VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 0973213
Sex: F
Age: 40
State: TX

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: pain in injection site. I noticed today that my skin had peeled away at the injection site after my son pointed it out. There is a large square and of skin peeled away. The skin is also discolored.

Other Meds: Tylenol

Current Illness: None

ID: 0973214
Sex: F
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: injection site pain; chills; joint pain; She did not sleep well that night; This is a spontaneous report from a non-contactable consumer. An adult female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date: not known), via an unspecified route of administration on 07Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received first dose of BNT162B2 on an unspecified date with no adverse event reported. After second dose on 07Jan2021, the patient experienced injection site pain eight hours after on 08Jan2021; and then an hour later (9 hours after second dose) on 08Jan2021, she had chills. Later on, that night, she had joint pain and she did not sleep well that night. The next day (09Jan2021), she was fine. The outcome of the events was recovered on 09Jan2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0973215
Sex: F
Age:
State:

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: developed symptoms of COVID-19 infection on 24Dec2020/tested positive to COVID-19 on 29Dec2020; developed symptoms of COVID-19 infection on 24Dec2020/tested positive to COVID-19 on 29Dec2020; This is a spontaneous report from a non-contactable pharmacist. A 34-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date unknown), via an unspecified route of administration on 21Dec2020 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received the first dose of the COVID-19 vaccine on 21Dec2020, developed symptoms of COVID-19 infection on 24Dec2020, and tested positive to COVID-19 on 29Dec2020. The reporter asked for recommendations on how to proceed with the second dose. She then specified her request asking whether the patient should receive the second dose, or repeat the vaccination series. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: A causal association between suspect BNT162B2 and reported event cannot be excluded.

Other Meds:

Current Illness:

ID: 0973216
Sex: F
Age: 49
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Codeine, nickel

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: ? Covid-19 Vaccine, Mrna, Bnt162b2, Lnp-S (Pfizer) Anaphylaxis sleepiness, Swelling face and throat, breathing difficulty, cough, aphasia-pt was not able to express her thoughts or needs, pt felt that her heart was beating slow, vomiting started next day and lasted for 4 days, self treatment immediately by pt- Benadryl 50 mg and albuterol inhaler, later Prednisone course by medical professional symptoms completely resolved after 5 days

Other Meds: Benzonatate (TESSALON PERLES) 100 mg Oral Cap TAKE 1 TO 2 CAPSULES ORALLY 3 TIMES A DAY AS NEEDED FOR COUGH Fluticasone-Salmeterol (Advair Diskus) 250-50 mcg/dose Inhl Disk w/devi Use 1 inhalation by mouth 2 times a day. Rinse mouth well af

Current Illness: no acute illness

ID: 0973217
Sex: M
Age:
State: FL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: experienced a rash on torso/Rash on Torso Chest and Neck/red/splotchy and a little itchy; This is a spontaneous report from a contactable consumer. A 30-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry date not reported) via an unspecified route of administration on 10Jan2021 11:30 at a single dose for COVID-19 immunization. Medical history included that patient was tested positive for Covid prior to the vaccine, in early to mid Oct2020. Concomitant medications included bupropion; and amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL). He took his normal prescription medications in the morning the day of vaccination. Patient stated he received his first dose on Sunday, 10Jan2021 and 36hours, reported as last night 11Jan2021, he experienced a rash on torso, "red/splotchy and a little itchy, but bearable". He noticed that he was breaking out in a blotchy red rash on his torso and chest and it was not going away. It's not too itchy. He was calling to see if this was a normal side effect. He is not a HCP but works at a HCP office. He got his First Dose on 10Jan2021 at 11:30 and the rash started 11Jan2021 about 36 hours later. The Itching and spots showed up at the same time. The rash was only on the torso, chest, and neck. He was noticing that the rash was about the same as when it first started, and it gets worse when heat is applied like if he is in the shower. Patient has not taken any antibody tests and had no issues with vaccines in the past. He did not have to be hospitalized or seek further treatment for this rash. Patient wanted to report his side effects and "make sure it's nothing serious that needs to be addressed" and patient was asking for any information about report of rash and what needs to be done At the time of the report the patient felt fine and looked worse than he this it was. Patient asked if after experiencing side effects from the 1st dose, should he get the 2nd dose of vaccine. The outcome of the event rash on torso/rash on torso, chest and neck/red/splotchy and a little itchy was not recovered. Information on the batch/lot number has been requested.

Other Meds: BUPROPION; ADDERALL

Current Illness:

ID: 0973218
Sex: F
Age:
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Flu like symptoms, fatigue, chills; Flu like symptoms, fatigue, chills; Flu like symptoms, fatigue, chills; This is a spontaneous report from a contactable pharmacist (patient). A 43-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EK9231, expiration date not reported), via an unspecified route of administration on 11Jan2021 13:00 at a single dose for Covid-19 immunization. Medical history included sulfa allergies. Concomitant medications included ergocalciferol (VIT D) and docusate sodium (COLACE). The patient previously took first dose of bnt162b2 (Lot number: EK5730, lot unknown: False, administration date:21Dec2020 :01:00 PM,vaccine location: Right arm, dose number:1), azithromycin and experienced allergies. On 11Jan2021 at 23:30, the patient experienced flu like symptoms, fatigue, chills. Outcome of the events was not recovered

Other Meds: VIT D; COLACE

Current Illness:

ID: 0973219
Sex: F
Age: 29
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Nickel

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Muscle Aches, headache, low grade fever (responding to tylenol), slight itching and redness at injection site.

Other Meds: GABA supplement B vitiamin Complex supplement Folic Acid 1MG Methylphenidate Buspirone Multivitamin Fish Oil

Current Illness: none

ID: 0973220
Sex: F
Age:
State:

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: chills/severe chills; muscle pain; fever; joints hurt really bad; extreme fatigue; nausea; left tonsil really swollen and red; left tonsil really swollen and red; some tingling and pain in feet; some tingling and pain in feet; This is a spontaneous report from a contactable other healthcare professional (hcp). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration on 08Jan2021 at a single dose for COVID-19 immunization. Medical history included that patient had a Covid19 infection back in Jul2020 to an unknown date, and was later tested for antibodies (date unspecified) and found to have them. The patient's concomitant medications were not reported. Patient received her first Pfizer-Biontech Covid19 vaccine on 08Jan2021 and signed up for the health check-ins and reported "almost all" of the side effects listed, specifically chills and muscle pain that lasted all weekend (dates unspecified in Jan2021). She signed up with V-safe for text alerts, reminders, etc. She wanted to know if she should expect side effects to be worse with the second dose, and if she even needs to receive her second dose, given her history of Covid19 infection. Patient had chills muscle pain, most of the weekend, now fine. Patient asked if there's potentially more of the symptoms with second dose and if is it okay to take the second dose and stay according to schedule as patient had COVID-19, Covid virus really bad, back in Jul2020 (also reported about 6 months ago and had blood work recently (date unspecified) and concerned because she still has Covid antibodies and her primary care provider wanted her to still get the first vaccine dose. Along with that, she has had everything from the muscle pain, severe chills, fever, joints hurt really bad, extreme fatigue, nausea, left tonsil really swollen and red, some tingling and pain in feet, all which has lasted all weekend (unspecified dates in Jan2021). Her concern was on an unknown date in Jan2021, she was set up for the second dose on 21Jan2021 and people say you get more side effects with the second dose, and she wanted the best advice for her next appointment. Patient asked if she was abnormal due to having the antibodies and asked how she should proceed since she was not sure if she should get the second vaccine. The patient recovered in Jan2021 from the events chills/severe chills, muscle pain, fever, joints hurt really bad, extreme fatigue, nausea, left tonsil really swollen and red, some tingling and pain in feet. Information about lot and batch number has been requested.

Other Meds:

Current Illness:

ID: 0973221
Sex: F
Age:
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Back and leg pain; Back and leg pain; This is a spontaneous report from a contactable other healthcare professional (patient). A 25-year-old non-pregnant female patient received second dose of BNT162B2 (lot no. and expiry date were not reported), via an unspecified route of administration on 11Jan2021 09:00 at single dose in left arm for Covid-19 immunization. Medical history included migraine, asthma, seborrheic dermatitis, and allergies to sweet potato, dust, dogs. Concomitant medication included sumatriptan and acetaminophen. The patient took her first dose of BNT162B2 on 22Dec2020 at 09:00 in left arm at single dose for Covid-19 immunization. On 11Jan2021 at 14:00, the patient experienced back and leg pain. The patient had no covid prior vaccination nor tested for Covid post vaccination. There was no treatment received for the events. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds: SUMATRIPTAN; ACETAMINOPHEN

Current Illness:

ID: 0973222
Sex: F
Age: 41
State: NY

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache started the next day, persisted for about 3 days. Have also noticed increased incidence of headaches over past 3 weeks. Tension and migraine. Last migraine yesterday. (Now 3 weeks out from vaccine) I do not have any significant headache history. Only usually have headaches from caffeine withdrawal, which has not been an issue these weeks.

Other Meds: None

Current Illness: None

ID: 0973223
Sex: F
Age:
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: sore throat; coughing; feels like a mild cold; Loose stool; Headache; Soreness in Left arm - right after administration in the afternoon; This is a spontaneous report from a contactable consumer. A 21-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot FJ1685, expiry date not reported), via an unspecified route of administration (unable to confirm if given intramuscularly) on 05Jan2021 12:00 at a single dose in the left arm for COVID-19 immunization. Medical history included soreness in arms (no matter what vaccines she gets). The patient had no known other allergies. Patient had family medical history of mother has asthma. Concomitant medications included birth control (unspecified) as the only thing she takes and she did not feel it was relevant. The patient previously took flu shot and experienced arm soreness. Patient had flu shot every year because it is required. She will get soreness in arm and she thinks when she took different vaccines when she started work. She had to take a bunch of them. Soreness was in whatever arm she gets the shot in. Patient works on Covid unit as a recreation aide in a nursing home and received first vaccine on 05Jan2021 and on 06Jan2021 developed headache, and on 09Jan2021 had sore throat, coughing, and felt like a mild cold starting three days after vaccine (08Jan2021), and had been taking cold medicine. She gets twice weekly for work, and she tested negative (COVID) on Friday (08Jan2021). Patient asked if this was normal to be developing symptoms that late after the vaccine. She just wanted to know if what she was experiencing was normal because she was freaked out about it. She works on a COVID unit and wears a lot of PPE. She started to experience symptoms after 3-4 days after getting the vaccine. She wanted to know if it was normal to take that long to feel side effects or should she be worried about actually having COVID. There was no prescriber. She had it as a part of work. When it rolled out, they were a part of it and if you work on COVID unit, they said you should get it. She got the vaccine on Tuesday, 05Jan2021, and started feeling symptoms on Friday, 08Jan2021. She started getting worse on 09Jan2021 and 10Jan2021. Furthermore, patient then reported that the headache started 3 days after receiving the vaccine. It persisted for the first 3 days and then after she got other symptoms, it subsided. Headache in the morning when she first woke up and persisted throughout day. Since then she will wake up in the morning with a slight headache. Soreness in arm was when it was first administered (05Jan2021), that was normal and she usually gets soreness no matter what vaccines she gets. This lasted for 2 days and then went away. She did say that the flu vaccine and some other that she did not remember the name of were the ones she remembered getting sore from. She did not have a manufacturer, lot or expiration for any of them. The fourth day was when she had a sore throat and coughing, that started in the morning when she woke up around 10:00. She had it all day yesterday and it was pretty severe and then she started getting better later in the night. Today it was less, but still here. She did take something to try and make herself feel better, so it definitely helped. Loose stool improved and today (12Jan2021) was yet to be known. Loose stool started in the afternoon of 06Jan2021. No ER (emergency room) or physician's office required Prior Vaccinations (within 4 weeks). Therapeutic measures were taken as a result of the events sore throat, coughing, and felt like a mild cold. The patient had not recovered from the event headache. The patient recovered from loose stool and soreness in left arm in Jan2021. The outcome of the events sore throat, and coughing was recovering. The outcome of the event "felt like a mild cold" was unknown.

Other Meds:

Current Illness:

ID: 0973224
Sex: F
Age: 75
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: penicillins, erythromycin, flagyl, sulfonamide antibiotics, tetracycline, fluorescein bee sting

Symptom List: Rash, Urticaria

Symptoms: low grade fever, tongue felt swollen, delirious, could not walk, nerve pain throughout body (especially hands, down legs, feet), speech was slurred, fast heart rate,

Other Meds: Atenolol 50mg, simvastatin 40mg, multiple vitamin, vitamin D, vitamin E

Current Illness: None

ID: 0973225
Sex: M
Age:
State: CA

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: his brain was still a little cloudy; tested positive for covid; tested positive for covid; lost 10 pounds; energy level changed drastically; weak; This is a spontaneous report from a contactable consumer (patient). A 52-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot no: EH9899, via an unspecified route of administration in left arm on 21Dec2020 09:00 at a single dose for COVID-19 immunization in a hospital. Medical history included hypertensive and diabetic, both ongoing. Concomitant medication included metformin for diabetic and olmesartan medoxomil (BENICAR) for hypertensive. There were no prior vaccinations within 4 weeks. The patient received the covid vaccine first dose on 21Dec2020 and started developing covid symptoms on the 27Dec2020. He was tested positive for covid on the 28Dec2020. The patient wanted to know what is next. He patient stated that it has been 10 days and he wanted to know if he is still contagious. He is scheduled to get the second dose on 11Jan2021. He wonders if he can get the second dose or does have to start the process over again. He works in a doctor's office. He is a technician. While providing height and weight he commented it has changed drastically. He later clarified it was his weight that changed drastically. He lost ten pounds. His weight and energy level changed drastically, and this was after getting the COVID Vaccine. His symptoms started the weekend after taking the vaccine. He had COVID symptoms. He later clarified and stated they all started on 27Dec2020. He clarified his symptoms as: body aches and fever. The body aches and fever started the night of 27Dec2020 and recovered from 08Jan2021. He was unable to provide an exact time of onset. These have resolved, but at the time of report he was just weak. He had a COVID test done on 28Dec2020 he tested positive. He confirmed he has not had a follow-up COVID test done afterwards. The patient also mentioned that his brain was still a little cloudy since an unspecified date. The patient had not recovered from the event weak; while outcome of "lost ten pounds", "his brain was little cloudy" and "tested positive for covid" was unknown.

Other Meds: METFORMIN; BENICAR

Current Illness: Diabetic; Hypertensive

ID: 0973226
Sex: F
Age:
State: MN

Vax Date: 12/24/2020
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: tested positive for COVID-19; tested positive for covid-19; This is a spontaneous report from a contactable other healthcare professional (patient). A 31-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EJ1685), via an unspecified route of administration on 24Dec2020 at a single dose for COVID-19 immunization. There were no medical history and no concomitant medications. The patient received the first dose of vaccine on 24Dec2020 and tested positive for COVID-19 on 11Jan2021. She was scheduled for second dose on 14Jan2021. The patient was asking if she can get her second dose as scheduled or wait and recommendation for 2nd dose, if needing to extend past 3 week mark for quarantine after testing positive. Outcome of the events was unknown.; Sender's Comments: The efficacy of a drug varies from patient to patient and can be affected by different factors; however, a contributory role of the suspect product BNT162B2 to the reported drug ineffective and COVID-19 cannot be ruled out.

Other Meds:

Current Illness:

ID: 0973227
Sex: F
Age: 45
State: IN

Vax Date: 01/01/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Moderate vertigo

Other Meds: Wellbutrin, triameterine, cyclobenzaprine, acetaminophen, vitamin d, vitamin c, calcium, zinc, turmeric, collagen multivitamin

Current Illness: None

ID: 0973228
Sex: M
Age:
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: He is also experiencing coughing; all I wanna do is sleep; Had aches and pains; He also has joint pain and pain in his right arm, hand, and wrist area; He also has joint pain and pain in his right arm, hand, and wrist area; Diarrhea; He is also very fatigued and does not want to get out of bed and that he is so tired; off and on headaches; This is a spontaneous report from contactable consumers. A 76-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EK4176), intramuscular on 06Jan2021 11:28 (also reported as about 1130) at a single dose on left arm for COVID-19 immunization. Medical history included pulmonary fibrosis from 2014 and ongoing, ongoing type 2 diabetes mellitus (Diagnosed probably in 1996-1997; under control). The patient previously had pneumonia shot in 2020 and flu shot in 2020 (few months ago in Oct2020/Nov2020) both for immunization. The patient's concomitant medications were not reported. The patient experienced diarrhea, very fatigued and does not want to get out of bed and that he is so tired, and off and on headaches, all on 07Jan2021. He also has joint pain and pain in his right arm, hand, and wrist area on 11Jan2021. He experienced coughing, somnolence, and had aches and pains on an unspecified date. Patient received the vaccine last Wednesday. He experienced diarrhea (on Thursday and Friday, went away then came back on Yesterday), had aches and pains, and severe fatigue (all I wanna do is sleep). Today he said that he wasn't having diarrhea that can be attributed to him not eating much yet, a few aches and pains, very tired, and a minor headache. He was asking how long do these symptoms usually last. Patient received it last Wednesday 06Jan2021 at about 1130. He said that he has been experiencing side effects, not severe, but on Thursday 07Jan2021 and Friday 08Jan2021, he had diarrhea. He said that on Saturday 09Jan2021 the diarrhea let up and Sunday 10Jan2021 was ok, but yesterday 11Jan2021 the diarrhea was bad. He said that he is also very fatigued ("severe fatigue (all I wanna do is sleep)") on 07Jan2021 and does not want to get out of bed and that he is so tired. He has had no fever, but has had off and on headaches. He said that he also has joint pain and pain in his right arm, hand, and wrist area. He said that it is hard to pick up a cup or glass because of the pain. He said that he got the injection in the left arm. He said that he is also experiencing coughing, but stated that he does have pulmonary fibrosis and it could be that. Diarrhea: patient said that his diarrhea is improved as of today 12Jan2021. Fatigued: he said that he noticed it on 07Jan2021, it subsided Saturday 09Jan2021 and Sunday 10Jan2021, but yesterday and today 12Jan2021 it is very prominent and he is very tired. Headaches: He said that the headaches are not severe, but they were there. He said that the headaches are not there today. Pain in the arm, hand, and wrist area: He said that he noticed the pain yesterday and stated that it is slightly worse. Coughing: He said that he coughs due to the pulmonary fibrosis too and sometimes it is a lot and sometimes it is a little bit. He said that he has to get his second dose on 27Jan2021 at 1500. He stated that his brother died of Covid last Thursday. The outcome of event diarrhea was recovering, of "he is also very fatigued and does not want to get out of bed and that he is so tired", "he also has joint pain and pain in his right arm, hand, and wrist area", and "coughing" was not recovered, of "off and on headaches" was recovered on 11Jan2021, of the events "all i wanna do is sleep" and "had aches and pains" was unknown. No relevant tests. No prior vaccinations within 4 weeks. No family medical history relevant to AE.

Other Meds:

Current Illness: Pulmonary fibrosis; Type 2 diabetes mellitus (under control; Diagnosed probably in 1996-1997)

ID: 0973229
Sex: F
Age:
State: IA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: muscle stiffness; joint rigidity; Inability to change positions, sit to stand or stand to sit; Inability to walk; inflammation; This is a spontaneous report from a contactable nurse (patient). A 34-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), via an unspecified route of administration in right arm on 22Dec2020 09:15 at single dose for COVID-19 immunization. Medical history included hypothyroidism related to thyroid ablation and obesity from an unknown date and unknown if ongoing. Concomitant medication included levothyroxine sodium (SYNTHROID). On 24Dec2020 10:30 PM, the patient experienced extreme muscle stiffness and joint rigidity, inability to change positions, sit to stand or stand to sit, inability to walk and ended up getting several labs completed and all but 1 was normal and it only showed inflammation. The patient had to do a prednisone taper and go on Meloxicam in order to resume working and daily activities. The events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The events was treated with prednisone and Meloxicam. The patient was not pregnant. The facility where the most recent COVID-19 vaccine was administered was in the hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19, nasal swab test: negative on 29Dec2020. The outcome of the events was not recovered.

Other Meds: SYNTHROID

Current Illness:

ID: 0973230
Sex: F
Age: 36
State: CA

Vax Date: 01/17/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Nka

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Left supraclavicular and axillary lymphadenopathy, still present

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0973231
Sex: F
Age:
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: nausea; chills; arm is swollen; This is a spontaneous report from a contactable consumer (patient). A 28-year-old female patient second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date: not known), via an unspecified route of administration on 11Jan2021 11:30 in the left deltoid at single dose for COVID-19 immunization, administered in the hospital. Medical history included birth control. The patient's concomitant medications were not reported. The patient received first dose of BNT162B2 on 23Dec2020 administered in the left deltoid. Her arm was swollen as she noticed this morning (12Jan2021) when she woke up, about 07:00. She placed ice on it and the swelling had gone down a little. Nausea and chills started around 09:30 this morning. The outcome of the event arm was swollen was recovering; while outcome of the events nausea and chills was not recovered. Information on batch/lot number was requested.

Other Meds:

Current Illness:

ID: 0973232
Sex: M
Age:
State: VA

Vax Date: 12/16/2020
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: stated that he was scheduled for his second vaccine and tested positive for Coronavirus the same day; stated that he was scheduled for his second vaccine and tested positive for Coronavirus the same day; This is a spontaneous report from a contactable physician. A 66-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 16Dec2020 at a single dose (first COVID vaccine) for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient was scheduled for the second dose on 06Jan2021 and tested positive for Coronavirus the same day. He started showing symptoms on 03Jan2021 and wanted to know, since he could not do the second Covid vaccine, because he is in quarantine and when he can get it. His quarantine ends on Friday and hopes to do it on that day. Clarified that it was 04Jan2021 that he was scheduled for the second dose and tested positive for the Coronavirus the same day and not 06Jan2021. The patient underwent lab tests and procedures which included SARS-COV-2 test: positive on 04Jan2021. The outcome of the events was unknown. Information on the lot/ batch number has been requested.; Sender's Comments: A causal association between suspect BNT162B2 and reported event cannot be excluded.

Other Meds:

Current Illness:

ID: 0973233
Sex: F
Age: 50
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxycillin, Cephalasporins, Erythromycin

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: 10 minutes after receiving the vaccine, my left hand went numb. The numbness started at my wrist and went all the way to my fingertips. Approximately 20 minutes after receiving the vaccine, my left food went numb. My hand was still numb at this time. Approximately 25 minutes after receiving the vaccine, part of the left side of my face was slightly numb. The facial numbness started at the edge of my left eye and went straight down to my chin and over to the left all the way to my ear lined up near the earlobe. My hand and foot were still numb at this time. Approximately 35 minutes after receiving the vaccine, all of the numbness went away. At approximately 3:00 a.m. on 1/16/2021, I woke up with a splitting headache and the chills so severe that my teeth were actually chattering and banging into each other. Later, I woke up overheated with the sweats. At 9:00 a.m. on 01/16/2021, I had symptoms that were flu-like. I was dizzy, light-headed, and nauseous as well. For the remainder of the day, I felt flu-ish, had generalized fatigue, my headache continued, and my left arm near the injection site was extremely sore. On 01/17/2021, I was still suffering from a severe headache and had generalized fatigue. My left arm near the injection site was still extremely sore and was now also red in color. To combat the headache, it required both ibuprofen and acetaminophen simultaneously. One medication on it's own was not enough. By 01/18/2021, my headache was gone as was my body aches. The only lingering effect on this day was a sore arm at the injection site that was still red in color.

Other Meds: Pro-biotic, Multivitamin, Birth Control

Current Illness:

ID: 0973234
Sex: M
Age:
State: NM

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: INR levels went up to 3.9; This is a spontaneous report from a contactable consumer reporting on behalf of the patient. An 87-year-old male patient (husband) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: ELI283, unknown expiration), via an unspecified route of administration on 11Jan2021 at a single dose as the patient wanted to take it to be on the safe side. Medical history included ongoing diabetes. Concomitant medication included ongoing linagliptin (TRADJENTA) for diabetes. It was reported that the patient received the vaccine yesterday (11Jan2021). On 12Jan2021, his INR levels went up to 3.9 and is usually in the 2.2 - 2.3 range. The patient had no reaction today (12Jan2021), but he did have to go get his INR levels checked. The reporter wanted to know if this is due to the COVID vaccine. They are wondering if the vaccine could have anything to do with the jump in his numbers. He doesn't have a prescribing doctor. He set up an appointment in the next town over to get the vaccine. He is having another INR check next Wednesday. Besides that, he doesn't feel any different. He has had no reactions. He just decided he wanted to take it to be on the safe side down the road. The patient underwent blood tests and procedures which included blood tests: unknown results on unspecified date and height: lost a couple of inches. Outcome of the event was unknown.

Other Meds: TRADJENTA

Current Illness: Diabetes

ID: 0973235
Sex: M
Age:
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea; This is a spontaneous report from a non-contactable consumer (patient). A 38-year-old male patient started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 11Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Within 15 mins, fever, chills, fatigue, body and joint pain, diarrhea on 11Jan2021. AE resulted in doctor or other healthcare professional office/clinic visit. Patient did not have COVID prior vaccination and was not COVID tested post vaccination. Therapeutic measures were taken as a result of events. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 0973236
Sex: F
Age:
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Injection site pain; joint pain; mild fever; headache; nausea; diarrhea; This is a spontaneous report from a non-contactable nurse (patient). A 49-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: E13248), via an unspecified route of administration on right arm on 11Jan2021 08:30AM at a single dose for COVID-19 immunization at workplace clinic. Medical history included hypertension and obesity. The patient had no known allergies. Concomitant medication included zinc and melatonin in two weeks. The patient previously received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685) on right arm on 23Dec2020 7:45AM. The patient did not receive other vaccine in four weeks. The patient was not pregnant and was not diagnosed with COVID-19 prior to vaccination. The patient experienced injection site pain, joint pain, mild fever, headache, nausea and diarrhea on 12Jan2021 10:00AM. The events were reported as non-serious. The patient did not receive treatment for the adverse events. The outcome of events was recovering. The patient had not been tested for COVID-19 since the vaccination. No follow-up attempts are possible. No further information is expected.

Other Meds: ZINC; MELATONIN

Current Illness:

ID: 0973237
Sex: F
Age: 17
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: This event was not an adverse event, however, it was an invalid dose because the patient was less than 18 years of age when she received her first dose of the Moderna COVID vaccine. Patient did state she experienced some light dizziness about 5 minutes after she was given the vaccine and that this has happened before with the influenza vaccine. She also stated that she did not have anything to eat or drink at all that morning so she may have been experiencing weakness from that as well. It resolved within 10-15 minutes and patient was fine to go home per other healthcare providers.

Other Meds: N/A

Current Illness: N/A

ID: 0973238
Sex: M
Age:
State: NM

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: transient bilateral blurry vision; This is a spontaneous report from a contactable physician. A 67-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 11Jan2021 11:00 at single dose for COVID-19 immunization (Patient age and high risk medically). Medical history included ongoing spastic paraplegia. He has a genetic neurological condition, he has it is called spastic paraplegia. He does not have an onset date just that it was years ago and is still an ongoing thing at this time. He believes there is a remote family history of the same neurological condition. Patient is not diabetic. There were no concomitant medications. It was reported that the patient previously took flu vaccine on 18Nov2020, almost 2 months prior. The patient experienced transient bilateral blurry vision on 11Jan2021 11:20. Caller is asking for recommendations regarding the 2nd dose for the patient who experienced blurriness of vision. Caller reporting a patient who received the first dose of the Vaccine yesterday (11Jan2021) and developed transient bilateral blurry vision at 11:00am, 20-30 mins after the dose. He said that it was resolved within 18-24 hrs after. He is asking if there were any reports of this in the clinical trial. It was further reported that caller is calling about the COVID vaccine. He says he was curious, he is a clinical director in (and he was calling to report or see if anyone had reported this. The patient received his first dose of the vaccine yesterday (11Jan2021) and for less than 24 hours had transient bilateral blurry vision. He says by the second day it had totally resolved. It started about 20 minutes after the first dose and resolved within 24 hours. He did not think it met criteria to report but he wondered if they would like to him report that and see if anyone had seen that at all. Event began on 11Jan2021 about 15-20 minutes after the vaccine was given and was resolved completely within 24 hours. For the dose, he believed the patient received 0.3 ml, whatever the standard dose is. He thought the Pfizer one is 0.3 ml. He says the nurses do that he just does the medical screening but he thinks the Pfizer one is 0.3 ml and (name) is 0.5 ml but he is older so he may be wrong. No further information provided. For the anatomical location of administration of Pfizer vaccine considered as suspect, he stated it was on one of the deltoids, he is not sure which. Vaccination Facility Type was outpatient clinic. There were no additional vaccines administered on same date of the Pfizer suspect, they screen for those and he has not had any other vaccines for at least 2 weeks. It was further reported that vaccine given roughly about 11 AM and the symptoms began 11:20 AM. He called the patient this morning at 9:30 AM and he said the blurry had resolved. He says he spoke with the patient's wife and she asked the patient if it was resolved and he said yes. They did not provide the caller with the time that the blurry vision resolved. Caller says he did send the patient to their in house optometrist for an exam and the exam was unremarkable by the optometrist. There were no prior vaccinations (within 4 weeks). He also wanted to know if they could advise whether or not to give the second dose. The outcome of the event was recovered on 12Jan2021. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness: Spastic paraplegia

ID: 0973239
Sex: F
Age:
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: headache; Sore arm; Fatigue; bodyache/Slight linger of achiness; muscle ache; migraine; fogginess; This is a spontaneous report from a contactable nurse (patient). A 43-year-old female non-pregnant patient received her second dose of bnt162b2 (BNT162B2 reported as PFIZER COVID 19 VACCINE; lot number: EL3249; expiration date: unknown), intramuscular right arm on 08Jan2021 10:00 at a single dose for covid-19 immunization. Medical history included exercise induced asthma. The patient has no known allergies. There were no concomitant medications. The patient did not receive other vaccines in the last four weeks. The patient was not diagnosed with Covid prior to vaccination. The patient received her first dose of bnt162b2 (BNT162B2 reported as PFIZER COVID 19 VACCINE; lot number: EJ1685) intramuscular left arm on 19Dec2020 10:00 at a single dose for covid-19 immunization but she had zero side effects. The patient reported that on her second dose, she had sore arm, fatigue, body ache, muscle ache, migraine and fogginess beginning 24 hours after receiving injection and lasting 72 hours. Slight linger of achiness and headache on the fourth day (12Jan2021) but able to work again. No treatment was received for the adverse events. The patient has not been covid tested post vaccination. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0973240
Sex: M
Age: 27
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin - rash

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills, nausea, headache, loss of appetite

Other Meds: None

Current Illness: None

ID: 0973241
Sex: M
Age:
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: he went to check his INR numbers and it went down to 1.3 from 3.3 two weeks ago./INR dropped significantly; This is a spontaneous report from a contactable consumer. A 75-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot BK7231, expiry date not reported), via an unspecified route of administration on 11Jan2021 at a single dose in the left arm for COVID-19 immunization. The patient's medical history included patient was on ongoing blood thinner (thrombosis). Concomitant medication included ongoing warfarin (COUMADIN) as blood thinner for the last 14 years. Patient received the first shot of the vaccine yesterday, 11Jan2021. Today, 12Jan2021, he went to check his INR numbers, got his INR drawn and it dropped significantly; it went down to 1.3 from 3.3 two to three weeks ago (date unspecified). His normal values were 3.0 - 3.5 (dates unspecified) as he was on coumadin as a blood thinner. He was asking if there were any drug interactions with warfarin and the vaccine. Patient did not have the exact units of measurement and stated hi second vaccination is scheduled for 01Feb2021. Therapeutic measure was taken as a result of the event reported. The outcome of the event INR numbers/went down/dropped significantly was unknown.

Other Meds: COUMADIN

Current Illness: Thrombosis

ID: 0973242
Sex: M
Age:
State: KS

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Pain at injection site (moderate to severe); general malaise (moderate); body/muscle aches (mild-moderate); body/muscle aches (mild-moderate); headache (mild); chills (mild); This is a spontaneous report from a contactable healthcare professional. A 36-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection, lot number: EL1284; expiration date not provided), via an unspecified route of administration on 11Jan2021 10:15 at a single dose at left arm for COVID-19 immunisation. Medical history included premature ventricular contraction and sulfonamide allergy. The patient received the first dose of BNT162B2 on 21Dec2021. Concomitant medication included escitalopram and famotidine. The patient experienced pain at injection site (moderate to severe), general malaise (moderate), body/muscle aches (mild-moderate), headache (mild), chills (mild) on 11Jan2021. No treatment information was received. The patient underwent lab tests and procedures which included SARS-COV-2 test which showed negative result on 01Jun2020. The outcome of the events was recovering.

Other Meds: ESCITALOPRAM; FAMOTIDINE

Current Illness:

ID: 0973243
Sex: F
Age: 27
State: ME

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Mild pain in arm shortly following injection of vaccine. Approximately 9 hours later, rapid onset of flu-like symptoms occured including: full body aches, fatigue, headache, and mild nausea. Advil was taken roughtly every 6 hours while side effects persisted. Late at night the following day 1/20/21, symptoms became more mild and normal activity was resumed. Advil or tylenol was still being taken at this time. All ailments ceased by mid day on 1/21/21.

Other Meds: None

Current Illness: None

ID: 0973244
Sex: F
Age:
State: IN

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: migraine; vertigo; diarrhea; sore arm injection site; dizzy; This is a spontaneous report from a contactable Nurse (patient). A 49-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EL0142 and expiry date unknown) via unspecified route of administration at the left arm on 08Jan2021 13:45 at single dose for Covid-19 immunization in a hospital. Medical history included vestibular migraines, allergies to ragweed, and allergies to PCN (penicillin). The patient was not pregnant. The patient has no covid prior vaccination. Concomitant medications included amitriptyline hydrochloride (ELAVIL), propranolol hydrochloride (INDERAL), bifidobacterium infantis, lactobacillus acidophilus (PROBIOTIC), riboflavin (VIT B2), and colecalciferol (D3) and multivitamins; all from unspecified date for unspecified indication. The patient has no other vaccine in four weeks. On day 1 (08Jan2021), the patient experienced sore arm injection site. On day 2 (09Jan2021), the patient experienced diarrhea once. On day 3 (10Jan2021), the patient experienced migraine, vertigo attack. On day 4 (11Jan2021) and 5 (12Jan2021), the patient was still little dizzy. The patient did not receive treatment due to the events. The outcome of the events sore arm injection site, diarrhea, migraine and vertigo was recovering, while dizzy was not recovered.

Other Meds: ELAVIL [AMITRIPTYLINE HYDROCHLORIDE]; INDERAL; PROBIOTIC [BIFIDOBACTERIUM INFANTIS;LACTOBACILLUS ACIDOPHILUS]; VIT B2; D3

Current Illness:

ID: 0973245
Sex: F
Age: 29
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Body aches, headache, nausea, vomiting, chills, fatigue, arm tenderness

Other Meds: None

Current Illness: No illness. Menstruating.

ID: 0973246
Sex: F
Age: 30
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Exercised following injection. Noticed mildly sore arm within several hours. Much worse that night to the point that I was unable to lift things. Next day it was on/off pain, with very intense pain when it came on to the point that I was unable to lift or do things. On Sunday (next day), pain seemed to radiate from the shoulder up through my left neck to the cranium area. Monday (today) this evening - pain so intense that I was screaming and sobbing. Husband (also MD) had to medicate me as I was laying on bed screaming unable to move or roll over. He had to manually lift me. Significant pain in left neck (trapezius) area on inhales, near injection site. Pain has been getting worse each night.

Other Meds:

Current Illness:

ID: 0973247
Sex: F
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Bumpy red rashes in arms and legs; Shortness of breath; Mild chest pain; Severe dizziness; Congestion; This is a spontaneous report from a contactable healthcare professional (patient). A 60-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date unknown, vaccine location: right arm), intramuscular on 04Jan2021 13:00 at a single dose for COVID-19 immunization. Medical history included hypertension/high blood pressure controlled, GERD/acid reflux, fast heart rate, and prediabetic. Concomitant medications included losartan, metoprolol, gemfibrozil (LOPID), aspirin [acetylsalicylic acid], atorvastatin, vitamin D3, zinc, magnesium, ascorbic acid (VIT C), vitamin B complex (VIT B COMPLEX), alpha-d-galactosidase (BEANO), angelica keiskei leaf, sambucus nigra extract (SAMBUCOL), and unspecified stress supplement. The patient is not pregnant. The patient received a flu shot administered on the right arm on 28Oct2020 and pneumo vacc administered on the left arm on 28Oct2020. The patient received no other vaccine in four weeks. The patient had no COVID-19 prior to vaccination. The patient was tested for COVID-19 post vaccination (test type: nasal swab, test name: COVID PCR) on 22Dec2020 with result negative. On 04Jan2021 13:15, the patient experienced bumpy red rashes in arms and legs, shortness of breath, mild chest pain, severe dizziness, and congestion. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Outcome of the events was recovering. Information about lot/batch number has been requested.

Other Meds: LOSARTAN; METOPROLOL; LOPID; ASPIRIN [ACETYLSALICYLIC ACID]; ATORVASTATIN; VITAMIN D3; ZINC; MAGNESIUM; VIT C; VIT B COMPLEX; BEANO; ANGELICA KEISKEI LEAF; SAMBUCOL [SAMBUCUS NIGRA EXTRACT]

Current Illness:

ID: 0973248
Sex: M
Age:
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Large reactive axillary lymphadenopathy; First dose: 17Nov2020, second dose: 07Jan2021; This is a spontaneous report from a contactable healthcare professional. A 51-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685), intramuscular on left arm on 07Jan2021 16:15 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (lot number: EJ165) for COVID-19 immunization on 17Nov2020 18:45 at left arm and tested positive for COVID test/Nasal Swab on 27Dec2020. The patient experienced large reactive axillary lymphadenopathy on 08Jan2021 that resulted in emergency room/department or urgent care. The patient took a CT scan as treatment with unknown results. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0973249
Sex: F
Age:
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: had a massive headache; nausea; throwing up for a couple of hours; This is a spontaneous report from a contactable consumer (patient). A 44-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL1283, Expiry Date: 30Apr2021), via an unspecified route of administration on 11Jan2021 12:00 at a single dose for COVID-19 immunization. Medical history was reported as none. There were no concomitant medications. The patient had the vaccine yesterday on 11Jan2021 at 12:00. Then by 3:30pm on 11Jan2021, patient had a massive headache, nausea, and throwing up for a couple of hours. She saw nausea as a side effect, but not the others. She also didn't think there were side effects really after the first shot. The patient asked if these are reported side effects after first dose and what about 2nd dose? Should there be any issues after the 2nd dose?. She is an ophthalmic tech. She doesn't have a prescribing doctor. She got it with the (health department name) for healthcare workers. The nausea stopped last night (recovered) at 10PM on 11Jan2021, and her headache stopped (recovered) at 9 am this morning on 12Jan2021. The patient also recovered from the event 'throwing up' on 11Jan2021.

Other Meds:

Current Illness:

ID: 0973250
Sex: M
Age: 51
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I received my shot at about 7:30PM Friday Jan 22, about 8 hours after that my shoulder had pain where I received the shot and had started to get a headache. 4 hours later awoke with extreme headache with pain in my joints, also this is when diarrhea started. Took Aleve and tried going back to bed an hour or so later chills started and couldn't sleep with the pain and diarrhea. Kept trying to sleep but was difficult with these problems a couple hours later tried stretching and doing a little stretch and flex to see if this would help but it did not. So approximately 18 hours after the shot the diarrhea was done (nothing left in me) I was dehydrated and consumed water constantly. A couple hours after this I did not have anymore chills but my head felt like a balloon that was being over inflated and was going to pop. By this time my sister was at my house keeping an eye on me, I had called her earlier. I couldn't really feel the pain where I received my shop because of the pain in all my joints (shoulders, knees, hands etc.) but the worst was my neck and head. Slept rough during the night drinking large quantities of water all night. Started feeling a bit better mid morning the next day, got appetite back but was extremely fatigued and pretty much napped in bed until 6pm Sunday the 24th. That's when I started feeling normal again eating like a pig and still couldn't get enough water in me. Now I'm scared about getting the 2nd dose of Moderna in a month. Thank you t

Other Meds:

Current Illness:

ID: 0973251
Sex: M
Age:
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: feeling off along with some headache; feels kind of off; This is a spontaneous report from a contactable other healthcare professional (patient). A male patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiration date were unknown), via an unspecified route of administration on 11Jan2021 15:00 at a single dose for COVID-19 immunization. The patient 's medical history and concomitant medications were not reported. The patient was administered with first dose of bnt162b2 on an unspecified date for COVID-19 immunization and experienced sore arm. The patient received the second injection yesterday (11Jan2021). With the first one, the patient didn't feel any side effects other than a sore arm. He received the second vaccine yesterday at about 3pm. Last night, everything was fine. This morning (12Jan2021) at about 9 a.m., he started getting a little bit of a headache. He just felt kind of off. He thought that it was one of the side effects. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0973252
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Throat scratchiness; Cough; This is a spontaneous report from a non-contactable healthcare professional reporting for a patient. A 24-year-old female patient received the first dose of bnt162b2 (BNT162B2, Pfizer, lot number: EH9899) and second dose (lot number: EK9231); both via an unspecified route of administration on an unspecified date at a single dose for COVID-19. Medical history and concomitant medications were not reported. During her 15-minute waiting period after the injection, the patient began to experience throat scratchiness and cough. The patient denied difficulty breathing, difficulty swallowing, throat tightness, dizziness and facial swelling. Treatment included antihistamines: diphenhydramine (BENADRYL) 25 mg oral. The patient denied any symptoms on discharge. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 0973253
Sex: F
Age:
State: MI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Strong metallic taste in mouth; This is a spontaneous report received from a contactable nurse (who is also patient). A 36-year-old female patient received the first dose of BNT162B2 (BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date unknown), via an unspecified route of administration in right arm, on 12Jan2021 11:00, at single dose, for COVID-19 immunization, in the hospital. There were no medical history and concomitant medications. The patient has no known allergies. The patient is not pregnant. The patient did not have COVID-19 prior to vaccination and did not receive other vaccines in four weeks. The patient experienced strong metallic taste in mouth on 12Jan2021 11:30. No treatment was given for the event. The patient was not tested for COVID-19 post vaccination. The outcome of the event was unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 0973254
Sex: F
Age: 54
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: mild fever, body-aches, headaches

Other Meds:

Current Illness:

ID: 0973255
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: numbness for 10 days and is ongoing/numbness and loss of sensation in the 4th and 5th digit, then on her arm, her shoulder and the spine/numb all over her spine; loss of sensation in the 4th and 5th digit, then on her arm, her shoulder and the spine/loss of sensation in the left 4th and 5th finger that then went to her shoulder and back; paresthesia; having trouble with dexterity; This is a spontaneous report from a contactable physician (neurologist) via a Pfizer-sponsored program. A 51-year-old female patient received the first dose of BNT162B2 (BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date unknown), via an unspecified route of administration in left arm, on an unspecified date, at single dose, for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took thimerosal and experienced allergy. The physician reported that the patient received the first dose of the vaccine and has been experiencing numbness for 10 day from an unspecified date. This patient received the injection in the left arm and she started experiencing numbness and loss of sensation in the 4th and 5th digit, then on her arm, her shoulder and the spine, she's still experiencing ongoing numbness the numbness in her 4th and 5th digit. The patient experienced loss of sensation in the left 4th and 5th finger that then went to her shoulder and back; and felt numb all over her spine, all on unspecified dates. The patient was having trouble with dexterity. The physician ordered an MRI for the patient but does not have the results back yet. The physician asked if it is safe for the patient to get the second dose. The second dose will be on 15Jan2021. The outcome of the event numbness was not recovered, and the outcome of the remaining events was unknown. Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 0973256
Sex: F
Age: 71
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Pain in arm of injection site; feverish; achy; fatigue

Other Meds:

Current Illness:

ID: 0973257
Sex: F
Age:
State: VA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Joint pain; Arm swelled up from the shoulder to the elbow and around to the inner arm; It is hot, hard, swollen, and extremely painful; from the shoulder to the elbow and around to the inner arm. It was hot, hard, swollen, and extremely painful.; Arm swelled up from the shoulder to the elbow and around to the inner arm; Headache; Low grade fever of 100.2F; This is a spontaneous report from a contactable other healthcare professional. A 43-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK4176; expiry date: unknown) via an unspecified route of administration in the left arm on 08Jan2021 on 15:00, at a single dose, for COVID-19 immunization. Medical history included gastrooesophageal reflux disease (GERD), bariatric surgery, seasonal allergies, and known allergies to bee stings, flu vaccine, and monosodium glutamate (MSG). Concomitant medications included famotidine (PEPCID) and cetirizine hydrochloride (ZYRTEC), and multivitamins. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EH9899; expiry date: unknown) on 17Dec2020, at 01:00 PM, in the left arm, for COVID-19 immunization. The patient is not pregnant at the time of vaccination. The patient was not diagnosed with COVID prior vaccination. The patient did not receive other vaccines within four weeks prior to COVID vaccination. The vaccine was administered in the hospital. On 09Jan2021, at 14: 30, the patient's arm swelled up from the shoulder to the elbow and around to the inner arm. It was hot, hard, swollen, and extremely painful. She also had joint pain, headache, and low-grade fever of 100.2 Fahrenheit (F). The patient did not received therapy for the events. Outcome of the events was not recovered. The patient has not been tested for COVID-19 since vaccination.

Other Meds: PEPCID [FAMOTIDINE]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0973258
Sex: F
Age:
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: swelling on the face; dizzy; This is a spontaneous report from a contactable consumer (patient). A 29-year-old non-pregnant female patient received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot number: EL1284), via an unspecified route of administration in the left arm (upper shoulder) on 11Jan2021 at a single dose for COVID-19 immunisation. The patient has no other medical history and no concomitant medications. The patient stated that she got the first shot for the covid vaccine yesterday in the evening and now she is feeling swelling on the face. When she got up in the morning, she felt swelling on the face. She is asking on what she has to do. She also felt a little dizzy. She was dizzy when she got up in the morning, she did not feel anything yesterday, she felt everything today. The outcome of the events was not recovered. She has had no positive test for covid before the vaccine. She had a negative test a few days ago this month in Jan2021. She got the test on a Monday and got the results on Friday.

Other Meds:

Current Illness:

ID: 0973259
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: supraclavicular nodule after receiving 1st dose of the Covid vaccine; This is a spontaneous report from a contactable pharmacist. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection, lot number and expiration date not provided), via an unspecified route of administration from an unspecified date at a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient developed supraclavicular nodule after receiving first dose of the COVID vaccine on an unspecified date. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0973260
Sex: F
Age: 40
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, severe chills, severe body ache, fatigue, fever, shortness of breath, pain in location of shot, muscle ache,

Other Meds: Duloxetine Emgality Mirena Topiramate Alprazolam Montelukast

Current Illness: Bronchitis 1 month prior

ID: 0973261
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: This is a spontaneous report from a contactable nurse (Patient). A 47-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on30Dec2020 to 30Dec2020 at single dose for COVID-19 immunization. She had a history of pancreatitis and was hospitalized with elevated lipase levels one and a half weeks prior to getting her first dose in Dec2020. When she received the first dose she had recovered and her lipase levels were normal in Dec2020. Her gastroenterologist has scheduled her for a colonoscopy and upper endoscopy but would like for her second dose to be spaced out a week from her first dose. She is asking if there is any data to support efficacy of the second dose of the vaccine between days 28-32. The doctor stated she is okay as long as she gets the second dose of the vaccine within 5 months from the first dose. She had pancreatitis and needs to have a procedure for it. She was scheduled for second dose on 18Jan2021. She has an endoscopy and colonoscopy scheduled for 21Jan2021 and her GI doctor advised to postpone her second dose which she was told she should get 17- 21 days after her first dose since it would coincide with her procedure. She does not have a problem with the vaccine. She had a sore arm on an unknown date and was totally fine. The outcome of the event sore arm was recovered on an unknown date. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0973262
Sex: F
Age:
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Headache not too bad but hot nauseated 24 hours after injection; Headache not too bad but hot nauseated 24 hours after injection; Headache not too bad but hot nauseated 24 hours after injection; This is a spontaneous report from a contactable nurse (patient). A 65-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL1284) intramuscular in the right arm on 11Jan2021 07:30 AM at a single dose for Covid vaccine. Medical history included high BP. The patient had no known allergies. Concomitant medications included lisinopril, colecalciferol (VITAMIN D), vitamin B complex (B COMPLEX), calcium, and cetirizine hydrochloride (ZYRTEC) (other medications in two weeks). The patient had no other vaccine in four weeks. The patient experienced headache not too bad but hot nauseated 24 hours after injection on 12Jan2021 08:00 AM. Treatment was not received for the events. The patient had no Covid prior to vaccination. She did not have Covid tested post vaccination. The outcome of the events was not recovered.

Other Meds: LISINOPRIL; VITAMIN D [COLECALCIFEROL]; B COMPLEX [VITAMIN B COMPLEX]; CALCIUM; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm