|
| VAERS ID: |
919022 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Male |
| Location: |
Maryland |
| Vaccinated: | 2020-09-02 |
| Onset: | 2020-09-02 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-04 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Autoantibody positive,
Blindness unilateral,
Computerised tomogram coronary artery,
Echocardiogram,
Electrocardiogram,
Electrocardiogram ambulatory,
Magnetic resonance imaging brain,
Ophthalmological examination,
Postural orthostatic tachycardia syndrome,
Pyrexia,
Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dutastride 0.5 mg/day, Wellbutrin XL 300 mg/day, Truvada (emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg)/day.
Current Illness:
Preexisting Conditions:
Allergies: doxycycline-gastrointestinal.
Diagnostic Lab Data: Eye exam, MRI of brain and orbits, Holter monitor, EKG, Echocardiogram, CT cardiac calcium score.
CDC Split Type:
Write-up: Complete loss of vision in the left eye 12 hours after receiving second dose (Moderna mRNA-1273) while having a fever of 102 F for 6 hours. Loss of vision lasted for 1 minute. Loss of vision occurred while standing. Referral to primary care and ophthalmology specialist found normal eye exam and MRI of orbits but presence of tachycardia especially while standing (fluctuations between 60 beats at rest/laying down to 130 beats per minute standing). Postural tachycardia syndrome (POTS) is suspected. Currently pursuing cardiac workup with cardiologist and Covid POTS specialist. POTS specialist believes autoantibody development after vaccination could be suspected as recovering covid patients similarly present to clinic with POTS like symptoms. |
|
| VAERS ID: |
1023089 (history) |
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-22 |
| Onset: | 2020-12-22 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EH9899 / 1 |
RA / IM |
Administered by: Other Purchased by: ?
Symptoms: Condition aggravated,
Dizziness,
Myalgia,
Nausea,
Pain,
Postural orthostatic tachycardia syndrome,
Pyrexia,
Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: NauseaVomiting Aggravation of POTS, dizziness, fever, nausea, muscle aches and pain Narrative: |
|
| VAERS ID: |
950966 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-22 |
| Onset: | 2021-01-09 |
| Days after vaccination: | 18 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / IM |
Administered by: Unknown Purchased by: ?
Symptoms: Cardiac telemetry abnormal,
Chest discomfort,
Dyspnoea,
Postural orthostatic tachycardia syndrome,
SARS-CoV-2 test negative,
Ventricular extrasystoles
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Dehydration (broad), Hypokalaemia (broad), COVID-19 (broad), Noninfectious myocarditis/pericarditis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: COVID test is negative. 24hr Telemetry proves PVCs. positive orthostatic vitals
CDC Split Type:
Write-up: On 1/9/2021 started to have Postural Orthostatic Tachycardia Syndrome and PVCs associated with SOB and chest tightness and not recovered yet. |
|
| VAERS ID: |
951826 (history) |
| Form: |
Version 2.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2021-01-07 |
| Onset: | 2021-01-10 |
| Days after vaccination: | 3 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK5730 / 1 |
LA / IM |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1686 / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Dyspnoea,
Electrocardiogram,
Headache,
Heart rate increased,
Laboratory test,
Nausea,
Palpitations,
Postural orthostatic tachycardia syndrome
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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: allegra, singulair, vyvanse, vitamind d
Current Illness: none
Preexisting Conditions: Ehlers Danlos Syndrome, Mast Cell Activation Syndrome, Shift Worker Sleep Disorder
Allergies: none
Diagnostic Lab Data: Required IV fluids (1/10), EKG (1/10), labs(1/11), telehealth visit(1/11), cardiology referral (1/29) and placed on Metoprolol (1/16) for suspected POTS.
CDC Split Type: vsafe
Write-up: Palpitations with heart rate up to 150 on 1/10/21 at 2pm accompanied by dizziness, nausea, headache and shortness of breath. Required IV fluids, EKG, labs, telehealth visit, cardiology referral and placed on Metoprolol for suspected POTS. Currently still having orthostatic tachycardia 7 days after onset of symptoms and pending cardiology referral. |
|
| VAERS ID: |
1000168 (history) |
| Form: |
Version 2.0 |
| Age: |
53.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2020-12-21 |
| Onset: | 2020-12-23 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-04 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
LA / OT |
Administered by: Private Purchased by: ?
Symptoms: Heart rate,
Orthostatic heart rate response increased,
Palpitations,
Postural orthostatic tachycardia syndrome,
SARS-CoV-2 test
SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Dehydration (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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20201223; Test Name: heart rate; Result Unstructured Data: Test Result:Increase; Comments: Increase in heart rate upon standing; Test Date: 20210101; Test Name: Nasal Swab; Test Result: Negative
CDC Split Type: USPFIZER INC2021058182
Write-up: Developed palpitations with orthostatic Increase in heart rate upon standing; Developed palpitations with orthostatic Increase in heart rate upon standing; Concern for postural orthostatic tachycardia/POTs; This is a spontaneous report from a contactable Physician (patient). A 53-year-old female patient (not pregnant) received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), Lot number: EL0140, intramuscularly on 21Dec2020 07:30 at single dose in Left arm for COVID-19 immunization in hospital. Medical history was none, no known allergies. Patient didn''t have covid prior vaccination. There were no concomitant medications. There were no other vaccines in four weeks and no other medications in two weeks. The patient developed palpitations with orthostatic increase in heart rate upon standing. Concern for postural orthostatic tachycardia/POTs. Adverse events started from 23Dec2020, 07:00 AM and resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the events. The patient had not recovered from the events. Covid test with nasal swab type post vaccination was performed on 01Jan2021 with negative result. |
|
| VAERS ID: |
1008362 (history) |
| Form: |
Version 2.0 |
| Age: |
34.0 |
| Sex: |
Male |
| Location: |
Minnesota |
| Vaccinated: | 2021-01-26 |
| Onset: | 2021-01-29 |
| Days after vaccination: | 3 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-06 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL9263 / 2 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Dizziness,
Palpitations,
Postural orthostatic tachycardia syndrome
SMQs:, Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness:
Preexisting Conditions: Dysautonomia
Allergies: No
Diagnostic Lab Data:
CDC Split Type:
Write-up: Heart Palpitations, Lightheadedness still occurring 11days post vaccine, POTS |
|
| VAERS ID: |
1039926 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2021-02-06 |
| Onset: | 2021-02-07 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-02-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL9261 / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Chills,
Fall,
Heart rate,
Postural orthostatic tachycardia syndrome,
Presyncope
SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; COVID-19 (COVID symptoms were crushing chest pain, no fever, blood oxygen level never dropped below 98%.)
Allergies:
Diagnostic Lab Data: Test Date: 20210207; Test Name: pulse; Result Unstructured Data: Test Result:140+; Test Date: 20210207; Test Name: pulse; Result Unstructured Data: Test Result:120+
CDC Split Type: USPFIZER INC2021123461
Write-up: Nearly passed out; Postural Orthostatic Tachycardia Syndrome; icy like pulsation through my blood occurred; fell to the ground; This is a spontaneous report from a contactable consumer reported for herself. A 45-year-old female patient (not pregnant) received the first dose of bnt162b2 (Pfizer-Biontech Covid-19 Vaccine), Lot number: EL9261, via an unspecified route of administration on 06Feb2021 12:30 at single dose in Left arm for covid-19 immunisation. Facility type Vaccine was Hospital. Medical history included anaemia, no known allergies. Patient had COVID-19 starting on 06Jan2021 and persisting through 16Jan. Her COVID symptoms were crushing chest pain, no fever, blood oxygen level never dropped below 98%. The patient''s concomitant medications were not reported. There were no other vaccine in four weeks. Patient was experiencing Postural Orthostatic Tachycardia Syndrome. Nearly passed out going to the toilet when she first awoke. An icy like pulsation through her blood occurred first thing this AM, day after the vaccine. She fell to the ground and called for her husband to help her. He gave her 500mg acetaminophen and aspirin. She slept. Same thing happened with pulse 140+, he measured, as she showered. They stopped the shower, she laid down and recovered. When she got up immediately the pulse rises to 120+. Adverse events started from 07Feb2021 08:30 AM. Therapeutic measures were taken in response to the events. The outcome of the events was not recovered. Covid was not tested post vaccination. |
|
| VAERS ID: |
1065449 (history) |
| Form: |
Version 2.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 2021-02-23 |
| Onset: | 2021-02-23 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-03-02 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Body temperature increased,
Bone pain,
Chills,
Exposure during pregnancy,
Fatigue,
Feeling abnormal,
Headache,
Mobility decreased,
Nausea,
Pain,
Pain in extremity,
Postural orthostatic tachycardia syndrome,
Supraventricular tachycardia,
Tachycardia,
Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Parkinson-like events (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Osteonecrosis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Noninfectious myocarditis/pericarditis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aspirin 81mg daily Labatelol 100mg bid Prilosec 20mg bid Zofran odt 4mg PRN Q6hr Phenergan 25mg PRN Q6hr
Current Illness: POTS pSVT runs UTI Dehydration Tachycardia syncope
Preexisting Conditions: POTS
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:
Write-up: EDD 04/15/2021 Pregnancy history: hyperemesis gravitorium POTS pSVT Started feeling bad and fatigued around 9pm. Woke up with chills, severe body aches and bone pain, severe left arm pain, headache, nausea at 11pm. Felt worst I had ever felt in my life. Couldn?t get out of bed due to severe pain. Temp max 101. Lasted until 1pm next day and then resolved however felt tired for several days after and had episodes of tachycardia and pSVT for 2days after (h/o POTS and pSVT and think dehydration from episode with nausea and fever probably caused that) |
|
| VAERS ID: |
1070596 (history) |
| Form: |
Version 2.0 |
| Age: |
54.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 2021-01-29 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-03-03 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 2 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Feeling abnormal,
Pain in extremity,
Postural orthostatic tachycardia syndrome,
Sinus tachycardia,
Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Dementia (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin b12 /b compplex
Current Illness: possibe viral illness dec 10 th
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: ER admssion on Feb 9 th for epiosdes to sinus tach upto 150 Coronary calcium score Feb 17/21 2 week holter ( Feb 18 th to arch 3 ).. shows inappropriate sinus tachycardia . HR upto 140 ..
CDC Split Type:
Write-up: Suffered syncope dec 10 th .. assumed post viral work up was done essentially negative. Was slowly improving except for a little brain fog . covid test was neg then . First vaccine dose was on Jan 4 th .. min arm soreness for 24 hrs and no reacion after that Second dose was on Jan 29 th .. started with tachycardia to 11o that night and developed POTS .. with severe flares the next 2 weeks,,, now im 4 weeks out suffering from hyperadrenergic POTS / severe flares with in appropriate tachycardia( proven by holter) and inc blood pressure with it . |
|
| VAERS ID: |
1085712 (history) |
| Form: |
Version 2.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2021-03-09 |
| Onset: | 2021-03-09 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-03-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EN6206 / UNK |
LA / IM |
Administered by: Military Purchased by: ?
Symptoms: Dizziness,
Nausea,
Postural orthostatic tachycardia syndrome,
Vital signs measurement,
Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: DIZZY AND LIGHTHEADED POST VACCINE, WHICH PROGRESSED TO NAUSEA AND VOMITING. GIVEN P.O. BENADRYL @ 1444 WHICH WAS IMMEDIATELY THROWN UP. PT WITH STABLE VITAL SIGNS. PATIENT W/HISTORY OF POTS. SENT TO ED FOR FURTHER EVALUATION/TX. |
|
