|
VAERS ID: |
902446 (history) |
Form: |
Version 2.0 |
Age: |
55.0 |
Sex: |
Female |
Location: |
West Virginia |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Other Purchased by: ? Symptoms: Erythema, Feeling hot, Flushing SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Novasc, Hydrochlorothiazide, synthroid, lisinopril, singulair, MVI, olopatadine drops, prilosec, inderal, crestor, toviaz, ultram Current Illness: none Preexisting Conditions: Hypertension, sleep apnea, hypothyroidism Allergies: Contrast Dye IV contrast, shellfish, strawberry Diagnostic Lab Data: She took Benadryl 50 mg po. No medical tests done. After benadryl, was administered by herself, flushing went away and she felt better. CDC Split Type: Write-up: felt warm, hot and face and ears were red and flushed. |
|
VAERS ID: |
902468 (history) |
Form: |
Version 2.0 |
Age: |
59.0 |
Sex: |
Male |
Location: |
Unknown |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Chest discomfort, Chills, Defaecation urgency, Diarrhoea, Dizziness, Dyspnoea, Feeling abnormal, Flushing, Presyncope SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), 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: vaso-vagal type symptoms, similar presentation 12 hours post vaccine Other Medications: unknown Current Illness: no Preexisting Conditions: unknown Allergies: unknown Diagnostic Lab Data: Trransferred to ED CDC Split Type: Write-up: Within 1 minute, patient complained of symptoms of lightheadedness, flushing, asked for water. Symptoms persisted, reported vagal and "spacey", vitals were 117/91, HR 67, O2 sat 99% on room air. Reported chest heaviness, shortness of breath and within 5 minutes developed rigors and urge to defecate. 911 called, repeat vital 150/89 HR 113 O2sat 97%, continues to want to defecate. 1 loose BM, transferred to ED |
|
VAERS ID: |
902479 (history) |
Form: |
Version 2.0 |
Age: |
46.0 |
Sex: |
Female |
Location: |
Kansas |
Vaccinated: |
2020-12-14 |
Onset: |
2020-12-14 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Other Purchased by: ? Symptoms: Chest pain, Feeling abnormal, Flushing, Intensive care SMQs:, Anaphylactic reaction (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, 1 days Extended hospital stay? No Previous Vaccinations: Other Medications: unknown Current Illness: No Preexisting Conditions: unknown Allergies: No Diagnostic Lab Data: Unknown but sent to SICU for monitoring CDC Split Type: Write-up: rPfizer-BionNTech COVID-19 Vaccine EUA 5-7 minutes after the vaccine Associate stated she did not feel right, mentioned chest pain. "My chest feels funny. It feels like when you have really bad heartburn coming on". "I feel flushed like when you get contrast for a CT". Pulse 90 BP 160/90 checked later 130/90 |
|
VAERS ID: |
902491 (history) |
Form: |
Version 2.0 |
Age: |
41.0 |
Sex: |
Female |
Location: |
Nebraska |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
- / IM |
Administered by: Private Purchased by: ? Symptoms: Blood pressure increased, Dizziness, Dyspnoea, Erythema, Headache, Nausea SMQs:, Anaphylactic reaction (narrow), 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), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), 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: DULOXETINE (CYMBALTA) 60 MG CAPSULE Take 1 capsule (60 mg total) by mouth once daily at bedtime HYDROCODONE-ACETAMINOPHEN (NORCO) 5-325 MG TABLET Take 1 tablet by mouth once a day as needed for moderate to severe pain, with allowance Current Illness: Preexisting Conditions: Arrhythmia - right bundle branch block. GERD (gastroesophageal reflux disease) Spinal headache headache with steroid injection to the back. Uses contact lenses Allergies: Gabapentin Adhesive Duloxetine Diagnostic Lab Data: CDC Split Type: Write-up: Within a few minutes of receiving the COVID 19 vaccination, patient developed lightheadedness, shortness of breath, headache, and some nausea. She did get some redness to her neck and upper chest. No recent illness. Had elevated BPs ranged from 158/103 to 207/126 . HR ranged from 82-106. O2 sats always $g 96%. Temp 37.1 C. Received Tylenol 1000 mg PO, Dexamethasone 10 mg IV, diphenhydramine 50 mg IV, famotidine 20 mg IV, ketorolac 30 mg IV, ondansetron 4 mg IV, and 1 L NS. Patient prescribed EpiPen and prednisone and discharged. |
|
VAERS ID: |
902493 (history) |
Form: |
Version 2.0 |
Age: |
24.0 |
Sex: |
Male |
Location: |
South Dakota |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Private Purchased by: ? Symptoms: Dizziness, Flushing SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (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: At 12:55 pm 10 minutes following vaccine being given states feeling lightheaded and flush. Was sitting in the chair. Encouraged him to lay down on the floor which he did on his own. Feet elevated. BP 174/70 pulse 82. Denies any other complaints. Laid on floor for 15 minutes then sat in chair. Denies complaints. 1:15 pm was allowed to leave. BP 120/80 and states feeling fine. |
|
VAERS ID: |
902505 (history) |
Form: |
Version 2.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
Kansas |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
GH9899 / 1 |
RA / IM |
Administered by: Work Purchased by: ? Symptoms: Blood pressure increased, Ear discomfort, Flushing, Palpitations, Paraesthesia, Skin warm SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (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: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: Patient felt facial flushing, pounding in chest, burning and hot ears and blood pressure went up. Tingly in right arm and chest and hands. Symptoms resolved, after a few minutes but then returned. Patient sat with nurse during this reaction. |
|
VAERS ID: |
902508 (history) |
Form: |
Version 2.0 |
Age: |
30.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / SYR |
Administered by: Other Purchased by: ? Symptoms: Paraesthesia oral, Throat tightness SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (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: unknown Current Illness: unknown Preexisting Conditions: unknown Allergies: cucumbers Diagnostic Lab Data: None CDC Split Type: Write-up: She claims she experienced tightness in the right side of throat and her tongue started tingling. Took her the Emergency Department, She decided to go and buy Benadryl |
|
VAERS ID: |
902518 (history) |
Form: |
Version 2.0 |
Age: |
58.0 |
Sex: |
Female |
Location: |
Indiana |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
AR / IM |
Administered by: Private Purchased by: ? Symptoms: Eye pruritus, Feeling hot, Paraesthesia, Paraesthesia oral SMQs:, Anaphylactic reaction (broad), 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? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Latex, Norflex, shellfish, pomegranate, almond, bees Diagnostic Lab Data: CDC Split Type: Write-up: Tingling of upper lip and cheeks, warmth in face, and itchy eyes Treatment: diphenhydramine 50 mg PO x1 Outcome: symptom onset within 15 minutes of vaccine administration. Symptoms resolved within 20-30 minutes of diphenhydramine administration. |
|
VAERS ID: |
902557 (history) |
Form: |
Version 2.0 |
Age: |
32.0 |
Sex: |
Female |
Location: |
Alaska |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-15 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
RA / IM |
Administered by: Private Purchased by: ? Symptoms: Blood glucose normal, Blood test, Dyspnoea, Erythema, Flushing, Hyperhidrosis, Pulse abnormal, Tunnel vision SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Retinal disorders (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Nuvaring Current Illness: none Preexisting Conditions: low blood sugar, low blood pressure Allergies: None Diagnostic Lab Data: ED visit, blood draw, monitoring - 12/15/20 CDC Split Type: Write-up: 1750- IM injection ot R Deltoid. She was sitting, and felt short of breath without wheeze or tightness in the chest or throat. She stood up, and then felt tunneling. Assisted to chair and floor. Pulse weak, skin flushed, sweating on torso. Face and Neck remained flushed and red. She refused epi at first. So we gave her benedryll 25 mg po with apple juice. She said she just had a big meal 30 min prior, but we checked her blood sugar- it was 85. 10 min after the first SOB feeling, it returned. BP was recorded as 160/100. |
|
VAERS ID: |
902597 (history) |
Form: |
Version 2.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
Virginia |
Vaccinated: |
2020-12-15 |
Onset: |
2020-12-16 |
Days after vaccination: |
1 |
Submitted: |
0000-00-00 |
Entered: |
2020-12-16 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
LA / IM |
Administered by: Private Purchased by: ? Symptoms: Lip swelling, Swelling face 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? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: zoloft Current Illness: none Preexisting Conditions: none Allergies: none Diagnostic Lab Data: CDC Split Type: Write-up: Right sided facial/lip swelling. Started about 0200 on 12/16/20. Patient sometimes gets angioedema, so unsure if this is related but wanted to report |
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