, shallow breathing, very fatigued and coughing that got worse and worse. These have been my symptoms and have been fairly severe. Today is day 8 and I''m on 3 different medications, I''m slowly improving but it''s definitely still there. I had COVID-19 this past May. The symptoms weren''t bad, I thought I had allergies. I had a scratchy throat and a slight temperature. What I have now is ten times worse than when I had COVID-19.


VAERS ID: 2649322 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-28
Onset: 2023-05-27
   Days after vaccination: 211
Submitted: 0000-00-00
Entered: 2023-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 049D22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Pain in extremity, Pyrexia, SARS-CoV-2 test positive, Taste disorder
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (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: N/A
Current Illness: N/A
Preexisting Conditions: Pre diabetic; High Cholesterol; High Blood Pressure
Allergies: Penicillin
Diagnostic Lab Data: 27MAY2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I had a sore arm for about a day after receiving the vaccine. I tested positive for COVID-19 on 05/27/2023. I had bad headaches and fever. I had a telehealth visit with an urgent care provider and got a prescription for Paxlovid. I tolerated the medication without any complications. I have noticed that I get tired a little more than I use to after having COVID-19. The taste of salt seems to be stronger after having COVID-19.


VAERS ID: 2543672 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-23
Onset: 2022-11-01
   Days after vaccination: 39
Submitted: 0000-00-00
Entered: 2022-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Culture urine positive, Eosinophil percentage increased, Klebsiella test positive, Ultrasound abdomen, Urine abnormality, Urine odour abnormal
SMQs:, Eosinophilic pneumonia (broad), Hypersensitivity (broad), Proteinuria (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; CLARITIN; HUMALOG; vitamin E
Current Illness: No
Preexisting Conditions: Diabetes; High Cholesterol
Allergies: No
Diagnostic Lab Data: Culture test on urine, culture revealed Klebsiella Pneumoniae the first time, but subsequent results did not confirm results. EOS Percentage was abnormal on blood test, 6.1.
CDC Split Type: vsafe

Write-up: 11/01/2022 morning urine was very cloudy and smelled terrible. Went to urgent care. Urgent care ran a culture test on urine. Prescribed cefalexin. Culture revealed Klebsiella Pneumoniae. After the course of cefalexin, I was placed on sulfameth/trimethoprim and then nitrofurantoin-mono/mac, and then cefuroxime during subsequent returns to doctor as symptoms did not improve. Doctor scheduled participant for abdominal ultrasound, but results are pending.


VAERS ID: 2602574 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-16
Onset: 2022-09-30
   Days after vaccination: 14
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthma, Condition aggravated, SARS-CoV-2 test, Upper respiratory tract infection
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), COVID-19 (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: Levoxyl; Calcium; Calcitriol; vitamin D3; Symbicort; Magnesium; Iron; Flonase; Zyrtec; Zomig
Current Illness: N/A
Preexisting Conditions: Asthma and Cancer survivor
Allergies: NASID''s; Sulfa; Cephalosporin; Penicillin
Diagnostic Lab Data: covid test - date unknown
CDC Split Type: vsafe

Write-up: Upper respiratory infection impacting my asthma.


VAERS ID: 2551564 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-05
Onset: 2022-11-23
   Days after vaccination: 49
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Back pain, Joint lock, Magnetic resonance imaging spinal abnormal, Pain, X-ray limb abnormal
SMQs:, Retroperitoneal fibrosis (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Losartan; vitamin D3; montelukast; levocetirizine; metformin; albuterol; megastore; menaquinone K2-7; omega acid; SE ZYME FORTE; zinc; rosuvastatin; fish oil; vitamin C; LEVOXYL; vitamin B12; MOTILIUM
Current Illness: Urinary Tract Infection
Preexisting Conditions: Gastroparesis; Hepatitis; Interstitial Cystitis; Uveitis; Glaucoma; Type 2 Diabetes; Herpes Symplex 2; Diverticulitis; Thyroiditis; Osteo Arthritis;
Allergies: LEVAQUIN; CTE found in hair dye; sensitivity to gluten; grains; nuts; grass; trees.
Diagnostic Lab Data: X-Ray, abnormal, 11/23/2022; MRI, abnormal, 012023
CDC Split Type: vsafe

Write-up: On December 13, 2022, I woke up and my knees were locked, and it was painful. I had to slowly unfurl my knees, especially my right one. I visited my doctor on November 23, 2022. I had an X-Ray. The pains began to spread to other parts of my body. I visited my orthopedist on December 8th. I had an MRI for my lumbar back. But the pains were now in my lower back, right hip, and shoulders. The pain is sharp to dull ache, especially when I move. I am using topical ointments to help relieve the pain. I have a follow-up appointment with my orthopedist on January 19, 2023.


VAERS ID: 2602365 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-22
Onset: 2023-02-14
   Days after vaccination: 145
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated, Cough, Discomfort, Dyspnoea, Dyspnoea at rest, Dyspnoea exertional, Insomnia, Lung disorder, Pulmonary function test abnormal, Pulmonary function test decreased, SARS-CoV-2 test positive, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (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: SPIRIVA; LIPITOR; PROAIR HFA; losartan; CLARITIN; MOTRIN
Current Illness: None
Preexisting Conditions: Wheezing; shortness of breath; postnasal drip
Allergies: None
Diagnostic Lab Data: 16FEB23 at home COVID test positive; 22MAR23-X Ray of Chest, COPD surge and bronchitis, 22MAR23 Breathing test, abnormal, very low from previous tests.
CDC Split Type: vsafe

Write-up: 2/14/2023 I had shortness of breath and wheezing and I had trouble sleeping at night. The shortness of breath was in the resting position as well as exercising. I have always had a cough, but this cough was more exaggerated and there was discomfort in my lungs. It all became worse. I was thinking it was allergies. On 2/16/2023 I had a positive at home COVID test. I had a telehealth with my doctor that day and was prescribed PAXLOVID and began taking it that day. I never got worse, and everything was fine. The first of March, I went to an ENT doctor for my annual wellness check that had been already scheduled. It was a nonstarter, he did not even look at me. I talked to my Pulmonologist on 3/21/23. I did not sleep at all the night before. I was coughing, wheezing the entire night. I had an appointment with the Pulmonologist on 3/22/23. I had a breathing test and failed. I had an x-ray of my chest and was started on prednisone and erythromycin. She diagnosed it as a COPD surge and maybe bronchitis. Last night I went to bed and have not slept that good in a year.


VAERS ID: 2602352 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-21
Onset: 2023-03-18
   Days after vaccination: 178
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: School       Purchased by: ?
Symptoms: Cough, Ear pain, Epstein-Barr virus test, Fatigue, Malaise, Mononucleosis heterophile test, Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test negative, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (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: Sertraline; metformin; AUROVELA; CLARITIN; OZEMPIC
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: EBV antibody test; Strep test
CDC Split Type: vsafe

Write-up: I was having a bad sore throat and pain in my ears. I went into my doctor because this was over the weekend. They did a strep test and tested me for Mono. The strep has come back as negative but I am still waiting on the Mono test. I have started having postnasal drip and a cough. Overall I am just feeling tired and not well. I had done an COVID-19 home test and it was negative as well.


VAERS ID: 2484378 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-11
Onset: 2022-10-12
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 050D2022 / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Oropharyngeal pain, Pharyngeal swelling, Pyrexia, Streptococcus test negative
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Johnson and Johnson Dose #1 and Dose #2 COVID-19 Vaccinations caused me to be sick for up to 5 days each. Symptoms included feve
Other Medications: WELLBUTRIN; clonazepam; PEPCID
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Sulfa drugs; penicillin
Diagnostic Lab Data: 10/2022 Strep test negative
CDC Split Type: vsafe

Write-up: I woke up the next morning and I had an extremely painful throat. I had chills, and most likely had a fever as well. I had pain and swelling around my throat. These symptoms lasted for about 4-5 days. My primary care tested me for strep throat and it came back negative. After the 5 day period I started to feel much better. As of now I am not experiencing any of these symptoms.


VAERS ID: 2597649 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-14
Onset: 2023-03-13
   Days after vaccination: 180
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysphonia, Productive cough, SARS-CoV-2 test, SARS-CoV-2 test negative, Throat irritation
SMQs:, Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Infective pneumonia (broad), COVID-19 (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: Atorvastatin; Montelukast; Levoxyl; Lisinopril; Aspirin; Bupropion; Citalopram; Centrum Silver; Colace; Metoprolol; Omeprazole; Zetia; Insulin pump
Current Illness: N/A
Preexisting Conditions: Diabetes Type I; Hypothyroidism; High Cholesterol; Depression
Allergies: Pet Dander; Mold; Dust Mites
Diagnostic Lab Data: COVID-19 rapid test, negative, 03132023
CDC Split Type: vsafe

Write-up: On March 13, 2023, I developed a scratchy throat, hoarseness and a hacking cough with a little bit of phlegm. I consulted a doctor and I am being treated with amoxicillin. I have not received the results from the PCR test taken at the doctor.


VAERS ID: 2617723 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-11-07
Onset: 2022-12-09
   Days after vaccination: 32
Submitted: 0000-00-00
Entered: 2023-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 019H22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Anticoagulant therapy, Blood test, Cardiovascular disorder, Computerised tomogram thorax abnormal, Dyspnoea, Echocardiogram normal, Electrocardiogram abnormal, Pulmonary embolism, Pulmonary thrombosis, Scan with contrast abnormal
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Noninfectious myocarditis/pericarditis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: After my first Pfizer COVID-19 booster, I experienced chills and a fever of 102. I took a couple of 650mg Tylenol. About two hou
Other Medications: Apple Cider Vinegar; Vitamin C; Cetirizine; Cinnamon Bark; Glipizide; Jardiance; Losartan; Metformin; Omega 3 Fatty Acids; Primidone; Rosuvastatin; Cialis; Tamsulosin; Multivitamin; Trazodone (As Needed); Wixela Inhaler
Current Illness: None
Preexisting Conditions: Diabetes, Type II; Survivor of Prostate Cancer; Growth in Left (?) Lung (First Detected Over 30 Years Ago); COPD; History of Myocardial Infarction; Hypertension; Post-Traumatic Stress Disorder; Kidney Disease, Stage 3
Allergies: Shellfish; Lisinopril; Semaglutide
Diagnostic Lab Data: 09DEC2022 - Electrocardiogram - Slow Blood Flow Detected; 09DEC2022 - Pulmonary CT Scan with Contrast Dye - Pulmonary Embolisms Indicated; 22DEC2022 - Echocardiogram - Results Normal
CDC Split Type: vsafe

Write-up: I saw my cardiologist for a routine, six-month exam on 12/9/2022. I underwent an electrocardiogram. My cardiologist told me that my blood flow was slow. She said that this sometimes happens with some people, but in my case, she wanted to make sure I didn''t have any blockages. At that point, I was sent to the blood bank to undergo a blood draw and a test whose name I don''t know. About an hour or two later, I got a call asking me to come to the hospital to undergo a pulmonary CT scan with contrast dye. About an hour or so after undergoing the CT scan, I was instructed to go to the ER. I went to the ER and waited for a couple of hours to be seen. The ER doctor told me that I had some blood clots in my lungs. He asked me how I felt and wanted to know if I felt well enough to go home. He explained that pulmonary embolisms are now no longer treated the way they used to be. In the past, anyone with a pulmonary embolism would have automatically been hospitalized, but nowadays, if the patient feels well enough to go home, they are released, and the embolism is treated with medication. I was then prescribed Eliquis to treat the embolisms and then sent home. Nowadays, if I overexert myself, I can get a little winded. I went back to the cardiologist on 12/22/2022. I underwent an echocardiogram, and my cardiologist said that everything looked fine. I was also scheduled me for an exercise stress echocardiogram, which I am due to undergo later this month. I was originally told that I would be taking Eliquis for about three months, but on account of my history of previous heart issues, the MD told me that I would be taking 5mg of Eliquis twice a day for at least six months. After that point, they may put me on a lower maintenance dose.


VAERS ID: 2602279 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-19
Onset: 2023-01-29
   Days after vaccination: 132
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7146B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Feeling abnormal, Malaise, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Dementia (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: COZAAR; CALTRATE; acyclovir; WELLBUTRIN; photonics; PROZAC; SINGULAIR; ZYRTEC; PREMARIN; ARMOUR THYROID
Current Illness: N/A
Preexisting Conditions: Gastroparesis; High Blood Pressure; Hypothyroidism
Allergies: Lisinopril
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: I was having a cough and I was traveling. I made an appointment with an urgent care because I took a COVID-19 home test and it was positive. I was fatigued, decreased appetite and I just did not feel good. I was given PAXLOVID which really did not seem to help my symptoms that I noticed. My spouse did also test positive as well.


VAERS ID: 2598579 (history)  
Form: Version 2.0  
Age: 80.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-15
Onset: 2023-02-24
   Days after vaccination: 162
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Eye irritation, Eye pruritus, Fatigue, Herpes zoster, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Corneal disorders (broad), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril; atenolol
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I felt tired after receiving the vaccine and my arm was sore for a day. My left eye felt irritated and itchy. The symptoms are all isolated on the left side of my face. I went to an urgent care center and was given two prescriptions prednisone and valacyclovir. I saw my Ophthalmologist and she gave me an ointment prescription. I have a follow-up appointment in a couple of weeks. I do not have pain from the Shingles, but I am still dealing with me.


VAERS ID: 2480367 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-07
Onset: 2022-10-12
   Days after vaccination: 5
Submitted: 0000-00-00
Entered: 2022-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Ear pain, Fatigue, Headache, Pain, SARS-CoV-2 test positive, Somnolence, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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: Whooping Cough 5 years ago; 2 additional breakthrough cases after 3rd dose mild.
Other Medications: Hormone replacement therapy; SYNTHROID; TYLENOL; diazepam; vitamin; multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin; buckwheat; bees
Diagnostic Lab Data: COVID-19 home test on 10/14/2022.
CDC Split Type: vsafe

Write-up: I started to feel really tired. By 5PM I was so tired I wanted to nap. On Thursday I developed a cough and by Friday I woke up with a cough and my daughter indicated that it sounded different. I woke up Friday with pain in my ears, so I decided to complete an at home COVID-19 test which was positive. The cough got worse with a headache. I called my doctor and he prescribed PAXLOVID. I just rested. On Saturday the cough was much more pronounced. Yesterday I started to feel like I was over the worse part, but I am still very tired, and I still cough if I move much. I have a lot of postnasal drip and aches. I have not had a temperature so far.


VAERS ID: 2480414 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-01
Onset: 2022-10-08
   Days after vaccination: 7
Submitted: 0000-00-00
Entered: 2022-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ AR / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Discomfort, Lethargy, Malaise, Nasal congestion, SARS-CoV-2 test positive, Sinus pain
SMQs:, Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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: ALLEGRA; SINGULAIR; vitamin C; fish oil; multivitamin; OCUVITE for vision
Current Illness: No
Preexisting Conditions: Mold allergy
Allergies: Sulfa; mold allergy
Diagnostic Lab Data: Positive at home COVID-19
CDC Split Type: vsafe

Write-up: Began experiencing symptoms on October 8th. Began with nasal congestion, sinus pain, and pressure. By Monday I began having extreme lethargy. Possible low grade fever. On Wednesday and Thursday began having diarrhea. Began taking PAXLOVID on Monday October the 10th. Symptoms persisted until 10/15.


VAERS ID: 2488662 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-12
Onset: 2022-10-16
   Days after vaccination: 34
Submitted: 0000-00-00
Entered: 2022-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PROLIA injection; FLONASE; calcium supplement; multivitamin; vitamin D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: None
Diagnostic Lab Data: 10/20/2022 home test positive.
CDC Split Type: vsafe

Write-up: On Sunday, 10/16/2022 I started with a cough, head congestion, low fever and fatigue. I did a home test on Thursday, 10/20/2022 in the morning and the results were positive. My symptoms were a little worse at this time. I called my doctor on 10/20/2022 and she prescribed a cough medicine, and recommended MUCINEX. I am still recovering, but I will probably start feeling better over the weekend.


VAERS ID: 2600415 (history)  
Form: Version 2.0  
Age: 87.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-19
Onset: 2023-03-06
   Days after vaccination: 168
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7112B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: ENTRESTO; Isosorbide Mononitrate; Spironolactone; Rosuvastatin; Krill Oil; Aspirin; Pantoprazole; Tamsulosin; Finasteride; Refresh Eye Drops; Airborne Gummies; Joint Health Supplement; Nitroglycerin (As Needed)
Current Illness: None
Preexisting Conditions: Heart Condition; Acid Reflux Disease; Enlarged Prostate; Joint Pains
Allergies: Ciprofloxacin; Metoprolol; Plavix; Ranolazine; Zocor
Diagnostic Lab Data: 09MAR2023 - Home Antigen Test - Positive Result; 21MAR2023 - Home Antigen Test - Negative Result
CDC Split Type: vsafe

Write-up: On the evening of 3/6/2023, I developed a sore throat, which was followed by a severe cough, runny nose, and light headache. Over the following week, I had the same symptoms, but the headaches were worse. I was also easily fatigued. I took a home antigen 3/9/2023 and got a positive result. I then saw my doctor, who prescribed me Paxlovid, which I began that evening. The symptoms stayed pretty much the same until two or three days afterwards. They then lessened. I still had the cough, runny nose, headache, and fatigue, but they were less intense. I took a home antigen test earlier today and got a negative result, but I still have the symptoms of coughing, runny nose, light headache, and fatigue. The advisory on the box indicated that the test shouldn''t be used after July 2022, but I don''t know if that makes a difference.


VAERS ID: 2598651 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-09
Onset: 2022-12-30
   Days after vaccination: 112
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Computerised tomogram abnormal, Differential white blood cell count abnormal, Drainage, Full blood count abnormal, Kidney infection, Lithotripsy, Metabolic function test normal, Nephrolithiasis, Pyrexia, Stent placement, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: TRELEGY; SINGULAIR; ALLEGRA; LIPITOR; VTAMA; BUSPAR; omeprazole; vitamin D3; vitamin B12
Current Illness: None
Preexisting Conditions: Diverticulosis; Asthma; High Cholesterol; Anxiety; Psoriasis
Allergies: Seasonal; latex; CIPRO; morphine; BACTRIM; codeine; selective serotonin reuptake inhibitors
Diagnostic Lab Data: 12/30/2022 CBC with differential, normal; 12/30/2022 Basic Metabolic Panel, normal; 12/30/2022 CT Scan, Kidney Stone; 01/01/2023 CT Scan, Kidney Stone with infection; 01/01/2023 CBC with differential, WBC High; 01/03/2023 Basic Metabolic Panel, normal
CDC Split Type: vsafe

Write-up: On December 30, 2022, I had a kidney stone. I went to the emergency room. They did a CT scan, gave me meds, and sent me home. On January 1, 2023, I was vomiting and had a 100-degree fever. I went back to the emergency room. They did another CT scan. They said I had an infection behind the stone. They put me in an ambulance and sent me to the hospital. On January 2, 2023, I had a stent put in to drain the infection. I was released from the hospital on January 3, 2023. Two weeks later, I went back to the hospital. They removed the stent. After they blasted the stone, they put the stent back. A week later, I went back to have the stent removed.


VAERS ID: 2487330 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-16
Onset: 2022-10-17
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Paraesthesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Tetanus, 2008, I came close to fainting.
Other Medications: Fish oil; vitamin D3
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: None
Diagnostic Lab Data: Not yet.
CDC Split Type: vsafe

Write-up: On 10/17/22, around 4:00AM I had fever, chills, and shivers. On 10/18/2022 around 8AM to 10AM I became aware of having tingling sensation in my extremities. The tingling sensation is primarily in the bottom left sole of my foot. After that day I started exercising the sensation spread from the left foot to both of my pinkies, ring fingers and both of my hands. For the hand after an hour the tingling did go away. The foot tingling is off and on. It seems to come and is pronounced when I put pressure on the foot. When I exercise it sometimes spreads to my right foot, but the tingling is predominantly on my left foot. I contacted my doctor by email, and she recommended to use ibuprofen and that did help my fever. I did that for 3 to 5 days. On 10/24/2022 I had a checkup with my doctor. The doctor ruled out prediabetes. She did a stroke test. She referred me to a neurologist. I have recovered from the fever and chills. I am still experiencing the tingling in my left foot. Sometimes when I exercise, the tingling does spread to other extremities.


VAERS ID: 2598677 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-14
Onset: 2023-01-26
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Feeling abnormal, Headache, Nasal disorder, Nasopharyngitis, SARS-CoV-2 test positive
SMQs:, Dementia (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: Levothyroxine; losartan; ezetimibe; CENTRUM SILVER women''s 50+ multivitamin; joint health supplement (collagen; boron; hyaluronic acid); calcium with D3; omega 3 krill oil; L-lysine; ALLEGRA; coQ10; magnesium; vitamin k2; MUCINEX
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol; Hypothyroid
Allergies: Seasonal
Diagnostic Lab Data: 202329Jan COVID19 rapid at home test (positive)
CDC Split Type: vsafe

Write-up: I started having slight cold like symptoms on January 26th and by the 27th I felt REALLY bad. I tested positive for COVID19 on January 29th. The next day I called my PCP and they prescribed PAXLOVID. My friend picked it up for me and left it on my porch so I didn''t have to have contact with anyone. Symptoms were mostly cold like, blowing my nose non-stop, a little tired, headache. I didn''t lose my sense of taste or smell but the PAXLOVID gave a bad metallic taste. I don''t remember being really achy, it was mostly just my head. I just did the 5 days quarantine, and 5 days masking.


VAERS ID: 2600066 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-12
Onset: 2023-02-06
   Days after vaccination: 147
Submitted: 0000-00-00
Entered: 2023-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bacterial infection, Failure to thrive, Mobility decreased, Productive cough, Respiratory disorder, SARS-CoV-2 test negative, Sneezing, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Neonatal disorders (broad), Hypersensitivity (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Infective pneumonia (broad), COVID-19 (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: Triamterene; multivitamin; FLONASE; OZEMPIC; sumatriptan; supra sulfate
Current Illness: N/A
Preexisting Conditions: Hashimoto''s; Overweight
Allergies: Latex
Diagnostic Lab Data: COVID-19 home test
CDC Split Type: vsafe

Write-up: I thought I was having allergies due to the season change around here. I was coughing up phlegm, sneezing, postnasal drip, I did have a small temperature. I had been at an even where people got sick. I did take a test for COVID-19 and it was negative. I was so fatigued that I stayed in bed for three days. I had a virtual appointment with my PCP, and they said it was a bad upper respiratory infection. They said it was bacterial and I was put on a Z-PAK. It took about three weeks to really recover.


VAERS ID: 2510623 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-26
Onset: 2022-10-27
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9697 / 1 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Work       Purchased by: ?
Symptoms: Axillary mass, Impaired work ability, Oedema peripheral, Pain in extremity
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; valsartan; bupropion; fluoxetine; aspirin; iron; DULCOLAX
Current Illness: None
Preexisting Conditions: High Blood Pressure; High Cholesterol; Anxiety; Depression
Allergies: Azithromycin
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: After receiving my vaccines, I went home and went to sleep because I work nights. My arm was in pain which I expected. When I woke up, I felt like I had a cold, so I only worked a short shift. I went in at 04:00AM instead of 12:00AM. When I was getting ready for work the following night, while taking a shower, I noticed that under my left arm was swollen. When I checked it out after getting out of the shower, I noticed a large lump under my arm. On 10/28/2022, I went to a local clinic because the lump was still there and was still swollen. The physician there told me that it was a normal reaction and advised that I take TYLENOL and use warm compresses. I currently still have slight swelling, but it has gone down significantly, and it is no longer concerning.


VAERS ID: 2539343 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-20
Onset: 2022-12-19
   Days after vaccination: 90
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7148B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR - / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Influenza virus test positive, Pain, Pyrexia, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Multivitamin
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Codeine; AMBIEN
Diagnostic Lab Data: 19DEC2022 COVID-19 test negative; 19DEC2022 flu test positive
CDC Split Type: vsafe

Write-up: I tested positive for the flu on 12/19/22, but negative for COVID-19. I had fatigue, body aches, chills, a fever of 102.6. I contacted my doctor and was prescribed TAMIFLU. I also took TYLENOL as needed. I am feeling better, but still dealing with some of these symptoms.


VAERS ID: 2557673 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-27
Onset: 2023-01-08
   Days after vaccination: 103
Submitted: 0000-00-00
Entered: 2023-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ RA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Chills, Ear discomfort, Fatigue, Flushing, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sleep disorder, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: First two covid-19 vaccines gave me mild flu like symptoms for 24 hours.
Other Medications: Modafinil; simvastatin; aripiprazole; loratadine; furosemide; losartan; vitamin B12; calcium with vitamin D3 and potassium; SYMBICORT; albuterol as needed
Current Illness: Asthma had been acting up
Preexisting Conditions: Asthma; Narcolepsy; Hypertension; hyperlipidemia; B12 deficiency
Allergies: BACTRIM; amoxicillin; meloxicam; cat dander; mold; mildew
Diagnostic Lab Data: COVID-19 test positive
CDC Split Type: vsafe

Write-up: 01/08 began having flushness in face and began having chills. Was not running fever. 01/09 Woke up in the middle of the night with a lot of congestion, pressure in my ears, swelling in my neck, and sore throat. In the morning when I woke up I took a COVID-19 test and it was positive. Called PCP and was prescribed PAXLOVID. Symptoms have maintained and I have also had extreme fatigue. Developed metallic taste in my mouth after beginning PAXLOVID. 01/11/2023 Symptoms have been improving but still very fatigued.


VAERS ID: 2565702 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-01
Onset: 2023-01-02
   Days after vaccination: 93
Submitted: 0000-00-00
Entered: 2023-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Pioglitazone HCL; lisinopril; metformin
Current Illness: N/A
Preexisting Conditions: Type 2 Diabetic
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 1/2/23. I had cold symptoms and that is it. Not even a bad cold. I had congestion, deep cough, and fatigue. No other symptoms. The deep cough is what made me think I had more than a cold. I contacted my doctor to inquire about PAXLOVID, and he told me not to take it unless I had shortness of breath. So, I did not take it.


VAERS ID: 2530031 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-12
Onset: 2022-11-24
   Days after vaccination: 73
Submitted: 0000-00-00
Entered: 2022-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Influenza, Influenza virus test positive, Pyrexia, SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Vitamin D3; low dose aspirin; amlodipine besylate; metoprolol; LIPITOR; COZAAR
Current Illness: None
Preexisting Conditions: High blood pressure; high cholesterol; Prostrate cancer
Allergies: None
Diagnostic Lab Data: COVID test, negative; flu test, positive
CDC Split Type: vsafe

Write-up: 11/24/22 I had fever and chills. My temperature got up to 101.4. The next day I took some heavy-duty TYLENOL and that helped bring the temperature down some. I went to the doctor the next day. They did a COVID test, and a flu test and the flu test was positive. They prescribed TAMIFLU for 5 days. I am now over the flu.


VAERS ID: 2530123 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-07
Onset: 2022-10-28
   Days after vaccination: 51
Submitted: 0000-00-00
Entered: 2022-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, 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: Rosuvastatin; lisinopril; loratadine; vitamin D3; acetaminophen; fluticasone
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: N/A
Diagnostic Lab Data: 29OCT2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 10/29/22. I had fatigue, congestion, and a runny nose. I contacted my doctor, and he prescribed 5 days worth of PAXLOVID. After I started to feel better, I had a rebound case on 11/5/22. I just had a little congestion and minor cold like symptoms.


VAERS ID: 2606792 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-22
Onset: 2023-01-23
   Days after vaccination: 123
Submitted: 0000-00-00
Entered: 2023-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Impaired driving ability, Respiratory tract congestion, SARS-CoV-2 test positive, Sleep disorder
SMQs:, Anaphylactic reaction (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: Anastrozole; vitamin D
Current Illness: N/A
Preexisting Conditions: Lung Cancer Survivor; Breast Cancer Survivor
Allergies: Penicillin
Diagnostic Lab Data: COVID-19 home test 01/23/2023 positive.
CDC Split Type: vsafe

Write-up: I was at work that morning and started feeling like I had congestion. Within 2 hours I had a splitting headache. It was so bad I felt I should hardly drive. When I got home, I began to feel worse and just went to bed. I was coughing pretty badly when I woke up. I called the doctor, and they didn''t think that I sounded that bad. Wednesday when I started feeling really bad and my cough was so bad, I was unable to sleep lying down I had to sleep in a chair. I called my doctor and he prescribed PAXLOVID and a cough medication. I was already taking over the counter cold medications. My symptoms became tolerable, but I still didn''t feel better better. I am still coughing sometimes.


VAERS ID: 2610653 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-28
Onset: 2022-12-31
   Days after vaccination: 64
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Choking sensation, Fatigue, Oropharyngeal pain, Pain in extremity, Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PYRIDIUM
Current Illness: N/A
Preexisting Conditions: Bladder Pain; GERD
Allergies: N/A
Diagnostic Lab Data: 31DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I was tired and my arm was sore for about a day after receiving the vaccine. I tested positive for COVID-19 on 12/31/2022. I had a really bad sore throat, congestion, postnasal drip and I felt like I was choking. The stuff dripping in my throat made me feel like I was choking. I went to an urgent care center and got a prescription for PAXLOIVD. I tolerated the medication without any complications. As of today, I continue to have periods of feeling fatigued.


VAERS ID: 2517252 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-14
Onset: 2022-09-14
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ25201 / 4 - / OT
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Dizziness, Off label use, Product use issue, Tinnitus
SMQs:, Anticholinergic syndrome (broad), Hearing impairment (narrow), Vestibular 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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Prior medical history: No
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INCPV20220006671

Write-up: tinnitus; dizziness; influenza 14Sep2022; influenza 14Sep2022; The initial case was missing the following minimum criteria. Upon receipt of follow-up information on 22Nov2022, this case now contains all required information to be considered valid. This is a spontaneous report received from a contactable reporter(s) (Nurse), Program ID: (005570). The reporter is the patient. A 57-year-old female patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 14Sep2022 as dose 4 (booster), 0.3 ml single (Lot number: GJ25201) at the age of 57 years intramuscular for covid-19 immunisation; influenza vaccine inact split 4v (QUADRIVALENT INFLUENZA VACCINE), on 14Sep2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient had no relevant medical history. The patient''s concomitant medications were not reported. Vaccination history included: coviD-19 vaccine (Dose 1; Manufacturer Unknown), administration date: 28Dec2020, when the patient was 55-year-old, for COVID-19 Immunization; Covid-19 vaccine (Dose 2; Manufacturer Unknown), for COVID-19 Immunization; Covid-19 vaccine (Dose 3 (Booster); Manufacturer Unknown), for COVID-19 Immunization. The following information was reported: PRODUCT USE ISSUE (non-serious), OFF LABEL USE (non-serious) all with onset 14Sep2022, outcome "unknown" and all described as "influenza 14Sep2022"; DIZZINESS (non-serious) with onset 14Sep2022 at 15:22, outcome "not recovered"; TINNITUS (non-serious) with onset 14Sep2022 at 15:22, outcome "not recovered". Therapeutic measures were not taken as a result of tinnitus, dizziness. Additional Information:The tinnitus resulting after immunization was accompanied by dizziness. Both influenced with sleep and balance and balance for 3-5 days. Enough that patient felt responsible to report as a health professional. Drug or alcohol abuse: No, Drug allergies: No, Family history: No. Tinnitus and Dizziness Causal Relationship: there a reasonable possibility that the event is related to suspect product/s.


VAERS ID: 2611413 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-08
Onset: 2023-02-03
   Days after vaccination: 148
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Headache, Pain, SARS-CoV-2 test positive
SMQs:, 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: Venlafaxine; CALTRATE 600 plus D; vitamin D; eszopiclone; famotidine; NEURONTIN; PRESERVISION; probiotic; DONNATAL; VOLTAREN; RESTASIS
Current Illness: N/A
Preexisting Conditions: Irritable Bowel Symptoms
Allergies: N/A
Diagnostic Lab Data: COVID-19 test positive February 03, 2023
CDC Split Type: vsafe

Write-up: I woke up at about 1 AM with a splitting headache. The next morning, I started having body aches. I went to the doctor, and they did a nasal swab and I tested positive for COVID-19. I was prescribed PAXLOVID. I didn''t start to feel improvement in my symptoms until about 5 days later. I did not do much because I was tired.


VAERS ID: 2605017 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-23
Onset: 2022-11-21
   Days after vaccination: 59
Submitted: 0000-00-00
Entered: 2023-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 6 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pharyngitis streptococcal, SARS-CoV-2 test negative
SMQs:, Agranulocytosis (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), COVID-19 (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: COVID-19 dose 2 Pfizer, headache, upset stomach, and temperature of 99.0, 36 year old
Other Medications: Methylamine suppository; methylamine tablet; multivitamin; CHOLESTOFF; fiber supplement
Current Illness: N/A
Preexisting Conditions: Ulcerative Colitis; Rainauds Syndrome; Various Sensory Processing non defined; Sporadic localized pain in inner foot area.
Allergies: N/A
Diagnostic Lab Data: COVID-19 PCR test, negative November 2022, COVID-19 home test, negative November 2022
CDC Split Type: vsafe

Write-up: I had a sore throat and cold like symptoms. I tested 5 or 6 times for COVID-19 and all tests were negative. I was prescribed medication that were normally used for strep throat. Every so often my sore gets sore but not as severe as before. They did not confirm it as strep but provided treatment based on what I described as symptoms and what they observed during the telehealth. I started to feel better a little bit afterwards. I was azithromycin and I started to take it the day after the November holiday.


VAERS ID: 2558600 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-10-12
Onset: 2022-12-20
   Days after vaccination: 69
Submitted: 0000-00-00
Entered: 2023-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Fatigue, Malaise, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flecainide; metoprolol; PRILOSEC
Current Illness: N/A
Preexisting Conditions: Heart Condition
Allergies: Penicillin
Diagnostic Lab Data: 21DEC2022 COVID-19 test positive; 28DEC2022 COVID-19 test positive; 31DEC2022 COVID-19 test positive;07JAN2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: After the vaccine I had no problems, two months later when I got COVID-19 I had cough, congestion on my chest, diarrhea, fatigue, and a fever. Symptoms started on December 20th, on the 21st I had a home test and I tested positive, on the 22nd I called my doctor and started PAXLOVID, I took it for 5 days and I felt better. On the 29th my cough came back, and I was running a fever and then symptoms started to get better, on the 6th of January I became sick again with vomiting, diarrhea and a fever.


VAERS ID: 2513879 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-10-17
Onset: 2022-11-17
   Days after vaccination: 31
Submitted: 0000-00-00
Entered: 2022-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 1 LA / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Breast pain, Cardiovascular symptom, Electrocardiogram
SMQs:, Lipodystrophy (broad), Arthritis (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: KEPPRA; LIVALO; omeprazole; ARIMIDEX; CELEBREX; vitamin D3; calcium; CLARITIN
Current Illness: None
Preexisting Conditions: Seizure disorder; High cholesterol; GERD
Allergies: Penicillin; tape adhesive; bacitracin; morphine
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: 11/17/22 I was doing volunteer work. The pharmacy on the base was closed for training, and everyone was upset. It was very stressful dealing with some rude people. I had been in pain for over an hour. I took deep breaths hoping it would go away. It was sharp pain going from the back of my shoulder through my left breast. I had it when I was pregnant and was told it was heartburn. This did not go away until I got home, over an hour from onset. I have an ECG app on my watch and it showed I was in Sinus rhythm the whole time. I was on my way to the emergency room and by that time, I was calm, and it was over, so I did not go. I was concerned, even though I did not have other symptoms of a heart attack. I saw my Neurologist with an already scheduled appointment I had and he referred me to my PCP. My appointment with my PCP is in a week.


VAERS ID: 2541927 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-22
Onset: 2022-11-12
   Days after vaccination: 51
Submitted: 0000-00-00
Entered: 2022-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Aphonia, COVID-19, Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic 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: Sertraline; estradiol; intrauterine device; multivitamin; vitamin D; fish oil; calcium; magnesium; zinc
Current Illness: Perforated Diverticulitis; Removed Appendix
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: 12NOV2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I was going in to have Gallbladder surgery and had to have a COVID-19 test done 72 hours in advance. I tested positive on 11/12/22. I had fatigue, and a low-grade fever at the time of testing positive. Then, it progressed, and I had congestion, increased fatigue, and loss of voice. I was offered PAXLOVID, but I turned it down. I was prescribed albuterol and benzonatate. I was also taking over the counter MUCINEX and SUDAFED. I am feeling much better now.


VAERS ID: 2612415 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Virginia  
Vaccinated: 2022-09-21
Onset: 2022-12-24
   Days after vaccination: 94
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 24DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccine. I tested positive for COVID-19 on 12/24/2022. I mostly had a very bad cough with a mild fever. I had a telehealth visit with my provider and got a prescription for PAXLOVID. I tolerated the medication without any complications. As of today, I feel better with no lingering symptoms.


VAERS ID: 2533330 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Virginia  
Vaccinated: 2022-09-13
Onset: 2022-11-24
   Days after vaccination: 72
Submitted: 0000-00-00
Entered: 2022-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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: Levothyroxine; ashwagandha; adrenal nourish; ginseng; lion''s mane
Current Illness: N/A
Preexisting Conditions: Hypothyroidism; Hearing
Allergies: N/A
Diagnostic Lab Data: 24NOV2022 COVID-19 test positive; 03DEC2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/24/22. I had a cough, fever, headaches, body aches, and congestion. My symptoms lasted for about 5 days. I contacted my doctor, and I was prescribed 5 days'' worth of PAXLOVID. Then I got a rebound case and started feeling bad again. I ended up testing positive a second time on 12/3/22.


VAERS ID: 2629095 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Vermont  
Vaccinated: 2022-11-01
Onset: 2023-05-01
   Days after vaccination: 181
Submitted: 0000-00-00
Entered: 2023-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Discharge, Fatigue, Oropharyngeal pain, 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), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide; Sertraline; Zyrtec; Valsartan; Colace; Mucinex D; Melatonin; Potassium; Turmeric; Vitamin C; Pepcid; Meloxicam
Current Illness: N/A
Preexisting Conditions: Chronic Fatigue; Psoriasis; Hashimoto''s
Allergies: Seasonal Allergies
Diagnostic Lab Data: 01MAY2023 COVID-19 Test -Positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 5/1/23. I had fatigue, body aches, sore throat, congestion, drainage, low grade fever, and a cough. I contacted my doctor and was not prescribed medication, but the nurse suggested that I take a full dose of Mucinex D. I am still dealing with congestion, fatigue, and a cough.


VAERS ID: 2620788 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Vermont  
Vaccinated: 2022-10-17
Onset: 2023-02-01
   Days after vaccination: 107
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Arrhythmia, Blood test normal, Cardiac monitoring abnormal, Chest X-ray normal, Electrocardiogram normal, Laboratory test normal, Palpitations
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)

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: Shingles I had fever, body aches and chills
Other Medications: Omeprazole ; Baby Aspirin ; Iron Supplement; Atorvastatin ; Losartan ; Magnesium; Vitamin D
Current Illness: N/A
Preexisting Conditions: Coronary Artery Disease since 2015
Allergies: N/A
Diagnostic Lab Data: Bloodwork, EKG ; Chest X-ray - Nothing
CDC Split Type: vsafe

Write-up: I heart palpitations on and off. I went to the ER and they took a whole bunch of test and nothing came up. I wore heart monitor and nothing came up except for heart arrhythmia. I don''t have the date of the tests . I still have heart palutations. I had the flu vaccine on the other other but I cannot remember which arm.


VAERS ID: 2599617 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-14
Onset: 2023-02-12
   Days after vaccination: 151
Submitted: 0000-00-00
Entered: 2023-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Blood test normal, Diarrhoea, Laboratory test normal, Ultrasound abdomen normal, Ultrasound liver normal
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin; elderberry supplement
Current Illness: N/A
Preexisting Conditions: Chronic Sinusitis
Allergies: Sulfa drugs
Diagnostic Lab Data: 24FEB2023 Ultrasound of gallbladder and liver, normal; 24FEB2023 Bloodwork normal; 24FEB2023 Urine test normal; 10MAR2023 HIDA Liver and Gallbladder Function test normal
CDC Split Type: vsafe

Write-up: The main symptom was upper abdominal pain, mostly on right side and slightly on left side and center. Loose stools. The symptoms were not constant. They came and went but were consistent.


VAERS ID: 2629491 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-12-02
Onset: 2023-04-23
   Days after vaccination: 142
Submitted: 0000-00-00
Entered: 2023-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6665 / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Hypersomnia, Malaise, Nasopharyngitis, Oropharyngeal pain, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sneezing, Throat irritation
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), Depression (excl suicide and self injury) (broad), Hypersensitivity (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone; hydrocodone-acetaminophen; hydrochlorothiazide; duloxetine; metoprolol; atorvastatin; HYLAND LEG CRAMPS; vitamin B12; women''s ONE-A-DAY multivitamin; famotidine; diphenhydramine
Current Illness: None
Preexisting Conditions: Osteoarthritis
Allergies: Latex; lactose intolerance
Diagnostic Lab Data: 24APR2023 COVID-19 test, negative result; 26APR2023 COVID-19 test, positive result; 07MAY2023 home antigen test, negative result
CDC Split Type: vsafe

Write-up: On 4/23/2023, I developed a scratchy throat. On 4/24/2023, I woke up with a scratchy throat and felt like I was catching a cold, but my cabin mate on the cruise ship I was travelling on felt even sicker than I did, so she called for medical assistance. She tested positive for COVID-19. I was also tested that day, and my results were negative, but I was feeling sicker instead of better as time progressed. On 4/26/2023, I was tested again, and I got a positive result. I felt like I had a bad head cold for the rest of the week. I had runny nose, cough, sneezing, and sore throat. The ship''s doctor gave me a bottle of OTC cough syrup, which did not help much with my symptoms. On 4/29/2023, I came home from the cruise. I continued coughing, and it was a productive cough. I continued taking the cough syrup from the cruise ship, but I also started taking OTC ALKA-SELTZER plus cold and flu, which helped control the fever. On 5/3/2023, I called my PCP, who prescribed me an albuterol inhaler. After that, I gradually got better. I took a home antigen test on 5/7/2023 and finally got a negative result for the first time. At the present time, I feel fatigued and am sleeping a lot. However, I''m no longer coughing a lot.


VAERS ID: 2620355 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-11-22
Onset: 2023-02-18
   Days after vaccination: 88
Submitted: 0000-00-00
Entered: 2023-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Gastroenteritis viral, Headache, Impaired work ability, Infection, Malaise, Nasopharyngitis, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic 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: Vitamin C; multivitamin for seniors; calcium; glucosamine MSM
Current Illness: None
Preexisting Conditions: None
Allergies: Aloe vera
Diagnostic Lab Data: 19FEB2023 home antigen test, positive result; 26FEB2023 home antigen test, negative result
CDC Split Type: vsafe

Write-up: I woke up unusually tired on 2/18/2023. I was really fatigued. I took a nap later that day and felt much better. In the evening, I began to develop head congestion. On 2/19/2023, the fatigue and head congestion continued. I also began to develop chest congestion about mid-morning. I had an overall general malaise. These symptoms continued for the rest of the day. In the evening, I took a home antigen test and got a positive result. I was off work for the rest of the week. On 2/20/2023, I felt pretty much the same. I also developed a headache and a fever. On 2/23/2023, I had a telehealth appointment with a PA, who prescribed benzonatate and a sinus rinse. I was not able to get PAXLOVID, because too much time had elapsed since the onset of symptoms. My symptoms continued to improve. On 2/26/2023, I took a home antigen test and got a negative result. I then went back to work, and I was fine for two or three weeks. Since then, though, I have experienced a never-ending string of infections. I had the stomach flu in early to mid-March 2023. I was okay for a couple of weeks afterwards, and I am experiencing my third cold since recovering from COVID-19 at the time of this writing. Each successive cold I''ve had has been characterized more and more by a cough, and it seems to be gradually making its way to my chest.


VAERS ID: 2485410 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-22
Onset: 2022-09-23
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Injection site erythema, 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), Extravasation events (injections, infusions and implants) (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Moderna COVID-19 Vaccinations #2 and #3: I was very ill with fevers, chills, and vomiting for more than 12 hours. After my #3 va
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: 10/2022 COVID-19 at home test positive.
CDC Split Type: vsafe

Write-up: I did have some local redness around the injection site. The local redness went away after about a week. My wife got COVID-19 from work. I came down with symptoms of COVID-19 on 10/16/2022. We ended up going to a separate telehealth doctor to get a prescription for PAXLOVID. I was able to receive a prescription for PAXLOVID. The symptoms that I was having was a sore throat, congestion, fatigue, and also the beginning of a fever on Monday. Since taking the PAXLOVID, my coughing and congestion have settled down and my sore throat is starting to improve as well.


VAERS ID: 2612337 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-29
Onset: 2023-02-05
   Days after vaccination: 129
Submitted: 0000-00-00
Entered: 2023-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Chest pain, Dyspnoea, Electrocardiogram
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; pantoprazole; magnesium; vitamin D3; vitamin B12; baby aspirin
Current Illness: N/A
Preexisting Conditions: Cardiovascular Disease; Diverticulosis; Barrett''s Esophagus; Skin Cancer
Allergies: N/A
Diagnostic Lab Data: EKG; Blood test
CDC Split Type: vsafe

Write-up: In February, I had a chest pain that didn''t respond well to. I had shortness of breath and my body didn''t react well to taking nitroglycerin, so I called the ambulance and was rushed to the emergency room. They saw nothing was wrong with my heart, but they still couldn''t find what caused the pain and sent me home. To this day, I still have some chest pain from time to time.


VAERS ID: 2551489 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-30
Onset: 2022-12-01
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2023-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Influenza A virus test positive, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sneezing
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Oxybutynin chloride; doxazosin; finasteride; aspirin; simvastatin; levetiracetam; montelukast; ALLER-TEC; magnesium; multivitamin; sleep aid
Current Illness: None
Preexisting Conditions: Atrial Fibrillation; Meningioma
Allergies: Lisinopril; amlodipine
Diagnostic Lab Data: 12/02/2022 at home COVID-19 test negative; 12/12/022 at home COVID-19 test negative; 12/16/2022 Flu test positive for Influenza A
CDC Split Type: vsafe

Write-up: About December 1, 2022, I experienced cold symptoms that included coughing, sneezing, and a sore throat. The next morning, I tested myself for COVID-19. The result was negative. The symptoms persisted for 9 more days. During that time, I took a second COVID-19 test. It was also negative. On the 9th day, I called my doctor as I was not getting any better. I went to an appointment the next morning. I was given a Flu test and tested positive for Influenza A. They told me I was too far into the symptoms for medication. I was told to continue taking over the counter medications. My symptoms persisted for about another three weeks. By the end of the year, I felt like I had finally recovered. I don''t think my symptoms were related to the vaccine.


VAERS ID: 2633004 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-04
Onset: 2023-02-15
   Days after vaccination: 134
Submitted: 0000-00-00
Entered: 2023-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Exposure to SARS-CoV-2, Nasopharyngitis, No adverse event, SARS-CoV-2 test positive
SMQs:, 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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 15FEB2023 COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I did not have an adverse reaction to the vaccination. I felt like I had bad cold on 02/15/2023. I believe I was exposed to COVID-19 from my dentist office. I tested positive for COVID-19 on 02/15/2023. I contacted my doctor and got a prescription for Paxlovid. I tolerated the medication without any complications. As of today, I do not have any lingering symptoms.


VAERS ID: 2530167 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-11-23
Onset: 2022-11-24
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GL0446 / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Eye discharge, Eyelid margin crusting, Ocular discomfort, Ocular hyperaemia, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Ulcerative Colitis; Hypertension
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I experienced redness around my left eye, swollen reddened eyelid, and it was uncomfortable. After a nap the swelling had dramatically increased, my eyes were crusty, discharge, and the clinic recommended using a warm compress on my eye 3 times a day. The symptoms began to resolve after 3 days. I am still experiencing crusty feeling in my eye, but it is improved. I have an upcoming appointment 12/14/22.


VAERS ID: 2620890 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-10-03
Onset: 2023-02-01
   Days after vaccination: 121
Submitted: 0000-00-00
Entered: 2023-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Electrocardiogram normal, Laboratory test normal, Vertigo, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: I had a reaction to Shingrix 10/12/2021. I felt bad for a couple days, and had sweats, coughing, and all over body aches.
Other Medications: Benadryl; Rosuvastatin
Current Illness: N/A
Preexisting Conditions: High Cholesterol; Sleep Apnea
Allergies: NSAIDS; Contrast Dye
Diagnostic Lab Data: 01FEB2023 EKG - Normal
CDC Split Type: vsafe

Write-up: I had Vertigo pretty bad. The ground was moving like I was on a ship in the ocean. I started projectile vomiting and was taken to the Emergency Room. I was in there for four hours before I was seen, and it was almost over. They ran a couple tests, and they were normal, and I was released. They prescribed a couple medications in case I started having Vertigo again, Meclizine and Ondansetron. I have not had to use them though.


VAERS ID: 2596143 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-10
Onset: 2023-02-24
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 056A22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Ear disorder, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Atorvastatin; famotidine
Current Illness: N/A
Preexisting Conditions: High Cholesterol; GERD
Allergies: Tree pollen
Diagnostic Lab Data: COVID-19 home, positive, 02/2023
CDC Split Type: vsafe

Write-up: On February 24, 2023, I had a little bit of a runny nose and headache, slight sensation of a fever. The next day I noticed the fever more and had a sore throat. My ears felt like I had an ear infection and had a little bit of coughing. Sunday morning the 26th I tested positive for COVID-19 on my home test. I contacted my doctor at the urgent care clinic on the same day. I also spoke with my doctor that day. Since I was in a risk category, I was prescribed an antiviral, not PAXLOVID. As of today, I have a lingering deep lung cough. I haven''t taken a second test to see if I have a rebound case.


VAERS ID: 2469488 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Washington  
Vaccinated: 2022-10-01
Onset: 2022-10-01
   Days after vaccination: 0
Submitted: 0000-00-00
Entered: 2022-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Off label use, Product use issue
SMQs:, 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: USPFIZER INCPV20220007521

Write-up: headaches; he also received the flu vaccine at the same appointment; he also received the flu vaccine at the same appointment; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). A 12-year-old male patient received BNT162b2, BNT162b2 omi ba.4-5 (BNT162B2, BNT162B2 OMI BA.4-5), on 01Oct2022 as dose 4 (booster), single (Batch/Lot number: unknown) for covid-19 immunisation; influenza vaccine (FLU [INFLUENZA VACCINE]), on 01Oct2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose: 3 (1st booster)), for Covid-19 Immunization; Bnt162b2 (Dose: 2), for Covid-19 Immunization; Bnt162b2 (Dose: 1), for Covid-19 Immunization. The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 01Oct2022, outcome "unknown" and all described as "he also received the flu vaccine at the same appointment"; HEADACHE (non-serious), outcome "unknown", described as "headaches". Therapeutic measures were taken as a result of headache. Additional information: 12-year old boy who received the Bivalent Pfizer booster vaccine on 01Oct2022 and reported headaches over the next 24 hours and had to take Tylenol for it. Of note, he also received the flu vaccine at the same appointment. The information on the batch/lot number for BNT162b2, BNT162b2 omi ba.4-5 has been requested and will be submitted if and when received.


VAERS ID: 2613245 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-10
Onset: 2023-04-10
   Days after vaccination: 212
Submitted: 0000-00-00
Entered: 2023-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9702 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Blood test normal, COVID-19, Cough, Headache, Hyperhidrosis, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Multivitamin; vitamin B complex; SYNTHROID; NORVASC; PROTONIX; ALLEGRA
Current Illness: N/A
Preexisting Conditions: Hypothyroidism; High Blood Pressure
Allergies: Oxycodone; tramadol; latex; PHENERGAN
Diagnostic Lab Data: 10APR2023 COVID-19 test positive; 10APR2023 Blood panel normal
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 4/10/23. I had a sore throat, body aches, sweats, headache, back pain, cough, and congestion. I contacted my doctor but was not prescribed medication. I have been taking ibuprofen, TYLENOL, and guaifenesin. I am still dealing with these symptoms at this time.


VAERS ID: 2622399 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-23
Onset: 2022-11-23
   Days after vaccination: 31
Submitted: 0000-00-00
Entered: 2023-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 4 UN / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 4 UN / UN

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anaemia, Anal haemorrhage, COVID-19, Colonoscopy abnormal, Diarrhoea, Headache, Heavy menstrual bleeding, Menstruation irregular, Pain, Polyp, Pyrexia, SARS-CoV-2 test positive
SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Fertility disorders (broad), 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? No
Hospitalized? No
Previous Vaccinations: COVID-19 2nd and 3rd vaccination; 2021, Bells Palsy
Other Medications: Wellbutrin; Cromolyn Sodium
Current Illness: N/A
Preexisting Conditions: Mass Cell Activation Syndrome
Allergies: Sulfa; Morphine and pain medications
Diagnostic Lab Data: 11/23/2022 test - COVID-19 Positive; 11/2022 Blood panel
CDC Split Type: vsafe

Write-up: I had the vaccination on 10/23/2022. On 11/23/2022 I started to experience body aches fever diarrhea and headache. I tested COVID-19 Positive on 11/23/2022. I think I have mostly recovered but I still have irregular periods since. I did have experience of heavy menstrual and anal bleeding on 11/26/2022. I was 2 weeks earlier than my regular cycle. I had an emergency colonoscopy in 11/2022. I did have some polyps. I was tested being anemic during this time.


VAERS ID: 2597733 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-14
Onset: 2022-09-24
   Days after vaccination: 10
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arrhythmia, Atrial fibrillation, Condition aggravated
SMQs:, Supraventricular tachyarrhythmias (narrow), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (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: Yes; not listed
Current Illness: None
Preexisting Conditions: Heart Arrhythmia; BPH
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I noticed an increase in my non a fib arrhythmias, I didn''t have any changes in medication or prescribed any new medications.


VAERS ID: 2610938 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-04
Onset: 2022-12-20
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2023-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Dyspnoea, Fatigue, Headache, Pain, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D; Vitamin B12; Zinc; CoQ10; Vitamin C
Current Illness: N/A
Preexisting Conditions: Asthma; Diabetes; CHF; Acid Reflux; Diverticulitis
Allergies: Eggs; Dilantin
Diagnostic Lab Data: 21DEC2022 - COVID-19 At Home Test - Positive; 26DEC2022 - COVID-19 At Home Test - Negative; 02JAN2023 - COVID-19 At Home Test - Positive; 07JAN2023 - COVID-19 At Home Test - Negative
CDC Split Type: vsafe

Write-up: I had a severe headache, body aches, exhausted and fatigued. I had congestion and shortness and breath. I had to use a nebulizer with Albuterol. I started taking Advair in the morning and night. I used the Proventil inhaler as needed. I started taking the Paxlovid and started feeling good and then two days later I was sick again and tested positive again after previously testing negative. I had a rebound. I had extreme fatigue for the next couple months. It took a long time for me to get my energy back.


VAERS ID: 2597630 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-14
Onset: 2023-02-28
   Days after vaccination: 167
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Nasal disorder, SARS-CoV-2 test positive
SMQs:, 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: Vitamin D w/ calcium; trazadone
Current Illness: None
Preexisting Conditions: Insomnia
Allergies: None
Diagnostic Lab Data: 28FEB2023 COVID-19 at home antigen test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID on February 28, 2023. I tested because I was having nasal symptoms and I was high risk from international travel. I was prescribed PAXLOVID on the 28th and took the full 5 days, I tested again and was negative at first then positive, my symptoms are more mild now. No adverse event to vaccination just tested positive for COVID.


VAERS ID: 2555952 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-05
Onset: 2022-11-26
   Days after vaccination: 52
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 1 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: COVID-19, Ear pain, Fatigue, Malaise, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Multivitamin; probiotic; CLARITIN
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 28NOV2022 COVID-19 positive
CDC Split Type: vsafe

Write-up: Saturday night I felt sick. The next day my ears and throat were extremely sore for about 6 days. I was then fatigue for about a week. I continued to be tired for another few days. I had a telehealth appointment.


VAERS ID: 2470839 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-01
Onset: 2022-10-02
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9693 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Blood glucose normal, Blood test, Electrocardiogram, Feeling hot, Hypoaesthesia, Magnetic resonance imaging abnormal, Neck pain, Oral discomfort, Tongue discomfort
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad), Arthritis (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vyvanse; Propranolol ER; Metformin; Prazosin; Doxycycline; Omeprazole; Zyrtec; Multivitamin; Tylenol; Aleve; Trazodone; Benadryl; Trintellix; Larin Birth Control; Probiotic; Fish Oil; Vitamin D3; Magnesium; Loperamide; Ibuprofen; Spravato;
Current Illness: Cold
Preexisting Conditions: Obesity; Pre Diabetes; Anxiety; Depression; Autism; Chronic Pain; Hidradenitis Suppurativa; Acid Reflux; Sleep Apnea; Non- Allergenic Rhinitis
Allergies: None
Diagnostic Lab Data: EKG; MRI; Blood Work; Urinalysis; Stroke Scale (all on 10/02/2022)
CDC Split Type: vsafe

Write-up: My neck started hurting Thursday. I was using my massage gun to loosen up my neck. I booked a massage for my neck as well. After I got the shot on Saturday, I noticed an hour later my tongue was feeling weird. I thought I was allergic to shrimp. I called my 24- hour nurse line. She said I was fine but to call a doctor in the next few days. I went to bed just fine. It felt like half my tongue and lip felt different than the other half. I went to dinner which was interesting because my mouth wasn''t really responding right. I went to the bathroom to wash my hands and notices the left half of my face wasn''t responding. I didn''t know if I was having a stroke or not. I went to urgent care where they brought me back immediately. They suspected Bell''s Palsy. They called 911. They EMT''s took my blood sugar and it was fine. At the ER they did some physical tests and did not think it was a stroke either. They did blood work and imaging as well. After all the tests, they concluded it was Bell''s Palsy as well. They gave me one dose of Prednisone that night and sent me with prescriptions for Prednisone and Valacyclovir. I still have less control over one side of my face but I am doing fine. It is not all the way numb. They said it was a very mild case. The left half of my body is warmer than the other half.


VAERS ID: 2611557 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-16
Onset: 2023-03-10
   Days after vaccination: 175
Submitted: 0000-00-00
Entered: 2023-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Feeling abnormal, Pharyngeal inflammation, SARS-CoV-2 test positive, Secretion discharge
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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? No
Previous Vaccinations:
Other Medications: Vitamin D; XYZAL
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Nitrous oxide
Diagnostic Lab Data: 10MAR2023 COVID-19 at home test negative; 10MAR2023 COVID-19 rapid test possibly positive; 10MAR2023 Strep throat test negative
CDC Split Type: vsafe

Write-up: When I got COVID-19, I woke up with a cough, mucous coming out of my nose, left side of my throat felt inflamed. I took a home COVID-19 test and it was negative but I felt awful so I went to the urgent care and they did possibly a rapid test because I had the positive results in about 15 minutes. At the urgent care center, they gave PAXLOVID and prednisone because I do have asthma.


VAERS ID: 2607563 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-21
Onset: 2023-02-21
   Days after vaccination: 153
Submitted: 0000-00-00
Entered: 2023-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143 / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Faeces soft, Malaise, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin; Vitamin D-3; Calcium; Magnesium; Zinc; Multivitamin; Vitamin C; Laxative; Pantoprazole; Furosemide; Gabapentin; Tylenol; Atorvastatin; Probiotic; Amlodipine Besylate; Metoprolol Succinate; Warfarin Sodium
Current Illness: N/A
Preexisting Conditions: Neuropathy
Allergies: Oral Narcotics
Diagnostic Lab Data: 26FEB2023 - COVID-19 Test - Positive
CDC Split Type: vsafe

Write-up: I started feeling sick on February 21, 2023, but I thought I just had a cold. I had an appointment on February 26, 2023, and was tested for COVID-19 and it was positive. I quarantined for an additional six days. I lost my sense of smell and had soft stools. I had a runny nose and congestion. I had a very mild case. I had open heart surgery, so this COVID-19 slowed my progression down a little. I still don''t have a great sense of taste.


VAERS ID: 2614850 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-18
Onset: 2023-04-06
   Days after vaccination: 170
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 5 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Gingival pain, Nasopharyngitis, Pain, SARS-CoV-2 test positive, Sinus pain
SMQs:, Gingival disorders (narrow), 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: Amlodipine; Gabapentin; Calcium D; NAC Acetyl Cysteine; Ocuvite
Current Illness: N/A
Preexisting Conditions: Hypertension; Decreased Kidney Function; Bronchiectasis
Allergies: Amoxicillin; Clarithromycin
Diagnostic Lab Data: COVID-19 home, positive, 04/07/2023
CDC Split Type: vsafe

Write-up: In general, my symptoms were like a cold. I was achy, sinuses hurt, gums hurt and I physically tired. The same day I tested positive the same day my symptoms began. I got Paxlovid on the same day, the half-dose. I got better and better. As of Tuesday, April 11th, I was still testing positive. Today I am still tired and I don''t feel like I have recovered.


VAERS ID: 2603379 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-11-17
Onset: 2023-02-03
   Days after vaccination: 78
Submitted: 0000-00-00
Entered: 2023-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ2524 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, Blood thyroid stimulating hormone normal, Limb discomfort, Peripheral coldness, Raynaud's phenomenon, Thyroxine free normal
SMQs:, Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CENTRUM SILVER
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 13FEB23 Bloodwork, normal; 13FEB23 TSH Reflex Free T4, normal
CDC Split Type: vsafe

Write-up: 2/3/23 I started experiencing abnormally cold feet and I could not get them to warm up. I tried different layers, wearing 3 pairs of socks to work. It was very uncomfortable. This went on for three weeks. On 2/13/23 I went to the emergency room and was diagnosed with Peripheral Neuropathy. I was prescribed gabapentin. The doctor said there was no reason given to explain why I was having this neuropathy. I went to my regular doctor on 2/17/23 and he said it was not neuropathy. I was diagnosed with Raynaud''s Phenomenon. I was taken off gabapentin and was put on nifedipine. I started taking that medication the next day. I began experiencing side effects that were pretty extreme. My feet started burning and I felt very uncomfortable. I went back to my doctor a week later. He cut the dosage of nifedipine down to one a day from two a day and that seemed to help. I still had burning in my feet that felt like I was stepping on shards of glass, and they were still cold. This past week I have noticed some improvement. I had another follow up with my doctor again. He checked my vitals and was pleased with my progress; said I was doing much better. I have another appointment on May 3, 2023 with my PCP.


VAERS ID: 2514152 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-13
Onset: 2022-11-04
   Days after vaccination: 52
Submitted: 0000-00-00
Entered: 2022-11-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 1 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Sneezing
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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: Multivitamin; MACUHEALTH; VITAL PROTEINS; collagen; biotin; calcium; vitamin D
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: COVID-19 positive 11/04/2022
CDC Split Type: vsafe

Write-up: I had my vaccination on 09/13/2022. I started to experience congestion sore throat sneezing on 11/04/2022. I tested COVID-19 positive on 11/04/2022. I was prescribed PAXLOVID but did not take. I am feeling almost back to normal on 11/22/2022 with some residual congestion and fatigue.


VAERS ID: 2541100 (history)  
Form: Version 2.0  
Age: 76.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-21
Onset: 2022-12-13
   Days after vaccination: 83
Submitted: 0000-00-00
Entered: 2022-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7140C / 5 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Cough, Ear discomfort, Fatigue, Headache, Malaise, Nasal congestion, Pain, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (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: Calcium; fish oil; glucosamine chondroitin; gabapentin; omeprazole; cevimeline; cyclosporine ophthalmic solution.
Current Illness: None.
Preexisting Conditions: Sjogren''s Disease.
Allergies: Naproxen; ciprofloxacin; stinging insects.
Diagnostic Lab Data: 12/14/2022 home antigen test positive result.
CDC Split Type: vsafe

Write-up: I received the Moderna COVID-19 booster and a flu shot on 9/21/2022. On 12/13/2022, I was on a plane returning from a 21-day trip abroad when I developed a stabbing headache, a minor dry cough, clear nasal drainage, general malaise, and sudden body aches. I also had plugged ears, but that may have been due to flying. I took some TYLENOL for the headache, which helped some, but it did not get rid of it completely. I took a home antigen test on 12/14/2022 and quickly got a positive result. My PCP prescribed me PAXLOVID. I ran a minor temperature for a few days. My temperature is normally 97, but it was about 98 for a few days. I began to feel a lot better on 12/16/2022, since the headache and body aches were gone. I have not tested again since 12/14/2022, so I don''t know whether I''m still COVID-positive. Although I feel much better now, I still deal with residual fatigue, nasal congestion, and occasional runny nose. I can feel pretty tired after doing something as simple as dusting. I also had a dry cough at one time, but it is now gone.


VAERS ID: 2602422 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-19
Onset: 2023-02-02
   Days after vaccination: 136
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7143C / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive, Throat irritation
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin; metformin; montelukast; famotidine; vitamin D3; vitamin B; vitamin C; fish oil
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Codeine
Diagnostic Lab Data: 02/06/2023 COVID-19 antigen test positive
CDC Split Type: vsafe

Write-up: Tested positive for COVID-19 on 02/06/2023 and had a televisit with my primary care physician on 02/07/2023. My doctor prescribed PAXLOVID. My symptoms were very mild including a scratchy throat and felt feverish on the second night. Beyond that, I had essentially no symptoms. Symptoms were gone within 3 or 4 days. I tested negative on 02/14/2023.


VAERS ID: 2570992 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-12-30
Onset: 2023-01-26
   Days after vaccination: 27
Submitted: 0000-00-00
Entered: 2023-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GL0446 / 3 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Hypertension, Migraine, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron; vitamin D-3
Current Illness: None
Preexisting Conditions: None
Allergies: Too many to name
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I just had a migraine and high blood pressure. I was throwing up from the headache as well.


VAERS ID: 2616822 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-26
Onset: 2023-02-21
   Days after vaccination: 118
Submitted: 0000-00-00
Entered: 2023-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3275 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Headache, Lower respiratory tract infection, Malaise, Oropharyngeal pain, Productive cough, Pyrexia, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium Carbonate; Vitamin D; Vitamin C; Fish Oil; Vitamin B-Complex; Aspirin 81mg
Current Illness: N/A
Preexisting Conditions: Osteoarthritis; Hypertension; Hypothyroid; EOE
Allergies: Nickle; Bee Stings; Latex
Diagnostic Lab Data: 21FEB2023- COVID-19 PCR NAAT- Positive; 01MAR2023- COVID-19 At Home Test- Negative; 03MAR2023- COVID-19 At Home Test- Positive; 06 MAR2023- COVID-19 At Home Test- Positive; 16MAR2023 COVID-19 At Home Test- Negative
CDC Split Type: vsafe

Write-up: I had a headache at first. The next day I had a productive cough. I went to the hospital for a procedure and was tested for COVID-19 prior to my procedure as protocol and my test was positive so they sent me home and I began to feel more symptoms by the time I got home. I had a headache, sore throat, mild cough, upper respiratory symptoms like head congestion, and a fever which was around 101 degrees. The next morning I reached out to my doctors office and requested Paxlovid which I started the afternoon of the 22nd. I took Paxlovid for 5 days. I had a rebound and had a lower respiratory infection.


VAERS ID: 2604036 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-23
Onset: 2023-01-30
   Days after vaccination: 129
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Back pain, Computerised tomogram, Nephrolithiasis
SMQs:, Retroperitoneal fibrosis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Candesartan; nifedipine; gabapentin; FLONASE; ADVAIR DISCUS; albuterol; LIPITOR; lidocaine patch: metronidazole; doxycycline
Current Illness: None
Preexisting Conditions: Nerve Damage in left leg; Herniation in back; Budging Disk; Chronic Bicep Shoulder Tendonitis; Asthma
Allergies: Latex
Diagnostic Lab Data: 30JAN2023 CAT scan, inconclusive
CDC Split Type: vsafe

Write-up: It was a kidney stone on my right kidney. I found out on January 30th, 2023, I went to urgent care clinic. I had severe pain in my lower right back, I was prescribed tamsulosin and TYLENOL.


VAERS ID: 2602381 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-31
Onset: 2022-11-16
   Days after vaccination: 16
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 059P22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Dyspnoea, Malaise, Pneumonia viral, Scan with contrast abnormal
SMQs:, Anaphylactic reaction (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Infective pneumonia (narrow), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Bactrim; Valtrex; Prednisone; Protonic; Fish Oil; Tylenol (As Needed); Prolia Injection
Current Illness: None
Preexisting Conditions: History of Leukemia; History of Vascular Necrosis in Hips and Hip Replacement (Bilateral); GvHD; History of Stem Cell Implant; Interstitial Lung Disease; Dry Eyes Caused by GvHD
Allergies: Allopurinol; Vancomycin
Diagnostic Lab Data: NOV 2022 - Urgent Care X-Ray - Pneumonia Detected; NOV2022 - CT scan with Dye, Hospital X-Ray - Pneumonia Detected; NOV2022 - Blood Tests - Viral Pneumonia Detected
CDC Split Type: vsafe

Write-up: One Saturday, I didn''t feel well. I was having trouble breathing. I went to an urgent care, where I underwent an X-ray and was told I had pneumonia. The next day, I was admitted to the hospital and underwent a CT scan and an X-ray. On Monday, I was released from the hospital. I was informed that I had viral pneumonia and prescribed antibiotics I had to take for ten days. I think one antibiotic was amoxicillin, but I don''t remember the name of the other one. I have interstitial lung disease, so it''s a constant battle with my lungs.


VAERS ID: 2516787 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-18
Onset: 2022-10-19
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-11-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 061F22A / 1 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Feeling abnormal, Headache, Malaise, Mobility decreased, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Omeprazole; adult aspirin; lisinopril; duloxetine HCL; metoprolol; tartrate; topiramate; promethazine; CENTRUM SILVER women''s 50; loratadine
Current Illness: None
Preexisting Conditions: Gastroparesis; High Blood Pressure; Migraines
Allergies: Penicillin; bananas; REGLAN
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: The morning after my dose 5 I woke up with fever, headache, muscle aches. The two weeks I felt terrible and was in bed and down for two weeks. My fever ranged from 100.5-103.1. I was pretty sick and felt terrible the whole time. I did contact my doctor and there was nothing they could do for me so I had to just wait it out. As of today once and while I will get a high fever and will be gone in a day. I have never had this issue before.


VAERS ID: 2606051 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-27
Onset: 2023-03-16
   Days after vaccination: 170
Submitted: 0000-00-00
Entered: 2023-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7164B / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

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: Leflunomide; Ambien; Zyrtec
Current Illness: N/A
Preexisting Conditions: Sjogren''s Syndrome
Allergies: All Cillins; Sulfa Drugs; Keflex; Biaxin
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had what I thought was a cold. I was unable to breath and stop coughing. I went to the emergency room on March 19, 2023. After looking at my ears and throat. They prescribed Tessalon Pearls, Doxycycline, and a steroid. My symptoms improved after a couple of days. I am still taking the medication and am still suffering from the cough. I have not yet recovered from all my symptoms.


VAERS ID: 2542004 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-12-07
Onset: 2022-12-09
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ6739 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Cough, Dyspnoea, Hypersomnia, Malaise, Poor quality sleep, Sleep disorder
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (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: TYLENOL; vitamin C; aspirin; atorvastatin; calcium plus vitamin; CLARITIN; papaya tablets; albuterol inhaler
Current Illness: Week of 11/24/2022 I had symptoms like the flu and started the bronchial cough but no chest pain.
Preexisting Conditions: Asthma; Multiple Endocrine Neoplasia
Allergies: Aspartame
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: On December 9, 2022, two days after my dose 5, I began coughing heavily. I have not been feeling well and I am sleeping more. I would wake up coughing and I be awake for an hour because of my coughing. The cough has been affecting my breathing. I took some TYLENOL and ROBITUSSIN. On Saturday I went to the walk-in-clinic. I took benzonatate for a few days and that relieved my cough a bit. I am still not sleeping well due to waking up with my cough. I have had Asthma cough for so many years, but this cough is different.


VAERS ID: 2607598 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-22
Onset: 2022-12-22
   Days after vaccination: 91
Submitted: 0000-00-00
Entered: 2023-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Ear infection, Exposure to SARS-CoV-2, Nasal congestion, Nasopharyngitis, SARS-CoV-2 test positive, Sinusitis
SMQs:, Anaphylactic reaction (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: Triamterene/Hydrochlorothiazide; Metoprolol; Omeprazole; Multivitamin
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I became sick with COVID-19 two days after my husband had symptoms. It felt like a bad cold for about a week. I felt better but I had a lingering consistent cough. I had nasal congestion that also continued. I went to see my doctor after a month of persistent cough. The doctor told me I developed a sinus infection and an ear infection and put me on Augmentin. After six days of taking the Augmentin, the cough was gone and then I finished the ten-day course.


VAERS ID: 2489276 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Washington  
Vaccinated: 2022-09-21
Onset: 2022-09-23
   Days after vaccination: 2
Submitted: 0000-00-00
Entered: 2022-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7162B / 4 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER FLUE / UNKNOWN / 1 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Body temperature increased, Breast pain, Cardiac disorder, Electric shock sensation, Hypoaesthesia, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Lipodystrophy (broad), 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? No
Previous Vaccinations:
Other Medications: Atenolol 25mg, once daily. Pradaxa 150mg, twice daily.
Current Illness: High blood pressure: 135 / 95 average while medicated with the above meds.
Preexisting Conditions: Same as above. Also overweight; 220 lbs, Hight 5''-9"
Allergies: None that I know of.
Diagnostic Lab Data: None needed, none sought. Recovered without medical care or intervention.
CDC Split Type:

Write-up: Right leg: Lightening strikes down back side of the leg. Mid-thigh to mid-calf. Electrical shock beginning at thigh and ending at calf. Jolting, shocking, irritating jolts. 6 or 8 of them. Occurred over 5-10 minutes while seated at a computer. Never felt before or since. Edema in both feet/ankles for 2 years. Numb big toes. Separately at a later time sitting on toilet: deep breath, lung expands and touches a needle poking in my left breast near the nipple. (there is no needle). Surprised recoil. Cautious deep breath: again, needle sharp pain like a needle piecing a balloon. Scared to walk, maybe a heart attach? But no pain in arms, no shortness of breath, no other symptoms. Walked to other room to get cell phone to be ready to call 911. Then it''s gone and never returned. No pain. Hugh breaths and no problem. Another time: heart feels like it''s going to begin atrial fibrillation / tachycardia, but it doesn''t happen. Heart feels very labored and tired. I''ve had tachycardia for 50 years, so I know what it feels like. This one was tachycardia without the fast heartbeat (135). Although heartbeat did go to 122 at one point. Went away after a half hour or so. Temp to 100.6. No cough''s, no runny nose, no other symptoms. All symptoms occurred during the 3 days. Heartbeat went to 122, down to 57 and then back up to 100 again. Recovered without aid or medication.


VAERS ID: 2556273 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-07
Onset: 2022-12-23
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2023-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 1 UN / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Cough, Diarrhoea, Gastrointestinal disorder, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estradiol; multivitamin; fish oil; vitamin D; probiotic; glutamine
Current Illness: N/A
Preexisting Conditions: Irritable Bowel Syndrome; Osteoarthritis
Allergies: Sulfa
Diagnostic Lab Data: COVID-19 home, positive, 12/23/2022
CDC Split Type: vsafe

Write-up: At 5:00AM on December 23, 2022, I woke up with a burning sore throat. I tested positive for COVID-19 on the same day. I had a tele visit with the doctor and was prescribed PAXLOVID. Symptoms were sore throat, headache, mild fever, some chills, dry cough, and diarrhea. I continue to have digestive issues and mild cough.


VAERS ID: 2604078 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-23
Onset: 2023-02-23
   Days after vaccination: 153
Submitted: 0000-00-00
Entered: 2023-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7165B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Fatigue, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Bupropion; Hydrochlorothiazide
Current Illness: N/A
Preexisting Conditions: High Blood Pressure; High Cholesterol
Allergies: Penicillin; Zyrtec
Diagnostic Lab Data: 24FEB2023 - COVID-19 Test - Negative; 25FEB2023 - COVID-19 - Positive
CDC Split Type: vsafe

Write-up: I started having a sore throat on Thursday February 23, 2023, but I thought I just tired from vacation. On the 24th, I knew I was coming down with a cold, so I took a COVID-19 test and it was negative. On the morning of the 25th my symptoms started to peak. I had a fever, fatigue, sore throat, and congestion. I took a COVID-19 test that day and it came back positive. When the test came back positive, I called my doctor. They couldn''t see me in the clinic, so they scheduled me a telehealth clinic with their urgent care. I called because I had a heard of Paxlovid and wanted to get on it. I was then prescribed Paxlovid. I started taking it that evening and was incredibly fatigued the Saturday and Sunday. My fever went down quickly. The remainder of the symptoms I experienced during my quarantine was congestion and fatigue.


VAERS ID: 2508669 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-03
Onset: 2022-11-11
   Days after vaccination: 39
Submitted: 0000-00-00
Entered: 2022-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, COVID-19, Cough, Feeling abnormal, Headache, Pain, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Dementia (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: Levothyroxine; ZYRTEC.
Current Illness: I had a cold that had run its course about a week prior to the injection.
Preexisting Conditions: Hypothyroidism.
Allergies: Sulfa drugs.
Diagnostic Lab Data: Antigen test date uncertain negative result; antigen test 11/13/2022 positive result.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent booster and a flu shot on 10/3/2022. I was abroad from 11/2/2022 until 11/12/2022. During my trip, I developed a light chest cough, which lasted for a few days. I took an antigen test and got a negative result. As the time progressed, the cough persisted and became dryer and more localized in the head area. On my flight home on 11/12/2022, I had a really bad cough, sinus pressure, sinus and chest congestion, body aches, a headache, and a loss of taste. I thought that I probably had a sinus infection. When I got home, I just took paracetamol and went to bed and expected to feel better the next morning. I woke up on 11/13/2022 still feeling terrible. I took another antigen test and got a positive result and called my doctor. She prescribed me benzonatate for my cough, FLONASE, and azelastine HCl solution. She also advised me to get an OTC saline nasal solution to help with the congestion, which I did. Today is the first time that I have not taken the medicine since being prescribed it. The only thing I took this morning was ibuprofen, which was also recommended to me by my doctor to keep the body aches and headaches at bay and has been very helpful. My cough is about 85% better now. Also, my congestion is about 90% better now. And thankfully, most of my sense of taste has returned.


VAERS ID: 2508703 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-10-17
Onset: 2022-11-09
   Days after vaccination: 23
Submitted: 0000-00-00
Entered: 2022-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dysuria, Headache, Pelvic pain, Pyrexia, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pneumonia vaccine, I had a very strong inflammatory reaction at the injection site with a pretty bad rash.
Other Medications: Bupropion; atorvastatin; melatonin
Current Illness: N/A
Preexisting Conditions: Coronary Artery Disease
Allergies: Sulfa drugs; seasonal allergies
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: I had a urinary tract infection that started on Wednesday November 9, 2022. I had burning and inability to void and pelvic pain. I also had a low-grade fever of about 101.0. I called my doctor who put me on amoxicillin and the symptoms dissolved. However, the headache kicked in on Friday November 11, 2022, and has continued to date. I have been using naproxen which really is not doing anything much for, but it slowly seems like its getting better. I have an appointment scheduled for additional treatment. I do have a history of UTI infections.


VAERS ID: 2613858 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Washington  
Vaccinated: 2022-09-29
Onset: 2023-03-31
   Days after vaccination: 183
Submitted: 0000-00-00
Entered: 2023-04-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7163B / 4 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Atrial fibrillation, Brain fog, COVID-19, Condition aggravated, Cough, Fatigue, Headache, Malaise, Mobility decreased, Myalgia, Nasal congestion, Neck pain, Oropharyngeal pain, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Taste and smell disorders (narrow), Supraventricular tachyarrhythmias (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications: Atorvastatin; berberine; vitamin D3; vitamin B12; losartan; metoprolol
Current Illness: N/A
Preexisting Conditions: A-Fib; High Blood Pressure; Pre-Diabetic
Allergies: N/A
Diagnostic Lab Data: 01APR2023 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: I had a headache and muscle pain. I hurt all over into my head and neck. I started coughing, stuffy nose, sore throat. As it progressed, I got a brain fog and kind of half here. I lost my taste for a few days which may have been from the cough drops. I had a lot of fatigued and tired with wobbly knees. I had to lay down a take a nap. On the 1st I went to the clinic. He didn''t want to prescribe the PAXLOVID because I was taking ELIQUIS for A-Fib. He instead decided to treat the symptoms. He prescribed dexamethasone which really helped with the muscle aches. I was taking an antihistamine for my nose and DM cough syrup for the cough. I also tested this day. I called the after hours at my doctors office and they told me to proceed to the urgent care. Two days ago I had an A-Fib episode that may have been brought on by me being sick.


VAERS ID: 2597634 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-09-11
Onset: 2023-02-21
   Days after vaccination: 163
Submitted: 0000-00-00
Entered: 2023-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA AS7145B / 5 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Cough, Fatigue, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Simvastatin; lisinopril; baby aspirin; vitamin D; AMBIEN
Current Illness: N/A
Preexisting Conditions: Chronic Heart Condition
Allergies: Sulfa; CEFACLOR
Diagnostic Lab Data: 2023Feb22 COVID19 PCR test (positive); 2023Mar2 COVID19 rapid at home test (negative); 2023Mar4 COVID19 rapid at home (positive)
CDC Split Type: vsafe

Write-up: The symptoms I experienced were fatigue, cough, and mild fever, during a trip. Fortunately we had brought some PAXLOVID on the trip with us so started taking that as soon as I tested positive. I did the full five day course and the symptoms started to abate. I was feeling better day by day and was able to go out and take a walk. I tested negative on March 2nd but the cough and fatigue returned to a lesser extent and I contacted my PCP. She advised it was probably a PAXLOVID rebound and recommended another round of PAXLOVID and isolation and resting. At this point I''m feeling better about 90%, I''m getting my energy back slowly.


VAERS ID: 2575132 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-11-03
Onset: 2023-01-23
   Days after vaccination: 81
Submitted: 0000-00-00
Entered: 2023-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 059F22A / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Asthma, Back pain, COVID-19, Condition aggravated, Discomfort, Headache, Knee arthroplasty, Pain of skin, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Retroperitoneal fibrosis (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: After a flu vaccine, I got flu-like symptoms, body aches, and tiredness, and soreness at injection site for one day and then goe
Other Medications: Multivitamin; calcium; omeprazole; hydrochlorothiazide; CELEBREX
Current Illness: N/A
Preexisting Conditions: Mild Asthma (well controlled with medication); various orthopedic issues due to Arthritis
Allergies: Shrimp; thimerosal
Diagnostic Lab Data: 24JAN2023 COVID-19 at home test positive
CDC Split Type: vsafe

Write-up: I had knee replacement about 4-5 weeks before testing positive for COVID-19 so some symptoms may have been from that but I headache, pressure and pain in lower back, all of my joints hurt, my skin hurt, I had an increase in asthma symptoms, not shortness of breath, coughing, congestion, fatigue, mild sore throat, and brain fog.


VAERS ID: 2614731 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-10-14
Onset: 2023-03-20
   Days after vaccination: 157
Submitted: 0000-00-00
Entered: 2023-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, COVID-19, Fatigue, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Sinus disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre 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: Losartan; BENICAR
Current Illness: N/A
Preexisting Conditions: Sleep Apnea
Allergies: Fish allergy
Diagnostic Lab Data: 21Mar2023 at home COVID-19 test, positive
CDC Split Type: vsafe

Write-up: 3/20/23 started with a sore throat in the evening. 3/21 felt bad and tested on an at home COVID-19 test, positive. Televisit with doctor who PAXLOVID on 3/22. This felt like a bad sinus infection with fatigue and weakness. Fever peaking at 102, but that only lasted a couple of days. Fatigue lasted about 11 days.


VAERS ID: 2594847 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-09-08
Onset: 2023-02-11
   Days after vaccination: 156
Submitted: 0000-00-00
Entered: 2023-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Fatigue, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (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: MIRENA IUD; NASACORT
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: 11FEB2023 COVID-19 test negative, 12FEB2023 COVID-19 test positive, 18FEB2023 COVID-19 test negative
CDC Split Type: vsafe

Write-up: On 02/11/2023 I tested negative for COVID-19. On 02/12/2023 tested positive for COVID-19 and I had a fever of 102. It felt like a bad cold, coughing, running nose, congestion, fatigue. I reached out to the local clinic, health system nursing line and they advised me to isolate. 02/13/2023 lost of smell and taste and still have fever of over 100.4. On 02/14/2023 fever did broke and I was still testing positive. On 02/17/2023 symptoms were improving. On 02/18/2023 tested negative for COVID-19.


VAERS ID: 2509604 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-10-28
Onset: 2022-11-09
   Days after vaccination: 12
Submitted: 0000-00-00
Entered: 2022-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA 021H221A / 5 RA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, COVID-19, Chills, Cough, Fatigue, Malaise, Myalgia, Pain of skin, Paraesthesia oral, SARS-CoV-2 test positive, Sensory disturbance
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: severe chills, age 50, shingles vaccine, other details unknown
Other Medications: Allopurinol 300 mg nortriptyline 30 mg timolol .5% morning eye drop latanoprost 0.005% evening eye drop sulfacetamide sodium
Current Illness: none
Preexisting Conditions: Chronic Kidney Disease Stage 2 Glomerular Filtration Rate 60 To 89 Migraine Headache Glaucoma Pigmentary Bilateral Gout Pectus Excavatum
Allergies: Decongestant
Diagnostic Lab Data: Positive at-home COVID tests (Quidel: QuickVue At-Home)
CDC Split Type:

Write-up: Positive for COVID on Nov 10. Symptoms began on Nov 9 and included a fever of up to 100.1 with chills. Also experience dry cough, fatigue, and muscles/joint aches. Experienced brief tingling/fizzing inside mouth and brief painful scalp on right side of head. Fever ended on Nov 10 and slow recovery since then. Mostly recovered today (Nov 16).


VAERS ID: 2527860 (history)  
Form: Version 2.0  
Age: 67.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-09-07
Onset: 2022-09-08
   Days after vaccination: 1
Submitted: 0000-00-00
Entered: 2022-12-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / UNK AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Head injury, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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? No
Hospitalized? No
Previous Vaccinations: Reactive to TB inoculation
Other Medications: SYNTHROID; clonazepam; FLONASE; vitamin D; stool softener
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa medications
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I had the flu vaccine at the same time as the Covid vaccine. The next day I woke up and was nauseous and lightheaded. I felt like I was going to faint, and when I went to sit on the toilet I missed and hit my head on the sink. Not sure if I lost consciousness because my spouse was there to help me up and lay me in bed, but I was up and about by noon.


VAERS ID: 2518737 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-10-17
Onset: 2022-11-21
   Days after vaccination: 35
Submitted: 0000-00-00
Entered: 2022-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ3277 / 1 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Rosuvastatin; ezetimibe; carvedilol; losartan
Current Illness: N/A
Preexisting Conditions: Charcot-Marie-Tooth Disease; Pacemaker
Allergies: Penicillin; naproxen sodium
Diagnostic Lab Data: 25NOV2022 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I tested positive for COVID-19 on 11/25/22. I had cough, tickle in my throat, congestion, headache, and a fever. I was not prescribed medications, but I took vitamins, AIRBORNE, BENADRYL, acetaminophen, and acyclovir. I started taking acyclovir because when I get sick, sometimes I break out in Shingles when I get sick. I am feeling better, but I am still dealing with the symptoms.


VAERS ID: 2602219 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-09-19
Onset: 2022-12-05
   Days after vaccination: 77
Submitted: 0000-00-00
Entered: 2023-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GJ5342 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Foreign travel, Influenza virus test negative, Oropharyngeal pain, Respiratory symptom, Respiratory syncytial virus test negative, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Streptococcus test negative, Symptom recurrence
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: Multivitamin; calcium
Current Illness: N/A
Preexisting Conditions: Environmental Allergies
Allergies: Grasses; molds; cats; pollen
Diagnostic Lab Data: COVID-19 home test December 6, 2022 positive, Flu March 07, 2023 negative, RSV March 07, 2023 negative, Strep March 07, 2023 negative, COVID-19 PCR test March 07, 2023 negative
CDC Split Type: vsafe

Write-up: I traveled for a trip and had been there since December 1st. I returned December 05, 2022, and that when I developed runny nose, cough, and fatigue. On December 06, symptoms also included a stuffy head and sore throat. I took an over-the-counter COVID-19 test that was negative. My husband had the same symptoms and also tested positive on December 6, 2022. On December 7, I tested positive with an at home test. I contacted my clinic and was prescribed PAXLOVID. I completed the full 5-day course of PAXLOVID and then tested negative for COVID-19 on the 5th day. 3 days later symptoms returned, and I was again testing positive. I remained positive for 5 days. I treated the symptoms with over-the-counter TYLENOL and decongestant. Most of the symptoms subsided but fatigue and tiredness lingered. I still have these symptoms to date. I began to receive medical treatment for respiratory symptoms that began March 07, 2023, and again March 09, I had respiratory symptoms and saw a physician for them. I tested negative for a number of conditions and was prescribed AUGMENTIN for 10 days. My symptoms improved very slowly. I am still taking it with 1 day remaining. I am still coughing currently.


VAERS ID: 2586873 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2023-01-30
Onset: 2023-02-17
   Days after vaccination: 18
Submitted: 0000-00-00
Entered: 2023-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 5 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test normal, General physical condition abnormal, Impaired driving ability, Musculoskeletal stiffness, Photopsia, Seizure, Visual field defect, Visual impairment
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Arthritis (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? Yes, 1 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: Varenicline; bupropion HCL; lisinopril; vitamin D; vitamin E; DHEA; multivitamin
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: None
Diagnostic Lab Data: 02/17/2023 Blood test, ? normal
CDC Split Type: vsafe

Write-up: Two weeks after my Bivalent, I was in a store and I started seeing rapid flashing lights to the left of my vision. So I couldn''t see to the left. When I was in the parking lot, it took up my entire field of vision. Went back into the store and sat down, they gave me water and started looking stiff and convulsed rapidly for about a minute or two. Paramedics took me to the ER. By the time I got there, it had worn off and told me to stop taking the meds and that''s where I stand now. I cannot drive for 90 days and I am seeing a neurologist due to the episode.


VAERS ID: 2598704 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-09-14
Onset: 2022-12-24
   Days after vaccination: 101
Submitted: 0000-00-00
Entered: 2023-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 LA / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Ageusia, COVID-19, Diarrhoea, Headache, Lethargy, Malaise, Myalgia, Nausea, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: No iron multivitamin; chewable vitamin C; vitamin D3; hydrochlorothiazide
Current Illness: None
Preexisting Conditions: Water Retention; Seasonal Allergies
Allergies: Seasonal; mold; penicillin; INDOCIN; clarithromycin; cefuroxime; fluticasone
Diagnostic Lab Data: 12/24/2022 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: After the vaccination, I had muscle soreness and lethargy. I attributed it to having both vaccines the same day. On December 24, 2022, I woke up and knew I wasn''t feeling well. I tested for COVID-19 at home. The result was positive. I had a telehealth appointment on December 26, 2022. By that time, I was quite sick. I had a headache, nausea, muscle aches, mild congestion, and diarrhea. I started losing my taste. I also had a 102-degree fever. I was prescribed PAXLOVID. My symptoms lasted fully for about two weeks. At one point, it felt like my muscles were burning. After about two weeks, I started getting better gradually. It was about a month before I felt back to normal.


VAERS ID: 2539354 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-09-23
Onset: 2022-11-24
   Days after vaccination: 62
Submitted: 0000-00-00
Entered: 2022-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9703 / 5 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Feeling abnormal, Headache, Hyperhidrosis, Mobility decreased, Night sweats, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Tendinopathies and ligament disorders (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MOUNJARO injection; quinapril; bupropion; duloxetine; fluticasone; metformin; simvastatin; esomeprazole; turmeric complex; METAMUCIL; glucosamine; men''s 50+ multivitamin; fish oil; cinnamon; vitamin D3; CBD extract; ginger root; vitamin E;
Current Illness: None.
Preexisting Conditions: Diabetes Type II; Hypertension (Managed).
Allergies: None.
Diagnostic Lab Data: Home antigen tests 11/24/2022, 11/30/2022, 12/1/2022 positive results; home antigen test 12/2/2022 negative result.
CDC Split Type: vsafe

Write-up: I received the Pfizer Bivalent COVID-19 booster and a flu shot on 9/23/2022. On 11/24/2022, I woke up with a sore throat, headache, and fever, which was probably about 101.5. I stayed at home and stayed in bed. I took acetaminophen, which helped moderate the fever and the accompanying chills, sweats, and body aches. I took a home antigen test on 11/24/2022, and the result was positive. On 11/25/2022, I had a telehealth visit with my doctor, who prescribed me PAXLOVID. I managed to take two doses of the PAXLOVID on 11/25/2022. On 11/26/2022 and 11/27/2022, I continued to have fever, night sweats, chills, body aches, and a headache. The acetaminophen helped moderate the symptoms, and they abated in the evening of 11/27/2022. I also developed an extremely sore throat on either the night of 11/27/2022 or the morning of 11/28/2022. I took a lot of throat lozenges, which helped provide some relief. Despite the sore throat, though, I felt like I was getting better, because I no longer had the headache or brain fog that had plagued me between 11/24/2022 and 11/27/2022. Since I didn''t have brain fog or a headache, I was able to focus and be fully present. On 11/30/2022, I took another home antigen test, and the result was still positive. I tested again on 12/1/2022, and the result was still positive, but the line was much fainter. When I tested again during the late morning of 12/2/2022, the result was negative. I did not have any more symptoms afterwards. Even though I was symptom-free, though, I took the advice of my doctor and took it easy for about a week afterwards. I minimized my activity levels and didn''t do anything strenuous.


VAERS ID: 2526696 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Wisconsin  
Vaccinated: 2022-09-07
Onset: 2022-12-02
   Days after vaccination: 86
Submitted: 0000-00-00
Entered: 2022-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH - / 5 AR / SYR
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Fatigue, Mobility decreased, SARS-CoV-2 test positive, Somnolence
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: Ezetimibe; sertraline; rosuvastatin; trazodone; L-thyroxine; alendronate; women''s multivitamin; calcium
Current Illness: None
Preexisting Conditions: None
Allergies: Seasonal; fresh water fish; dogs; cats; dust
Diagnostic Lab Data: 12/02/2022 at home COVID-19 test negative; 12/02/2022 at home COVID-19 test positive
CDC Split Type: vsafe

Write-up: My symptoms started on December 2, 2022. They included coughing and extreme fatigue. I tested for COVID-19 on December 2, 2022. My symptoms were worse the next day. I tested for COVID-19 again on December 3, 2022. The result was positive. I could not get out of bed on December 4, 2022, and I slept most of the day. My symptoms were at their worst. I called the doctor on Sunday, December 4, 2022. The doctor prescribed molnupiravir on December 5, 2022. The next day, I felt about 80% better. I continued to get better over time. I am about 90% better today.


VAERS ID: 2609354 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Male  
Location: Wisconsin  
Vaccinated: 2022-09-07
Onset: 2023-02-01
   Days after vaccination: 147
Submitted: 0000-00-00
Entered: 2023-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 5 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test abnormal, Catheterisation cardiac abnormal, Computerised tomogram normal, Coronary arterial stent insertion, Coronary artery occlusion, Decreased appetite, Electrocardiogram abnormal, Exercise tolerance decreased, Myocardial infarction, Pain, Sensation of foreign body
SMQs:, Anaphylactic reaction (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Noninfectious myocarditis/pericarditis (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, 3 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; mometasone; XARELTO; alpha lipoic acid; vitamin B12; vitamin D3; probiotic; NUCIFIC BIO X4
Current Illness: N/A
Preexisting Conditions: Gene Mutation Factor 5; Blood Clot
Allergies: Mustard
Diagnostic Lab Data: 2/20/2023 EKG and Bloodwork showed heart attack
CDC Split Type: vsafe

Write-up: I had a heart attacked 2/21/2023. I felt like a had food stuck in my throat or mucus about 2/4/2023. I was not not hungry and had loss of appetite. Five days later I sent to see the doctor on 2/6/2023 and was prescribed omeprazole. It helped by that evening the symptoms decreased and disappeared. The next week, I got these symptoms back. On 2/20/2023 it was more intense near my collarbone was sore. I could not exercise. Saw the doctor the next day and got an EKG and Blood drawn and was told to go the emergency room. I was rushed to a hospital. Cardiac catherization and found a blocked cartilage artery on the left there was blockage. A cat scan in Jan 2023 had zero blockage. They endoplasmic and put in a stent.


VAERS ID: 2615217 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: West Virginia  
Vaccinated: 2022-10-13
Onset: 2023-03-22
   Days after vaccination: 160
Submitted: 0000-00-00
Entered: 2023-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (MODERNA BIVALENT)) / MODERNA - / 4 RA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Cough, Diarrhoea, Feeling abnormal, Headache, Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: Fibromyalgia
Allergies: Latex
Diagnostic Lab Data: 22MAR2023 COVID-19 test positive
CDC Split Type: vsafe

Write-up: I had a fever, headache and just didn''t feel for about three days after receiving the vaccine. I tested positive for COVID-19 on 03/22/2023. I had nausea, extreme body aches, diarrhea and fever. I called my doctor for advice. I decided not to take PAXLOVID and treat my symptoms with over-the-counter medication. As of today, I still have a cough.


VAERS ID: 2545672 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: West Virginia  
Vaccinated: 2022-09-28
Onset: 2022-12-21
   Days after vaccination: 84
Submitted: 0000-00-00
Entered: 2022-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19-2: COVID19 (COVID19 (PFIZER-BIONTECH BIVALENT)) / PFIZER/BIONTECH GH9694 / 4 AR / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / N/A AR / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: COVID-19, Chills, Fatigue, Feeling abnormal, Malaise, Nasal congestion, Pain, Productive cough, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: XARELTO; metoprolol; citalopram; losartan potassium; amlodipine; trazodone; REXULTI
Current Illness: N/A
Preexisting Conditions: Heart condition, Hypertension, Bladder issues
Allergies: N/A
Diagnostic Lab Data: COVID-19
CDC Split Type: vsafe

Write-up: On last Wednesday, I just felt funny like I was coming down with something or about to have a fever. By the following day I had a fever and chills and started having nasal congestion. It continued to progress and in lots of pain all over my body and I felt like crap. I tested myself on Saturday and I was positive for COVID-19. I wasn''t able to reach a doctor until Tuesday. I did a telehealth, and I was put on molnupiravir and I have a couple days left. I started to feel better within 24 hours, but I am still testing positive. Still recovering and dealing with fatigue and congestive cough.


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