|
| VAERS ID: |
914250 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-30 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
- / OT |
Administered by: Unknown Purchased by: ?
Symptoms: Blood test normal,
Breast feeding,
Chills,
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: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Name: Blood work; Result Unstructured Data: Test Result:Normal
CDC Split Type: USPFIZER INC2020514232
Write-up: chills; body ache; breast Feeding; breast Feeding; This is a spontaneous report from a contactable Nurse(patient). This nurse reported information for herself and the baby. This is a maternal report. This 32-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EJ1685, first dose), intramuscular on 21Dec2020 at single dose for COVID-19 immunization. Medical history included none. Concomitant medication included ascorbic acid/betacarotene/calcium sulfate/ colecalciferol/ cyanocobalamin/ ferrous fumarate/ folic acid/ nicotinamide/ pyridoxine hydrochloride/ retinol acetate/ riboflavin/ thiamine mononitrate/ tocopheryl acetate/zinc oxide (PRENATAL VITAMINS). The patient(healthcare worker) wanted to report a possible side effect that she had chills and body ache on 5th day after she got her first dose on 26Dec2020, there was no treatment received and she was also breast Feeding. It didn''t say they did not write the expiration. When probed for the causality, patient stated she thought so. Lab data included blood work was normal. Outcome of events was unknown.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2020514624 same drug/reporter different patient(baby case) |
|
| VAERS ID: |
926465 (history) |
| Form: |
Version 2.0 |
| Age: |
41.0 |
| Sex: |
Female |
| Location: |
Alabama |
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-07 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Work Purchased by: ?
Symptoms: Breast feeding,
Dizziness,
Fatigue,
Myalgia,
Pyrexia,
SARS-CoV-2 test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Post natal vitamins
Current Illness: No
Preexisting Conditions: No
Allergies: Sulfa, ceclor
Diagnostic Lab Data: Covid test - negative
CDC Split Type: vsafe
Write-up: 24 hours post-vax woke with severe dizziness severe, fatigue, and muscle aches. Fever from 12/21 -12/22 21, peak temp 102.9. However, I am breastfeeding and suspect I may have had mastitus. Took measures to hydrate and express milk to ensure that was treated. Spoke to NP in the ER unit, did not take prescribed meds since fever broke. |
|
| VAERS ID: |
927148 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Oregon |
| Vaccinated: | 2021-01-07 |
| Onset: | 2021-01-07 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-07 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
25J20-2A / UNK |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Breast feeding,
Dyspnoea,
Paraesthesia oral
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (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:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: Ceftriazone - anaphylaxis Latex- Anaphylaxis, Hives, Rash
Diagnostic Lab Data: unknown
CDC Split Type:
Write-up: Within 5 minutes after Moderna dose 1 vaccine patient developed tingling around the lips and tongue. Patient has a history of anaphylaxis to Latex, and ceftriaxone. HR 86 and regular, BP 130/80, O2 96% on room air with mask on. After further evaluation patient c/o feeling winded like " I just finished a walk pushing the stroller." Lungs and throat sound clear. Discussed with patient the pros and cons of administering benadryl and or epi and that would require a visit to the ED for further evaluation. Patient concerned about how the drugs will affect her breast feeding. Through our conversation, the tingling of the lips and tongue has increased, patient is stable, decision made to wheel patient to the ED for evaluation. |
|
| VAERS ID: |
928930 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Oregon |
| Vaccinated: | 2020-12-30 |
| Onset: | 2020-12-31 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
025J20-2A / 1 |
RA / IM |
Administered by: Work Purchased by: ?
Symptoms: Breast feeding,
Fatigue,
Loss of personal independence in daily activities,
Pain in extremity
SMQs:, Dementia (broad), 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: Prenatal , vit D , Claritin. Fish oil
Current Illness:
Preexisting Conditions: Hypoglycemic
Allergies:
Diagnostic Lab Data:
CDC Split Type: vsafe
Write-up: So you took nap the day of and when I woke up my arm hurt. The next day I felt very tired and had a hard time doing my daily activities and this continued into the next few days. 7 weeks, due date August 27th. I am also breast feeding. |
|
| VAERS ID: |
970309 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 2021-01-18 |
| Onset: | 2021-01-20 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
028L20A / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Breast feeding
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Patient is breastfeeding her 5 month old son. Two nights after her 1st Moderna dose, he had violent vomiting, diarrhea, body rash, and hematuria. |
|
| VAERS ID: |
978085 (history) |
| Form: |
Version 2.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
North Carolina |
| Vaccinated: | 2021-01-26 |
| Onset: | 2021-01-27 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-27 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 2 |
LA / - |
Administered by: Public Purchased by: ?
Symptoms: Breast feeding,
Chills,
Headache,
Pain,
Pain in extremity,
Sneezing
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: Vitamin D - baby Prenatal - mother
Current Illness: Cold -congestion and runny nose
Preexisting Conditions: None
Allergies: Baby - none Macrobid - mother
Diagnostic Lab Data:
CDC Split Type:
Write-up: Within 1-2hrs after vaccine, patient began sneezing repeatedly for the remainder of the day. Sore arm, chills, body aches, HA. Patient is breastfeeding. 24hr later, infant began rubbing bilateral eyes and has redness on skin bikaterally. No conjunctivitis. Eating w/o difficulty and otherwise acting fine. Did sleep longer than usual. |
|
| VAERS ID: |
983596 (history) |
| Form: |
Version 2.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 2020-12-30 |
| Onset: | 2020-12-30 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-28 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Ageusia,
Anosmia,
Breast feeding,
Cough,
Dyspnoea,
Headache,
Impaired work ability,
Myalgia,
Oropharyngeal pain,
Pain,
Pain in extremity,
Pyrexia,
Respiratory tract congestion,
SARS-CoV-2 test positive,
Tenderness
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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 (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: Singular; prenatal vitamin
Current Illness: Had gallbladder out beginning of December
Preexisting Conditions: Asthma
Allergies: supha; z pac and augmentin
Diagnostic Lab Data: COVID - test Positive on Dec 31, 2021
CDC Split Type: vsafe
Write-up: (I am breastfeeding.) That day, I started with a sore arm. by 8:00 pm sore to move or touch. (It took about three days to resolve the sore arm.) I had a headache. A couple hours after vaccine I was told I was exposed to COVID. Got tested on 31st - I tested positive for COVID. Got shortness of breath, the bad muscle ache, the loss of smell and taste; coughing, sore throat, headache; fever. I still have headaches and I still have some congestion sometimes. It is getting better but my sense of smell and taste aren''t back. Fever, shortness of breath, cough etc lasted 10 days. I was out of work for two weeks. Called the doctor (January 4th, 2021)- for Oxygen levels - were dropping - they were in the high 80''s - the doctor let me stay home and monitor on my own as I have a nebulizer and inhaler at home. |
|
| VAERS ID: |
999040 (history) |
| Form: |
Version 2.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2021-01-20 |
| Onset: | 2021-01-21 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-03 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Breast feeding,
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? 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:
CDC Split Type:
Write-up: Breastfed son have severe hives x5days |
|
| VAERS ID: |
1019361 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Virginia |
| Vaccinated: | 2021-01-19 |
| Onset: | 2021-01-25 |
| Days after vaccination: | 6 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1283 / 1 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Breast feeding,
Herpes zoster,
Pain in extremity,
Pruritus,
Rash erythematous,
Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: I was taking levothyroxine, prenatal vitamins, vitamin D, and CoQ10.
Current Illness: I had no illnesses at the time of the vaccine.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: I received my first Pfizer Covid-19 vaccine on January 19, 2021. I didn''t have any immediate reaction after receiving the injection, aside from a sore arm. I''d like to note that when I received the vaccine I was breastfeeding as I do not know if this contributed to my reaction. About two days after receiving the vaccine, on January 21, 2021, I noticed a red itchy rash underneath my left breast. I initially thought this could be a complication associated with breastfeeding known as Mastitis. By the weekend the symptoms had decreased around my left breast and I developed a strong itchy sensation on the left side of my back. On January 25, 2021 I noticed I had a red rash on the left side of my back, on my left side and on my left breast. On January 27, 2021, I contacted my dermatologist and made an appointment thinking I had a rash. On January 28, 2021 I went to see Physician Assistant. During this visit diagnosed with Shingles. I do not know if the Covid-19 vaccine lead to developing Shingles. I wanted to share my experience in case there were other patients who received the Covid-19 vaccine and developed Shingles as a rare side effect. |
|
| VAERS ID: |
1025302 (history) |
| Form: |
Version 2.0 |
| Age: |
0.58 |
| Sex: |
Male |
| Location: |
Minnesota |
| Vaccinated: | 0000-00-00 |
| Onset: | 2021-02-04 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-11 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER |
- / UNK |
- / - |
Administered by: Unknown Purchased by: ?
Symptoms: Breast feeding,
Illness,
SARS-CoV-2 test
SMQs:, 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: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Covid PCR
CDC Split Type:
Write-up: Child got ill after breastfeeding post mother recovering Covid vaccine last week |
|
