Notable COVID-19 Vaccine Adverse Events, Backed by Evidence
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Some are widely acknowledged, like blood clots and myocarditis. Others are less publicly discussed.
Since the rollout of COVID-19 vaccines, a significant number of vaccinated people have reported various adverse reactions.
Some adverse events are widely acknowledged, like blood clots and myocarditis. Others are less publicly discussed but are still present in the research literature.
The Epoch Times reviewed the U.S. Vaccine Adverse Event Reporting System (VAERS), the United Kingdom’s Yellow Card Reporting system, South Africa’s VAERS database, and numerous peer-reviewed studies, selecting the top reported adverse events with literature support. Their severity determines the order of the events.
What Causes COVID-19 Vaccine Adverse Reactions?
Clinicians treating persistent vaccine adverse reactions believe that the leading cause of such injuries is the COVID-19 spike protein.
Spike proteins exist on the surface of the SARS-CoV-2 virus that invades cells and causes disease. The COVID-19 mRNA vaccines also induce the body to make spike proteins. The cells that are exposed to the mRNA produce spike proteins and then display these proteins on their surfaces. The immune system then attacks these spike proteins, thereby forming an immunity against them. The cells may also be destroyed.
- Immune dysregulation
- Blood clotting and vascular damage
- Mitochondrial dysfunction
- Mast cell activation syndrome
- Autoimmune reactions
- Tissue damage through spike persistence
The lipid nanoparticles in the mRNA vaccines may also contribute to reported adverse events. Studies show that lipid nanoparticles activate inflammatory chemicals and affect immune activity.
COVID-19 Vaccine General Adverse Events
The most common COVID-19 vaccine adverse events are those that affect the body generally.
- Chest pain may be a sign of myocarditis, but it can also be due to inflamed rib joints, lung inflammation, or neuropathy in the chest—all of which will be explained later in the article.
- Fatigue after vaccination is mostly transient. However, some people may experience persistent and debilitating fatigue, where even taking showers or doing a basic chore leaves them exhausted for the remainder of the day. Around 8 percent to 80 percent of vaccinated individuals report fatigue as a side effect, with most cases being mild. However, for some people, fatigue may never seem to get better. A study that followed 498 vaccinated physicians and dentists showed that around 6 percent reported long-term fatigue post-vaccination. One possible reason for the fatigue is mitochondrial dysfunction. Mitochondria are the body’s cellular powerhouse, present in most cells and responsible for producing energy for the body.
- Fever and chills may manifest due to the body’s immune system fighting off the vaccine and are usually transient.
- Swelling and pain at the injection site is usually transient. Pain can also happen throughout the body.
- Armpit pain may indicate that the body’s immunity is fighting off infections. The armpit area houses a cluster of lymph nodes that contain immune cells. These lymph nodes can become swollen after infection and vaccinations, leading to pain in the underarm area.
Nervous System Disorders
Nervous system disorders are some of the most common adverse events reported. In the Pfizer trials, these disorders were the third most common, coming after general and muscle-related adverse events, while they were the second most common in the Moderna trials.
Guillain-Barré Syndrome
The U.S. Centers for Disease Control and Prevention (CDC) recognizes Guillain-Barré syndrome (GBS) as a safety signal of the Johnson & Johnson (J&J) vaccine. A study published in Scientific Reports found that COVID-19 vaccine recipients have a 42 percent increased incidence of developing GBS.
Dementia
While COVID-19 vaccination has not been directly linked to dementia, it has been linked with cognitive deficits, memory loss, and delirium, all of which are symptoms of dementia.
Seizures
In October 2022, U.S. Food and Drug Administration (FDA) researchers detected seizures as a safety signal for children aged 5 and under who received the mRNA vaccines. A Japanese study that followed 332 people with epilepsy observed seizure worsening following vaccination in 5.7 percent of those who received their first and second COVID-19 vaccines.
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Gait Disturbance
One review linked four cases of gait disturbance to the COVID-19 vaccine. Another paper published in Cureus reported four neurological case studies, with one patient developing gait disturbance from Guillain-Barré syndrome and one from meningitis-retention syndrome.
Bell’s Palsy
Bell’s palsy manifests as facial muscle weakness or paralysis and has been recognized as a COVID-19 vaccine safety signal by researchers at the FDA. An FDA preprint found that older people who received the Pfizer booster had a higher rate of developing Bell’s palsy.
Tremors
Tremors may be a sign of brain and neural damage, causing impairment in motor control.
Sensory Changes
Sensory changes such as pins and needles, temperature intolerance, pain, and lack of sensation are all indicators of neuropathy. The Epoch Times has reported on neuropathy that occurs after vaccination.
Headaches and Dizziness
Though many people have temporary headaches or dizziness after vaccination, some may also experience persistent and painful migraines that affect daily living. These headaches may be the result of neuroinflammation induced by the spike protein.
Cardiac Disorders
Spike proteins have been shown to damage the endothelium lining of the heart, causing inflammation and fusing the heart muscle cells, as demonstrated by research conducted at the Mayo Clinic. Both processes can harm the heart muscles’ functioning, leading to various conditions.
Cardiac Arrest
There have only been a few studies linking cardiac arrest with COVID-19 vaccination. Analysis of the World Health Organization’s (WHO) adverse events database showed that the COVID-19 vaccines were associated with an increased risk of cardiac arrest in those older than 75 years of age.
Cardiomyopathy
Cardiomyopathy is a condition affecting the heart muscle. The heart cavities may become enlarged, with the muscles becoming thicker or stiffer, causing a weakened heart and even leading to heart failure or cardiac arrest.
Heart Attack
Spike protein damages blood vessels and is also prone to forming blood clots, which can block coronary arteries, leading to heart attacks. The WHO’s adverse events database showed that the COVID-19 vaccines are associated with an elevated risk of heart attacks in those older than 75.
Myocarditis and Pericarditis
Reports of myocarditis as a safety signal have been extensively reported in The Epoch Times’ premium reports. Recently, FDA researchers have also detected myocarditis as a safety signal for the latest COVID-19 monovalent vaccines.
Postural Orthostatic Tachycardia Syndrome (POTS)
Cases of POTS have increased in the wake of the COVID-19 pandemic. POTS is a condition that causes rapid heart rate when a person changes positions from lying down to standing up, indicating dysfunction between the nervous and cardiovascular systems.
Arrhythmia
Arrhythmias occur when there is an electrical malfunctioning of the heart, with heartbeats becoming too rapid, slow, or irregular.
Hypertension
As the vaccination campaign continues, evidence of possible blood pressure alteration has accumulated. The mechanism is unknown; it may be linked to the reduction of angiotensin-converting enzyme-2 (ACE-2) receptors in the body, as spike proteins bind to ACE-2 receptors to enter cells.
Heart Palpitations
Heart palpitation is a sign of underlying heart disease, though it is typically transient and non-severe.
Blood Disorders
A major side effect reported following vaccination is blood clots. Spike proteins are particularly prone to clotting. While most blood clots require the presence of thrombin and platelets, spike proteins can form clots even in the absence of these proteins.
Depending on where the blood clots form, patients may develop various pathologies related to the clotting.
Stroke
In early 2023, the FDA and CDC released a joint statement declaring stroke as a new safety signal in older people who took Pfizer bivalent boosters. However, months later, they reversed the statement.
Pulmonary Embolism
Pulmonary embolism occurs when blood clots form inside the lungs. This can impair oxygen exchange and excretion of carbon dioxide within the lungs and is potentially fatal.
Data from the GVDN showed that the recipients of the first mRNA vaccine doses or the AstraZeneca vaccine were all associated with an increased risk of pulmonary embolism between 20 and 33 percent.
Deep Vein Thrombosis
Blood clotting in the veins in the limbs is also potentially fatal if the clot stops blood from flowing back to the lungs. While large studies have not found an increased risk of deep vein thrombosis with COVID-19 vaccination, several case studies have linked patients’ deep vein thrombosis to vaccination. For example, a 75-year-old male developed swelling in his left leg 10 days after his second dose of the Pfizer vaccine.
Vasculitis
Vasculitis is damage and inflammation to the blood vessels, which could further encourage blood clotting.
The more common vasculitis diseases affect the smaller blood vessels, causing red spots and lumps on the skin and possible organ damage.
Raynaud’s Phenomenon
Raynaud’s phenomenon is a condition in which some areas, usually the fingers, feel numb and cool due to restricted blood supply to these areas.
Skin Disorders
A plethora of skin symptoms have been reported after COVID-19 vaccination.
Skin reactions can manifest as signs of an allergic or immune response to the vaccine. While the reactions are generally transient, some people may suffer from the condition for a long time.
“Some rashes may appear a day or two after vaccination, and some have a delayed onset, as long as 7–14 days after vaccination. Most of these rashes resolve on their own with time,” the lead author Dr. Esther Freeman, director of Global Health Dermatology at Massachusetts General Hospital, said in a press release.
Vitiligo
Vitiligo is an autoimmune condition where pigment is lost from areas of the skin, causing whitish patches. A systematic review of vitiligo cases linked to COVID-19 vaccines published in September 2023 identified 15 new or worsened cases.
Livedo Reticularis
The skin condition is thought to be caused by inflamed blood vessels and often presents with blotchy, reddish-blue to purple, net-like patterns on the skin.
Hair Loss
Hair loss can be due to hormonal changes, stress, and autoimmune conditions.
Sun Allergy
A sun allergy describes a condition where a person’s skin becomes itchy with rash formations a few hours after exposure to the sun. It is often caused by excessive histamine release and is usually linked to mast cell activation syndrome, which will be introduced in the “Immune and Autoimmune Disorders” section.
Psoriasis
In psoriasis patients, skin cells multiply too quickly due to immune dysregulation, causing patches of skin to become scaly and inflamed.
Eczema
Eczema is a condition caused by inflammation, leading to dry and itchy skin.
Excessive Sweating
Excessive sweating has been identified as a side effect by the United Nations Children’s Fund.
Erythema Multiforme
A skin disorder characterized by bull’s-eye-shaped lesions, erythema multiforme is often thought to be caused by an allergic reaction.
Pityriasis Rosea
Pityriasis rosea is a rash that often begins as an oval spot on the face, chest, abdomen, or back. A review published in Immunity, Inflammation and Disease identified 111 people who developed pityriasis rosea after COVID-19 vaccination. Most had symptoms in their trunk area, and the average time of onset was nine days. Recovery, on average, took a month and a half.
Psychiatric Disorders
The Epoch Times’ premium reports have extensively discussed various psychiatric disorders reported in the literature and by clinicians.
The problem can be as mild as sleeplessness or as severe as psychosis.
Hallucinations
This phenomenon has developed in some of those vaccinated, often reported in the literature as psychosis.
Anxiety and Depression
In a previous premium report, psychiatrist Dr. Amanda McDonald told The Epoch Times that she observed patients’ anxiety and depression suddenly became resistant to psychiatric medication after their vaccination or COVID-19 infection.
Panic Attack
Multiple case studies documented the sudden onset of panic attacks following vaccination.
Insomnia
Though few studies have singled insomnia out as an adverse event following vaccination, sleep disturbance is often reported in association with other conditions. A Turkish study that tracked 787 vaccinated health care workers found around 11 percent reported at least one sleep disturbance. The Italian NEURO-COVAX study that evaluated over 19,000 people found that 1.6 percent reported insomnia, with the Moderna vaccine most linked to insomnia as an adverse event.
Infections
COVID-19 vaccinations are supposed to improve immunity against the virus. However, a growing number of studies have found that repeated COVID-19 vaccination potentially weakens the immune system, putting the body at risk of infection from COVID-19 and other viruses.
Pneumonia
Several case studies have recorded pneumonia or lung infection associated with COVID-19 vaccines, though there have been no large reviews. A case study published in Bronchoneumolgia reported a patient who developed mild fever, shortness of breath, oppressive chest pain, and other symptoms within eight to 10 hours of taking a second vaccine dose.
COVID-19
The COVID-19 disease itself is among the top 10 most common adverse reactions reported to VAERS. Studies from Cleveland Clinic have shown that repeat COVID-19 vaccinations are associated with increased risks of COVID-19 infections.
Viral Reactivation and Infections
Herpes zosters, chicken pox, and Epstein-Barr viruses are commonly reported. Opportunistic bacterial and fungal infections may also manifest due to a period of immunodeficiency.
Eyes, Ears, Nose, and Mouth Issues
The immune response following COVID-19 vaccination may lead to temporary lesions and inflammation affecting the eyes, ears, nose, and mouth.
Tinnitus and Hearing Loss
Tinnitus has been regularly reported both in VAERS and the Yellow Card reporting system. The exact mechanism for tinnitus is unknown, though some studies suggest neurological damage.
Visual Impairment and Eye Disorders
The most common eye disorders reported are conjunctivitis and uveitis, both caused by inflammation of the eye tissues.
Vertigo
Vertigo is often linked to the ears, which help keep us in balance.
Smell and Taste Disorders
Loss of smell and taste are common and persistent conditions following COVID-19 and its vaccinations. A Belgian study published in the Ear, Nose & Throat Journal followed six people who developed smell and taste disorders following vaccination in the absence of a positive COVID-19 test.
Mouth Inflammation and Ulcers
Pain and ulcers of the mouth, tongue, and gums can occur due to the inflammation the vaccine induces. Mouth ulcers can also occur as a result of reactivated viruses and fungi. Most cases are transient and respond well to treatment.
Dry Mouth
Dry mouth is a common reaction reported during viral infections and after using certain drugs and is linked with poor breath and an increased risk of cavities.
Respiratory System Disorders
Shortness of breath, rapid breathing, and cough are symptoms that arise or worsen following vaccination.
Shortness of Breath
Shortness of breath (dyspnea) is a widely acknowledged vaccine side effect that is usually transient. Australia’s COVID-19 Critical Intelligence Unit reported in 2022 that shortness of breath is among the most commonly reported symptoms after COVID-19 vaccine-associated myocarditis and pericarditis.
Asthma
Asthma exacerbation and worsening have been reported. One study published in the International Journal of Infectious Diseases examined a medical resident who had a history of asthma. An occasional smoker, the woman reported respiratory symptoms 10 hours after she took the second Pfizer vaccine. Another 55-year-old patient became short of breath a day after she took her booster. A CT scan showed wheezing in both lungs.
Muscle and Joint Disorders
A study that followed 803 vaccinated health care workers for their reported side effects found that about 60 percent reported general weakness or fatigue, 45 percent reported muscle pain, and roughly 10 percent reported spasms and stiffness.
Joint pain was reported in more than 16 percent of the workers. Another study evaluating common side effects reported that joint pain tends to be a common side effect of vaccinations.
Muscle Weakness and Spasms
Muscle weakness, spasms, and loss of sensation can often indicate neurological injury. A review published in Acta Neurologica Belgica reported eight cases of muscle weakness, pain, or loss of sensation, and all of these patients were diagnosed to have Guillain-Barré syndrome or some type of neuropathy.
Arthritis
A Belgian study published in the journal Rheumatology followed 17 people who developed arthritis soon after being given the COVID-19 vaccines. Other studies have reported new and flared cases of arthritis in people days to weeks after being administered the mRNA and DNA vaccines.
Costochondritis
This is a condition where the joints in the rib cage become inflamed, leading to chest pain. Painful ribs are a less common phenomenon, with only a handful of cases.
Gastrointestinal Disorders
Digestive symptoms, including nausea and diarrhea, can range from mild to severe following COVID-19 vaccination.
Appendicitis
Studies in long-COVID patients showed that spike protein and its RNA can persist in the appendix, which may also apply to vaccine adverse events.
Pancreatitis
One possible explanation for pancreatitis developing post-vaccination is that the damage is induced through the organ’s ACE-2 receptors, which the spike proteins can bind to, causing inflammation.
Liver Injury
A systematic review published in BMC Gastroenterology identified 275 cases of liver injury following vaccination, most of which were caused by autoimmune actions.
Inflammatory Bowel Disease (IBD)
IBD is an autoimmune condition where the body has a chronically inflamed and swollen gut. Ulcerative colitis and Crohn’s disease all fall under the umbrella of IBD.
Irritable Bowel Syndrome (IBS)
IBS is a chronic condition with no known cause. Studies suggest that COVID-19 infections may trigger IBS, but there are no studies so far indicating a link to vaccination.
Immune and Autoimmune Disorders
COVID-19 vaccines activate the immune system, and immune-related adverse events such as inflammatory, autoimmune, and allergic conditions may manifest due to the vaccine-induced immune responses.
Multisystem Inflammatory Syndrome (MIS)
MIS is most commonly associated with severe COVID-19 and immune dysregulation in children (MIS-C). However, both children and adults (MIS-A) have reported multisystem inflammatory syndromes after vaccines in the research literature and the reporting system.
Lymphopenia
This is a sign of immunodeficiency disorder that occurs when the body’s lymphocytes, a class of immune cells, are low in number. The Epoch Times has reported on this phenomenon in a past article.
Cancer
Cancer can be a sign of immunodeficiency and suppression and may manifest when a person’s immune system becomes dysfunctional. However, some studies have suggested that spike protein may be a cancer promoter.
Mast Cell Activation Syndrome (MCAS)
MCAS occurs when the mast cells, known as the “sentinels” of the immune system, become overly sensitive. As a result, any stimulus can cause allergy-like inflammatory reactions with a number of symptoms.
While no studies currently associate MCAS with vaccine adverse reactions, the syndrome has been reported in VAERS and the UK’s Yellow Card system.
Hypersensitivity or Allergic Reactions
Clinicians at Baylor College of Medicine published a commentary on allergic reactions in JAMA Pediatrics. The authors said that, though rare, some people may be allergic to polyethylene glycol (PEG), which is present in the mRNA and J&J vaccines. Other potential allergens include latex and polysorbate 80, which are present in the AstraZeneca vaccine.
Reproductive Disorders
COVID-19 vaccination has been linked to reproductive concerns for both men and women.
Spontaneous Abortions
Researchers who analyzed the VAERS database found COVID-19 vaccines, when compared to influenza vaccines, were associated with an increase in all reports of miscarriage, fetal deaths, and fetal abnormalities.
Male Fertility
COVID-19 vaccination is linked with impairment in semen quality, as shown in an Israeli study that reported reduced semen concentration by 15.4 percent and declined total motile count.
Pain and Ulcers
One study published in June 2023 identified eight cases of vulvar ulcers in teenagers aged 12 to 17 after getting vaccinated.
Menstrual Disorders
A study that examined non-menstruating women, including women on contraceptives, women approaching menopause, and menopausal women, found that abnormal and unexpected vaginal bleeding could persist for eight to nine months. Up to 14 percent of women approaching menopause experienced menstruation, while 3.3 percent of menopausal women had vaginal bleeding.
Endocrine Disorders
Endocrine-related conditions, including hyperglycemia, have been reported as vaccine adverse reactions, beginning in the initial COVID-19 vaccine trials.
Hyperglycemia and Diabetes
Hyperglycemia, also known as high blood sugar, may be due to spike protein damage to the pancreas, the organ responsible for blood sugar regulation. Spike protein interactions with ACE-2 receptors can also promote an inflammatory state, which tends to correlate with higher blood sugar levels.
Thyroid Disorders
Thyroid dysfunction and thyroiditis have been linked to COVID-19 spike proteins. Since the spike proteins share similarities with thyroid proteins, the body may also attack the thyroid when it attacks spike proteins.
Urinary and Renal Disorders
Studies have shown that spike protein can cause direct kidney damage. COVID-19 patients have been found to have spike protein in their urine, suggesting renal complications.
Acute Kidney Injury
Kidneys are particularly vulnerable since the spike proteins bind to ACE-2 receptors, which are abundant in the kidneys.
Nephrotic Syndrome
Nephrotic syndrome is a type of kidney disorder that occurs when the kidney passes too much protein into the urine.
Urinary Complications
Vaccine recipients have also reported urinary adverse events.
Cystitis could be potentially related to the symptoms, as with urinary tract infection, the authors added.