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: 1648071
Sex: F
Age:
State: IL

Vax Date: 02/01/2021
Onset Date: 02/15/2021
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:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: fever; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported for a female patient (Reporter's daughter) that: A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 1 via an unspecified route of administration on Feb2021 as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced fever on 15Feb2021. Outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648072
Sex: M
Age:
State: MA

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Diarrhea; This is a spontaneous report from a contactable consumer or other non hcp (patient reported for himself). A 85-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EL9264; Expiration Date: 31May2021), via an unspecified route of administration, administered in left shoulder on 06Feb2021 at 16:00 (4:00 PM) (at the age of 85-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included high blood pressure, a little diabetes. The patient concomitant medications included lisinopril 40mg once a day, atenolol 50mg once a day, atorvastatin 20mg once a day, warfarin (5mg except two days a week he takes 2.5mg), amlodipine 10mg once a day, glyburide; metformin tablet (takes three tablets per day; it is 2.5-500 unknown units), all drugs taken for an unspecified indication, start and stop date were not reported. The patient previously took flu vaccine, shingles vaccines for immunization and never had a reaction (Patient does not have NDC, lot, and expiry for Flu vaccine or Shingles vaccine). The patient did not receive any other vaccines within 4 weeks prior vaccinations. On 07Feb2021, the patient experienced diarrhea. Diarrhea started between 12:00 PM and 2:00 PM. Patient got the shot on Saturday, 06Feb2021 in Massachusetts. The next day, 07Feb2021, he had diarrhea. Patient wanted to wait a couple of days to see if it continued. It was only on that one day, 07Feb2021. Patient clarified shot as COVID19 Vaccine. First dose of vaccine was 06Feb2021. Patient clarified that the vaccine was given at 4:00 PM on 06Feb2021. The diarrhea started on Sunday between 12:00PM and 2:00PM. Patient only had a couple incidents. The event did not result in emergency room and physician office visit. Outcome of the event was recovered on 07Feb2021. Follow-up (PRD/SRD 11May2021): Follow-up attempts completed. No further information expected.

Other Meds: LISINOPRIL; ATENOLOL; ATORVASTATIN; WARFARIN; AMLODIPINE; GLYBURIDE;METFORMIN

Current Illness:

ID: 1648073
Sex: F
Age:
State: FL

Vax Date: 02/01/2021
Onset Date: 02/02/2021
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: arm was in pain; Painful rash; This is a spontaneous report from a contactable consumer. A 75-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EN5318), via an unspecified route of administration, administered in Arm Left on 01Feb2021 15:00 PM as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included Hemochromatosis (gets phlebotomy due to excess iron) and high blood pressure from an unknown date and unknown if ongoing. Concomitant medications included diltiazem (DILTIAZEM) taken for blood pressure abnormal from an unspecified start date and ongoing; acetylsalicylic acid (BABY ASPIRIN) and ergocalciferol, retinol palmitate (VITAMINS A & D) taken for an unspecified indication, start and stop date were not reported. The patient previously took prednisone and cortisone and experienced allergy. (She is allergic to steroids. She knows she is allergic to Prednisone and Cortisone.) The patient previously received a flu shot on an unspecified date many years ago and she has had normal fever a day after the vaccine. She stopped taking the flu vaccine. She had the first COVID19 vaccine on 01Feb2021. The next day her arm was in pain and that went away that day. She also developed a rash; it was like bumps. She went to the doctor and he said it was eczema. Caller states it is not eczema. It spread all over the body. She is concerned so she is calling. It is over a week and she still have some rash. Her concern is if she should take the second vaccine if this one made her this ill. The rash is a little less, it wasn't so much itchy as it was painful. The doctor gave her an ointment to put on the rash. It did nothing. The cream is Triamcinolone Acetonide 0.1 percent, (Lot: 1014221, expiry: Jul2022). The outcome of the event pain in arm was recovered and outcome for event painful rash was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: DILTIAZEM; BABY ASPIRIN; VITAMINS A & D

Current Illness:

ID: 1648074
Sex: F
Age:
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
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: Test Date: 20210215; Test Name: Flu test; Test Result: Negative ; Test Date: 20210215; Test Name: COVID-19 Test; Test Result: Negative

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: fatigue; pain on arms; Nausea; Dry heaves; it's been hard for her to walk because her legs are heavy and stiff; it's been hard for her to walk because her legs are heavy and stiff; it's been hard for her to walk because her legs are heavy and; headache; joint and muscle pain/shoulder pain; joint and muscle pain; flu-like symptoms; pain in her neck; pain in her neck and of course at the site of the injection; This is a spontaneous report from a contactable female consumer (patient) received from a Pfizer-sponsored program. A 65-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EN9581, NDC number: Unknown, Expiry Date: Unknown), intramuscularly, administered in Left arm, very high up on 12Feb2021 16:45 at the age of 65-years-old as dose 1, single for covid-19 immunisation. Medical history included Allergy to yellow dye, stomach acid from an unknown date, she sometimes takes Famotidine for her stomach acid. She stated that she sees a gastrologist for a colonoscopy and endoscopy from time to time. The patient was not pregnant at the time of vaccination. The patient had no other conditions. Concomitant medications included famotidine (FAMOTIDINE) 20mg, tablet taken by mouth as needed taken for stomach acid from an unspecified date. she doesn't take it every day, it as needed; Extra strength tylenol (paracetamol) (TYLENOL) taken for an unspecified indication from an unspecified date; bismuth subsalicylate, calcium carbonate (PEPTO BISMOL [BISMUTH SUBSALICYLATE;CALCIUM CARBONATE]) taken for an unspecified indication from an unspecified date; curcumin (CURCUMIN) taken for an unspecified indication from an unspecified date received within 2 weeks of vaccination. The patient previously took percocet [oxycodone hydrochloride;paracetamol] and experienced allergy. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient has not been tested for COVID-19 since the vaccination. Facility type vaccine was hospital. Additional vaccines administered on same date of the pfizer suspect were none. It was reported that 1st Shot was on 12Feb, Friday. Severe symptoms of fatigue, pain on arms on an unspecified date. The reporter mentions she is a personal care worker. She went online and filled something out and she tried calling last night. She was on hold for a while, and she assumed the department was closed because she never spoke to anyone. She explains she just got back from urgent care. She received her first COVID-19 vaccine on Friday, 12Feb2021, around quarter to five. They kept her 15 minutes afterwards. Around 2 hours later, around quarter to 7, she started to get pain in her neck and of course at the site of the injection. She started to have some joint pain and pain in the left side of her neck. She was in so much pain they told her to take Tylenol. She eventually fell asleep but woke up at 4 am and had a terrible headache on 13Feb2021 and joint and muscle pain. The pain got worse last night and is gradually edging up. She put in 3 hours of work Saturday and the previous day. She believes the Tylenol is edging the pain. She was not used to taking pills. She thought she needed more but it wasn't time and then it all just really snowballed. She clarifies she is taking the Pharmacy's Brand Acetaminophen (compared to Tylenol). It's extra strength. Lot: P119012 Expiry date: Jan2022 Above the barcode, she sees #. On her vaccine record care, she mentions she doesn't know if she can read it. It's terrible. In the beginning, she sees BioNTech/Pfizer. She has a question from urgent care. The doctor is not sure she should get the second round on 05Mar. She was not sure if she should get the next one. She guesses she will see how long it takes to weather this. Healthcare Professional: The caller explains since she did go to urgent care and wasn't seen by her family doctor, she will provide the urgent care doctor for the product. If she is not any better by Thursday, she is supposed to go see her family doctor. She is out of work until Thursday. She confirms Dr. (name) is her family doctor. She explains she did file something online but didn't get a case number or anything. No further details were provided. She was not sure if she should get the next dose of the COVID-19 Vaccine. She wanted to know what is the risk of not getting the second vaccine? Would she just not get covered? She explains she had pain in both arms over the shoulders, and also the pain at the injection site. She went to get up to go relax in the recliner and she felt like she had cinder blocks on her legs. The pain went from her neck all the way to her shoulder blades. It was reported that the vaccine just brought on nausea and dry heaves on an unspecified date, it's nothing gastric related. She received the first dose of the Pfizer-BioNtech Covid-19 vaccine on 12Feb2021, she is scheduled to receive the second dose of the vaccine on 15Mar2021. It was reported that two hours after she received the injection, she started experiencing some side-effects, flu-like symptoms, a lot of pain at the injection site in her shoulder (she could hardly move her arm), joint pain and muscle pain, she also had some headaches the next morning on 13Feb2021; she tested negative for Covid-19 and she took Tylenol, Benadryl and medication for nausea. The headaches disappeared and were not severe, however the joint and muscle pain kept getting worse, she's being trying to do her daily routine but it's been hard for her to walk because her legs are heavy and stiff on an unspecified date, she should go back to work by Thursday. She would like to know what would happen if she decides not to take the second dose of the vaccine because she was scared. The adverse events did not require a visit to Emergency Room or Physician Office. It was reported that morning at her 8:30 AM visit, they did a COVID test and flu test. The patient underwent lab tests and procedures which included Flu test (influenza virus test): negative on 15Feb2021, COVID-19 Test (sars-cov-2 test): negative on 15Feb2021. The reporter assessed events as non-serious with no seriousness criteria of resulting in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect. The outcome of event, headache was recovered on an unspecified date in 2021 and Neck pain, Arthralgia, Muscle pain were not recovered while for other events was unknown. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: FAMOTIDINE; TYLENOL; PEPTO BISMOL [BISMUTH SUBSALICYLATE;CALCIUM CARBONATE]; CURCUMIN

Current Illness:

ID: 1648075
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: I have extremely swollen and very painful lymph glands under my right arm. The swelling is the size of a baseball and the pain extends to my arm and side.; I have no fever and only had some nausea.; This is a spontaneous report from a non-contactable consumer. A 50-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot number was not reported), dose 2 via an unspecified route of administration, administered in Arm Right on 08Feb2021 08:00 as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Not known allergies. The patient previously received first dose of bnt162b2 on an unspecified date of covid-19 immunisation and had no issues other than a sore arm. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 09Feb2021 patient reported that I have extremely swollen and very painful lymph glands under my right arm. The swelling is the size of a baseball and the pain extends to my arm and side. I have no fever and only had some nausea. The patient was not received treatment medication. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was not recovered. No follow-up attempts are possible, Information about batch/lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1648076
Sex: F
Age:
State: WA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: mild arm soreness; nausea; chills; fever; headache; fatigue; Aching; This is a spontaneous report from a contactable other healthcare professional (patient). A 43-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EL9810, patient was 43-year-old at the time of vaccination), via intramuscular route of administration, administered in Arm Left on 09Feb2021 at 08:30 AM as DOSE 2, SINGLE for covid-19 immunisation. Medical history included depression, anxiety. No other vaccine received in four weeks. Concomitant medication(s) included lamotrigine (LAMICTAL); fluoxetine hydrochloride (PROZAC); monascus purpureus (RED YEAST RICE); curcuma longa (TURMERIC [CURCUMA LONGA]); boswellia serrata (BOSWELLIA); chondroitin sulfate, glucosamine (GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE; GLUCOSAMINE]); vitamin d3 (VITAMIN D3); chromium picolinate (CHROMIUM PICOLINATE) all were taken for an unspecified indication, within two weeks of vaccination, start and stop date were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EL1283, patient was 43-year-old at the time of vaccination), via intramuscular route of administration, administered in Arm Left on 19Jan2021 at 09:00 AM as DOSE 1, SINGLE for covid-19 immunisation and experienced only Arm soreness. No covid prior vaccination, no covid tested post vaccination, no known allergies reported. On 09Feb2021 at 04 PM, the patient experienced mild arm soreness, nausea, chills, fever, headache, fatigue, aching. Patient did not receive treatment for events. The outcomes of events were recovering. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: LAMICTAL; PROZAC; RED YEAST RICE; TURMERIC [CURCUMA LONGA]; BOSWELLIA; GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;GLUCOSAMINE]; VITAMIN D3; CHROMIUM PICOLINATE

Current Illness:

ID: 1648077
Sex: U
Age:
State: WA

Vax Date:
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: Pyrexia, White blood cell count decreased

Symptoms: Extremely tired back muscles; body heat; felt unstable; lost a lot of sleep; could not lay prone; This is a spontaneous report from a contactable consumer. The consumer reported similar events for 2 patients (gal and another person). This is second of two reports. This consumer reported for another patient that. A patient of unspecified age and gender received bnt162b2 (Pfizer-BioNTech COVID-19 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 medical history was not reported. The patient's concomitant medications were not reported. It was reported that there was a call from the caller who said that she knows it was experimental she did had a reaction and others did as well. She said that she had extremely tired back muscles and body heat. While reporting on herself, the caller mentioned that another gal had the same thing and another person she knew had the same thing. She also mentioned that felt unstable, lost a lot of sleep, could not lay prone on unspecified date. Outcome of all events was unknown. Follow-up attempts completed. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021178927 same reporter, different patient

Other Meds:

Current Illness:

ID: 1648078
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Body aches; This is a spontaneous report from a contactable physician. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 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. On an unspecified date, the patient experienced body aches. The 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: 1648079
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: metallic taste; arm soreness; This is a spontaneous report from a contactable other-HCP (patient herself) via Medical Information Team. A 65 (units unknown) old female received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 01Feb2021 as dose 2, single for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as dose 1, single for COVID-19 immunization and experienced arm soreness with first dose. Patient stated she received both doses of the vaccine, the second dose was on 01Feb2021. She had no side effects with either dose, except for a slight metallic taste on an unspecified date in Feb2021 after the second dose but nothing major. She had nothing with the first injection and nothing with the second. She had arm soreness with the first dose and slight arm soreness with the second dose on an unspecified date in Feb2021. She stated she had nothing, absolutely nothing and it worried her. She also asked if she needed to have antibodies checked to see if there was something with the dose that was not right. She stated she needed to have lab work done anyway. The outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648080
Sex: F
Age:
State: CA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210209; Test Name: body temperature; Result Unstructured Data: Test Result:Fever

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swelling of the lips & tongue, fever with chills; Swelling of the lips & tongue, fever with chills; Swelling of the lips & tongue, fever with chills; Swelling of the lips & tongue, fever with chills; This is a spontaneous report from a contactable other health care professional (patient). A 62-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 via an unspecified route of administration on 09Feb2021 (Batch/Lot number was not reported) as DOSE1, SINGLE (at the age of 62-years-old) for covid-19 immunisation. The patient has no medical history. There were no concomitant medications. The patient had no known allergies. On 09Feb2021 at 02:00 PM, the patient experienced swelling of the lips and tongue, fever with chills. The patient underwent lab tests and procedures which included body temperature: fever on 09Feb2021. The adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for the adverse events. The patient did not have COVID prior to vaccination. It was unknown whether the patient got COVID tested post vaccination. The patient had no other vaccine in four weeks and no other medications in two weeks. The patient recovered from the events on an unspecified date in 2021. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648081
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: He currently has a leg problem; This is a spontaneous report from a contactable consumer (patient's wife) from a Pfizer-sponsored program. A male patient of an unspecified age received (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 02Feb2021 as dose 1, single for COVID-19 immunisation. Medical history included diabetic. Concomitant medications were not reported. On an unspecified date, the patient experienced currently has a leg problem. It was reported that patient will get his second dose on 23Feb2021, and since patient is diabetic, need to take MOBIC (meloxicam). It was reported that the patient does not want to mess up with the vaccine and wanted to know if he can take the medication. The 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: MOBIC

Current Illness: Diabetic

ID: 1648082
Sex: M
Age:
State: FL

Vax Date: 02/11/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Pain; Little fever; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support. A contactable consumer reported for a male patient (husband). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported), via an unspecified route of administration on 11Feb2021 as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb2021, the patient experienced pain, little fever. Verbatim and Event Description: Reporter calling in for her husband. Reporter said her husband got the vaccine yesterday and experienced pain and a little fever. Asking if her husband can take Tylenol. Outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648083
Sex: U
Age:
State:

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:
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: Headache; Site where the injection was that is the little sore; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration on 09Feb2021 (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced headache and site where the injection was that is the little sore on 09Feb2021. It was reported patient had Pfizer Vaccine earlier this morning and right about patient having a headache and site where the injection was that was the little sore. Would you suggest that patient could have Tylenol, that's all patient can really take everything else upsets stomach (further clarification unknown). The outcome for events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648084
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Caller had a lot of sneezing and a runny nose; Caller had a lot of sneezing and a runny nose; sore throat; congestion; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support from a contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER COVID-19 VACCINE: Solution for injection; Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date caller had a lot of sneezing and a runny nose. She also had sore throat and congestion after the 1st dose. The outcome of the events was unknown. Information on the Lot/Batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648085
Sex: U
Age:
State:

Vax Date: 01/19/2021
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: Sore arm; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 19Jan2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient experienced sore arm. Patient is asking if she can get symptoms on second dose. The outcome of the event was unknown. Follow-up attempts are completed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648086
Sex: F
Age:
State: DE

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:High

Allergies:

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

Symptoms: Swollen lips; This is a spontaneous report from a contactable consumer. A 69-year-old female patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection), dose unknown via an unspecified route of administration, administered in right arm on 05Feb2021 (at the age of 69-years-old) (Batch/Lot Number: EM9809) as dose number unknown, 0.3ml single for COVID-19 Vaccination. Medical history included Blood pressure high. She has high blood pressure but that is under control. The patient's concomitant medications was not reported. The patient had received the Pfizer Vaccine on 05Feb2021 and that morning got up with swollen lips on 09Feb2021. The breathing was okay, just the lips are like swollen and that's the only thing that happens in the past for like more than a week. She was not sure about the dose but she know they gave 0.3 ml. It was not written, she do not have that and the center have all that information. She was not sure if it was from the vaccine and what caused this but that was the only thing different that happened from the past several weeks. She also confirms there was no new food, no new medication taken. The patient underwent lab tests and procedures which included blood pressure measurement resulted high blood pressure. The outcome of the event was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648087
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: Muscle disorder; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of bnt162b2 (BNT162B2; Solution for injection; Lot number: UNKNOWN), via an unspecified route of administration as dose 1, single on an unspecified date for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Consumer stated, "So, I have gotten the first shot already. I am supposed to get the second one in 2 weeks but today I looked at the doctor and I was diagnosed with a muscle disorder that I have, which now require me to take Prednisone every day. I do not know what the LOT number is, I do not have it." Therapeutic measures were taken in response to event with prednisone. At the time of this report, 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: 1648088
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
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: Small round disc where I got the, at the injection site, kind of itching and kind of red and itching and in a big round circle; Runny nose; Small round disc where I got the, at the injection site, kind of itching and kind of red and itching and in a big round circle; slightly tender to the touch; Small round disc where I got the, at the injection site, kind of itching and kind of red and itching and in a big round circle; slightly tender to the touch; Slightly tender to the touch; This is a spontaneous report from a contactable Nurse (patient). A 78-years-old female patient received second dose BNT162B2 (COMIRNATY, Solution for injection, Lot Number: EL9267), via an unspecified route of administration on unspecified date (Age at the time of vaccination was 78 years) as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history included diabetes, hypertension and haemoglobin low. Concomitant medications included Aspirin. The patient previously took first dose of vaccine BNT162B2 (COMIRNATY, Solution for injection, Lot Number: EL3249), via an unspecified route of administration on 16Jan2021 (Age at the time of vaccination was 78 years) as DOSE 1, SINGLE for COVID-19 immunisation. Patient experienced runny nose, small round disc where she got the, at the injection site, kind of itching and kind of red and itching and in a big round circle, slightly tender to the touch in 2021. Patient had not received treatment for events. The outcome of events was unknown. Follow-up attempts were completed. No further information was expected.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1648089
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: cough; This is a spontaneous report from a contactable consumer (patient) via Pfizer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. Medical history included cough from an unknown date and unknown if ongoing. It was reported that the patient always has a cough when winter is over. The patient's concomitant medications were not reported. The patient experienced cough on an unspecified date after the first dose. Treatment with cough medicine was taken for the event. The outcome of the event was unknown. The patient was querying where to get her 2nd dose. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1648090
Sex: M
Age:
State:

Vax Date:
Onset Date:
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: Headache; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support. A non-contactable consumer (patient) reported that a male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and 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's medical history and concomitant medications were not reported. The patient experienced headache on an unspecified date. Patient inquired if he was allowed to take paracetamol (TYLENOL) after his second COVID shot because he has a headache. The outcome of event was unknown. No follow-up attempts are possible; information on lot/batch number cannot be obtained. No further Information is expected.

Other Meds:

Current Illness:

ID: 1648091
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: I still have a large, looks like a bruise but more purple; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown), dose 2 via an unspecified route of administration on 01Feb2021 as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced i still have a large, looks like a bruise but more purple on an unspecified date (I got my Pfizer my second shot. It is been 8 days ago now and I still have a large, looks like a bruise but more purple. The patient was asking Is that normal). 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: 1648092
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: fever; headache; This is a spontaneous report from a contactable consumer (patients husband). A female patient of an unspecified age received bnt162b2 (BNT162B2, solution for injection), dose 1 via an unspecified route of administration on 10Feb2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated that his wife experienced fever and headache (date unknown) after the 1st. His wife already took 2 Aspirins and would like to ask if taking Amoxicillin will interfere with the 1st dose vaccine. The outcome for both the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648093
Sex: M
Age:
State: NY

Vax Date: 02/16/2021
Onset Date: 02/18/2021
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: Test Name: Blood test; Result Unstructured Data: Test Result:Unknown

Allergies:

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

Symptoms: severe pain on his neck, back, left side, and his thighs/has had increasing aching in his neck and shoulders, and pain in his back and along his left side; severe pain on his neck, back, left side, and his thighs/has had increasing aching in his neck and shoulders, and pain in his back and along his left side; This is a spontaneous report from a Contactable consumer via Medical Information Team. A 74-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201; Expiration Date: Jun2021) via an unspecified route of administration, administered in Arm Left on 16Feb2021 (age at vaccination was reported as 74 years) DOSE 2, SINGLE for covid-19 immunisation. Medical history included lung transplant on an unspecified date (Both lungs, exactly 11 months ago) and anaemia from an unknown date and unknown if ongoing. Concomitant medication included iron taken for anaemia, start and stop date were not reported. Historical vaccine included dose 1, single of bnt162b2 on 26Jan2021 (lot number was EL9262, and the expiry date was May2021, age at vaccination was 74 years) for COVID-19 immunization and experienced sleepy. On 18Feb2021, the patient experienced severe pain on his neck, back, left side, and his thighs/has had increasing aching in his neck and shoulders, and pain in his back and along his left side. It was reported that patient received the 2nd shot on 16Feb2021. He experienced severe pain on his neck, back, left side, and his thighs/ increasing aching in his neck and shoulders, and pain in his back and along his left sides. It was really bad that he took hydrocodone. He mentioned that he was a transplant patient and had not taken these medications since his surgery. The patient had his shot on 16Feb2021, and the next day he slept, he got up for coffee and then went to bed for 5 hours. patient states that yesterday morning, he started having the neck and back and side aches, and they have progressively worsened, and they were bad this morning and he took 5 mg of Hydrocodone, and it has started to kick in. The patient underwent lab tests and procedures which included blood test results were unknown on an unspecified date. The clinical outcome of the events was not resolved. No follow up attempts are possible. No further information is expected.

Other Meds: IRON

Current Illness:

ID: 1648094
Sex: U
Age:
State:

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

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

Lab Data: Test Date: 20210123; Test Name: Covid test; Result Unstructured Data: Test Result:Unknown result; Comments: I had the Covid test on January 23rd

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: I had the shot, in my arm and my arm has been hurting ever since where I got the shot, site of injection site pain; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot/ batch number unknown) via an unspecified route of administration on unspecified date as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient had the shot in arm and arm had been hurting ever since where patient got the shot, site of injection site pain. The patient stated that patient had the covid test on 23Jan2021 and result was unknown. The outcome of events was unknown. Lot/Batch number has been requested. Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1648095
Sex: F
Age:
State: MA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Fever; Result Unstructured Data: Test Result:38.5

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: vomited; Body aches; fever; severe headache; fatigue; This is a spontaneous report from a contactable consumer. A 58-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EL3247), dose 2 via an unspecified route of administration, administered in Arm Left on 17Feb2021 09:30 (Batch/Lot Number: EL3247) as DOSE 2, SINGLE, dose 1 via an unspecified route of administration, administered in Arm Left on 28Jan2021 11:15 (Batch/Lot Number: EL3247) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Not known allergies. On 17Feb2021 19:00 PM patient experienced Fever 38.5 starting 10 hours after injection, lasting 16 hours, went down to 37.5 after taking Tylenol. Body aches, severe headache, vomited once. Now is 48 hours after injection temperature is normal, there is some fatigue. The patient was not received any treatment. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not received any other medications within 2 weeks of vaccination. The outcome of the events was recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648096
Sex: F
Age:
State: NY

Vax Date: 02/05/2021
Onset Date: 02/08/2021
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: Red blotch on my skin that was hot, a rash and it was achy; It was a little painful where the shot was injected; I have a hot red flash; Red blotch on my skin that was hot, a rash and it was achy; This is a spontaneous report from a contactable consumer or other non hcp. An 80-years-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot Number: EL3247), via an unspecified route of administration, administered in Arm Left on 05Feb2021 as single dose for covid 19 immunization. The patient medical history and concomitant was not reported. The patient experienced red blotch on my skin that was hot, a rash and it was achy, it was a little painful where the shot was injected, i have a hot red flash, red blotch on my skin that was hot, a rash and it was achy on 08Feb2021 with outcome of unknown. No treatment was received for the event. Information on the lot/batch number has been requested. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648097
Sex: M
Age:
State: TX

Vax Date: 02/09/2021
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: LA

Lab Data: Test Name: blood work; Result Unstructured Data: Test Result:unknown results; Comments: Lab work: Reporter stated, "The last blood work would have been 4th when he had the IVIG infusion. February 1st I think around then he had blood work." Results and name of the test: Reporter stated, "They did everything BMT, it was a Dr.'s office, the neurologist that ordered the IVIG for him."

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: rash; he could not walk; sharp pain in his groin; terrible pain everywhere; This is a spontaneous report from a contactable consumer or other non-Health Care Professional reported for an 89-year-old male patient (father). A 89-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN5318 and Expiry date: Unknown), dose 2 via an unspecified route of administration on 09Feb2021,at the age of 89-years-old as DOSE 2, SINGLE for covid-19 immunization. Medical history included chronic inflammatory demyelinating polyradiculoneuropathy from an unknown date and unknown if ongoing Concomitant medication: Reporter stated, "Yeah, but nothing new, newest thing is he was diagnosed with CIDP Chronic inflammatory demyelinating polyneuropathy about 8 weeks ago and he had his second infusion of IVIG so Intravenous, so you are a pharmacist so you know what I am talking about, so he has his immunoglobulin infusion, so we had the big thing about delaying or when to do his vaccine because this IVIG infusion that he had on Feb 1st, he had his second infusion of IVIG." , bone marrow transplant from an unknown date and unknown if ongoing Results and name of the test: Reporter stated, "They did everything BMT, it was a Dr.'s office, the neurologist that ordered the IVIG for him.". Concomitant medication(s) included immunoglobulins nos taken for chronic inflammatory demyelinating polyradiculoneuropathy, start and stop date were not reported. On 10Feb2021 the patient experienced terrible pain everywhere, sharp pain in his groin and he is getting a little bit better, but he started having the new symptoms this morning with this rash. On 11Feb2021 the patient experienced he could not walk, so basically, he lost his left leg and he has a sharp pain in his groin and basically he stayed in bed another. On 13Feb2021 the patient experienced rash. The patient underwent lab tests and procedures which included blood test: unknown results on Lab work: The last blood work would have been 4th when he had the IVIG infusion. February 1st, I think around then he had blood work. Treatment included doctor said to hold off, not take the Benadryl not to take anything like right now. The outcome of events terrible pain everywhere, sharp pain in his groin, he could not walk was recovering while the outcome of event rash was unknown.

Other Meds: IMMUNE GLOBULIN

Current Illness:

ID: 1648098
Sex: F
Age:
State: NY

Vax Date: 02/06/2021
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: diarrhea; can't barely stand / Can stand only for 40 minutes; loss of appetite; sore throat; loss of taste; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support from a contactable female consumer (patient). A female patient of unspecified age received first dose of bnt162b2 (Pfizer COVID-19 Vaccine, Solution for injection, Lot number: Unknown), via an unspecified route on 06Feb2021, as a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unknown date, patient experienced diarrhea, loss of appetite/not using the toilet due to loss of appetite, can't barely stand/ can stand only for 40 minutes, sore throat and loss of taste. She can only stand today. Asking what must be done? The clinical outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648099
Sex: M
Age:
State: CA

Vax Date: 02/08/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Vomited; Still queasy stomach and Nausea; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 70-years-old male patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 08Feb2021 11:50 (Batch/Lot Number: EM9809, Expiration date was not reported) (at the age of 70-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. On 09Feb2021, the patient experienced vomited. On an unspecified date in 2021, the patient experienced still queasy stomach and nausea. Reporter stated that the patient (husband) got the shot yesterday around 11:50 AM in the morning (the virus shot of Pfizer). And last night 2:35 AM, he vomited and about two hours later at 4:25 AM he vomited again and right now have still queasy stomach. When paraphrased the concern, reporter stated that at 11:50 am in the morning, but he did vomit but now he is experiencing a queasy stomach, but he vomited this morning at 2:35 AM in the morning and 4:25AM twice. The patient received Emetrol for nausea (Expiration date: 05May2023). The clinical outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648100
Sex: F
Age:
State: MD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210218; Test Name: body temperature; Result Unstructured Data: Test Result:100 degree F temperature

Allergies:

Symptom List: Nausea

Symptoms: Fever developed 12 hours after the second dose of the vaccine and lasted till 36 hours after second dose vaccination. Persistent 100 degree F temperature reported for the duration.; Severe body aches; headache; This is a spontaneous report from a contactable consumer. A 30-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN5318), via an unspecified route of administration, on 17Feb2021 (age at the time of vaccination 30-years-old), as a single dose for COVID-19 immunization. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EL1283), via an unspecified route of administration, on 26Jan2021 (age at the time of vaccination 30-years-old), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient had no other vaccine in four weeks and no other medications in two weeks. No covid prior vaccination. No covid tested post vaccination. Patient had no known allergies. On 18Feb2021 04:00, the patient experienced Fever developed 12 hours after the second dose of the vaccine and lasted till 36 hours after second dose vaccination. Persistent 100 degree F temperature reported for the duration; Severe body aches; and headache. On 18Feb2021, the patient underwent lab tests and procedures which included body temperature: 100 degree F temperature. The patient spoke to Nurse over the phone who recommended Acetaminophen for the treatment of fever and body aches. The outcome for all the events was recovering. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648101
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Severe headache; Fever; Chills; Fatigue; This is a spontaneous report from a non-contactable consumer (patient). A non-pregnant 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in left arm on 02Feb2021 at 09:15 (Batch/Lot Number: EL3248) as dose 2, single (at the age of 27 years old) for COVID-19 immunization. The patient's medical history included Hashimotos and allergies with sulfa in antibiotics. Concomitant medication included levothyroxine, taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (Lot number: EL3248) on 14Jan2021 at 08:15 AM in the left arm for COVID-19 immunization. Prior to vaccination, the patient was not diagnosed with COVID-19 and post vaccination, the patient has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. The facility type vaccine where the patient received the vaccine was in the workplace clinic. On 02Feb2021 at 13:00, the patient experienced severe headache, fever, chills, and fatigue. No therapeutic measures were taken as the result of the events. Outcome of the events was recovered on Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1648102
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: throat tightness; wheezy; throat itching; frequent throat clearing; This is a spontaneous report from a non-contactable other healthcare professional. A 38-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot Number: EL9266) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included food allergy, allergies including anaphylaxis to shellfish, peanut oil and sulfa drugs , food allergy, drug hypersensitivity and asthma. Concomitant medication included montelukast sodium (SINGULAIR), cetirizine, salbutamol sulfate (ALBUTEROL [SALBUTAMOL SULFATE]). It was reported that she did not take any Benadryl prior to her injection as patient reported that her sister who was a nurse told her not to take Benadryl in case it masks a reaction. Patient complained of frequent throat clearing (slightly upon arrival. With throat itching) and wheezing. Patient denied chills, fever, malaise/fatigue, facial swelling, itching in ears, sore throat, eyes watering, eyes itching, puffy eyes, eye redness, cough, chest tightness, shortness of breath. During her 30 min waiting period after the injection the patient experienced throat tightness, wheezy. She reported above symptoms about 20 minutes after receiving vaccine. She denied facial swelling, tongue swelling. The outcome of events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: SINGULAIR; CETIRIZINE; ALBUTEROL [SALBUTAMOL SULFATE]

Current Illness:

ID: 1648103
Sex: F
Age:
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: 1 hour later had trouble swallowing; 20 minutes after injection my lips started swelling; This is a spontaneous report from a contactable consumer or other non HCP (patient). A 69-year-old non pregnant female patient received bnt162b2 (BNT162B2, formulation; solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 19Jan2021 17:00 (Batch/Lot Number: EL1283) as DOSE 1, SINGLE for covid-19 immunisation (at the age of 45-year-old). The patient was not pregnant at the time of vaccination. The patient medical history was not reported. Concomitant medication included levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported (received within two weeks of vaccination). The patient had not received any other vaccine within 4 weeks. The patient previously took botox and experienced known allergies. The patient experienced 20 minutes after injection her lips started swelling and 1 hour later had trouble swallowing on 19Jan2021. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested for COVID since the vaccination. No treatment received for events. The outcome of events reported as recovered on an unspecified date of 2021. 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: SYNTHROID

Current Illness:

ID: 1648104
Sex: F
Age:
State:

Vax Date: 01/17/2021
Onset Date: 01/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: arm only got sore 4-5 hours; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 17Jan2021 14:30 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing limb deformity, surgery from an unknown date and unknown if ongoing. On an unspecified date of Jan2021 patient reported that the first dose I didn't even know when the needle went in, the first one my arm only got sore 4-5 hours. The outcome of the event was recovered. Information on Lot /Batch Number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Limb deformity

ID: 1648105
Sex: F
Age:
State: HI

Vax Date: 01/20/2021
Onset Date: 01/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: rash reaction/Rash that worsened and is itchy and bumpy; had a rash under the same area. It was under the lower breast with a size of a handprint and strawberry red in color; The rash was itchy but tolerable and looks terrible. It was so bright red; rash reaction/Rash that worsened and is itchy and bumpy; This is a spontaneous report from a contactable Consumer (patient). A 91-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EL1283; expiration date: Apr2021) via an unspecified route of administration in left arm on 20Jan2021 (at the age of 91-year-old) as single dose for COVID-19 immunization. Relevant medical history of the patient included continual bladder infection and has a problem with her eyes, usually has skin rashes off and on, skin problems for a long time. Concomitant medications included Nitrofurantoin 50mg daily [start date: has been taking for 5-6 years and was ongoing] taken for Continual bladder infections. There was no history of any previous immunization with the Pfizer vaccine considered as suspect and no prior vaccinations (within 4 weeks). On an unspecified date in Jan2021, after receiving first dose of vaccine patient experienced rash reaction/rash that worsened and was itchy and bumpy. Reportedly, when patient got the first dose, she had a rash under her breastbone, she had never had it before, and it seemed like a coincidence. She then went to a dermatologist on Wednesday (10Feb2021) who said it was a fungus reaction due to sweating and not related to the vaccine. She wants to be sure we know this. When patient received the facts sheet with the first dose, she breezed through it and didn't pay much attention. She never has any kind if side effects people get normally. She does not have any problems with eggs. She received the second dose today [Lot EM9810, Expiry: Jun2021]. She has read the fact sheet. It says something about a rash. She has always had skin problems for a long time. The information indicated as rash everywhere. She thought it didn't pertain to her. She has always had a little rash under her brassiere. She thought it was maybe a heat rash. She has had skin problems all her life. It has been a little bit red. She has used Cortisone 10 off and on and it has worked good. On an unspecified date in Jan2021, from the last 3 weeks she has had a rash under the same area. It was under the lower breast with a size of a handprint and strawberry red in color. The rash normally goes away with Cortisone 10, but the rash was not going away. Patient had a rash for years but noticed it was getting itchier. It was something she has never seen and was lumpy like it has tags. She has had a rash with tags before, but this was larger. Tomorrow patient will visit to dermatologist. Patient usually has skin rashes off and on that goes away with Cortisone 10. This rash was not going away. It was itchy, and lumpy like it has tags. The rash was itchy but tolerable and looks terrible. It was so bright red. She was not sure what it was. Patient asked if anything the doctor can give her, so it goes away. Treatment included Cortisone 10. Outcome of the events were not resolved. Follow-up attempts are completed. No further information is expected.

Other Meds: NITROFURANTOIN

Current Illness:

ID: 1648106
Sex: F
Age:
State:

Vax Date: 01/21/2021
Onset Date:
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: pain and swelling at injection site; pain and swelling at injection site; This is a spontaneous report from a non-contactable consumer (patient) received via COVID-19 Vaccine Adverse Event Reporting System. A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 21Jan2021, at 13:30 (Lot Number: EL3246, at the age of 27 years old) as dose 1, single for COVID-19 immunisation. The patient has no known allergies and no other medical history. She was not pregnant at the time of report. Concomitant medications included meloxicam. She did not receive any other vaccine in four weeks prior to vaccination. On an unspecified date in 2021, the patient experienced pain and swelling at injection site for 36 hours. The patient was not diagnosed with COVID-19 prior to vaccination and she has not been tested for COVID-19 since the vaccination. The patient recovered from the events on an unspecified date in 2021. The patient also received the second dose of BNT162B2, administered in the left arm on 08Feb2021, at 16:00 (Lot Number: EM9810, at the age of 27 years old) for COVID-19 immunisation. No follow-up attempts are possible. No further information is expected.

Other Meds: MELOXICAM

Current Illness:

ID: 1648107
Sex: F
Age:
State: SC

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: lymph node swelling under her collar bone and in her armpit; started to feel bad, like she was about to pass out; little pain under her arm; fever and chills; started to feel bad, like she was about to pass out; fever and chills; didn't feel well; painful in her right arm; the pain of the vaccine was better than after the first dose; This is a spontaneous report from a contactable consumer (patient). A 32-years-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN9581, Expiration date was unknown), via an unspecified route of administration, administered in right arm on 05Feb2021 as dose 2, single (at the age of 32-years-old) for COVID-19 immunisation. The patient medical history was not reported. Historical vaccine included patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EK9231 and Expiration date was not reported), via an unspecified route of administration on 16Jan2021 as dose 1, single (at the age of 32-years-old) for COVID-19 immunisation and had pain of the vaccine. Patient had no other vaccines on the same day as the COVID vaccine. Patient had not taken any concomitant medications. On Feb2021, after the second dose, the pain of the vaccine was better than after the first dose. On 06Feb2021, on Saturday, patient started to feel bad, like she was about to pass out and had fever and chills, so she slept most of the day Saturday. Patient did go to the store on Saturday, and she felt like she was about to pass out. Patient stated that also on Saturday, she started to have a little pain under her arm, but she thought it was just like an ingrown hair. On 07Feb2021, Sunday, she went into the bathroom and she still didn't feel well, but she was feeling better than the day before, but she turned her neck and saw a nickel size lymph node by her collar bone. Patient stated that under her arm/armpit was also really starting to hurt, so she went to the emergency room (ER) because she did not know what it was. Patient stated that in the ER, they told her that this was the second case of swollen lymph nodes after the vaccine that they had seen. Patient stated that lymph node swelling had not gone away but the pain was better, and it was not as swollen. Patient had not gone to physician yet about this, he told her to wait seven days after being in the ER to see if it is better. Patient stated that it was just painful in her right arm on Feb2021, and she was going to go back to work tomorrow, as she had been off since Friday, and she was just hoping that this does not flare up again. Patient stated that she thinks the people administering the vaccine should tell patients about this side effect, caller knows it was on the paper as a symptom from the vaccine, but the person did not tell her. The person who gave the caller the vaccine only told her about fever and chills, which patient did have on Saturday when she slept all day, but they did not tell her about swollen lymph nodes. The outcome of didn't feel well, little pain under her arm, painful in her right arm and the pain of the vaccine was better than after the first dose was recovering, not recovered for lymph node swelling under her collar bone and in her armpit and unknown for rest of the events Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021183629 similar report from same reporter

Other Meds:

Current Illness:

ID: 1648108
Sex: F
Age:
State: AZ

Vax Date: 02/07/2021
Onset Date: 02/07/2021
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: Fatigue; mouth so dry; This is a spontaneous report from a contactable consumer. An 85-year-old female patient (mother) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL8982; Expiration Date: 31May2021), dose 1 via an unspecified route of administration, administered in Arm Right (once to upper right arm) on 07Feb2021 08:57 (at the age of 85-year-old) as dose 1, single for COVID-19 immunization. Medical history included has allergies, cannot hear very well from an unknown date and unknown if ongoing. There were no concomitant medications. Patient did not have any history of all previous immunization with the Pfizer vaccine and not received any additional vaccines administered on same date of the Pfizer suspect. Patient prior vaccinations (within 4 weeks) were none reported. Patient family medical history relevant to adverse events were none reported. On 07Feb2021, patient experienced mouth so dry, fatigue on 07Feb2021 12:00. Reporter that it showed the fatigue was listed, but the dry mouth was most concerning. The dry mouth started day one, and her mother was still had it. Fatigue started the afternoon, about 12PM. Stated that her mother cannot hear very well either and no further details provided. Reporter wanted to know that her mother should just keep hydrated. Patient did not visit emergency room and physician office for adverse events. There was no investigation assessment and no relevant tests. The clinical outcome of events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648109
Sex: F
Age:
State: NY

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: 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: Sores in mouth and on tongue was reported as worsened; Tired; Sores in mouth and on tongue; Sores in mouth and on tongue; Sore throat; Cold sores; Runny nose; This is a spontaneous report from a contactable consumer (patient). A 67-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EM9809), via an unspecified route of administration in right arm on 06Feb2021 at 16:10 (at the age of 67 years old) as single for covid-19 immunisation. Medical history included diagnosed allergies, compromised immune status, respiratory illness, genetic /chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity: Ulcerative Colitis diagnosed in 1990, obesity diagnosed unknown, genetic Alpha 1 antitrypsin deficiency diagnosed a few years ago. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks. The patient did not have history of previous immunization with the Pfizer vaccine considered as suspect. The patient did not have any event following prior vaccinations. The patient had the vaccine on 06Feb2021, Saturday afternoon. On Sunday night, she started with sores in her mouth and tongue on 07Feb 2021 at 19:00; sore throat, cold sores, runny nose on 07Feb 2021 and wondered if it could be related. The patient also experienced tired on 08Feb2021 at 11:00. The sores in mouth and on tongue was reported as worsened. No family medical history relevant to adverse events was provided and no relevant tests were performed. No emergency room or physician's office required. The outcome of sores in mouth and on tongue was reported as worsened was unknown, while with other events was not recovered. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648110
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Slight fever; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter was asking for the list of symptoms and how the reported side effects were differently experienced from the first to the second dose. Reporter stated patient experienced a slight fever after getting her first covid vaccine shot on an unspecified date. The outcome of the event was reported as unknown. Information about lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648111
Sex: M
Age:
State: CO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Pain in extremity

Symptoms: 5 mins after shot numbness on both sides of my face mainly in the jaw areas/ Within 15 minutes had bilateral cheek numbness; a fullness in throat; face felt stressed; This is a spontaneous report from a contactable other HCP. This other HCP reported for a 57-year-old male patient. A 57-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EL3247), via intramuscularly, administered in arm left on 19Feb2021 11:15 (age at the time of vaccination 57-year-old) as single dose for COVID-19 immunization. Medical history included hypertension (mild hypertension, very healthy and active lifestyle) from an unknown date and unknown if ongoing, food allergy (mild peanut allergy) from an unknown date and unknown if ongoing, drug hypersensitivity from an unknown date and unknown if ongoing (known allergies: sulfa based antibiotics). Concomitant medications included olmesartan and lot of daily vitamins taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine prior to COVID-19 Vaccine. The patient did not test COVID-19 positive prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. It was reported that five mins after the shot numbness on both sides of his face mainly in the jaw areas on 19Feb2021 11:30. It lasted for five hours face felt stressed. There were no remaining results on Saturday. It was also reported that within fifteen minutes the patient had bilateral cheek numbness and a fullness in throat on 19Feb2021 11:30. There was no rash, shortness of breath, nausea, vomiting, or throat swelling. The event resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the event. Outcome of all the events was reported as recovered 19Feb2021 16:30. No follow-up attempts are possible. No further information is expected.

Other Meds: OLMESARTAN

Current Illness:

ID: 1648112
Sex: F
Age:
State: NM

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

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

Lab Data:

Allergies:

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

Symptoms: Within 15 minutes I felt really lightheaded; That night about 9pm my R arm was aching so bad; I got a horrible headache; lower backache; chills; Could not sleep.; Felt horrible till about noon the next day started to feel better slowly.; This is a spontaneous report from a contactable consumer(patient). A 42-years-old non-Pregnant female patient received second dose of bnt162b2(PFIZER BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/lot number not provided), via an unspecified route of administration on an unknown date Feb2021 at 10:45 AM (at the age of 42-year-old) administered in Arm Right as a single dose for COVID-19 immunization at School or Student Health Clinic. The patient had received first dose of bnt162b2(PFIZER BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/lot number not provided), via an unspecified route of administration on an unknown date Jan2021 at 10:30 am administered in Arm Right as a single dose for COVID-19 immunization at School or Student Health Clinic. Medical history included Chronic headaches from an unknown date and unknown if ongoing. There were no concomitant medications. The patient had no allergies. 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. Post the vaccination, the patient has not been tested for COVID-19. On an unknown date Feb2021, within 15 minutes the patient felt really lightheaded, which went away after about 1/2 hr. That night about 9pm my R arm was aching so bad, like she has never felt. Also got a horrible headache and lower backache, and chills. Could not sleep. Felt horrible till about noon the next day started to feel better slowly. No treatment was given for the events. The outcome of the event was recovering for Felt horrible till about noon the next day started to feel better slowly and recovered for other events on an unknown date Feb2021. Information on the Lot/Batch number has been requested. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648113
Sex: M
Age:
State: HI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: low grade fever even with ibuprofen; Severe Chills; trembling; muscle aches; Ocular headache; spasms all over; This is a spontaneous report from a contactable other healthcare professional (patient). A 38-years-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration, administered in left arm on 12Jan2021 at 09:00 hours as dose 1, single (at the age of 38-years-old) for COVID-19 immunisation and received other unspecified vaccine (formulation: unknown, Batch/Lot number and Expiration date was not reported) via an unspecified route of administration, administered in left deltoid on 29Jan2021 as dose 2, single (at the age of 38-years-old) for an unknown indication. Patient had no medical history and known allergies. The patient concomitant medications were not reported. Patient had no other vaccine in four weeks. Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for COVID-19, post vaccination. On 30Jan2021, at 03:00 hours, patient experienced severe chills, trembling, muscle aches, spasms all over, ocular headache and low-grade fever even with ibuprofen. Patient received ibuprofen as treatment for low-grade fever and no treatment for rest of the events. The outcome of all the events was recovered on an unspecified date of 2021. Information about lot/ batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648114
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:

Allergies:

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

Symptoms: arthritis flare-up and swollen knees after 1st dose; arthritis flare-up and swollen knees after 1st dose; This is a spontaneous report from a Pfizer. A Non-contactable consumer (patient) reported that 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 an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history included arthritis. Concomitant medication(s) included meloxicam (MOBIC); aspirin [acetylsalicylic acid] (ASPIRIN, ACETYLSALICYLIC ACID) and arthritis medications a day before first dose. On an unspecified date, the patient experienced arthritis flare-up and swollen knees after 1st dose. The outcomes of events was unknown. No follow-up attempts are possible; information about Lot/Batch number cannot be obtained. No further information is expected.

Other Meds: MOBIC; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1648115
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Headache on the second and third day. Today is the third day and heavier than yesterday.; My arm is till sore as well; This is a spontaneous report from a contactable consumer (patient). A 44-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EN6200, patient was 44-year-old and not pregnant at the time of vaccination), via an unspecified route of administration, administered in Arm Left on 10Feb2021 at 04:00 PM as DOSE 1, SINGLE for covid-19 immunisation. Medical history reported as none. Concomitant medication(s) included metoprolol (METOPROLOL, 50 mg) taken within 2 weeks of vaccination. No other vaccine received in four weeks, no covid prior vaccination, not tested covid post vaccination, no Known allergies reported. On 11 Feb2021, the patient experienced headache on the second and third day. today is the third day and heavier than yesterday., my arm is still sore as well. No treatment was received for events. The outcomes of events were not recovered. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds: METOPROLOL

Current Illness:

ID: 1648116
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 02/18/2021
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 Date: 20210218; Test Name: Fever; Result Unstructured Data: Test Result:101 to 102

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: running a fever last night, 18Feb2021 of 101 to 102; This is a spontaneous report from a non-contactable consumer or other non hcp (patient). A female patient of an unspecified age received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: UNKNOWN), via an unspecified route of administration on 20Jan2021 as dose 2, single for COVID-19 immunisation. The medical history and concomitant medications of the patient were not reported. On 18Feb2021, the patient experienced running a fever last night, 18feb2021 of 101 to 102. The patient wanted to know if that could be a side effect one month post vaccine. This case was reported as non-serious. The patient underwent lab tests and procedures which included fever: 101 to 102 on 18Feb2021. The outcome of the event was reported as unknown. No follow-up attempts are Possible. Information on lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1648117
Sex: F
Age:
State: WA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Test Date: 20210218; Test Name: blood sugar; Result Unstructured Data: Test Result:going up to three hundred; Comments: she had higher than normal blood sugar

Allergies:

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

Symptoms: Nausea; fluctuated from cold and warm; heavily runny nose; higher than normal blood sugar/going up to three hundred; Chills; warm; This is a spontaneous report from a contactable consumer (patient). A 71-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6200), via an unspecified route of administration, administered in left arm on 17Feb2021 13:30 as DOSE 1, SINGLE (at the age of 71-year-old) for covid-19 immunisation. The patient medical history included diabetes. Concomitant medications included clopidogrel (CLOPIDOGREL), gabapentin (GABAPENTIN), hydroxyzine (HYDROXYZINE), insulin (INSULIN), lamotrigine (LAMOTRIGINE) taken from 2021, levothyroxine (LEVOTHYROXINE), lisinopril (LISINOPRIL), and spironolactone (SPIRONOLACTONE). On 18Feb2021, the patient experienced chills, heavily running nose, blood sugar higher than normal after the first dose. It was reported that, nausea started at 04:00 am on 18Feb2021. It stopped sometime when she was sleeping. Chills started in the evening on the day she got the shot. She was warm then. She was busy that day, but she would fluctuated from cold and warm on 18Feb2021. On 18Feb2021, in the morning the patient had heavily runny nose was just dripping. The patient noticed higher than normal blood sugar. She had diabetes and checks her blood sugar. Normally her blood sugar was between 100 and 200. It was going up to three hundred. She was on eye drops, but they don't matter. The patient underwent lab tests which included blood sugar: going up to three hundred on 18Feb2021 (she had higher than normal blood sugar). The seriousness reported as non-serious. Her only question is with the second dose should she expect to have the same side effects or worse or none. Patient did not any AE(s) require a visit to Emergency Room and Physician Office. The outcome of the events nausea, chills, feeling warm and fluctuated from cold and warm were recovered on Feb2021 and heavily runny nose and higher than normal blood was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: CLOPIDOGREL; GABAPENTIN; HYDROXYZINE; INSULIN; LAMOTRIGINE; LEVOTHYROXINE; LISINOPRIL; SPIRONOLACTONE

Current Illness:

ID: 1648118
Sex: F
Age:
State: CA

Vax Date: 02/10/2021
Onset Date: 02/14/2021
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: Test Date: 20210214; Test Name: Fever; Result Unstructured Data: Test Result:102 to 103 Fahrenheit; Comments: temperatures have been 102 to 103 degrees Fahrenheit; Test Date: 20210218; Test Name: COVID-19 test; Test Result: Negative

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: She also developed a runny nose; developed a fever and chills; developed a fever and chills; This is a spontaneous report from a contactable consumer. This consumer reported for a 80-year-old female patient (reporter's mother-in-law). A 80-years-old female patient received first dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration on 10Feb2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunization.Medical history included constipation (had this many, many years), cerebrovascular accident and also had a stroke a month ago.There were no concomitant medications. On 14Feb2021, the patient experienced fever and chills and on 16feb2021, she also developed a runny nose.The patient underwent lab tests which included body temperature: 102 to 103 Fahrenheit on 14Feb2021and sars-cov-2 test was negative in 18Feb2021. It was reported that: the patient had the vaccine last Wednesday 10Feb at lunch time and reported that on Sunday night,14Feb was the first night patient had chills and fever at night, and the fever did not stop up until today, when it was getting worse. She has taken Tylenol to treat, which makes the fever go away. First dose took a tylenol- fever went away, then the fever came back, and it was 102F. Highest reported fever was 102F. She also developed a runny nose on Tuesday, which seems to be resolving. She did not experience any injection site reaction or pain in her arm. The patient had a COVID-19 test using a test kit, and the result was negative. It is reported that patient fever got worse, and it was strange and the reporter doesn't know if this could be a reaction to the vaccine since it was Sunday night on the 14th four days after getting the vaccine on the 10th. Reporter said that he would like to know if this was a common reaction, but it happened so late, which was why they proceeded with the COVID test. It is reported that the patient also had a stroke a month and had been having PT until last week, they didn't stop her PT until she started having a fever. they didn't know if she got COVID before getting the vaccine, or while taking vaccine, her test was negative last night(18Feb2021). It was reported that the patient started taking a blood thinner medication, with a common name, Aspirin. No further details provided about the Aspirin. He said she had a stroke a month ago, a mini stroke, and was released to a nursing facility until 2.5 weeks ago. she has recovered well, and can walk, she has been doing well through recovery and she was at the nursing home for a week, then stayed with him and his wife a week, then went back home. He clarified that his mother-in-law had the vaccine after she was out of the nursing facility for two weeks. He says she can walk without a walker and is recovering well. Therapeutic measures were taken as a result of fever. The patient recovered from fever on unspecified date in 2021 and outcome of the chill was unknown, and the patient was recovering from runny nose. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648119
Sex: F
Age:
State:

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 02/19/2021; Test Name: Fever; Result Unstructured Data: Test Result: 99-100?F.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer or other non-HCP. This is 1st of 2 reports. A 61-year-old female patient received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# not reported), via an unspecified route of administration, on Feb 18, 2021, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. Historical vaccine included the 1st dose of BNT162B2 for COVID-19 immunization. The patient experienced fever on Feb 19, 2021. The patient underwent lab tests and procedures, which included body temperature: 99-100?F on Feb 19, 2021. The patient wanted to know if she can take Tylenol after taking the COVID-19 vaccine. She received the 2nd dose of the Pfizer COVID-19 vaccine yesterday. Today she and her husband developed a fever, one ranged from 99-100?F (and the other ranged 100.4-100.5?F). As per the documentation received form the facility they received the vaccine, they were advised to call their doctor if they had a fever, loss of taste, etc as they may need to take a COVID-19 test. But as for other symptoms, they make take pain medication. She asked how high a fever could go after taking the COVID-19 vaccine. The case reported non-serious, with outcome of unknown. Follow-up (Feb 19, 2021): This is a follow-up to a spontaneous report from a contactable consumer. This consumer (patient) reported no new information. No follow-up attempts possible. Information about lot/batch number cannot be obtained. No further information expected. Sender's comments: Linked report(s): INC-2021210314 similar report from same reporter.

Other Meds:

Current Illness:

ID: 1648120
Sex: F
Age:
State: MO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: shortness of breath; asthma reaction; This is a spontaneous report from a contactable consumer or other non-health care professional. A 57-years-old non-pregnant female patient received dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EN6200), via an unspecified route of administration (at the age of 57-years), administered in arm left on 19Feb2021 at 16:00 as dose number unknown, single for COVID-19 immunization. Medical history included asthma and known allergies to fish, seafood, iodine from an unknown date and unknown if ongoing. Concomitant medications included lisinopril (LISINOPRIL), esomeprazole magnesium (NEXIUM 24HR), esomeprazole (ESOMEPRAZOLE) taken for an unspecified indication, start and stop date were not reported. The patient took other vaccine in four weeks. Patient did not have covid prior vaccination and had not been tested for covid post vaccination. On 19Feb2021 at 16:15, the patient experienced shortness of breath and asthma reaction. The treatment was not received for all the events. The clinical outcome of the events was reported as recovering. Follow-up attempts completed. No further information expected.

Other Meds: LISINOPRIL; NEXIUM 24HR; ESOMEPRAZOLE

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am