VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1647620
Sex: F
Age:
State: FL

Vax Date: 01/29/2021
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Scan; Result Unstructured Data: Test Result:nothing; Test Name: X-ray; Result Unstructured Data: Test Result:nothing

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe joint reaction; Can not walk because the pain she is in right now is excruciating; Can not walk because the pain she is in right now is excruciating; The flare occurred in the left knee; This is a spontaneous report from a contactable consumer or other non hcp. A 90-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on 29Jan2021 (at the age of 90 years old) (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included arthritis and osteoporosis. The patient's concomitant medications were not reported. The reporter says she is calling for her mother who is 90 years old. She got her COVID vaccine on 29Jan2021 and says she is kind of concerned. She is unsure if it is from the vaccine or what. Her mother had a severe joint reaction. It did not happen in the first day, but about 2-3 days later after getting the vaccine. She took her mother to the orthopedic doctor yesterday to make sure that she did not have an injury. She has arthritis and osteoporosis and all the things, as she is 90 years old. She cannot walk because the pain she is in right now is excruciating. The doctor noted that she has some bone burs, which she has had for a while. One knee she has, has been treated in the past with cortisone before. Her other knee does not hurt as bad. The flare occurred in the left knee. They do not know what caused it. The x-rays and scans show nothing. She asked how they could know if this was a reaction to the vaccine. Her mother is supposed to get her next one on 19Feb2021. She wants her to get it, but she is concerned. The patient underwent lab tests and procedures which included scan: nothing, x-ray: nothing both on an unspecified date. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647621
Sex: F
Age:
State: OH

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 08/28/2021
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: Bone pain; Nausea; Fatigue; Headache; joint pain and muscle aches; joint pain and muscle aches; chills and sweating off and on; chills and sweating off and on; Diarrhea; she was bleeding after the person injected her; This is a spontaneous report from a contactable consumer (patient reported for herself). A 32-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EL9269), dose 1 via an intramuscular route of administration, administered in Arm Left on 02Feb2021 at 16:45 (at the age of 32-year-old) as DOSE 1, SINGLE for covid-19 immunisation and prophylaxis. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Medical history included She did have a baby last February and covid-19 from an unknown date to Mar2020. Family medical history was none. The patient concomitant medications were not reported. Prior Vaccinations (within 4 weeks) was none. AE following prior vaccinations was none. On 03Feb2021, the patient experienced bone pain, nausea, fatigue, headache, joint pain, muscle aches, chills, sweating off and on, diarrhea and she was bleeding after the person injected her. The clinical details of the events as follows: she received the first dose and would like to report some adverse events. She had all the side effects listed and also had bone pain. She called her doctor and reported the symptoms to her. She was unable to confirm if it was given in the muscle but did note that she was bleeding after the person injected her. Injected in left shoulder unable to confirm if given in muscle. It was reported that Bone pain progressively worse with every hour. After 24 hours, she was taking Ibuprofen for symptom relief, but did not take anything prior to receiving the vaccine. ER or physician office required: tele-visit with doctor on 05Feb2021 and it was not her usual doctor and medical treatment provided. Relevant tests were none. She did have a baby last February and recently read where people had children had worse side effects. It was just an online article. She did not have any information on those people to provide. No Investigation Assessment was provided. She was very hesitant to get second dose and would like some guidance about that. The patient outcome of the events Nausea, Headache, and Diarrhea was resolving, the outcome of the events Bone pain, Fatigue, joint pain, muscle aches, chills, sweating off and on and the outcome of the event bleeding after the person injected was unknown at the time of this report. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647622
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: nauseated; This is a spontaneous report from a contactable consumer. This consumer reported for a patient (friend). A patient of unspecified age and gender received dose number unknown of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number was not reported) via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not report-ed. On an unspecified date the patient experienced nauseated. Clinical course was reported as her friend received the Pfizer COVID-19 vaccine and became very nauseated afterwards. She would like to know if this is a common side effect. The clinical outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647623
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: This is a spontaneous report from a contactable consumer or other non-HCP. A 28-year-old female patient received unknown dose number of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, batch/lot# not reported), via an unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. The patient experienced fever, headache and left foot got hot; on an unspecified date. The outcome of the events: unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647624
Sex: F
Age:
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: heart rate; Result Unstructured Data: Test Result:Rapid

Allergies:

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

Symptoms: she had a full body rash. It was not on her torso, but was on her chest early in the day. The rash was mostly on both arms and both legs. It was a flat rash and did not itch; itching on her left arm below the injection site, but it felt like it was coming from the inside; Rapid heart rate; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot Number: EL9269, Expiry date, NDC number: Unknown), via an unspecified route of administration, administered in left arm on 06Feb2021 at 02:00 PM (age at vaccination was 79 years) as dose 1, single for covid-19 immunisation. Medical history included the patient has had reactions to multiple medications, includes; penicillin, erythromycin, macrodantin, and ceclor. The patient has also had reactions to sulfa drugs, but was able take a sulfa drug recently by eating a yogurt 15 minutes before taking it; this was about 2 years ago. The patient states, that Vicodin makes her looney, like walking into walls and stuff and the patient was prescribed Tramadol HCL when she broke her wrist a few years ago, and the patient later found out that it was basically Vicodin. She has also had reactions to Clindamycin, minocycline, and myrbetriq, but she doesn't remember what the reactions were. Family medical history relevant to adverse event was unknown. There were no concomitant medications. The patient calling about the Covid-19 Vaccine. The patient states that she signed up for the (unlisted) Program, but it would not pull up for the days that she needed it. She tried to call them twice and each time they tried to sell her something, so she hung up. The patient got her first dose of the vaccine on 06Feb2021 at 2 o'clock in the afternoon. Everything was fine that day. It didn't hurt. The patient couldn't tell she had it. Then, the next morning she turned the light on and laid there. On 07Feb2021, Sunday morning, when the patient woke up noticed that she had a rapid heart rate; She doesn't know if it was like that when she was asleep. It took it 3-4 minutes since she noticed it to go away. The morning of the 08Feb2021 on Monday, she was fine. In the afternoon, late that evening, the patient started to have itching on her left arm below the injection site, but it felt like it was coming from the inside; it was the whole section from the injection site down toward her elbow and it lasted the rest of the day. On 09Feb2021, Tuesday, when the patient woke up she had a full body rash. It was not on her torso but was on her upper chest early in the day. It lasted through the evening. It was a flat rash and that is it. The rash was mostly on both arms and both legs. It was a flat rash and did not itch. Today, she feels fine. States that she did contact her doctor yesterday, and was told to take Benadryl, which did help. It's hard for her to tell, but it doesn't look like she has the rash anymore. States that she was so concerned about the rash yesterday that she also called an urgent care to find out if the rash needed to be treated any other way but was not given any other recommendations. She wants to know if it is still safe for her to get the 2nd dose of the vaccine after having these reactions. Consumer said she already spoke with DSU. No adverse events require a visit to emergency room and physician office, but she did call her doctor and an urgent care about the rash. Therapeutic measures were taken as a result of the events with unknown medication as the patient also called an urgent care to find out if the rash needed to be treated any other way but was not given any other recommendations. Outcome of the event rapid heart rate was recovered on 07Feb2021, Itching was recovered on 08Feb2021 and other event was recovered on 10Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647625
Sex: F
Age:
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
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: Test Date: 2021; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: Intense migraine; severe vertigo; stomachache; This is a spontaneous report from a contactable Other HCP (patient herself). A 39-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via intramuscular route, administered in right arm on 09Feb2021 11:00 (age at vaccination: 39-years) as dose 2, single for Covid-19 immunisation. The patient was not pregnant at the time of vaccination. Historical vaccine included first dose of BNT162B2 via intramuscular route, administered in right arm on 19Jan2021 11:00 AM (age at vaccination: 38-years) as dose 1, single for Covid-19 immunisation. Medical history was not reported. Patient had no known allergies. Concomitant medication included Sertraline 100 mg taken for unspecified indication. Facility type Vaccine was workplace clinic. Patient took no other vaccine in four weeks. On 10Feb2021 6:00 A.M patient experienced intense migraine, severe vertigo, stomachache. Patient did not have if Covid prior vaccination. She was tested for covid post vaccination. Patient underwent lab test which included nasal swab test, with unknown results on an unspecified date. No treatment was given for the adverse events. The outcome of events was recovering. Information on the lot/batch number has been requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds: SERTRALINE

Current Illness:

ID: 1647626
Sex: F
Age:
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 08/28/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Diarrhea; Left arm pain; Nausea; This is a spontaneous report received from a contactable consumer (patient). This 60-Year-old female consumer reported for herself. A 60-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW2245) via an unspecified route of administration in arm left on 09Feb2021 10:00 AM as dose 1, single (age at vaccination: 60 years) for COVID-19 immunisation. The patient medical history and concomitant medications was not reported. Historical vaccine includes flu shot from an unspecified date Sep2020 to an unspecified date Sep2020. History of all previous immunisation with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunisations if dates of birth or immunisations are not available) was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. Prior Vaccinations within 4 weeks was none. On 09Feb2021, the patient experienced left arm pain, nausea. On 10Feb2021, had diarrhoea. It was stated that she was having a little bit of a side effect after receiving the COVID-19 Vaccine, her arm feels better, but she was nauseated and had diarrhoea. She knows she should go to her doctor if the side effects keep up and if there was anything else, she can really do for her COVID-19 Vaccine side effects, and will she go through the same side effects again with her second COVID-19 Vaccine dose in a couple weeks. Reported her roommate called to an emergency room to ask questions about her side effects, but the emergency room staff said they could not give her any information over the phone. Her left arm pain started at around 8:00PM last night, diarrhoea started this morning, and her last episode of diarrhoea was about an hour ago at 10:00AM. Treatment received was for the pain in her left arm she took aspirin and pain medicine. She said she put a warm water bottle on her left arm last night and left the warm water bottle on her arm all night. This really helped with her left arm pain. She took 2 Medline Ibuprofen 200mg (brown) tablets (NDC: Unknown Lot: WJO7688 Expiration: Mar2022) and gericare Aspirin 325mg as needed for pain (UPC: 5789690101 Lot: P120438 Exp: May2022) and had previously taken the Gericare Aspirin 325mg, as needed, for pain. Reported she goes to a clinic, and sees whatever doctor was available, so she does not have a set doctor. The adverse event did not require a visit to emergency room, physician Office. The clinical outcome of the event diarrhoea was not resolved and rest of the events was resolving. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647627
Sex: M
Age:
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 202101; Test Name: tested his hearing; Result Unstructured Data: Test Result:inflammation of the inner ear

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Vertigo; Inner ear inflammation; vomiting; slight vision impairment; brain fog; This is a spontaneous report from a contactable consumer (the patient). A 51-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EK5730; Expiration Date: Mar2021), via an unspecified route of administration, administered in upper left arm on 11Jan2021 09:30 (at the age of 51-years-old) as a single dose for COVID-19 immunisation (reported as to protect himself). Medical history included ongoing ulcerative colitis. Concomitant medication included mesalazine (APRISO) taken for ulcerative colitis from an unspecified start date and ongoing. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EK5730; Expiration Date: Mar2021), via an unspecified route of administration, administered in upper left arm on 24Dec2020 (at the age of 51-years-old) as a single dose for COVID-19 immunisation. No additional Vaccines administered on same date of the Pfizer suspect. No other vaccine within four weeks of getting COVID Vaccines. On 11Jan2021 22:00, the patient experienced vertigo, inner ear inflammation, vomiting. On an unspecified date in Jan2021, the patient experienced slight vision impairment, brain fog. He had an adverse reaction to the Pfizer shot. He had bad vertigo and inner ear inflammation. He got the second shot on 11Jan2021 at 9:30AM and that same day at 10PM everything started spinning and he started vomiting. He still has slight vision impairment, things are still slow, and he still has brain fog. It has gotten better, but very slowly. This has been a month now. It was reported that he went to a specialist an ENT after the fact. He was seen in the emergency room (ER) two days after the shot. When the hospital treated him they gave him anti-nausea medication and steroids for vertigo. He did not have the names of the medications. It was a seven day steroid course. When he went to the ER he was told that the Pfizer shot creates inflammation and it attacked the inner ear, so it is kind of same things as vertigo. On an unspecified date, the patient underwent lab tests and procedures which included tested his hearing: inflammation of the inner ear. Therapeutic measures were taken as a result of adverse events. The outcome of events inner ear inflammation and vomiting was unknown whereas the outcome of all other events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: APRISO

Current Illness: Ulcerative colitis

ID: 1647628
Sex: F
Age:
State:

Vax Date: 01/01/2021
Onset Date:
Rec V Date: 08/28/2021
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: headache; an inflamed right side of the face /it is swollen enough to be noticeable; Feeling Numb /I felt like my face was numb in a weird way; one part of her face seemed a little more inflamed; my face got in pain on the right side /it kind of feel like I had an anesthesia and it was wearing off; This is a spontaneous report from a contactable pharmacist (patient). A female patient of (Age:32, unit not provided) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date on Jan2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced headache, an inflamed right side of the face /it is swollen enough to be noticeable, feeling numb /i felt like my face was numb in a weird way, one part of her face seemed a little more inflamed, my face got in pain on the right side /it kind of feel like i had an anesthesia and it was wearing off on an unspecified date on 2021. The case was reported as non serious. Reported as, patient received the first dose of the Covid vaccine and states that she experienced the typical side effects of a headache, but also is experiencing "an inflamed right side of the face." She states that it was swollen enough to be noticeable and it feels as if she has received anesthesia and it was wearing off. She was scheduled to receive her second dose of the vaccine a day after. She was calling because she got the COVID vaccine a month ago on friday. She states that after she got it, a few hours later one, part of her face seemed a little more inflamed, and it felt like anesthesia was wearing off on one side. The feeling lasted a few days, and she felt it go down little by little. It took a few days to go away but I felt like my face was numb in a weird way. Not completely numb but just feel like coming off of anesthesia". Outcome of all the events were unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647629
Sex: F
Age:
State:

Vax Date: 02/07/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A 60-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9261 and Expiry date: Unknown), dose 1 via an unspecified route of administration, administered in Arm Right on 07Feb2021 as SINGLE DOSE for Covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included bupropion hydrochloride (WELLBUTRIN) taken for an unspecified indication, start and stop date were not reported. Patient got the vaccine, the first one, she got the shot on Sunday night and had the chills and the join ache, just little time and thing like that. Now in the last about a day she feel like she loosing a little bit of taste and smell. 07Feb and about a day later she started experiencing the joint pain and she does not feel great in general. That's how she described it feeling unwell, but she said it's not enough that she cannot deal with that. On Feb2021 the patient experienced joint pain, joint ache, i don't feel great/i don't feel real good/does not feel great in general, i had the chills, i started to lose a little bit of my taste and smell/i am loosing a little bit of taste and smell/started to lose a little bit of her taste and smell; taste is different. Therapeutic measures were taken as a result of joint pain ,joint ache , i don't feel great/i don't feel real good/does not feel great in general , i had the chills , i started to lose a little bit of my taste and smell/i am loosing a little bit of taste and smell/started to lose a little bit of her taste and smell; taste is different, i started to lose a little bit of my taste and smell/i am loosing a little bit of taste and smell/started to lose a little bit of her taste and smell; taste is different,. Treatment included Last night she took some Ibuprofen. The outcome of events was not recovered.

Other Meds: WELLBUTRIN

Current Illness:

ID: 1647630
Sex: F
Age:
State: LA

Vax Date: 01/19/2021
Onset Date: 01/01/2021
Rec V Date: 08/28/2021
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: Muscle Ache on injection site; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 47-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL3247), via an intramuscular route of administration, administered in Arm Left on 19Jan2021 16:00 (at the age of 47-years-old) as dose 1, single for COVID-19 immunisation. Medical history included uterine leiomyoma from 03Oct2013 to 03Nov2013 (myomectomy Nov2013), gallbladder disorder from 03Jan2001 to 03Feb2001 (gallbladder removed Feb2001), uterine leiomyoma from 03Mar2018 to Dec2018 (myomectomy Dec2018), myomectomy from Nov2013 to an unknown date, myomectomy from Dec2018 to an unknown date, diabetes mellitus (grandparent- diabetes) and pancreatic carcinoma from an unknown date and unknown if ongoing (father-pancreatic cancer). The patient concomitant medications were not reported. Patient received vaccine facility in hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient did not diagnosed with COVID-19. Since the vaccination, did not patient been tested for COVID-19. Patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EM9810) , via an intramuscular route of administration, administered in Arm Left on 09Feb2021 16:00 as dose 1, single for COVID-19 immunisation and experienced muscle aches, headache, sore throat, chills, low grade fever and fatigue on 10Feb2021. Short term side effects after seconds dose, Less than 24 hours. The patient experienced muscle ache on injection site on Jan2021. No treatment was received for the events. The outcome of the events was reported as unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647631
Sex: F
Age:
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:low grade

Allergies:

Symptom List: Rash, Urticaria

Symptoms: headache; low grade fever; sweats; body aches; hive like rash on both arms in the crevices of my elbow; hive like rash on both arms in the crevices of my elbow; This is a spontaneous report from a contactable Other HCP. This 38-year-old female Other HCP (Patient) reported that: A 38-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9264), via an unspecified route of administration, administered in Arm Left on 04Feb2021 13:30 as DOSE 2, SINGLE for covid-19 immunisation. Medical history included Hypothyroid/hoshimotos, rheumatoid arthritis, asthma, seasonal allergies, IBS, Known allergies: Penicillin. Concomitant medication(s) included ascorbic acid, herbal nos, levoglutamide, lysine, magnesium, manganese, retinol, riboflavin, selenium, tocopherol, zinc (AIRBORNE) taken for an unspecified indication, from unknown start date; levothyroxine (LEVOTHYROXINE) taken for an unspecified indication, from unknown start date; colecalciferol (VITAMIN D [COLECALCIFEROL]) taken for an unspecified indication, from unknown start date, in two weeks. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: Not reported), via an unspecified route of administration, administered in Arm Left on unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient previously took amoxicillin and experienced drug hypersensitivity. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. No prior to vaccination. The patient was not tested for COVID-19. On 06Feb2021 23:00, the patient experienced headache, low grade fever, sweats, body aches, hive like rash on both arms in the crevices of my elbow. About 55 hours after receiving vaccination and feeling better from the normal side effects.The patient underwent lab tests and procedures which included investigation: low grade on an unspecified date. No treatment received for the events. The clinical outcome of events were recovered on unspecified date on 2021. Follow-up attempts completed. No further information expected.

Other Meds: AIRBORNE; LEVOTHYROXINE; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1647632
Sex: F
Age:
State: MO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210210; Test Name: Fever; Result Unstructured Data: Test Result:100-101.4; Comments: hovering about 100-101.4 even this morning. It's been hovering over the 100's.

Allergies:

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

Symptoms: received the second and final dose of the Pfizer BioNTech vaccine on 09Feb/receive the first dose of the Pfizer BioNTech vaccine on 17Jan2021; fever; body aches; chills; severe nausea; even vomited a few times; overall weakness and fatigue; overall weakness and fatigue; This is a spontaneous report from a contactable Consumer. This 29-year-old female consumer reported for herself. A 29-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE Solution for injection Lot Number: EK9231) via an unspecified route of administration in arm Left on 09Feb2021 18:30 as dose 2, single (age at vaccination: 29 years) for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine includes bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE Solution for injection Lot Number: EL9261) via intramuscularly in arm Left on 17Jan2021 18:30 as dose 1, single (age at vaccination: 29 years) for COVID-19 immunisation. No other vaccines given the same day and no problems with vaccines in past. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. On 10Feb2021, the patient experienced fever, other symptoms associated with after the vaccine were body aches, chills, severe nausea, even vomited a few times, overall weakness and fatigue and this was reported as worsened. The patient received vaccine doses, reported post vaccination experience with DSU. On 11Feb2021, stated that she was out of work today for fever. It was queried that will the vaccine cause a false positive on covid-19 rapid test. Her workplace is wanting her to get a rapid Covid test to rule that out and to clear her to go back to work. Wants to see if it's okay for her to that testing or if she can pretty much go back once the symptoms subside. Fever started yesterday evening around 6:30-7:00. The patient underwent lab tests and procedures which included fever resulted as 100-101.4 on 10Feb2021 hovering about 100-101.4 even this morning. It's been hovering over the 100's. The clinical outcome of the events received was not resolved and the event received the second and final dose of the Pfizer BioNTech vaccine on 09Feb/receive the first dose of the Pfizer BioNTech vaccine on 17Jan2021 was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647633
Sex: F
Age:
State: AL

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 08/28/2021
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: drowsy; sore arm; abdominal pain; fever; chills; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 29-years-old female patient received bnt162b2 (BNT162B2, Pfizer Covid-19 Vaccine, Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 05Feb2021 13:00 (Batch/Lot Number: EH5318, Expiry date was not reported) (at the age of 29-years-old) as DOSE 1, SINGLE for covid-19 immunization at hospital. Medical history included asthma. There were no known allergies. Concomitant medications included senna alexandrina leaf (BLACK FOREST HERBAL TEA, Herbal Tea for fertility), start and stop dates were not reported. The patient did not receive any other vaccine within 4 weeks prior to covid vaccine. The patient did not have covid prior to vaccination and has not been tested for covid since vaccination. On an unspecified date, the patient experienced drowsy, sore arm, abdominal pain, fever and chills. It was reported as the day the patient got the vaccine, she was drowsy and had a sore arm until Sunday. She was fine until Tuesday and started having abdominal pain and fever/chills. The clinical outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: BLACK FOREST HERBAL TEA

Current Illness:

ID: 1647634
Sex: F
Age:
State:

Vax Date: 02/02/2021
Onset Date:
Rec V Date: 08/28/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: rash at the site of the injection that has not increased or decreased in size, it's the size of my palm; This is a spontaneous report from a contactable consumer (patient). A 81-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number and Expiration Date was not reported) via an unspecified route of administration on 02Feb2021 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced rash at the site of the injection that has not increased or decreased in size, it's the size of her palm on an unspecified date. Patient was asking if her symptom following administration of the second dose of the covid vaccine was normal and asking what she should do about it. Seriousness was reported as non-serious. The outcome of the event was unknown. Information about lot/batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647635
Sex: F
Age:
State:

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 08/28/2021
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: diarrhea; This is a spontaneous report from a contactable consumer (husband) or other non hcp. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown), dose 1 via an unspecified route of administration on 30Jan2021 as DOSE 1, SINGLE for covid-19 immunisation (Age: 70; Unit: Unknown). The patient medical history and concomitant medications were not reported. The patient experienced diarrhea on 04Feb2021. Therapeutic measures were taken as a result of diarrhea (still trying to treat the diarrhea). Caller states that the patient is supposed to receive the second dose on 20Feb. Caller asked if the patient can receive the second dose safely or if they should hold off on the second dose. Outcome of the event was unknown. Information about lot/batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647636
Sex: F
Age:
State: VA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 08/28/2021
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: nosebleed; headache; malaise; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 78 year old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 10Feb2021 15:45 (Batch/Lot Number: EL3302) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included multiple sclerosis from an unknown date and unknown if ongoing , rheumatoid arthritis from an unknown date and unknown if ongoing , hypertension from an unknown date and unknown if ongoing , hyperlipidaemia from an unknown date and unknown if ongoing , urinary incontinence from an unknown date and unknown if ongoing , back pain from an unknown date and unknown if ongoing , myalgia from an unknown date and unknown if ongoing , hypersensitivity from an unknown date and unknown if ongoing. The patient experienced nosebleed, headache and malaise on 11Feb2021 09:30 with outcome of unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1647637
Sex: M
Age:
State: TX

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210210; Test Name: Neutrophils; Result Unstructured Data: Test Result:35.9; Comments: low at 35.9; Test Date: 20210210; Test Name: WBC; Result Unstructured Data: Test Result:2.87; Comments: low at 2.87

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: WBC being low at 2.87; Neutrophils being low at 35.9; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 78-years-old male patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number EL9292, expiration date unspecified), via an unspecified route of administration, administered in Arm Right on 02Feb2021 10:15 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization at the hospital. Medical history included diffuse large b-cell lymphoma from May2020 to Nov2020 (Cancer free Nov 2020), infusion from Oct2020 to an unknown date. The patient did not received any vaccine prior to the immunization. Concomitant medication(s) included amlodipine (AM-LODIPINE) taken for an unspecified indication, from an unknown start date, metformin (METFORMIN) taken for an unspecified indication, from an unknown start date, atorvastatin (ATORVASTATIN) taken for an unspecified indication, from an unknown start date. The patient previously took morphine and experienced drug hypersensitivity, Ancef [cefradine] and experienced drug hypersensitivity. On 10Feb2021, being a cancer patient in 2020 the patient had many blood tests but the blood test on this day (10Feb2021 11:15) surprised the patient white blood cells count was 2.87 and Neutrophils were low at 35.9. The patient underwent WBC test and Neutrophils count test and results were 2.87 and 35.9 respectively. The patient did not receive any treatment for the events. The outcome of the events was reported as unknown at the time of report. Follow-up attempts are completed. No further information is expected.

Other Meds: AMLODIPINE; METFORMIN; ATORVASTATIN

Current Illness:

ID: 1647638
Sex: F
Age:
State:

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
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: Chills; body aches; slight headache; This is a spontaneous report from a contactable consumer (patient). A 28-year-old non-pregnant female patient (not pregnant at the time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9269), via an unspecified route of administration on Feb2021 as dose number unknown, single for covid-19 immunisation. Medical history included contraception from an unknown date and unknown if ongoing. The patient did not have any known allergies. Concomitant medications included drospirenone, ethinylestradiol (SYEDA), orally for contraception; montelukast. The patient did not receive any other vaccines within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. On 10Feb2021 at 12:00, 19 hours after injection patient experienced chills, body aches, slight headache. The patient did not received treatment due to the events. The outcome of events was recovering. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: SYEDA; MONTELUKAST

Current Illness:

ID: 1647639
Sex: F
Age:
State:

Vax Date: 02/09/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: has right hand pain; difficulty gripping her coffee cup; fatigued; This is a spontaneous report from a contactable consumer (Caregiver). A 86-years-old female patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number, Expiration date were not reported) via an unspecified route of administration on 09Feb2021 as dose 1, single for COVID-19 immunization. Medical history included arthritis, this is localized to one hand from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. On an unspecified date Feb2021, the caller stated, calling on behalf of mother, received vaccine on Tuesday. approximately 36 hours later she had right hand pain, and having difficulty gripping her coffee cup or cane. The hand that is in pain is on the same side as the vaccination site. She is also fatigued. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647640
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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:

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

Symptoms: Had muscle pain in the back and legs; Difficult for him to walk straight; This is a spontaneous report from a contactable consumer, reported for male patient (Uncle) of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: was not reported), via an unspecified route of administration on an unspecified date, as a single dose for COVID-19 immunization. The patient previously received first dose of BNT162b2 vaccine, as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced Had muscle pain in the back and legs, and Difficult for him to walk straight. The outcome of the events was unknown. Information on the Batch/Lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647641
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: she has an infection and is on antibiotics from a cat bite; This is a spontaneous report from a contactable consumer or other non healthcare professional. A female patient of an unspecified age received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced she has an infection and is on antibiotics from a cat bite leading to infection on an unspecified date with outcome of unknown. She is left handed and the cat bit her left hand..Therapeutic measures were taken as a result of she has an infection and is on antibiotics from a cat bite.was treated with IV Rocephin,is actually Ceftriaxone. Amox/K Clav clarified the antibiotic as Amoxicillin Clavulant Tablets. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647642
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: Test Name: SARS-CoV-2 testing; Result Unstructured Data: Test Result:Unknown result

Allergies:

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

Symptoms: Arm soreness; This is a spontaneous report from a contactable other hcp. A female patient of an unspecified age (Age: 65; Unit: Unknown as reported) received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: UNKNOWN), via an unspecified route of administration on an unspecified date dose 1, single for COVID-19 immunisation. The medical history and concomitant medications of the patient were not reported. The patient experienced arm soreness on an unspecified date. The patient stated she had nothing, absolutely nothing and it worried her. She asked if she needed to have antibodies checked to see if there was something with the dose that wasn't right. She stated she needs to had lab work done anyway. The patient underwent lab tests and procedures which included sars-cov-2 test: unknown result on an unspecified date. The outcome of the event was reported as unknown. Information on the Batch/Lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647643
Sex: M
Age:
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210211; Test Name: Temperature; Result Unstructured Data: Test Result:100 degrees Fahrenheit

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 76-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 Vaccine, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm on 10Feb2021 (76-year-old at the time of vaccination) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On 10Feb2021, the patient experienced little pain in middle of his back, Arm started hurting a little bit. On 11Feb2021, the patient Not feeling so good and Temperature of a hundred" [100 degrees F]. It was reported that, no reaction on Thursday (10Feb2021) but "later that day there was some pain in the back". Later in the day on 10Feb2021 he had a little pain in middle of his back; but was not really sure if from that or something else. He went to bed last night and while sleeping his arm started hurting a little bit. he heard that could happen and it was not too bad. When he woke up this morning he was not feeling so good, and has a temperature of 100-units of measurement such as degrees Fahrenheit/Celsius not clarified. He called because he did not know if he should take Tylenol or if there was something more appropriate he should take instead of Tylenol after the vaccine; he wanted to check that information with Pfizer before taking anything. The outcome of the events were unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647644
Sex: F
Age:
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
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: Injection site pain, Menorrhagia

Symptoms: Flu like symptoms; Chills; Fatigue; Headache; Nausea; Achiness/soreness; Dry mouth; This is a spontaneous report from a contactable consumer (patient). A 57-years-old non pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EL3247, Expiry date: not reported), via an unspecified route of administration in left arm on 10Feb2021 14:00 (at age of 57-years-old) as dose 2, single for covid-19 immunisation. Medical history included lyme disease and allergy to Sulfa drugs. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported. It was unknown if prior to vaccination, the patient was diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL33247, Expiration Date: Not reported), via an unspecified route of administration in left arm on 20Jan2021 (at age of 57-years-old) as dose 1, single dose for covid-19 immunisation. On 10Feb2021 at 16:00, the patient experienced flu like symptoms, chills, fatigue, headache, nausea, achiness, soreness and dry mouth. No therapeutic measures were taken. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: SYNTHROID

Current Illness:

ID: 1647645
Sex: M
Age:
State: IA

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 08/28/2021
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: extreme joint pain; Fatigue; This is a spontaneous report received from a contactable consumer or other non hcp. A 66-years-old male patient received 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE,Batch/Lot number was not reported),via an unspecified route of administration ,at the age of 66 years old,on 10Feb2021 as Dose 1,single for an unspecified indication. Medical history included rheumatoid arthritis from an unknown date and unknown if ongoing.The patient's concomitant medications were not reported.The patient previously took advil [ibuprofen] for arthritis and prednisone for arthritis.The patient experienced extreme joint pain and fatigue on an unspecified date.Therapeutic measures were taken as a result of extreme joint pain.The outcome of the event was unknown. Follow up (11Feb2021): This is a follow-up spontaneous report received from a Pfizer-sponsored program. A contactable consumer reported for a patient (husband),The caller stated that the patient or her husband suffered from joint pain after taking 1st dose of Pfizer covid19 vaccine.The caller was asking if her husband can take anti-inflammatory medications for pain. Follow-up (11Feb2021): This is a follow-up spontaneous report received from a contactable consumer.This consumer reported for a patient (husband) that:dates for fatigue,joint pain.Reason for no lot number of Unspecified Vaccine was due to Caller unwilling to complete the report,and no lot number of Advil and prednisone was due to Suspect captured for MI query.Reporter was unwilling to share further information, hence, product details (LOT#, expiration date, NDC#, UPC#) and other details were unknown.Limited information was available over the call. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1647646
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: Soreness to his arm; This is a spontaneous report from a contactable consumer or other non hcp. A male patient of an unspecified age received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced soreness to his arm on an unspecified date. Caller wanted to know how long the vaccine will lose its efficacy under room temperature. The outcome of the event pain in extremity was unknown. Information on the Batch/Lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647647
Sex: M
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever; Dry throat; Weakness; First 2 days he slept 12-14 hours; Pain; soreness in left shoulder and arm to wrist in the injection arm; This is a spontaneous report from a contactable consumer (Patient). A male patient of an unspecified age (79 unit not reported) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration on 05Feb2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE, for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration on an unknown date (Batch/Lot number was not reported) as DOSE 1, SINGLE, for covid-19 immunisation and he had similar symptoms after the first shot but mild. Patient stated that, he had his second dose last Friday and had side effects they were gone now. Last Friday (05Feb2021) after second dose, first 2 days he slept 12-14 hours, pain, soreness in left shoulder and arm to wrist in the injection arm. After the 4th day (09Feb2021) had fever, dry throat, weakness did not feel himself. He said Today he is good. Patient wanted to know when does this vaccine start protecting after the second dose, 7 days 14 days. At the time of this report event outcome was recovered on an unknown date in Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647648
Sex: F
Age:
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: sore throat; swollen lymph nodes; chills; feeling unwell; tiredness; headache; joint pain; pain in injection site; This is a spontaneous report from a contactable consumer. A female patient (age: 30, unit: unknown) received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 06Feb2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb201, this morning patient experienced sore throat, swollen lymph nodes, chills, feeling unwell, tiredness, headache, joint pain and pain in the injection site. Patient side effects have not gone away. The outcome of events was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647649
Sex: F
Age:
State: NH

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 08/28/2021
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: headache; feeling nauseous; whole body felt achy; chills; This is a spontaneous report from a contactable other hcp (patient). A non-pregnant 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EL9265, Expiration date were not reported), via an unspecified route of administration, administered in the left arm on 04Feb2021 (at the age of 26-years-old), as dose 2, single for COVID-19 immunisation. The patient's medical history was not reported. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EL3249, Expiration date were not reported), via an unspecified route of administration, administered in the left arm on 14Jan2021 17:45 (at the age of 26-years-old), as dose 1, single for COVID-19 immunisation. Concomitant medication included unspecified birth control and venlafaxine, both taken for an unspecified indication, start and stop date were not reported. Patient has no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19; and since the vaccination, has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that patient experienced headache, the morning after the vaccine on 05Feb2021. About an hour later, on 05Feb2021, patient started feeling nauseous but that subsided relatively quickly. About three hours after that, on 05Feb2021, patient's whole body felt achy and she had the chills. She did not present with a fever at this time. No treatment was received as a result of the events. The outcome of feeling nauseous was recovered on 05Feb2021 while the rest of the events recovered on an unspecified date in Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds: VENLAFAXINE

Current Illness:

ID: 1647650
Sex: M
Age:
State: NE

Vax Date: 02/02/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: Injection site pain

Symptoms: sore eye and his eye were tender to the touch; lacrimal of his eye is swollen like a little bead in there, hard and tender to touch; like there is a bead in it/lacrimal of his left eye is swollen like a little bead in there; was red/area of lacrimal of left eye red; black skin in his lacrimal area; lacrimal of his eye is swollen; got too hot; headache; felt like faint; stomach ache; right arm sore was swollen and tender to touch; right arm sore was swollen and tender to touch; right arm sore was swollen and tender to touch; where molars are that it hurt so bad; behind his mouth where his molars are that there is a hole which started six days ago. Stated that the hole looked white now; This is a spontaneous report from a contactable consumer (reported for himself). A 20-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in arm right on 02Feb2021 at 10:00 (at the age of 20-years-old) as dose 1, single for covid-19 immunisation at other. Medical history included ongoing asthma (Asthma diagnosed since birth). The patient's concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines on the same day of vaccine vaccination. The patient experienced right arm sore was swollen and tender to touch on 02Feb2021 at 13:00, stomachache at 20:00, headache, felt like faint at 21:00, got too hot on 03Feb2021 at 21:00, like there is a bead in it/lacrimal of his left eye is swollen like a little bead in there, was red/area of lacrimal of left eye red, black skin in his lacrimal area, lacrimal of his eye is swollen on 11Feb2021 at 09:00, sore eye and his eye were tender to the touch, lacrimal of his eye is swollen like a little bead in there, hard and tender to touch on 11Feb2021 at 16:00, right arm sore was swollen and tender to touch on an unspecified date in Feb2021 and where molars are that it hurt so bad, behind his mouth where his molars are that there is a hole which started six days ago. stated that the hole looked white now on an unspecified date in 2021. No treatment was given for the events. The outcome of the events stomachache, headache, felt like faint was resolved on 03Feb2021 and right arm sore was swollen and tender to touch was resolved on 04Feb2021, got too hot, behind his mouth where his molars are that there is a hole which started six days ago. stated that the hole looked white now were resolving, like there is a bead in it/lacrimal of his left eye is swollen like a little bead in there, was red/area of lacrimal of left eye red, lacrimal of his eye is swollen, lacrimal of his eye is swollen like a little bead in there, hard and tender to touch, where molars are that it hurt so bad were not resolved and other events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness: Asthma (Asthma diagnosed since birth)

ID: 1647651
Sex: F
Age:
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210209; Test Name: temperature; Result Unstructured Data: Test Result:99.9; Comments: evening around 9pm I had a fever

Allergies:

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

Symptoms: I had a fever 99.9 I also had body aches; felt very tired; At 4pm I start feeling really cold and I could not warm up; came the shivers and aches; came the shivers and aches; This is a spontaneous report from a contactable consumer (Patient). A 66-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL969? Expiration date was not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 08Feb2021 21:00 (age at vaccination 66 years) as dose 1, single for covid-19 immunisation. Medical history included covid-19 from Jul2020 to an unknown date (if covid prior vaccination: Yes). Concomitant medication(s) included colecalciferol (VITAMIN D); simvastatin (SIMVASTATIN); bifidobacterium infantis (ALIGN). Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to vaccination, the patient was diagnosed with COVID-19. The patient previously took bactrim and experienced allergy, celebrex and experienced allergy. On 09Feb2021 16:00 the patient experienced at 4pm she start feeling really cold and she could not warm up, came the shivers and aches, she had a fever 99.9 she also had body aches, felt very tired. The patient underwent lab tests and procedures which included body temperature was 99.9 on 09Feb2021 evening around 9pm I had a fever. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: VITAMIN D; SIMVASTATIN; ALIGN

Current Illness:

ID: 1647652
Sex: M
Age:
State: NC

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
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:

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

Symptoms: body aches; This is a spontaneous report received from a contactable consumer (Patient). A 76-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EM9809), Solution for injection, via an unspecified route of administration, administered in Arm Right on Patient's Medical History (including any illness at time of vaccination) was reported as none. Concomitant medications were not reported. Family Medical History Relevant to adverse event was reported as none. Patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. On 10Feb2021 at 06:00 AM, the patient experienced body aches. He stated that the body aches started the morning after the shot at about 6am. He did play golf yesterday and was achy, and today he has no side effects. Patient did not have other relevant diagnostic and confirmatory test results for event. Patient did not visit emergency room or physician's office due to adverse event. The event was recovered on 11Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647653
Sex: F
Age:
State: OH

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: The nausea didn't start until the next day of getting the vaccine and has gotten a little worse/The smells has gotten worse; aches; pains; had a hard time eating her lunch and a little today; Woke this morning about 3:30am due to the smell; Headache; nausea here and there/ nauseated; tiredness; fatigue; weird smells and would get this rush of a trash and puke smell / Her sense of smell is off the charts; This is a spontaneous report from a contactable consumer (patient herself). A 50-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EL3249, expiry date: 31May2021) via unspecified route of administration, in left arm on 05Feb2021 10:45 (age at vaccination: 50-years) as dose 2, single for Covid-19 immunisation. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EL3249, expiry date: 31May2021) via intramuscular route, in left arm on 15Jan2021 (age at vaccination: 50-years) as dose 1, single for Covid-19 immunisation. Medical history included anxiety from an unspecified date and unknown if ongoing. Concomitant medication included ongoing Lexapro, oral, 10 mg, 1x/day [10mg, 1 tablet by mouth every day], taken for anxiety. Caller was wondering if she was having a different kind of symptom from the Pfizer Covid vaccine. She said she experienced fatigue, tiredness on 05Feb2021, aches, and pains on unspecified date. The fatigue and tiredness started within 2 hours of getting the vaccine. She had nausea here and there on 06Feb2021. The nausea didn't start until the next day of getting the vaccine and has gotten a little worse. Yesterday she had a hard time eating her lunch and a little today. However, she mentioned that she had an unusual reaction. 6 days after receiving the vaccine, on an unspecified date in Feb2021, she said she noticed a weird smell similar to that of puke and trash and nauseated. The smells has gotten worse the day after and she didn't connect it to the vaccine at first. This would last only a few minutes, up to 5 minutes and go away. It was weird, she was in parking lot and got out of car and the smell just hit her and another time was when she was inside of the house and thought her kids stepped in dog feces and brought it in the house. Her family do not smell anything and she has asked them. Again, mentioned being in the parking lot and at home and a couple other times by herself she would smell it and then it would disappear. Last night while in bed started to think that this was the opposite from those not being able to smell. Her sense of smell is off the charts, it's crazy. It would happen sparingly and go away. Last night she started to think that this may be a symptom of the vaccine. Woke this morning about 3:30am due to the smell, it hit her really hard that she felt like she was going to puke. Woke up her husband and asked him about it and no one can smell this smell. Again, after a few minutes it went away, but she had a rush of a headache and got out of bed to take Tylenol. She said it happened several times and would usually last for 3-4 minutes, followed by a headache on 11Feb2021 and nausea. She said she took Ibuprofen to treat the headache and went on to describe the smell "as if someone had dumped on a bag of trash and puked all over it." She wanted to know if this was still associated with the vaccine. The outcome of event for sleep disorder was recovering, for aches and decreased appetite it was unknown, and for the rest it was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: LEXAPRO

Current Illness:

ID: 1647654
Sex: F
Age:
State: RI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210210; Test Name: Blood pressure; Result Unstructured Data: Test Result:140/93; Test Date: 20210210; Test Name: Blood pressure; Result Unstructured Data: Test Result:138/92

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EL3302, Expiration date: Unknown) via an unspecified route, administered in Right Arm on 21Jan2021 at 10:30 (48-year-old at vaccination) as a Dose 1, single for COVID-19 immunization. The patient's medical history included Cardiac arrhythmia which was diagnosed when she was 19 years old, ongoing Blood pressure high/Hypertension was there when she was a kid and had been taking blood pressure pills since high school in the late 1980s or early 1990s. She said she was on meds as a child, then taken off them, and then she had been back on them since she was 19, Hypothyroidism which was diagnosed 15 years ago, Environmental allergies since her high school, and had anaphylaxis to certain shellfish since she was 30 and was allergic to one antibiotic (No further details provided about this antibiotic), Supraventricular tachycardia and ongoing Asthma. The patient's concomitant medication(s) included ongoing fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for asthma, ongoing rescue inhaler taken for asthma, nebivolol hydrochloride (BYSTOLIC) taken for hypertension and paraventricular tachycardia and unspecified flu vaccine from 2020 to unspecified date. She reported that after received 1st dose of vaccine on 21Jan2021, but not that day she had a reaction. she experienced side effects on a day after. Her asthma was out of control, so she had to take her asthma medications and inhaler for 2 times that day and the day after. She said she had a lot of allergies, but she does not usually require her medications. Her blood pressure was also pretty high the past few weeks. On an unknown date in 2021, she had increased blood pressure/ blood pressure had been high. She said she had been on meds almost 30 years and it had been under control. She said she happened to go to her doctor and seen an allergist and endocrinologist, and her blood pressure was high at these appointments. She said she checked it last night and it was very high, it was usually on the lower side while on the medication. On 22Jan2021, she has asthma complications / asthma which she hasn't had for a year had been flaring up, and she had been using her rescue inhaler a lot. She said that her asthma flared up following that night after the vaccine on 22Jan2021, and it flared up for a few days, she was not getting a lot of relief. She said she had a history of a ton of allergies, but they cleared her to get it. She said on the 22nd her asthma started flaring and was the worst on Saturday evening. She said she took Advair daily as a preventative inhaler, and her rescue inhaler she usually only used when her asthma was triggered by extreme weather, like when it was really humid or cold. She only used it when she had a respiratory cold, she hadn't used her rescue inhaler since she had a respiratory infection last year, and before that only when allergies to pollen or cats come up. She called her doctor that Saturday two days after the vaccine. It was bad Saturday. She said since just had got the vaccine, that was what they assumed it was, and it was bad enough that she almost went to the emergency room, but she took a Benadryl instead felt she might be having a nervous panic attack, then she went to bed and woke up feeling better and had slowly been getting better. It subsided in the next day or two. She took Benadryl and Claritin the next day. Sunday night, she felt better. Her asthma flared up. She said that the bottle of Benadryl was expired, and she only took one dose, the minimal amount of 7mL. She said dosing was to take 5mL-10mL but, doesn't provide a strength. She said for her rescue inhaler she doesn't know which she used, it was ProAir, which she had all over the place, so she doesn't know which one she used. She declined to provide NDC/LOT/EXP as LOT: MLN032, EXP Aug2020 for her ProAir rescue inhaler. She said she had heard that the side effects from the second dose are worse, and since she has had her blood pressure increased and asthma complication since her first dose, she wanted to make sure it was safe for her since she doesn't want to have a worse reaction. She said she would like to ask if this could be a side effect or a coincidence. She said she ran it by her doctor, and they said increased blood pressure could be from vaccine. She said she takes a blood pressure medication and had for years with no problems. She said her vaccine card was handwritten, the LOT was not written very neatly, and the NDC/EXP was not provided on her card. Her doctor attributed it to the vaccine and said it would reside in a couple of days. He advised her to still get the 2nd dose. She was asking if these are common side effects of the vaccine. She mentioned that she was supposed to get the 2nd dose of the vaccine this week. She said She stated that her second dose is supposed to be today (11Feb2021) in the evening, but because her blood pressure was increased and she had an issue with her asthma, she wanted to make sure since she was not sure if it was related or if it was a common side effect, she doesn't want to get it if it was making her blood pressure higher. She said her doctors are telling her to go ahead and get it. Reporter stated that she had also been hearing second dose was more intense, though most of her coworkers said they had flu like symptoms, which would be fine with her. No further details provided about her coworkers. On 10Feb2021, she said she took her blood pressure at work last night and it was 140/93 around 07:00 PM, then she took it again before she left work at 09:00 PM and it was 138/92. She said on medication, her blood pressure was usually 120/80s or lower 70s. She was wondering if an increase in Blood pressure, and an asthma flare up are listed side effects. She was reluctant to get the second vaccine. She was an MRI tech. The outcome of the event asthma flared up was recovering and the outcome of other event was unknown. Follow-up attempts completed. No further information expected.

Other Meds: ADVAIR; BYSTOLIC

Current Illness: Asthma; Hypertension (blood pressure pills in high school/late 1980s/ early 1990s, taken off meds, back since she was 19.)

ID: 1647655
Sex: F
Age:
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/28/2021
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: swollen tongue and face; swollen tongue and face; This is a spontaneous report from a contactable consumer (patient herself). A 87-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 29Jan2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Caller received the Pfizer-BioNTech COVID-19 Vaccine first dose Friday, 29Jan2021. She is scheduled for the second dose on 19Feb2021. Caller mentioned that when she got up the next day (30Jan2021), she had a swollen tongue and face. This prompted her to go to her primary doctor, and doctor advised her not to get other dose of the vaccine. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647656
Sex: F
Age:
State: NE

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 08/28/2021
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: This is a spontaneous report from a contactable nurse (patient). A 65-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection), via an unspecified route of administration, on Feb 10, 2021, single dose, for COVID-19 immunisation. The patient's medical history included tested positive for COVID-19 on Nov 28, 2020, to an unknown date. The patient's concomitant medications not reported. On an unspecified date, patient experienced headache and fatigue. Patient inquired if she can take Tylenol for the headaches and asked how long do the headaches last. Her hospital protocol recommends taking Zinc 50 mg, Cosequin 500 mg twice daily and vitamin C 500 mg twice daily. She asked if there are any recommendations on these and inquired about hydroxychloroquine and ivermectin. The outcome of the events: unknown. Batch/lot number requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647657
Sex: M
Age:
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210130; Test Name: Blood glucose; Result Unstructured Data: Test Result:130 to 190

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: My blood sugar has gone up from average 130 to 190; This is a spontaneous report from a contactable consumer (reported for himself ). A 78-year-old male patient received bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Lot Number: 89-82) via unspecified route in arm left on 28Jan2021 at 10:30 AM as DOSE 2, SINGLE for COVID-19 Immunization (at the age of 78 Years). The patients medical history included Kidney Stage 3, Diabetes, Neuropathy on an unknown dates and CRT-D surgery on 25Jan2021. It was reported that the patient had known allergies to Zoocor, Rocephin. Concomitant medications included Alogliptin, Empagliflozin (JARDIANCE), Insulin Glargine (LANTUS) these are the medications the patient received within 2 weeks of vaccination. The patient previously took first dose bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Lot Number: EK9231) via unspecified route into Left arm on 07Jan2021 at 10:30 AM as DOSE 1, SINGLE for COVID-19 Immunization. The patient did not received 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 not tested for COVID-19. On 30Jan2021 at 08:00 AM the patient experienced my blood sugar has gone up from average 130 to 190. The patient underwent lab tests and procedures which included Blood glucose result as 130 to 190 on 30Jan2021. The patient visited physician office. The patient did not receive any treatment for adverse event. The clinical outcome of the event was not recovered. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds: ALOGLIPTIN; JARDIANCE; LANTUS

Current Illness:

ID: 1647658
Sex: F
Age:
State: TX

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 202102; Test Name: lymph; Result Unstructured Data: Test Result:low %; Comments: lymph % low; Test Date: 202102; Test Name: Neutros ABS; Result Unstructured Data: Test Result:Elevated; Comments: elevated neutros ABS; Test Date: 202102; Test Name: neutros PCT; Result Unstructured Data: Test Result:Elevated; Comments: elevated neutros PCT; Test Date: 20210208; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 202102; Test Name: White Blood Cell count; Result Unstructured Data: Test Result:Elevated; Comments: Elevated White Blood Cell count

Allergies:

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

Symptoms: elevated white blood cell count; elevated neutros PCT/elevated Neutros ABS; lymph % low; This is a spontaneous report from a contactable consumer(patient).A 76-years-old non-pregnant female patient received second dose of bnt162b2 (BNT162B2, solution for injection), (Batch/Lot Number: EL9269) via an unspecified route of administration, administered in Arm Left on 04Feb2021 at 13:00 (age at vaccination 76-years-old) as dose 2, single for covid-19 immunization. Medical history included diabetes mellitus and hypersensitivity. There were unspecified concomitant medications that patient received within 2 weeks of vaccination. The other vaccines administered within 4 weeks was first dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration, administered in Arm Left on 14Jan2021 (Batch/Lot Number: EL3249) as dose 1, single for covid-19 immunization. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID. In Feb2021, the patient experienced elevated white blood cell count, Neutrophils increased and Lymphocyte count low. The patient underwent lab tests in Feb2021which included elevated White Blood Cell count, elevated neutros PCT, elevated Neutros ABS, lymph % was low and on 08Feb2021 sars-cov-2 test result: negative. Therapeutic measures were taken as a result of events included antibiotic. Outcome of the events was unknown. Follow-up attempts completed. No further information expected

Other Meds:

Current Illness:

ID: 1647659
Sex: M
Age:
State:

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 08/28/2021
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: Achy; Difficulty walking; This is a spontaneous report from a contactable consumer (reported for her husband). A 89-years-old male patient received bnt162b2 (FIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 09Feb2021 as dose 2, single for covid-19 immunisation. Medical history included Immunoglobulins from 01Feb2021 to 01Feb2021 and chronic inflammatory demyelinating polyradiculoneuropathy from Dec2020 to an unknown date (Diagnosed with CIDP (Chronic Inflammatory Demyelinating Polyneuropathy), Diagnosed in Dec2020). The patient's concomitant medications were not reported. The patient previously received first dose bnt162b2 (FIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 19Jan2021as dose 1, single for covid-19 immunisation and experienced no adverse events. On an unspecified date, the consumer reported that the patient was achy and had sharp pain on his left surgical leg 6 inches above the knee to the top of his groin, he had increased pain with walking causing him to have difficulty walking. Reporter asks if there is any information on timing of the Covid vaccine and receiving IVIG treatments or with people who have CIDP, Reporter reports that she already spoke with her husband's Neurologist and the Nurse who instructed her to call Pfizer. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647660
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: Abdominal pain; She mentioned that the person had a history of abdominal problems and it may have been exacerbated by the vaccine.; She mentioned that the person had a history of abdominal problems and it may have been exacerbated by the vaccine; This is a spontaneous report from a contactable consumer (friend). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was unknown), via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunisation. Medical history included history of abdominal problems. Patient's concomitant medications were not reported. On an unspecified date, the patient experienced abdominal pain and was wondering if that was related to the vaccine. The consumer mentioned that the patient had a history of abdominal problems and it may have been exacerbated by the vaccine. Caller was looking for percentages of certain side effects (fever, headache, muscle pain). Caller (stated that she used to do medical writing) mentioned an article from the magazine saying that getting the second dose on the same arm where you received the first dose would lead to worse side effects. She is wondering if this is true or if there are any recommendations regarding the site of injection, and if the side effects would be local or systemic in that case. The patient had concern about the duration of side effects, someone mentioned to her 3 days and she wanted to know whether that means 3 days after a dose of the vaccine or on the onset of the side effect. She enquired if there are any updates on the effectiveness of the Pfizer covid vaccine on the variants in other countries. She also wanted to know regarding the 95% efficacy of the covid vaccine, when does that start and any information on using Tylenol after getting the vaccine. Outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Abdominal disorder (The person had a history of abdominal problems.)

ID: 1647661
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: Really bad headache (described that it was so bad that for 3 days she can barely lift her head); Sweating; Shaking; Difficulty in getting up and walking; This is a spontaneous report from a contactable consumer (Patient). A 63-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient really bad headache (described that it was so bad that for 3 days she can barely lift her head), sweating, shaking, and difficulty in getting up and walking (she described that she had to be very careful when walking because she feels like falling). The outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647662
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/28/2021
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: swelling larger an egg under armpit; fluid retention at his chest and back for 2 days; face swelled up and got red; face swelled up and got red; around his eyes it's still swollen and flushed red; This is a spontaneous report from a contactable consumer (patient's wife) via medical information team. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on an unspecified date as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection), via an unspecified route of administration on an unspecified date as a dose 1, single for COVID-19 immunization. Enquired that, the caller was called on behalf of her husband, (name withheld). Stated that, her husband had his second covid vaccine shot and had a strange reaction. Stated that, the patient had swelling larger an egg under armpit, fluid retention at his chest and back for 2 days and the following day face swelled up and got red. Today it has subsided but all around his eyes it's still swollen and flushed red. Asked whether this was normal for people to get after getting the covid vaccine. The caller was asking whether there would be issues if ever her daughter will be pregnant. Stated that, the caller's daughter has not yet gotten her first covid vaccine shot. The outcome of the events for swelling larger an egg under armpit and fluid retention at his chest and back for 2 days was recovering while for the other events was not recovered. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647663
Sex: F
Age:
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: Prophylactic antibiotic therapy of clindamycin 1 hour prior to procedure; Arm ached; Injection site area was tender to the touch.; Toothache really bad; Stated that her arm is kind of warm Is her left arm; This is a spontaneous report from a contactable other health care professional (patient). A 65-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on 10Feb2021 (at the age of 65-years-old) as dose 1, single for COVID-19 immunisation. Medical history included bilateral knee replacement (stated that she had bilateral knee replacement previously and always has to take an antibiotic in order to do any pre-procedures), breast cancer female from 1999 to an unknown date (stated that she cannot have the vaccine in her right because she had breast cancer), lumpectomy, radiotherapy (had lumpectomy and radiation therapy prior to the vaccine) from an unknown date and unknown if ongoing. The patient previously took clindamycin for prophylactic antibiotic therapy. Concomitant medication were not reported. Caller got the first Pfizer Covid vaccine yesterday. She is scheduled to see the dentist tomorrow and wanting to know if it would be okay to take her usual course of antibiotics for this dental procedure. On 10Feb2021 she stated that she reported that her arm ached after receiving the vaccine yesterday and the injection site area was tender to the touch. Caller stated that she has an achy sore arm. Stated that she had bilateral knee replacement previously and always has to take an antibiotic in order to do any pre-procedures. Wanted to know if it taking an antibiotic would have anything to do with the Covid vaccine. Stated that she could not find anything in the literature. On Feb2021 stated that she has a toothache really bad and she has to be seen. Stated that her arm is kind of warm Is her left arm. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647664
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 08/28/2021
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: Fever; Chills; Aches; Red patches on her back, like a rash; Red patches on her back, like a rash; This is a spontaneous report from a contactable consumer (patient). A 77-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: unknown) via an unspecified route of administration on 10Feb2021 at 10:30 AM as dose 1, single for COVID-19 immunisation. The patient states she received the first dose of the Pfizer COVID vaccine yesterday morning at 10:30 am and on an unspecified date in 2021, woke up in the middle of the night with fever, chills, and aches. The patient stated that after receiving the Covid 19 vaccine on an unspecified date in 2021, she noticed red patches on her back, like a rash. The report was non serious. Outcome of the events was unknown. Information on the batch/lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647665
Sex: F
Age:
State: OH

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
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: sniffles; sore arm; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A female patient (Age: 73; Unit: Unknown) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot Number: EL9265) via an unspecified route of administration on 10Feb2021 as dose 1, single for COVID-19 immunization. Medical history included sinus and cold, both from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On an unspecified date in Feb2021 the patient experienced sniffles, and sore arm. It was reported that "Caller stated that she had her number one shot yesterday. Stated that she woke up Tuesday before having the shot with a cold. Caller says she had a sinus or cold Tuesday morning, no fever, took 2 generic Advil. Caller contacted immunization location to ask if she was able to get 1st dose with symptoms. Stated that she was told that she should take Tylenol. Caller did not take Tylenol before vaccine. Stated that she read online that one is not supposed to have the shot if one has a cold or sinus. Stated that she does not know if it will affect her shot or not. Caller says on day of vaccine (yesterday), she felt fine and got her dose. Caller says after dose, she had the sniffles, a sore arm and just want to stay cozy and warm and just want to go to sleep. She said she was feeling better than she did yesterday afternoon too. Stated that she is supposed to have the second one on 03Mar2021, clarified that it's for the Pfizer Corona shot." The clinical outcome of the events was recovering. Description of complaint: Pfizer Corona shot: Questions if her having a cold or sinus when she got the shot affected it. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647666
Sex: M
Age:
State: LA

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 08/28/2021
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: Loss of hair; This is a spontaneous report from a contactable 51-year-old male patient reported for himself that: A 51-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EK4176) via an unspecified route of administration, administered in Arm Right on 07Jan2021 as DOSE 2, SINGLE for covid-19 immunisation. Medical history included alopecia, known allergies: pollen. The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EH9899) via an unspecified route of administration, administered in Arm Left on 17Dec2021 02:00 as DOSE 1, SINGLE for covid-19 immunisation. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient had not received any other medications the patient received within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient was not tested for COVID-19. On, 11an2021, the patient experienced loss of hair. The clinical outcome of event was recovering. Follow-up attempts are completed. No further information is expected.; Sender's Comments: s

Other Meds:

Current Illness:

ID: 1647667
Sex: F
Age:
State:

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 08/28/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: diarrhea; abdominal pain; fatigue; This is a spontaneous report from a non-contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date were not reported), via an unspecified route of administration on 26Jan2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced diarrhea, abdominal pain, and fatigue on an unspecified date in 2021 and was reported to be ongoing. Patient asked what is the efficacy of the vaccine after just one dose and if she can get the second vaccine. She also reported that her doctor did not know how to advise her. The outcome of events was not recovered. No follow-up attempts are possible; information on the lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1647668
Sex: M
Age:
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:high; Test Date: 20210204; Test Name: temperature; Result Unstructured Data: Test Result:96.6 Fahrenheit

Allergies:

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

Symptoms: chills; fell; headache; his was balance off; throat hurt; sinuses were running; lightheaded/dizziness; loss of taste; cough; This is a spontaneous report from a contactable consumer (Consumer himself). A 64-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unknown route injected in the left arm on 04Feb2021 (Batch/Lot Number: EL3249) (age at vaccination 64-year-old) as dose 1, single for COVID-19 immunisation. The patient medical history included diabetes and blood pressure high since years ago. The patient concomitant medications were not reported. The patient experienced cough on 04Feb2021, loss of taste, lightheaded/dizziness, throat hurt, sinuses were running on 05Feb2021, chills, headache, balance was off, coughed so hard he blacked out and fell down. The laboratory investigation which included temperature was low grade, 96.6 degrees Fahrenheit on 04Feb2021. The patient stated he got the first dose of the Pfizer COVID-19 vaccine last Thursday. He says when he got home afterwards he started coughing, and the next morning when he woke up he couldn't taste anything and was lightheaded. He says his throat hurt and his sinuses were running, and he was coughing up phlegm. He says his balance was off, and a couple times he coughed so hard that he blacked out and fell down. He says he thinks maybe he had the virus before he got the shot. He says he doesn't know, he is supposed to get bloodwork soon and maybe he shouldn't be around those people if he has COVID. He says he asked his doctor, who told him to call Pfizer. AE Treatment was he has been taking something like the Vicks things you put up in your nose, called Benzedrex. He says that the LOT for this product looks like 835 with a weird c with something else in it, EXP Aug2022. He says he sticks it up his nose and breathes, it is mentholated. He says he has also been gargling salt water and putting saline in his nostrils, and using an oral rinse that his doctor gave him when he had a tooth pulled 6 months ago called Peridex chlorhexidine, he thinks that is the name brand. LOT 473XTTRI, he says that there is no EXP on there, it says 0.12% clarified to 1.2% rinse. He says he doesn't see a NDC, he does see a UPC that starts with a small 3, then is 011620016, then has a small 5 past it. He says that the rinse is probably bad, but it helped. He says he had no injuries after he blacked out and fell. The patient received treatment for cough, throat hurt and did not received treatment to other events. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647669
Sex: F
Age:
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 08/28/2021
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: Soreness at injection site; stiffness/ache in shoulderblade; stiffness/ache in shoulderblade; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 53-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot Number: EL 3247) via an unspecified route of administration (age at vaccination 53-year) in Right Arm on 10Feb2021 at 09:00 AM as dose 2, single for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included atorvastatin (LIPITOR [ATORVASTATIN]); amlodipine besilate (NORVASC); hydrochlorothiazide; lisinopril; all taken for an unspecified indication, start and stop date were not reported. Historical vaccine includes first dose of BNT162B2 (lot number: EL3247) administered in left arm on 21Jan2021 for COVID-19 immunization. No COVID prior vaccination was reported. The patient not tested COVID post vaccination. The patient received no other vaccine in four weeks. On 10Feb2021 at 02:00 PM the patient experienced soreness at injection site, stiffness/ache in shoulderblade. No treatment was received by the patient for the adverse events. It was reported that "the report submitted was for herself. she received the vaccination on 10Feb, developed symptoms late that day and reported on 11Feb within 24 hrs of symptoms first developing". The clinical outcome of the events was recovered on an unspecified date in Feb2021. Follow-up attempts completed. No further information expected.

Other Meds: LIPITOR [ATORVASTATIN]; NORVASC; HYDROCHLOROTHIAZIDE; LISINOPRIL

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am