VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
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: 1647670
Sex: F
Age:
State: ME

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

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

Lab Data: Test Date: 20210210; Test Name: Covid; Test Result: Negative ; Comments: she tested negative for Covid yesterday

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe cough and cold after the first dose; Severe cough and cold after the first dose; This is a spontaneous report from a contactable Consumer (patient) from a Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on Jan2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated she received the first dose of the vaccine 3 weeks ago and is due for her second dose tomorrow morning. Patient stated in the past week ended up getting sick. The patient experienced a severe cough and cold after the first dose on an Unspecified date Jan2021. The patient tested negative for Covid on 10Feb2021. Patient stated she is getting conflicting information about whether she should receive the vaccine tomorrow. She just wants to know if she will take the second shot. The event outcome was Unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1647671
Sex: M
Age:
State: VA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Itchiness at the injections site; sore muscles; headache; diarrhea; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 42-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration (age at vaccination 42-year) in Left Arm on 10Feb2021 at 10:30 AM as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications. Historical vaccine includes first dose of BNT162B2 administered in left arm on 22Jan2021 at 11:00 AM for COVID-19 immunization. As reported Facility type vaccine was Hospital. No known allergies were reported. No COVID prior vaccination was reported. The patient was not tested COVID post vaccination. The patient received no other vaccine in four weeks; and no other medications in two weeks. On 10Feb2021 at 07:00 PM the patient experienced itchiness at the injections site, sore muscles, headache, diarrhea. No treatment was received by the patient for the adverse events. The clinical outcome of the events was recovering. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647672
Sex: M
Age:
State: CT

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Body aches; fatigue; This is a spontaneous report from a contactable consumer (patient). A 45-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EL3247, Expiration date was not reported), via an unspecified route of administration (administered on the left arm) on 10Feb2021 at 14:30 (at the age of 45-years-old) as dose 2, single for COVID-19 immunisation. Medical history included known allergies to ketamine. The patient has no other concomitant medications in two weeks. The patient didn't receive any other vaccines within 4 weeks prior to COVID vaccine. Prior to vaccination, the patient has not been diagnosed with COVID-19. The patient was previously vaccinated with the first dose of BNT162B2 (COMIRNATY, Solution for injection; Lot number: EL3247, Expiration date was not reported), via an unspecified route of administration (administered on the left arm) on 20Jan2021 at 13:00 (at the age of 45-years-old) for COVID-19 immunisation. On 11Feb2021 at 02:30, the patient experienced body aches and fatigue. No treatment was received for the events. Since the vaccination the patient has not been tested for COVID-19. The outcome of the events was recovering. No follow-up attempts are possible. No further information expected.

Other Meds:

Current Illness:

ID: 1647673
Sex: F
Age:
State: IN

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: sore throat; headache; 101.5 fever; chills; whole body hurts; short of breath; This is a spontaneous report from a contactable consumer or other HCP. A 41-year-old non-pregnant female patient received bnt162b2 (Pfizer BioN Tech Covid-19 MRNA vaccine, Formulation: Solution for injection, Batch/Lot number: Unknown ) via unspecified route of administration on anatomical location left arm on 09Feb2021 (age at the time of vaccination was 41-year-old) (at 03:30) Dose number Unknown Single for covid-19 immunization. Medical history included lupus and epilepsy. The patient had no known allergies. The patient received other medication Gabapentin in two weeks. The patient did not receive other vaccine four weeks. The patient had no covid prior vaccination and did not tested for covid post vaccination. On 10Feb2021 (at 15:00), the patient experienced 101.5 fever, chills, whole body hurts, short of breath, sore throat and headache. The patient did not receive any treatment for the events. The outcome of the events was recovering. Information on the lot/batch number has been requested Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: GABAPENTIN

Current Illness:

ID: 1647674
Sex: F
Age:
State: OH

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:

Allergies:

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

Symptoms: very bad arm pain in the middle of the night; gets very tired; feeling very dizzy; weak; This is a spontaneous report from a contactable consumer or other non hcp via medical information team. A 96-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection) via an unspecified route of administration on 06Feb2021 (at the age of 96-years-old) as single dose for covid-19 immunisation. The patient's medical history included covid-19 from 08Jan2021 to an unknown date and experienced a bad sore throat as a first symptom and felt very weak and tired. They called the department of health and they said to wait for 10 days before she can be cleared from quarantine, and they consulted with her primary care physician and pulmonologist since she has a history of COPD among other conditions) and they all said that she should go ahead and take the vaccine. The patient's concomitant medications were not reported. On 07Feb2021 Sunday at around 12:30, patient experienced feeling very dizzy and weak (lasted for about an hour) and weak (lasted until evening time that day, has subsequently passed but a bit of weakness is still notable), and in the middle of the night, the patient experienced very bad arm pain on an unspecified date. On Monday, most of the symptoms have disappeared but she still gets very tired on an unspecified date. Reporter concerned since she feels that these side effects are too much at this point, considering the patient's age. She stated that it was listed on the fact sheet that dizziness and weakness is a symptom of a potential severe allergic reaction, and she is not sure whether her mom should get the second dose of the vaccine with this in mind. The outcome of the event feeling very dizzy was recovered on 07Feb2021, event weak and very bad arm pain in the middle of the night was recovered on an unknown date while, the outcome of the event gets very tired was unknown. Information on Lot /Batch Number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647675
Sex: F
Age:
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
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:

Allergies:

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

Symptoms: experienced: "the very moment the needle was into my arm, when she begin to put it into... she either put it into a muscle or a nerve because it hurt, I had pain very hard to cope with; experienced: "the very moment the needle was into my arm, when she begin to put it into... she either put it into a muscle or a nerve because it hurt, I had pain very hard to cope with; pain moved down to my elbow; This is a spontaneous report from a contactable consumer. This female consumer reported that: A female patient of an unspecified age received second dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration, administered in Arm Left on 07Feb2021 14:10 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patients medical history included brain operation and ongoing limb deformity have not control on the arm, Right arm and it's considered a disability, that's why the patient took the vaccine on the left arm. Patient concomitant medication includes allergy shot. The patient reported that she gave herself allergy shots since the 80's I know how this should feel but this didn't feel like that, felt like they took their fist and hit her. Previously patient received first dose of bnt162b2 (BNT162B2, solution for injection) via an unspecified route of administration, administered on 17Jan2021 14:30 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation and experienced sore arm 4-5 hours. On 07Feb2021, at 2:10, the patient stated that, the very moment the needle was into the arm, when she begin to put it into she either put it into a muscle or a nerve because it hurt, i had pain very hard to cope with (product administered at inappropriate site), pain moved down to my elbow. The outcome of the events was unknown. Information on Lot /Batch Number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Arm deformity

ID: 1647676
Sex: F
Age:
State: FL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: This is a spontaneous report from a contactable Nurse. A 39-year-old female (non-pregnant) patient received BNT162B2 (BNT162B2, Solution for injection, Batch/Lot number: EL9269, Expiration date: Not reported), via an unspecified route of administration, administered in Arm Left on 10Feb2021 09:15 as DOSE 1 SINGLE for covid-19 immunisation. The patient medical history included ibs-c, allergies: Shellfish. The patient's concomitant medications included diphenhydramine hydrochloride (BENADRYL), ranitidine hydrochloride (ZANTAC) reported. No other vaccine was received in four weeks. Covid prior vaccination was No and Covid tested post vaccination: No. It was reported that about 50 minutes after the vaccine. I developed severe itching of the lips and tongue as well as dizziness all. It lasted approximately one hour all on 10Feb2021 at 10.15. No Treatment was received for the events. The outcome of the events were recovered on an unspecified date. No Follow-up attempts completed. No further information expected.

Other Meds: BENADRYL; ZANTAC

Current Illness:

ID: 1647677
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: jaw tenderness; This is a spontaneous report from a non-contactable consumer (patient) via the Medical Information Team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced jaw tenderness on an unspecified date. The patient wanted to know if this was normal for her to experience after getting the covid vaccine. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1647678
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: Abdominal pain, Chills, Sleep disorder

Symptoms: flush all over with a fine rash in it; flush all over with a fine rash in it; headache; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age (age: 70; unit: unknown, as reported) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took morphine [morphine sulfate] and experienced same flushing/rash, took histamine and experienced flushing. It was reported that, patient received 1st dose on friday, approximately one hour after injection- body became flush all over with a fine rash in it. Patient says it took 4 hrs for the flushing to go away, and the rash went away by Saturday. Patient also experienced, headache. Patient says IV morphine causes: same flushing/rash (40 years ago). With histamine injections, had flushing. Patient asks, can the same thing happen with the 2nd dose or could it be worse, should she get the 2nd dose. Patient asks there wasn't an expiration date on my card, should she ask them for an expiration date after her 2nd dose. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647679
Sex: F
Age:
State: VA

Vax Date: 01/12/2021
Onset Date:
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: neurological symptoms; difficult to drive and manage work/life; motion sickness; dizziness; headaches; This is a spontaneous report from a contactable nurse (patient). A 61-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 12Jan2021 (at the age of 61 years old) as dose 2, single for COVID-19 immunisation. Medical history included rheumatoid arthritis, allergies to penicillin, autoimmune disorder (have existing auto immune condition), shingles (has shingles 18 months ago which affected the vestibular and ocular nerves). Concomitant medication(s) included losartan (LOSARTAN) taken for an unspecified indication, start and stop date were not reported. Patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 23Dec2020 (at the age of 61 years old) as single for COVID-19 immunisation. Patient did not received other vaccine in four weeks of COVID vaccine. Patient did not have COVID prior to vaccination. The patient experienced neurological symptoms, difficult to drive and manage work/life, motion sickness, dizziness, headaches on 2021. Reported as, after the second dose patient experienced neurological symptoms. It was very difficult to drive and manage work/life. With motion patient have feeling of motion sickness, dizziness, headaches. Patient did not tested for COVID post vaccination. Outcome of all the events were unknown. Follow-up attempts completed. No further information expected.

Other Meds: LOSARTAN

Current Illness:

ID: 1647680
Sex: M
Age:
State: CA

Vax Date:
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Extremely itchy red rash that covered entire upper torso and head; left arm at injection sight was itchy and sore; left arm at injection sight was itchy and sore; This is a spontaneous report from a contactable other hcp (patient). A 51-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: El9261) via intramuscular route of administration, administered in arm left on an unspecified date at dose 2, single for covid-19 immunisation. Medical history was reported as none. Concomitant medications were not reported. Patient had no Known allergies. Patient did not have Covid prior vaccination. Patient has not tested covid post vaccination. Patient did not have other vaccine in four weeks, other medications in two weeks. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: not reported) via intramuscular route of administration, administered in arm left on 02Feb2021 07:15 at dose 1, single for covid-19 immunisation and received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: El1284) via unspecified route of administration, administered in arm left on 12Jan2021 at dose 1, single for covid-19 immunisation. On 05Feb2021 the patient experienced extremely itchy red rash that covered entire upper torso and head, left arm at injection site was itchy and sore. Adverse event: Extremely itchy red rash that covered entire upper torso and head. Started on third day after 2nd dose, my left arm at injection site was itchy and sore and after i scratched it the rash quickly covered my upper torso within an hour. I have been to the Emergency room twice and am on steroids for this now, but the rash does not seem to be getting any better. Adverse events resulted in Emergency room/department or urgent care. Patient received treatment with Antihistamines and steroids for the adverse events. Outcome of the events was not resolved. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647681
Sex: F
Age:
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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 Date: 20210211; Test Name: Blood Sugar; Result Unstructured Data: Test Result:spike

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Blood Sugar spike; This is a spontaneous report from a non-contactable consumer. A non-pregnant female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 11Feb2021 (Batch/Lot number were not reported) as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medication were not reported. On 11Feb2021, the patient experienced blood sugar spike. The patient underwent lab tests and procedures which included blood sugar with a result of "spike" on 11Feb2021. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1647682
Sex: U
Age:
State: MN

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

Symptoms: allergic reaction; hives; itchy rash; rash in the lower back that spread to the body over the course of 3 days.; This is a spontaneous report from a contactable physician. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration on an unspecified date as dose 1, single for an COVID-19 immunization. The patient medical history and concomitant medications were not reported. A Physician called for information about if a patient that developed an allergic reaction to the first dose of the Pfizer's COVID-19 vaccine. The Physician reports that there was a patient that developed hives and an itchy rash in the lower back that spread to the body over the course of 3 days. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647683
Sex: F
Age:
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
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: She has been experiencing extreme fatigue; She has been sleeping non-stop; gets up to eat barely; she has been in bed; body aches on bright side of the body/aches on entire right side of her body; This is a spontaneous report from a contactable consumer. A 76-year-old male patient received first dose of bnt162b2 (COMIRNATY, Solution for injection) via unknown route of administration at left arm on 28May2021 at 14:00 (lot number: EM9809) (age at vaccination 76-year-old) as dose 1, single for COVID-19 immunisation. The patient medical history heart disorder, blood pressure abnormal, mental disorder, vitamin supplementation and colitis. The patient concomitant medications included aspirin, bentyl, atenolol, atorvastatin, escitalopram and vitamin D. The patient did not had prior vaccinations (within 4 weeks). The patient had no medical history including any illness at time of vaccination. The family medical history and relevant test were reported as none. The patient experienced aches on entire right side of the body and has been in bed on 01Feb2021, got the first dose of the COVID 19 vaccine Sunday 31Jan2021/next dose of the vaccine is scheduled for 28Feb2021, experienced extreme fatigue, sleeping non-stop and gets up to eat barely. The patient did not required a visit to physician or ER for AE(s). The outcome of the event aches on entire right side of her body, has been in bed was not recovered and the outcome of the other events was unknown. Follow-up attempts completed. No further information expected.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]; ATENOLOL; ATORVASTATIN; BENTYL; ESCITALOPRAM; VITAMIN D NOS

Current Illness:

ID: 1647684
Sex: F
Age:
State: PA

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: 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: infection in her eye brow; eye is swollen; This is a spontaneous report from a contactable consumer or other non-health care professional (Patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and expiration date was not reported), first dose via an unspecified route of administration on unspecified date of Jan2021 single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date of 2021 the patient experienced infection in her eyebrow and eye is swollen. Patient clarifies that she was taking antibiotics and a steroid for a possible spider bite. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1647685
Sex: F
Age:
State: CA

Vax Date: 01/22/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: she had an allergic reaction to the first dose; tongue swelled; her bottom lip went number for 1/2 hour; Swollen tongue and her lips was numb; This is a spontaneous report from a contactable consumer or other non hcp (patient) via medical information team. A 59-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EL1283), via an unspecified route of administration, administered in arm right on 22Jan2021 (at the age of 59-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced she had an allergic reaction to the first dose, tongue swelled, her bottom lip went number for 1/2 hour, swollen tongue and her lips was numb, all on an unspecified date in 2021. Patient is scheduled to have the second dose of the Pfizer COVID-19 vaccine tomorrow (12Feb2021). Her vaccination provider said that she cannot give her the second dose since she had an allergic reaction to the first dose. Patient went to her doctor but her doctor said that he does not have access to the vaccine. Patient claims her allergic reaction is not severe. Patient only have a few days before her second dose. What do I do if I can't take it on time. Patient stated that she took the first Pfizer shot and tomorrow is the due date for the second one. Stated she cannot get it because she had small allergic reaction to the first one. Stated that her doctor can give it but she cannot because she cannot get it to her clinic. Wanted to know what to do. Is for the Pfizer Covid 19 shot. Stated that her tongue swelled and her bottom lip went number for 1/2 hour. Event details: Stated that her tongue swelled three weeks ago. Recovered completely. Stated that her bottom lip went numb three weeks ago. Recovered completely. Verbatim and event description: Swollen tongue and her lips was numb after she took the 1st dose of vaccine. The patient did not receive treatment for the events. Outcome of the events tongue swelled, her bottom lip went number for 1/2 hour was recovered on an unspecified date in 2021 and outcome of remaining events was unknown. Follow-up (PRD/SRD 14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647686
Sex: F
Age:
State: TN

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: fever; chills; nausea; This is a spontaneous report received from a contactable consumer or other non hcp. A 53-years-old female patient received 2nd dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE,Batch/Lot Number: EL9267; Expiration Date: May2021), intramuscular, administered in Arm Left on 10Feb2021 11:30 ,at the age of 53 years old,as dose 2,single for covid-19 immunization.The patient medical history and concomitant medications were not reported.The patient experienced fever, chills and nausea on 11Feb2021 03:00. Therapeutic measures were taken as a result of fever, chills and nausea.Additional Context: Received a call from consumer or patient herself who reported regarding the Pfizer COVID vaccine. She took it yesterday and she had a fever all night, chills and nausea. Her fever went to 102. She took Motrin twice. Nothing seems to be helping. She did not provide a dose, lot or expiration for the Motrin. She would like to know how long this process will last. The chills are unbearable.The patient provided the details of the 2nd dose of Pfizer covid19 vaccine.She also provided number # on the vaccine card as well. Vaccination facility was reported as specialty hospital.The patient previously received her 1st dose of Pfizer covid19 vaccine on 20Jan2021,Lot EL9261, expiration May2021.The outcome of the events was not recovered. Follow-up (11Feb2021): This is a follow-up spontaneous report from a contactable consumer. This consumer reported that patient age was reported to be 53 years old,weight 108.86 kg,Height (cm): 175 and gender female.start date of reaction was reported to be 11 feb2021.The patient reported about the events chills,nausea and fever.The patient also provided her 1st dose of vaccination date.The patient also reported about product complaint that is : She took Motrin twice and nothing is helping. She still has a fever, chills and nausea. No further details provided. additional lot no,product packaging details was unknown. Follow-up (12May2021): Follow-up attempts are completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647687
Sex: F
Age:
State: NY

Vax Date: 02/09/2021
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:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: fatigue the day after the shot; This is a spontaneous report from a contactable consumer reported for herself. A 47-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Batch/Lot Number: EL3247; Expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 09Feb2021 14:30 (at the age of 47-years-old) as DOSE 2, SINGLE for covid-19 immunisation at the clinic. Patient was not pregnant at the time of vaccination. The patient medical history and concomitant medications were not reported. The patient previously took BNT162B2 (Lot number: EL3247) via an unspecified route of administration, administered in right arm on 19Jan2021 (at the age of 47-years-old) as dose 1, single for covid-19 immunisation. The patient previously took codeine and experienced allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced fatigue the day after the shot on 10Feb2021. No treatment received for the event. Seriousness criteria included none and the event was not serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Clinical outcome of events was recovered on unspecified date. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647688
Sex: M
Age:
State: OR

Vax Date: 02/10/2021
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: Test Date: 20210210; Test Name: heart rate; Result Unstructured Data: Test Result:140 BPM; Comments: escalated to 140 BPM

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Start Date/Time: [Pfizer] 27-JAN-2021 05:00 PM/Start Date/Time: [Pfizer] 10-FEB-2021 01:30 PM; my resting heart rate escalated to 140 BPM; my vision got blurry; feel sore today; This is a spontaneous report from a contactable other hcp (patient). A 30-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via intramuscular, administered in Arm Left on 10Feb2021 13:30 (at the age of 30-year-old) as dose 2, single for covid-19 immunisation. Medical history included substance use from an unknown date and unknown if ongoing smoked weed it made my lungs feel strange. Patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via intramuscular, administered in Arm Left on 27Jan2021 05:00 PM (at the age of 30-year-old) as dose 1, single for covid-19 immunisation and experienced lungs feel strange. Patient concomitant medications were not specified. The patient had no allergies to medications, food, or other products. 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. On 10Feb2021, the patient experienced start date/time: pfizer 27-jan-2021 05:00 pm/start date/time: pfizer 10-feb-2021 01:30 pm. On the second dose patient had an edible instead and just little smoke (weed). For some reason his resting heart rate escalated to 140 BPM and his vision got blurry about six hours from the second dose maybe an hour or two after eating the edible. It stayed above 100 for at least 2 hours until he fell asleep. Patient put his hands above head and breathed deeply trying to calm himself down. Patient felt like he was running a marathon while laying in bed. Patient had a small edible and he was very used to eating weed. Patient stated that he was worried if someone is ingesting marijuana or smoking weed on their second dose that it could hurt their heart if they have a pre existing heart condition. Patient feel sore today and his pulse was stable. The patient underwent lab tests and procedures which included heart rate: 140 bpm on 10Feb2021 escalated to 140 BPM. The reporter assessed the events as non serious. No treatment was taken as a result of heart rate increased, blurry vision, pain. The outcome of the events heart rate increased, blurry vision, pain were recovered on an unspecified date in Feb2021. Information on the lot/batch number has been requested. Follow-up (16Apr2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1647689
Sex: F
Age:
State: WI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Injection Site Pain; Fever; Headache; Body Ache; Tiredness; This is a spontaneous report from a contactable consumer (patient). A 30-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EL 9264, Expiration Date: not reported), via an unspecified route of administration in left arm on 10Feb2021 12:30 as dose 2, single for COVID-19 immunization (at the age of 30-year-old). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EL3249, Expiration Date: not reported), via an unspecified route of administration in left arm on 19Jan2021 10:45 as dose 1, single for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Vaccine was administered at hospital. Medical history included anxiety and allergies to amoxicillin. Concomitant medication(s) (within 2 weeks of vaccination) included sertraline and bifidobacterium lactis (PROBIOTIC) taken for an unspecified indication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient experienced injection site pain, fever, headache, body ache and tiredness on 11Feb2021 01:00. Reported seriousness for the events was non-serious. The patient did not receive treatment for the events. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: SERTRALINE; PROBIOTIC

Current Illness:

ID: 1647690
Sex: F
Age:
State: TN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: "hard spot" where the vaccine was given/injection site was hard; redness around the injection site/left arm is real red; redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened.; Injection site swelling; Injection site itching; This is a spontaneous report from a contactable other non-health care professional (patient). A 82-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EN5138), via an intramuscular route of administration (at the age of 82-years), administered in arm left on 04Feb2021 at 12:10 as dose 2, single for COVID-19 immunization. Medical history included none from an unknown date and unknown if ongoing. There were no concomitant medications. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL1283), via an intramuscular route of administration, administered in arm left on 18Jan2021 at 11:00 as dose 1, single for COVID-19 immunization. The patient did not aside from first dose of covid vaccine and prior to vaccinations within 4 weeks. Experienced no AE prior vaccinations. On 05Feb2021, the patient experienced "hard spot" where the vaccine was given/injection site was hard, redness around the injection site/left arm is real red, redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened, injection site swelling and injection site itching. Patient had her second dose of Pfizer-Biontech Covid19 04Feb2021. She reported a hard spot where the vaccine was given, and redness around the injection site that is spreading down and around her arm. Is this normal or reported? Can I put alcohol on it? I have not tried anything to treat it. Patient asked can I use antipyretics before or after vaccination with the Pfizer-BioNTech COVID-19 vaccine? However, routine prophylactic administration of these medications for the purpose of preventing post-vaccination symptoms is not currently recommended, as information on the impact of such use on Pfizer-BioNTech COVID-19 vaccine-induced antibody responses is not available at this. She had the second dose of the covid19 vaccination last Thursday and the next day her arm was real red, she had no other effects. It is still red on one side. The injection site is hard. It itches a lot. She has not taken Tylenol or Aleve. Her arm is still red and the is redness spreading down to her elbow. Asking if she can put alcohol on it. It sort of declined some. Clarifies the redness is still there and redness looks like it is going all around, the front and back of her arm, redness has worsened. She is concerned since it looks like it is spreading. She decided to get in the shower while she was holding. The treatment was not received for all the events. The adverse events does not resulted in emergency room or physician office visit. No additional vaccines administered on same date of the Pfizer suspect. The vaccination facility type was reported as hospital. The patient was taking Pfizer covid vaccine as preventative. The clinical outcome for the events hard spot where the vaccine was given/injection site was hard, redness around the injection site/left arm is real red, injection site swelling and injection site itching was reported as recovering while for event redness around the injection site/left arm is real red/redness looks like it is going all around, the front and back of her arm, redness has worsened was reported as unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647691
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: Adds that she had 2 shots of the pfizer covid vaccine recently and is experiencing fever, chills, headache for the last 2 days; Adds that she had 2 shots of the pfizer covid vaccine recently and is experiencing fever, chills, headache for the last 2 days; Adds that she had 2 shots of the pfizer covid vaccine recently and is experiencing fever, chills, headache for the last 2 days; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 70-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 2 via an unspecified route of administration on an unspecified date (at the age of 70-years-old) as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 1 via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunization. On an unspecified date, the patient experienced fever, chills, headache for the last 2 days. Caller calling about skipping this medication until her side effects from the COVID vaccine passes or for 2 days. She questioned for today, if she don't take Vyndaqel for 2 days for the time that her side effects from the Covid vaccine will last, will something bad happen or will she die from not taking it. States she has been unable to reach her doctor-it's been a couple of days so far. Initially caller had asked if it was ok to skip a couple of days. Outcome of the event 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: 1647692
Sex: F
Age:
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: chills; abdominal pain/stomach pains; is very tired; her arms became swollen; the arm where the vaccine was given was swollen and a bit sore and a bit painful; the arm where the vaccine was given was swollen and a bit sore and a bit painful; Pain is not as bad, but it is a really tight feeling; Fatigue; Rash; she had a big red, and painful round rash; area swollen, a bit sore, a bit painful/it's still somewhat swollen/swelling; area swollen, a bit sore, a bit painful/it's not quite as sore/soreness; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: FL8982 and Expiry date: Unknown), dose 2 via an unspecified route of administration, administered in Arm Right on 09Feb2021 as DOSE 2, SINGLE for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the Covid vaccine. On an unspecified date the patient experienced her arms became swollen, chills, abdominal pain/stomach pains, the arm where the vaccine was given was swollen and a bit sore and a bit painful. On 09Feb2021 the patient experienced had a big red, and painful round rash, is very tired, area swollen, a bit sore, a bit painful/it's still somewhat swollen/swelling, on 10Feb2021 the patient experienced rash, on 11Feb2021 the patient experienced pain is not as bad, but it is a really tight feeling, fatigue. The outcome of events her arms became swollen, chills , abdominal pain/stomach pains , is very tired , the arm where the vaccine was given was swollen and a bit sore and a bit painful was unknown while the outcome of events she had a big red, and painful round rash, rash, area swollen, a bit sore, a bit painful/it's still somewhat swollen/swelling, area swollen, a bit sore, a bit painful/it's not quite as sore/soreness, pain is not as bad, but it is a really tight feeling , fatigue was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647693
Sex: M
Age:
State: TN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Chills; body aches; fatigue; headache; nausea; lack of appetite; trouble sleeping; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 66-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: ELO 142 and expiry date: unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 03Feb2021 at 10:30 as DOSE 1 (age at vaccination: 66-years-old, SINGLE for covid-19 immunisation. Medical history included colitis ulcerative, tachycardia (tackacardia) and seborrhoea. Concomitant medication included metoprolol tartrate (LOPRESSOR). There was no Allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced chills, body aches, fatigue, headache, nausea, lack of appetite and trouble sleeping on 03Feb2021 at 15:00. No treatment was received for the adverse events. Outcome of all the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: LOPRESSOR

Current Illness:

ID: 1647694
Sex: F
Age:
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Test Name: blood pressure; Result Unstructured Data: Test Result:90/62

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: headache; migraine; sensation of bilateral eye pressure; severe nausea; photophobia; low blood pressure at 90/62; This is a spontaneous report from a contactable other hcp. A 47-years-old female Non-Pregnant patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 10Feb202116:00 (Batch/Lot Number: EL9265) as dose 1 single for covid-19 immunisation. Medical history included glaucoma, bilateral high eye pressures (early glaucoma- treated with Vyzulta), hypersensitivity. Concomitant medication(s) included latanoprost (VYZULTA). Patient had key lime allergy. The patient did not receive any other vaccine in four weeks. Prior to vaccination patient was not diagnosed with COVID. Post vaccination patient did not test for COVID. It was reported that, the patient experienced headache, migraine, sensation of bilateral eye pressure, severe nausea, photophobia, low blood pressure at 90/62 on 11Feb2021 05:00 with outcome of recovered. The patient underwent lab tests and procedures which included blood pressure measurement: 90/62 on. Therapeutic measures were taken Advil 600mg and Tylenol 1000 mg total as a result of headache (headache), migraine (migraine), sensation of bilateral eye pressure (ocular discomfort), severe nausea (nausea), photophobia (photophobia), low blood pressure at 90/62 (hypotension). Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds: VYZULTA

Current Illness:

ID: 1647695
Sex: F
Age:
State: VA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: having chills/has chills all over; Freezing all over/cold; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EK4176, NDC number and Expiry Date are unknown), via an unspecified route of administration, administered in Left arm (left shoulder) on 10Feb2021 at the age of 64-years-old as dose 1, single for covid-19 immunisation. Medical history included Coagulation disorder from an unknown date. Concomitant medication included warfarin (WARFARIN, Dosage text: 10 mg 4 days a week, and 15 mg on the 3 days a week) taken as blood thinner from 1994 and ongoing. There was no investigation assessment. The reporter, 64 years old, stated that she called in earlier to report that she was having chills on 11Feb2021. She received her 1st shot of the Pfizer Covid Vaccine the previous day and wanted to know if this side effect would last and for how long. She had the chills. She had her shot the previous day. The Pfizer COVID Vaccine, and today she was cold. She was freezing all over on 11Feb2021. The reporter asked was that supposed to happen, and how many days should it last? She declined email It is like she was just cold. She has chills all over. On the paper they give when giving the shot it does mention blood thinners. She was on Warfarin 10 mg 4 days a week, and 15 mg on the 3 days a week. She started it in 1994. The doctor told her to get it. The case was reported as non-serious. The outcome of events at the time of last observation was not recovered/not resolved. Follow-up attempts are completed. No further information is expected.

Other Meds: WARFARIN

Current Illness:

ID: 1647696
Sex: M
Age:
State:

Vax Date: 02/10/2021
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: severe lower back pain; pain from his hip down to his right leg; it is getting worse; This is a spontaneous report from a non-contactable consumer. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 10Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date patient woke up with severe lower back pain, and pain from his hip down to his right leg. He said that it is getting worse and wants to know if this is a common side effect that is associated with the vaccine. He said he called to ask for guidance on what to do. The Outcome of the events was unknown. No follow-up attempts are possible. Information on batch/lot number could not be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1647697
Sex: F
Age:
State: WI

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Lichen planus outbreak; It makes her skin break out like chicken pox; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported), via an unspecified route of administration on 26Jan2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing lichen planus. Reported that patient had lichen planus on her scalp and skin. Usually it is more prevalent in the mouth. It makes her skin break out like chicken pox. She has had it for 3 years. She was told that maybe it was going to start to fade after 3 years. It comes and goes from time to time. It was about cleared up. After the first shot, she started with a fairly decent break out with it. It is an autoimmune problem. Not that many people have it on skin. They think drugs could cause it. She doesn't know what to do. She thinks she wants to report it to her Dermatologist first and see what she says. But she doesn't even know the vaccine was related. She thinks it is just associated with it being an autoimmune disease. The shot probably just put stress on her body. There were no concomitant medications. Historical vaccine included flu shots on an unspecified date for immunization and didn't have this problem with the flu shot. Reported that patient and her husband received the 1st dose of the vaccine on 26Jan2021. They were supposed to receive the 2nd dose on 16Feb2021 but due to problems at their vaccination facility, they were rescheduled to get the vaccine this Saturday, which is 17 days as opposed to the 21 days. She asked her granddaughter who was a pharmacist and she said she wasn't sure about it. She read up on the CDC guidelines and wants to confirm her understanding of what she read with Pfizer. They were notified by their doctor office that the clinics had to change the date. They moved them way ahead. Patient was uncomfortable about it, so called to confirm because the clinic said that this was acceptable. On an unspecified date, the patient experienced lichen planus outbreak, it makes her skin break out like chicken pox. The outcomes of events were unknown. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness: Lichen planus (Verbatim: Lichen planus)

ID: 1647698
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: shaky; numbish; heart was kind of racing; my arm is like super numb and kind of hurting; voice is kind of breaking; dizzy; fatigued; shaking; tingling sensation; head throbbing; my back is not pain but feels like pressure; had a little slight headache; This is a spontaneous report from a contactable consumer or other non hcp. A 30-year-old female patient received first dose bnt162b2 (BNT162B2, Formulation: solution for injection, Batch/Lot Number: EL9266; Expiration date was not reported) via an unspecified route of administration on 10Feb2021 as DOSE 1, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On 10Feb2021 the patient experienced had a little slight headache, on 11Feb2021 experienced shaky, numbish, heart was kind of racing, my arm is like super numb and kind of hurting, voice is kind of breaking, dizzy, fatigued, shaking, tingling sensation, head throbbing, my back is not pain but feels like pressure. Caller (female,30 years old) got first dose of PFIZERBIONTECH COVID-19 VACCINE , caller said: it says Pfizer EL9266, yesterday, (10Feb2021), stated that she was fine yesterday, just had a little slight headache but today, caller stated I started feeling very shaky, kind of like numbish, my body kind of numbish and like my heart was kind of racing and my arm is like super numb and kind of hurting and I don't know if you can tell but even my voice is kind of breaking and I don't know if that's normal or do I need to go to the doctor, hospital. Caller wanted to know that to do. Explained that I will be happy to check if what she is reporting was reported in clinical studies, explained to the caller that she needed to reach out to her HCP regarding her symptoms. Call got disconnected, I called back spoke to the caller. Upon a callback caller provided additional side effects, caller stated: I felt dizzy , fatigued, my body was shaking, heart racing, my arm started getting numb, I got this tingling sensation all over my body, head throbbing, my back is not pain but feels like pressure which is weird" Did not speak to the doctor yet. Do I need to go to the ER or this is just normal. Refer caller to HCP/if allergic reaction ER/hospital. DSU: Caller was not transferred to safety as she needed to get in touch with HCP regarding her symptoms. The outcome of events were unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647699
Sex: F
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Sore muscle on left upper arm near injection site; This is a spontaneous report from a non-contactable consumer (patient). A 46-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EL3247), via an unspecified route of administration, administrated in Left arm on 10Feb2021 14:00 (age at the time of vaccination 46-years-old), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Patient did not have known allergies to medications, food, or other products. On 10Feb2021, the patient experienced Sore muscle on left upper arm near injection site. No treatment was received for the adverse event. The outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1647700
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: has heavy pain in diaphragm area; muscle pain; This is a spontaneous report from a contactable consumer or other non health care professional. A female patient (consumer's sister) of an unspecified age (Age: 37; Unit: Unknown, as reported) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization and experienced muscle pain. It was reported that, reporter calls on behalf of sister. He reports that his sister received second dose of vaccine and has heavy pain in diaphragm area and muscle pain. He reports that she did have muscle pain after first dose but not this form of pain. Reporter would like to know if this has been reported by others or what should they do. The reporter assessed the seriousness as non-serious. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1647701
Sex: F
Age:
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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:

Allergies:

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

Symptoms: her salivary glands have overworked; she felt nauseated like she was about to vomit; that wasn't like a headache but she "felt funny and was not normal"; She was swallowing saliva all the time; This is a spontaneous report from a contactable consumer or other non hcp (patient). An 81-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL9662) via an unspecified route of administration on 29Jan2021 (at the age of 81-year-old) at dose 1, single for covid-19 immunisation. Medical history was reported as none. Concomitant medications were not reported. Reporter had an AE with the first dose of the Pfizer BioNTech COVID-19 vaccine. On 29Jan2021 the patient experienced all of a sudden, her salivary glands have overworked, and she felt nauseated like she was about to vomit. She also said that she felt something in her head that wasn't like a headache, but she felt funny and was not normal. Her next shot is on 19Feb2021. She has heard that the adverse events associated with the second shot is stronger than those of the first dose. She wanted to know if this was true. Additional Context: Reporter is calling about got the Pfizer COVID 19 vaccine. She got the first shot that was on 29Jan2021 and she had symptoms after that, and she just decided she would call and report it. She got the shot and didn't feel anything, her arm didn't hurt, she waited 15 minutes nothing, she was driving home and her left facial gland on the left side of her face started working overtime. She was swallowing saliva all the time then that stopped. She went home she was sitting down reading and she got nauseated and she thought she would have to run to the bathroom and throw up but that slowly passed and then later on in the day her head started feeling, it didn't hurt but it wasn't right, it was a strange, weird, funny feeling. She doesn't know how else to explain it and that was it. That was all that happened and that was first day. Reporter details: She was a medical lab tech many years ago. Primary Care: The primary care is new to her and it is an unusual name. She does not have any contact information with her to provide. Patient details: She is shrinking all the time. Event details: She says it didn't last long at all. It was strange she just keep swallowing saliva in her mouth. It was a funny feeling in her head. She says it was all very sequential how she explained it her salivary gland and then the nausea, one by one, it was strange. But everything was recovered completely the same day. Product details: She says she hates being old she just had the vaccine card now she has to find it. She sees Pfizer and then under it, it says lot number EL9662. She says the last digit could be a 2 or a 7. She does not see expiration or NDC number just the date and the HCP clinic site. She understands and she hears that the second dose is stronger so she wonders would she expect having more symptoms after the second dose. She says that is alright. She just thought since she had this experience with the first, she would ask if that would happen with the second. Outcome of the events was resolved on 29Jan2021. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647702
Sex: F
Age:
State: NJ

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: I have a headache; fever; I am very aches and feel so tired; I am very aches and feel so tired; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 47-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration (at the age of 47-years), administered in arm left on 09Feb2021 at 13:00 as dose 1, single for COVID-19 immunization. Medical history included i am a little over weight from an unknown date and unknown if ongoing. The patients concomitant medications were not reported. The patient did not receive any other vaccine in four weeks. Patient not had covid prior vaccination and had not been tested for covid post vaccination. The patient previously took CEFZIL and experienced known allergies. On 10Feb2021 at 04:00, the patient experienced i have a headache a slight fever, i am very aches and feel so tired. The treatment was not received for the event. The facility type of vaccine was reported as other. The clinical outcome for the events was reported as recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647703
Sex: F
Age:
State: CA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
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: Swollen lymph nodes in neck; This is a spontaneous report from a contactable other HCP. This 37-year-old non pregnant female other HCP (patient) received bnt162b2 (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 Left on 20Jan2021 13:30 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. No other vaccine in four weeks. No covid prior vaccination. No known allergies. No other medical history. On 29Jan2021 patient experienced swollen lymph nodes in neck. The second dose was on 10Feb2021, administration time 01:15 PM, vaccine location Left arm, dose number 2, lot numberen6201. Event resulted in doctor or other healthcare professional office/clinic visit. No covid tested post vaccination. No treatment was received for event. The outcome of event was not recovered. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647704
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:100 +

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: fever of 100 +; This is a spontaneous report from a contactable consumer via medical information team. A 68 (units unknown) female patient received bnt162b2 (BNT162B2, solution for injection, lot/batch number unknown) 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. It was reported that the patient got the first dose of vaccine and was now experiencing a fever of 100 +. The reporter would like to know what they should do for patient and if she should get the second dose. Outcome of the event was unknown. Follow-up attempts are completed. No further information is expected. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1647705
Sex: F
Age:
State: IL

Vax Date: 01/29/2021
Onset Date: 02/01/2021
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: skin rash on back of neck, abdomen and groin area.; Smooth red rash with itching; Smooth red rash with itching; This is a spontaneous report from a contactable consumer or other non hcp (patient). An 84-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration, administered in Arm Left on 29Jan2021 at 16:30 pm (Batch/Lot Number: EL9265) as dose 1, single for covid-19 immunization (at the age of 84-years-old). Medical history included Type 2 diabetes from an unknown date and unknown if ongoing and ongoing high blood pressure. Patient had no known allergies. Concomitant medication(s) included metformin taken for an unspecified indication, start and stop date were not reported and blood pressure pill for high blood pressure and daily vitamin taken for an unspecified indication and start and stop date were not reported for both. No other vaccine received in four weeks. It was reported that after receiving the first dose of vaccine on 01Feb2021, the patient experienced skin rash on back of neck, abdomen and groin area and smooth red rash with itching. The adverse events resulted in doctor or other healthcare professional office/clinic visit. As a therapeutic measure the patient was told to take Zyrtec. It was unknown if patient had covid prior vaccination. Patient was not tested for covid post vaccination. The outcome of the events was recovering at the time of report. Follow-up attempts completed. No further information expected.

Other Meds: METFORMIN

Current Illness: Blood pressure high

ID: 1647706
Sex: F
Age:
State: MD

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210210; Test Name: low temp; Result Unstructured Data: Test Result:97.1

Allergies:

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

Symptoms: Chills but low temp (97.1); Chills but low temp (97.1); Tremors; sore arm but arm was mobile; Exhaustion; This is a spontaneous report from a non-contactable consumer. A 76-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EN5318, Expiration date was not reported), via an unspecified route of administration (administered on the right arm) on 10Feb2021 at 08:15 (at the age of 76-years-old) as dose 2, single for COVID-19 immunisation. Medical history included hashimotos, hypertensive and known allergies to fentanyl. Concomitant medications included pregabalin (LYRICA), levothyroxine sodium (SYNTHROID), valsartan, vitamin supplements, and nasal spray. Prior to vaccination, the patient has not been diagnosed with COVID-19. The patient didn't receive any other vaccines within 4 weeks prior to COVID vaccine. The patient was previously vaccinated with the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EL0142, Expiration date was not reported), via an unspecified route of administration (administered on the right arm) on 18Jan2021 at 09:00 (at the age of 76-years-old) for COVID-19 immunisation. On 10Feb2021 at 18:00, the patient experienced chills but low temp (97.1), tremors, sore arm but arm was mobile, and exhaustion. No treatment was received for the events. Since the vaccination the patient has not been tested for COVID-19. The outcome of the events was recovered on an unspecified date in Feb2021. No follow-up attempts are possible. No further information expected.

Other Meds: LYRICA; SYNTHROID; VALSARTAN

Current Illness:

ID: 1647707
Sex: F
Age:
State: FL

Vax Date: 02/03/2021
Onset Date: 02/10/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Horrible red rash with big welts all over her head, arms, legs, back and front.; Horrible red rash with big welts all over her head, arms, legs, back and front.; This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for 2 patients. This is 1st of 2 reports. A 93-year-old non-pregnant female patient received bnt162b2 (PFIZER COVID 19, Solution for Injection, Lot Number were not reported) via an unknown route of administration, administered in arm left on 03Feb2021 14:00 (at the age of 93-years-old) as dose 2, single for COVID-19 immunisation. Medical history included high blood pressure and high cholesterol on an unspecified date. No Known allergies. Prior to vaccination, patient had not Covid. Post vaccination, the patient had not tested Covid. The patient previously received bnt162b2 (PFIZER COVID 19, lot unknown), administered in left arm on 13Jan2021 03:30 (at the age of 93-years-old) as dose 1 for COVID-19 immunisation. No other vaccine received in four weeks. Concomitant medication included amlodipine (MANUFACTURER UNKNOWN), losartan (MANUFACTURER UNKNOWN), carvedilol (MANUFACTURER UNKNOWN), atorvastatin (MANUFACTURER UNKNOWN), all for an unknown indication, from an unspecified date and unknown if ongoing. It was reported that horrible red rash with big welts all over her head, arms, legs, back and front. This came on exactly one week after the 2nd vaccine dose on 10Feb2021. Her doctor face timed her the same day and prescribe Prednisone 40 mg and Benadryl. She went to the doctors today 11Feb2021 and the doctor said it was a bad reaction to the covid 19 Pfizer vaccine. She had another patient with the exact same rash after the vaccine. The event resulted in doctor or other healthcare professional office/clinic visit. The patient received treatment as prednisone 40 mg and Benadryl. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : PFIZER INC-2021187174 same reporter, product and AE, different patient

Other Meds: AMLODIPINE; ATORVASTATIN; CARVEDILOL; LOSARTAN

Current Illness:

ID: 1647708
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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: pain at the injection site; tiredness; headache; chills; feeling unwell; muscle aches; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 37-year-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EL3247), via an unspecified route of administration, administered in arm right on 10Feb2021 at 13:15 (01:15 PM) (at the age of 37-year-old) as dose 2, single for COVID-19 immunization. The patient medical history included known allergies: penicillin. The patient concomitant medications were not reported. The patient did not receive any other vaccine in four weeks. The patient did not receive any other medications in two weeks. The patient was not diagnosed with COVID prior vaccination. Patient had not been COVID tested post vaccination. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EL3247), via an unspecified route of administration, administered in arm right on 20Jan2021 at 12:15 PM (at the age of 37-year-old) as dose 1, single for COVID-19 immunization. On 10Feb2021 at 20:00 (08:00 PM), the patient experienced pain at the injection site, tiredness, headache, chills, feeling unwell, muscle aches. The patient did not receive treatment for the events. Outcome of the events was recovering. Follow-up (PRD/SRD 12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647709
Sex: F
Age:
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: feelings of depression; feelings of depression sparked along with lack of motivation; This is a spontaneous report from a contactable consumer (Patient). A 25-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201), via an unspecified route of administration, on 10Feb2021 at 15:45 (at the age of 25-year-old), as dose 2, single in left arm for COVID-19 immunization. The patient's medical history included Prolonged post-traumatic stress (PTSD) due to childhood sexual assault, which was under control and was supposed to be weaning off medication in the near future. Patient was allergic to apples and had seasonal allergies. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9262), via an unspecified route of administration, on 20Jan2021 (at the age of 25-year-old), as single dose in left arm for COVID-19 immunization. Concomitant medications in two weeks after COVID vaccine included venlafaxine hydrochloride (EFFEXOR) 150 mg; taken for unspecified indication, start and stop dates were not reported. Patient did not receive any other vaccine in four weeks after COVID vaccination. On 11Feb2021, 1 day after second dose of vaccine, the patient had feelings of depression sparked along with lack of motivation. Patient did not receive treatment for the adverse events. The patient had no COVID prior vaccination and was not tested COVID post vaccination. The clinical outcome of both the events was not resolved. Follow-up attempts completed. No further information expected.

Other Meds: EFFEXOR

Current Illness:

ID: 1647710
Sex: F
Age:
State:

Vax Date: 01/01/2021
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: IM
Vax Site: LA

Lab Data: Test Name: Covid; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptom List: Pain in extremity

Symptoms: felt awful; fatigue; left arm useless; Body aches; left arm useless due to muscle pain at site of vaccine; This is a spontaneous report from a contactable physician. A 51-years-old female patient (non-pregnant) received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 intramuscular, administered in Arm Left on an unspecified date in Jan2021 (Batch/Lot number and Expiry date was not reported) (at the age of 51-years-old) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not have covid prior to vaccination and it was unknown if covid was tested post vaccination. On an unspecified date in Jan2021, the patient experienced felt awful, fatigue, left arm useless, body aches and left arm useless due to muscle pain at site of vaccine. It was reported as body aches and felt awful on the same day as vaccination. Day 2 fatigue and left arm useless due to muscle pain at site of vaccine. Laboratory tests on an unspecified date included SARS-CoV-2 test: unknown results. The clinical outcome of the events was reported as recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647711
Sex: F
Age:
State: TN

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: Loss of taste; migraine; This is a spontaneous report from a contactable nurse (patient). A 40-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9264), via an unspecified route of administration, administered in left arm on 03Feb2021 15:30 (age at the time of vaccination was 40 years) as dose 1, single for covid-19 immunisation at clinic. Medical history included asthma and Known allergies to Nuts, coffee, mustard, pineapple, melon both from an unknown date and unknown if ongoing. Concomitant medications included loratadine (LORATADINE), vortioxetine hydrobromide (TRINTELLIX), omeprazole (PRILOSEC [OMEPRAZOLE]), melatonin (MELATONIN) all taken for an unspecified indication, start and stop date were not reported. It was reported that the patient did not have COVID prior to vaccination. On 05Feb2021 10:00, the patient experienced loss of taste and migraine. The patient was not tested for COVID post vaccination. The patient did not receive any treatment for AE. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: LORATADINE; TRINTELLIX; PRILOSEC [OMEPRAZOLE]; MELATONIN

Current Illness:

ID: 1647712
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: After first dose the patient had a sore arm and then two days later found out she was pregnant; After first dose the patient had a sore arm and then two days later found out she was pregnant; This is a spontaneous report received from a contactable other-health care professional. This is a maternal report. A 28-years-old pregnant 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, administered on an unspecified date (at the age of 28-years-old) as dose 1, single for COVID-19 immunisation. Medical history included anxiety from an unknown date and unknown if ongoing. Concomitant medication included venlafaxine (VENLAFAXINE) daily 150 mg and cut down to half dose when she became pregnant, taken for anxiety from an unspecified start date and ongoing. Doctor and patient, who was a nurse, do not think the fetal demise was related to the vaccine, but wanted to document the loss with us for data in case we would start to see a trend. The patient does not intend to pursue further investigation into the vaccine as a cause. On unknown date, after first dose the patient had a sore arm and then two days later found out she was pregnant. The doctor discussed with patient and pharmacist whether to get second dose. Patient was a nurse and decided to get second dose. No major symptoms were reported after second dose until the miscarriage. The mother reported she became pregnant while taking bnt162b2. Did not see a fetal heartbeat at 6 week on u/s and 7 weeks still no heartbeat on u/s. HCG did not go down until second u/s, so fetal demise occurred between 6 -7 weeks. D and C performed and no genetic abnormalities were found in fetal tissue. The outcome of the events was reported as unknown. Information on lot/batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds: VENLAFAXINE

Current Illness:

ID: 1647713
Sex: F
Age:
State: IL

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin allergy

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

Symptoms: This is a spontaneous report from a contactable consumer. A 41-year-old (non-pregnant) female patient received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, lot# EL9264), at vaccination age of 41, via an unspecified route of administration, left arm, on Feb 9, 2021, single dose, for COVID-19 immunisation. Medical history included ongoing hypertension, ongoing asthma (under control). Patient has known allergies to penicillin, from an unknown date and unknown if ongoing. There were no concomitant medications. Patient previously took the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, lot# EJ1686), at vaccination age of 41, via an unspecified route of administration, left arm, on Jan 19, 2021, at 11:00 am, single dose, for COVID-19 immunisation. On Feb 10, 2021, at 07:00, patient experienced headache, chills, nausea, vomiting, general body pain (lung; back pain) when breathing, with outcome of not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness: Asthma (under control); hypertension

ID: 1647714
Sex: F
Age:
State: NY

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: last night she could not sleep; This is a spontaneous report from a contactable consumer (patient). A 88-years-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number, Expiration date and NDC number was not reported), via an unspecified route of administration on 09Feb2021 as dose 1, single (at the age of 88-years-old) for COVID-19 immunisation. The patient medical history was not reported. Concomitant medication(s) included paracetamol (Tylenol); naproxen sodium (Aleve); alprazolam (Xanax) and cetirizine hydrochloride (Zyrtec) (all taken for an unspecified indication, start and stop date were not reported) and diphenhydramine hydrochloride (Benadryl) taken for sleep, start and stop date were not reported. On 09Feb2021, patient slept in afternoon for two hours after the shot and at night (last night), patient could not sleep. Patient stated that she takes Tylenol, Aleve, Xanax takes 1/2 of one in the morning, Benadryl to sleep and Zyrtec and stated that she did not take them last night or this morning and wanted to know if she can take them. The outcome of the event was unknown. Follow-up attempts completed. No further information expected. Information on the lot/batch number has been requested.

Other Meds: TYLENOL; ALEVE; XANAX; BENADRYL; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1647715
Sex: F
Age:
State: AR

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:under 103; Test Name: Body temperature; Result Unstructured Data: Test Result:close to 105

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: fever was just under 103 and close to 105; severe fatigue; muscle soreness; horrible chills through the night; This is a spontaneous report from a contactable consumer, the patient. A 42-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EM9809), via an unspecified route of administration in the arm right on 09Feb2021 15:45 as dose 2 single (at the age of 42-years-old) for covid-19 immunization. Medical history included mitochondrial mutation, hashimotos thyroiditis (mild-no medication) and allergy to cucumbers (mild allergy). The concomitant medications included multivitamin and Vitamin D gummies. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EL3302), via an unspecified route of administration in the arm right on 19Jan2021 13:30 PM as dose 1 single (at the age of 42-years-old) for covid-19 immunization. The day patient got second dose, she felt good. On 10Feb2021 01:15 AM, during the night patient could not sleep because she had horrible chills through the night. By the next morning fever was just under 103. The patient had severe fatigue and muscle soreness. Fever kept going up, and at times was registering close to 105. The patient took acetaminophen and ibuprofen alternated before could get fever down. Patient fever broke during the following night, and she was okay the following day. The high fever did scare her a little. Patient did not regret getting the vaccine, but the high fever did scare her. Therapeutic measures were not taken for the events chills, fatigue and myalgia. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have covid prior to vaccination and patient did not tested for covid post vaccination. The outcome of the event was recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647716
Sex: M
Age:
State: MI

Vax Date: 02/08/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: stiff neck/he can hardly move his neck; woke up with a stiff neck and it has gotten worst; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EM9810, Expiration date: unknown), dose 2 via an unspecified route of administration, administered in Deltoid Right (injection to his right shoulder once) on 08Feb2021 (at the age of 66-year-old) as dose 2, single for COVID-19 immunization. Medical history included issues with his neck (stated that he had issues with his neck before but it has gotten worst) from an unknown date and unknown if ongoing. There were none concomitant medications. The patient previously received first dose of BNT162B2 on 15Jan2021 for COVID-19 immunization. Patient stated that he had the second Covid vaccine on 08Feb on Monday. Stated that he woke up with a stiff neck and it has gotten worst (2021). Stated that he can hardly move his neck (2021). Patient wanted to know if this was a side effect. Stated that this happened two mornings ago. Stated that he had issues with his neck before but it had gotten worst. Stated that it was bone on bone. Stated that it was so bad that it almost brings him to his knees. Stated that he does not know if vaccine has anything to do with vaccine or not. Stated that it was so bad it brings him to his knees. Stated that he puts ice and icy hot on it. Stated that he had taken Ibuprofen. Therapeutic measures were taken as a result of stiff neck/he can hardly move his neck, woke up with a stiff neck and it has gotten worst. There was no investigation assessment. The clinical outcome of event stiff neck/he can hardly move his neck was not recovered and another event outcome was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1647717
Sex: F
Age:
State: PA

Vax Date: 01/18/2021
Onset Date: 02/07/2021
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: swollen lymph nodes; Sore arm; fever; chills; sweats; fatigue; This is a spontaneous report from a contactable consumer (patient). A 54-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL3247, Expiry date: unknown, at the age of 54 years), dose 1 via an unspecified route of administration, administered in Arm Left on 18Jan2021 14:30 as dose 1, single for covid-19 immunisation. Medical history included fibromyalgia, depression, and food allergy to hard shellfish. Concomitant medication(s) included tramadol; modafinil and ibuprofen and migraine med. The patient previously took lamotrigine and z-pak and experienced drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Covid was not tested prior to or post vaccination. The patient experienced sore arm, fever, chills, sweats, fatigue, and swollen lymph nodes on 07Feb2021 17:15. No treatment was given to the patient. The outcome of the events was recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds: TRAMADOL; MODAFINIL; IBUPROFEN

Current Illness:

ID: 1647718
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Chills; body eaches; soreness in left arm approx. 2 hours post dose.; Escalation in discomfort throughout the day; This is a spontaneous report from a contactable consumer. A 55-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot number was not reported), dose 2 via an unspecified route of administration, administered in left arm on 10Feb2021 at 09:30 (at the age of 55-years-old) as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history was not reported. Historical vaccine included: first dose of BNT162B2 (COMIRANTY; Solution for injection; Batch/Lot Number: EJ6796) as dose 1, single administered in right arm on 20Jan2021 at 15.30PM for COVID-19 immunization. Concomitant medications included cetirizine hydrochloride (ZYRTEC), curcuma longa root (TURMERIC CURCUMIN) taken for an unspecified indication, start and stop date were not reported other medications received in two weeks. The patient was not pregnant at the time of vaccination. No other vaccine in four weeks. No COVID prior vaccination. Patient had no known allergies. No other medical history. Facility type vaccine workplace clinic. On 10Feb2021 at 02:00 PM, patient experienced soreness in left arm approximately 2 hours post dose. Escalation in discomfort throughout the day. Throughout the day on 11Feb2021 Chills around 10pm-12pm and body ashes and chills. No treatment received for the adverse events. COVID tested post vaccination reported as no. The outcome of the events were not recovered. Follow-up attempts completed. No further information expected. Information about Lot/Batch has been requested.

Other Meds: ZYRTEC; TURMERIC CURCUMIN

Current Illness:

ID: 1647719
Sex: F
Age:
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Diarrhea; Nausea; Headache; Abdominal pain; Fever; Fatigue; This is a spontaneous report from a contactable consumer (patient). A 52-year-old female patient received first doe of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9265), via an unspecified route of administration in left arm on 26Jan2021 at 11:00 (at the age of 52 years old) as single for covid-19 immunisation. Medical history included post-traumatic stress disorder from childhood, diabetes mellitus from 2000 to an unknown date, bipolar disorder from 2012 to an unknown date, anxiety, bipolar depression, thyroid disorder, preventative vascular problems, hypersensitivity, nightmare, sleep disorder. The family medical history included her brother was afraid to get the vaccine due to her symptoms. Concomitant medications included fluoxetine hydrochloride (PROZAC), 40mg; once daily by mouth, taking form years for bipolar depression; gabapentin 300mg; take one twice daily by mouth, taking form years for anxiety; aripiprazole (ABILIFY, reporter mentions before starting Abilify she used to take Rexulti. Provides NDC 5914803913; lot BNSO1620A and expiration date Jul2022), 15mg; take once daily by mouth for bipolar disorder from Dec2020 and ongoing; levothyroxine 137mcg; take once daily by mouth for thyroid disorder from 2014 and ongoing; simvastatin, 20mg; take once daily by mouth from several years for preventative vascular problems; levocetirizine, 5mg, take once daily by mouth for hypersensitivity from 2020 and ongoing; prazosin, 2mg; take two daily by mouth, taking form several years for nightmare; levocarnitine hydrochloride (LEVAMIN), 30 units daily by injection for diabetes mellitus from 2014 and ongoing; liraglutide (VICTOZA), 1.2mg; take once daily by injection for diabetes mellitus from Aug2020 and ongoing; eszopiclone 3mg; take once daily by mouth, taking form years for sleep disorder. The patient did not have history of previous immunization with the Pfizer vaccine considered as suspect. The patient did not administer any other vaccines on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks. The patient didn't had illness at time of vaccination. On 26Jan2021, patient experienced fatigue. Three days later she noticed abdominal pain, nausea, headache and fever on 29Jan2021; diarrhea on 30Jan2021. Adds she went to her doctor who told her just to wait it out; to do symptom management; and to call Pfizer to report. She was asking if she should get the second shot? She was scheduled to receive the second dose of the vaccine on 23Feb2021. It was supposed to be 16Feb2021, but she changed it. No relevant tests were performed. The patient saw the primary care but no admission to hospital. The outcome of abdominal pain, diarrhea was recovering, nausea, fatigue was not recovered, fever was recovered on 01Feb2021, headache was recovered on 03Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds: PROZAC; GABAPENTIN; ABILIFY; LEVOTHYROXINE; SIMVASTATIN; LEVOCETIRIZINE; PRAZOSIN; LEVAMIN; VICTOZA; ESZOPICLONE

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am