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: 1648521
Sex: F
Age:
State: AK

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: After the injection my lips started to tingle and not long after my lips and tongue felt numb; After the injection my lips started to tingle and not long after my lips and tongue felt numb.; This is a spontaneous report from a contactable consumer (patient). A 41-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6202, Expiry date: not reported), via an unspecified route of administration, administered in Arm Left on 27Feb2021 at 16:15 (at the age of 41-year-old) as Dose 1, Single for COVID-19 immunization at hospital. Medical history included asthma from an unknown date and unknown if ongoing. There were no concomitant medications. No allergies known. If other vaccine in four weeks and other medications in two weeks was mentioned as no. If COVID prior vaccination and if COVID tested post vaccination was mentioned as no. The reporter stated on 27Feb2021 at 16:30 approximately 20 minutes after the injection my lips started to tingle and not long after my lips and tongue felt numb. My provider advised over the phone that I take an anti-histamine, which helped. Adverse event resulted in none of the above. The outcome of events was recovering. Lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1648522
Sex: F
Age:
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: Pins and needles / feelings of mild numbness in injection arm and face, starting within minutes of the injection and still continuing as of 28 hours post-injection (at time of this report); Pins and needles / feelings of mild numbness in injection arm and face, starting within minutes of the injection and still continuing as of 28 hours post-injection (at time of this report); Pins and needles / feelings of mild numbness in injection arm and face, starting within minutes of the injection and still continuing as of 28 hours post-injection (at time of this report); This is a spontaneous report from a contactable consumer (Patient). A non-pregnant 35-year-old female patient received BNT162B2 (COMIRANTY; Formulation: Solution for injection; Lot number: Unknown, Expiration date: was not reported, Age at vaccination: 35-year-old) via an unspecified route of administration in the left arm on 26Feb2021 at 16:30 as dose 1, single for COVID-19 immunization. Medical history included rheumatoid arthritis. Concomitant medications included Enbrel [ETANERCEPT], Allegra [FEXOFENADINE HYDROCHLORIDE] taken for unspecified indication and start date not reported. On 26Feb2021 at 16:30, patient experienced pins and needles / feelings of mild numbness in injection arm and face, starting within minutes of the injection and still continuing as of 28 hours post-injection. Facility type vaccine was pharmacy or drug store. No other vaccine taken in four weeks. No covid prior vaccination. Patient was not tested for covid post vaccination. Patient had no known allergies. No treatment for adverse event was taken. The outcome of all events was not recovered. No follow up attempts are possible; information on Lot/batch number cannot be obtained.

Other Meds: ENBREL; ALLEGRA

Current Illness:

ID: 1648523
Sex: M
Age:
State: CA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
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: numbness and pins and needle feeling in left arm and leg; numbness and pins and needle feeling in left arm and leg; Injection site was sore for 1 week; This is a spontaneous report from a contactable consumer (patient). A 68-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot Number: EN9501), via an unspecified route of administration, administered in left arm on 11Feb2021 at 15:30 (at the age of 68-year-old) as dose 1, single for COVID-19 immunisation. Medical history included AFib (atrial fibrillation). Concomitant medications included rivaroxaban (XARELTO); digoxin; metoprolol; amiodarone, all drugs received within 2 weeks of vaccination. The patient previously took keflex (cefalexin) and had known allergies keflex. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not diagnose with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. On 20Feb2021, the patient experienced injection site was sore for 1 week. Now the patient had numbness and pins and needle feeling in left arm and leg. No treatment was received for the events. The outcome of the events of numbness and pins and needle feeling in left arm and leg was not recovered and other event of Injection site was sore for 1 week was recovered on 27Feb2021. No follow up attempts are possible. No further information is expected.

Other Meds: XARELTO; DIGOXIN; METOPROLOL; AMIODARONE

Current Illness:

ID: 1648524
Sex: F
Age:
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: numbness in left hand which minimized to numbness in pinkie finger of left hand; had a nose bleed; Numbness in pinkie finger is continuing; This is a spontaneous report from a contactable consumer (patient herself). A 65-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration, administered in left arm on 25Feb2021 06:45 (age at vaccination: 65-years) as dose number unknown, single for Covid-19 immunisation. Patient was not pregnant at the time of vaccination. Facility type vaccine was hospital. Patient was not diagnosed with covid prior to vaccination. She was not tested for covid since vaccination. Patients medical history included hashimotos and known allergies: sulfa from an unspecified date and unknown if ongoing. Past drug event included known allergies due to clindamycin, amoxicillin and sulfa from an unspecified date and unknown if ongoing. Concomitant medications reported were lisinopril and armour thyroid start and stop date unknown, taken for unspecified indication, administered in two weeks of vaccination. Patient was not administered any other vaccines within four weeks. On Friday, 26Feb2021 06:30 AM, patient woke up with numbness in left hand which minimized to numbness in pinkie finger of left hand. On Saturday about 2:30 p.m. she had a nose bleed which was a rare occurrence for her. The numbness in pinkie finger was continuing. No treatment regimen was given as a result of the adverse events. The outcome of the events was not recovered. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: LISINOPRIL; ARMOUR THYROID

Current Illness:

ID: 1648525
Sex: F
Age:
State: PA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210225; Test Name: Fever; Result Unstructured Data: Test Result:102 (degree) Fahrenheit

Allergies:

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

Symptoms: fever of 102 (degree) Fahrenheit; severe chills; under her armpit and right around her collar bone was very swollen; Headache; This is a spontaneous report from a contactable consumer (patient). A 70-years-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9266; Expiration Date: May2021, NDC and UPC number were unknown), via an unspecified route of administration on 24Feb2021 as dose 1, single (at the age of 70-years-old) for covid-19 immunisation. Medical history included asthma and rapid heartbeat (both from an unknown date and unknown if ongoing). Concomitant medication(s) included propranolol taken for rapid heartbeat, start and stop date were not reported. On 25Feb2021, patient experienced severe chills, headache, fever of 102 (degree) Fahrenheit and swelling of her collar bone and left under armpit. Patient stated that she still had very swollen right by the collar bone and under her armpit and had slight chills, not anything like before. Patient would like to know if her symptoms were normal. Patient was scheduled to receive the second dose of the vaccine on 17Mar2021. Patient stated that she fears that the second dose side effects may be more severe. Patient would like to know if she should receive the second dose of the vaccine. Therapeutic measures were taken as a result of fever of 102 (degree) Fahrenheit, severe chills, under her armpit and right around her collar bone was very swollen, headache and treatment included Tylenol. The outcome of fever of 102 (degree) Fahrenheit was recovered on Feb2021, swelling of her collar bone and left under armpit and severe chills was not recovered and unknown for headache. No follow-up attempts are possible. No further information is expected.

Other Meds: PROPRANOLOL

Current Illness:

ID: 1648526
Sex: F
Age:
State: NC

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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: fever; chills; aches; lethargy; abdominal pain; vomiting; blistered mouth and gums; blistered mouth and gums; This is a spontaneous report from a contactable consumer (patient herself). A 74-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201), via an unspecified route of administration, administered in left arm on 24Feb2021 11:45 (age at vaccination: 74 years) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history included arthritis, neoplasm malignant, psoriasis, cardiac disorder and ibuprofen hypersensitivity. The patient's concomitant medications were not reported. The patient's historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL8982) via unknown route in left arm on 03Feb2021 11:00 as DOSE 1, SINGLE for covid-19 immunisation. The patient was administered vaccine in a public health clinic. On 24Feb2021 18:00, the patient experienced fever, chills, aches, lethargy, abdominal pain, vomiting and blistered mouth and gums. The patient did not have any other vaccine in four weeks. The patient did not have covid prior vaccination nor was tested positive since vaccination. The outcome of all the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648527
Sex: M
Age:
State: CT

Vax Date: 02/13/2021
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: Pyrexia, White blood cell count decreased

Symptoms: he was prescribed with injections for his arthritis; This is a spontaneous report from a sponsored program. A contactable consumer (patient) reported that a male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) dose 1 via an unspecified route of administration on 13Feb2021 as single dose for COVID-19 immunization. Medical history was not reported. Concomitant medications were unspecified. Patient reported that he had an appointment from a physician, he was prescribed with injections for his arthritis in Feb2021, and he had been injected with the medication and he was asking if it's gonna affect the first dose. The outcome of event was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648528
Sex: F
Age:
State: NC

Vax Date: 02/28/2021
Onset Date: 02/28/2021
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: Pharyngeal swelling

Symptoms: slightly numbness of tongue (only front part of the tongue).; This is a spontaneous report from a contactable other health care professional (patient). A 52-year-old female (non-pregnant) received BNT162B2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation; solution for injection; Lot number: EN6202; Batch no: not reported) via Intramuscularly administered in Right arm on 28Feb2021 09:00 AM (at the age of 52-years-old) as dose 1, single for covid-19 immunization at Hospital. Medical history included Grave's disease, hypothyroidism and right shoulder soreness. No known allergies were reported. Concomitant medications included medications within two weeks as Liothyronine sodium; L-thyroxine [LEVOTHYROXINE]; Ubidecarenone (COQ-10); multi-vitamins (gummy chewable); Biotin; Cyanocobalamin (VITAMIN B-12); Hyaluronic acid; Triamcinolone acetonide (NASACORT) all taken for an unspecified indication except Ibuprofen, start and stop date were not reported and Ibuprofen taken for right shoulder soreness (last dose taken on 2/26 evening). No other vaccine received by the patient within four weeks. The patient did not have covid prior vaccination. The patient had not been tested for covid post vaccination. On 28Feb2021 09:30 AM after the vaccination, the patient experienced slightly numbness of tongue (only front part of the tongue). AE dose not resulted in ER or physician office visit. No treatment was received to the event caused. Outcome of the event was not resolved. No follow-up attempts are possible; Information about batch/ lot number cannot be obtained.

Other Meds: LIOTHYRONINE SODIUM; L-THYROXINE [LEVOTHYROXINE]; COQ-10; BIOTIN; VITAMIN B-12; HYALURONIC ACID; IBUPROFEN; NASACORT

Current Illness:

ID: 1648529
Sex: F
Age:
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210220; Test Name: temperature; Result Unstructured Data: Test Result:100.8

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pain; Nausea; Headache; Weakness; Injection arm is sore; Last night she had redness on her deltoid area; She was completely exhausted; Three little pink blotchy areas; Fever; she started to feel sick; she was sweating; This is a spontaneous report from a contactable Nurse. This female Nurse reported for herself. A female patient of unspecified age received a dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: EC9267, Expiration date: unknown), via intramuscular, administered in left arm on 19Feb2021 as dose 1, single for COVID-19 immunization. The patient medical history include COVID 19 from unknown onset and concomitant medications were not reported. On 20Feb2021, after the vaccination, the patient experienced fever, and on an unspecified date patient experienced pain, nausea, headaches, and weakness, Injection arm is sore, on 22Feb2021 patient experienced Three little pink blotchy areas. she had redness on her deltoid area, which she knows is normal from the things she read. She has three little pink blotchy areas that came up yesterday and hoping those go away. Her arm is still sore. Asked if that is going to impede her next dose in two weeks. She doesn't want to trigger another reaction. she started to feel sick, temperature went to 100.8, she was sweating. She had headache and nausea off and on. She was completely exhausted. She felt as though she did when she got her issues from the actual COVID virus. The patient lab data includes body temperature with reading of 100.8-degree Fahrenheit. The outcome of the events was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1648530
Sex: F
Age:
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Low-grade fever (100.4 F); Body aches; Headache; Injection site pain; bruising injection armpit; lymph node pain and swelling; This is a spontaneous report from a non-contactable consumer (patient herself). A 22-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL3247), via an unspecified route of administration, administered in left arm on 16Feb2021 10:00 (age at vaccination: 22 years) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient had no known allergies. The patient's historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL3249) via unknown route, in the left arm on 26Jan2021 10:00 as DOSE 1, SINGLE for covid-19 immunisation. On 16Feb2021 15:00, the patient experienced low-grade fever (100.4 f), body aches, headache, injection site pain, bruising injection armpit and lymph node pain and swelling. The patient was not diagnosed with covid prior vaccination nor was tested for covid since vaccination. The outcome of the events was recovered on an unknown date in 2021. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648531
Sex: U
Age:
State:

Vax Date: 02/22/2021
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: SYR
Vax Site: LA

Lab Data: Test Date: 202102; Test Name: fever; Result Unstructured Data: Test Result:Low grade

Allergies:

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

Symptoms: Low grade fever; Aches and pains; Coughing; Trouble breathing; Wheezing; Not feeling well; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6203, Expiration date: unknown), dose 1 via an unspecified route of administration on 22Feb2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient stated, received Pfizer vaccine first dose yesterday (further clarified) there was supposed to be some symptoms that comes along with that like low grade fever, aches and pains, coughing (Feb2021) but actually had some trouble breathing with wheezing and coughing (Feb2021) and wanted to know if that was normal. Patient again stated that not feeling really well (Feb2021). The patient underwent lab tests and procedures which included fever: low grade on an unspecified date in Feb2021. The clinical outcome of events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648532
Sex: F
Age:
State: NC

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

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:100.5

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Fever of 100.5; Body aches; Headache; Arm soreness; Dizziness; This is a spontaneous report from a contactable consumer (patient herself). A 23-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 18Feb2021 13:30 (Batch/Lot Number: EL3247) (age at the vaccination 23-year-old) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient's historical vaccine included BNT162B2 (Batch/Lot number: EL3247) as dose 1, Arm Left single for covid-19 immunisation on 28Jan2021 01:30 PM (age at vaccination 23 years). Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient had no Known allergies. On 18Feb2021 22:30, the patient had experienced fever of 100.5, body aches, headache, arm soreness and dizziness. The patient underwent lab tests and procedures which included body temperature: 100.5 on an unspecified date. The patient did not take treatment for the events. The outcome of events was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648533
Sex: F
Age:
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/22/2021
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: Tetracycline

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 52-year-old (non-pregnant) female patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# E19263), at the age of 52, via an unspecified route of administration, left arm, on Feb 20, 2021, at 12:45 pm, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. The patient has known allergies to tetracycline. Historical vaccine included the first dose of BNT162B2 for COVID-19 immunisation. The patient did not take any medications in the past two weeks. The patient did not receive any other vaccines within 4 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient hasn't tested for COVID-19. On Feb 22, 2021, at 04:00 am, after the second vaccination, patient had fever, chills and body aches that lasted approximately 12 hours. On Feb 22, 2021, evening of the second day after vaccination, she had a red rash around her neck and on her chest and down her back. The outcome of red rash: unknown, while with other events: recovered (on an unspecified date Feb 2021). Follow-up (May 14, 2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648534
Sex: F
Age:
State: NC

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

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

Lab Data: Test Date: 202102; Test Name: Temperature; Result Unstructured Data: Test Result:102 degrees

Allergies:

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

Symptoms: Fever; really tired; Feeling cold; Cold sweat; Chills; This is a spontaneous report from a contactable consumer (Patient). A 69-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EM9809), Solution for injection, intramuscular, administered in Arm Right on 08Feb2021 09:15 (at the age of 69-year-old) as single dose for covid-19 immunisation. Medical history was reported as none. There were no concomitant medications. Patient did not receive any other vaccine with four weeks of COVID vaccine. On an unspecified date in Feb2021, the patient experienced fever, really tired, feeling cold and chills. It was reported that, it had been 11 days since she received the vaccine. She had the vaccine on 08 Feb 2021 and Friday, 19 Feb 2021, or maybe the day before that, she began to feel really tired. But she put it down to it being weather related because her area has had a month of rain and she was tired of it. By Friday night, she was feeling very cold, but she didn't think about taking her temperature then. Saturday, she woke up having hard chills which went on all day long. She couldn't get warm. That afternoon, she took her temperature and it was almost 102 degrees. She took Tylenol and drank fluids and stayed in bed. Her seat was wrapped in a heating pad, trying to get warm. Sunday morning, she broke out in a cold sweat and the fever broke. Feeling much better yesterday, then last night, just before dark, the fever came back. She explained it was not quite as much of a fever, but the fever and chills came back. This morning, her fever had broken and she was feeling much better. With the number of days that passed to start with, she thought "do you have COVID?", But in reasoning, she didn't have any respiratory symptoms and other things to her knowledge would indicate COVID. After speaking with her daughter and talking to her about it, her daughter told her "you have a reaction". The patient underwent lab tests and procedures which included body temperature: 102 degrees in Feb2021. She took Tylenol and drank fluids as a therapeutic measure to treat adverse events. The adverse event was not resulted into emergency room or physician office visit. No test was performed. The outcome of events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648535
Sex: M
Age:
State:

Vax Date: 02/26/2021
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: Had flu like symptoms with fever; Had flu like symptoms with fever; Fatigue; This is a spontaneous report from a non-contactable Other-HCP. This Adult male Other-HCP reported for himself. An adult male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EN6200) via an intramuscular route of administration in Arm Left on 26Feb2021 11:30 as single dose for covid-19 immunisation. Medical history included urogram from an unknown date and unknown if ongoing IVP contrast dye. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received Other medications in two weeks reported as none. The patient's concomitant medications were not reported. The patient had historical vaccine of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EL9265) via an intramuscular route of administration in Arm Left on 06Feb2021 11:00AM as single dose for covid-19 immunisation. Since the vaccination, the patient had not been tested positive for COVID-19. The patient experienced had flu like symptoms with fever, fatigue on an unspecified date. The patient received treatment for the adverse events with antinausea meds. The clinical outcome of the events was recovering. Therapeutic measures were taken as a result of had flu like symptoms with fever, fatigue. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648536
Sex: F
Age:
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20200520; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: diarrhea; vomiting; Had shot at 9am, by 3pm had a 99.9 fever; This is a spontaneous report from a contactable consumer (patient). A 51-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EN6205) via an unspecified route of administration on 27Feb2021 at 08:00 (at the age of 51-years-old) in left arm as a single dose for covid-19 immunization. Medical history included rosacea from an unknown date and unknown if ongoing. The patient did not receive any other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with covid-19. The patient had no known allergies. Concomitant medications received in two weeks included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]); mometasone furoate (NASONEX); bupropion hydrochloride (WELLBUTRIN) and doxycycline (DOXY [DOXYCYCLINE]) low dose time, all taken for an unspecified indication, start and stop date were not reported. The patient experienced fever of 99.9 on 27Feb2021 at 15:00. She woke up at 4 am with diarrhoea then vomiting on 28Feb2021. Till 3 pm she had vomited ever two hours since 4 am. The patient took Tylenol for fever and received no treatment for other events. The patient underwent lab tests and procedures which included sars-cov-2 test (nasal swab): negative on 20May2020. The outcome of all the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; NASONEX; WELLBUTRIN; DOXY [DOXYCYCLINE]

Current Illness:

ID: 1648537
Sex: F
Age:
State: AR

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Lab work; Result Unstructured Data: Test Result:Unknown result

Allergies:

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

Symptoms: allergic reaction; dizziness; Tightness in chest; feverish red places going all the way down to my arm to my fingers; rashy stuff on my fingers; My whole hand and arm went numb; Rosacea on my face; Face was very itchy; My throat did get tight feeling; I could feel the lymph nodes behind my right ear; This is a spontaneous report from a contactable consumer or other non hcp. A 52-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EM9809), via an unspecified route of administration, administered in Arm Right on 25Feb2021 (at the age of 52-year-old) as Dose 2, Single for COVID-19 immunization; diphenhydramine hydrochloride (BENADRYL), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at 50 mg for an unspecified indication; paracetamol (TYLENOL), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at 2000 mg for an unspecified indication. Medical history included diabetes mellitus from an unknown date and unknown if ongoing. Patient allergies included mold, yeast, beef, 17 kinds of trees and 4 major grasses that get used, anything that was fermented, reaction to ozempic (due to fermentation process). Patient previously took insulin after first dose and experienced, it was like fire ant biting on the inside of my arm. Concomitant medications included insulin lispro taken for diabetes mellitus, start and stop date were not reported; insulin glargine (TOUJEO) taken for diabetes mellitus, start and stop date were not reported; metformin xr (METFORMIN XR) taken for diabetes mellitus, start and stop date were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN5318), via an unspecified route of administration on 04Feb2021 (at the age of 52-year-old) as Dose 1, Single for COVID-19 immunization and experienced chest discomfort, throat tightness, dizziness, pyrexia. On 25Feb2021, the patient experienced allergic reaction, dizziness, tightness in chest, feverish red places going all the way down to arm to fingers, rashy stuff on fingers, whole hand and arm went numb, rosacea on my face, face was very itchy, my throat did get tight feeling, could feel the lymph nodes behind right ear. Clinical course as reported: Patient took 50 mg of Benadryl and 2000 mg of Tylenol (dose of Benadryl and Tylenol was not clarified further) before had the shot about an hour and a half before, and while patient was sitting there in 30 minutes period after getting the shot patient had dizziness and tightness in chest, could not realize (not clear) that it was heart or bronchial tubes that hurt but she had chest tightness and then she went back to work and between 2:30 or so and 3 o'clock her right arm the arm that she got the shot in, had feverish red places going all the way down to her arm to fingers, rashy stuff on fingers and whole hand and arm went numb. yesterday experienced rosacea on face and face was very itchy and throat did get tight feeling but not it did not close, could feel the lymph nodes behind my right ear. The patient underwent lab tests and procedures which included laboratory test: unknown result on an unspecified date. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: INSULIN LISPRO; TOUJEO; METFORMIN XR; BENADRYL; TYLENOL

Current Illness:

ID: 1648538
Sex: F
Age:
State: CT

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: chills; body aches; Headache; Fever; This is a spontaneous report from a contactable other HCP. This 23-year-old non-pregnant female other HCP (patient) reported that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via Intramuscularroute of administration on 25Feb2021 11:00 AM on left arm (at a23-year-old) as dose 2, single for COVID-19 immunization. The medical history of patient included anaemia (start date and ongoing status unknown). Concomitant medications included ethinylestradiol, norethisterone acetate (Junel), paroxetine at 10 mg and iron at 65 mg (taken for an unspecified indication, start and stop date were not reported). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine, was not diagnosed with COVID-19 prior to vaccination, was not tested for covid-10 since the vaccination and had no allergies to medications, food, or other products. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via intramuscular route of administration on 4Feb2021 11:00 AM on left arm (at a23-year-old) as dose 1, number for COVID-19 immunization. On 25Feb2021 at 05:00 PM the patient experienced Fever, chills, pain and headache. The patient received treatment with Tylenol. On an unknown date in 2021 the patient recovered. No follow-up attempts were needed; information about lot/batch number could not be obtained.

Other Meds: JUNEL; PAROXETINE; IRON

Current Illness:

ID: 1648539
Sex: F
Age:
State: CT

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210226; Test Name: body temperature; Result Unstructured Data: Test Result:100.6 Fahrenheit; Comments: Low grade fever (max 100.6 degF)

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Low grade fever (max 100.6 degF) developed ~12hours after injection and lasted ~12hours.; Body aches and chills accompained the fever but faded when it did; Body aches and chills accompained the fever but faded when it did; Injection site soreness lasted - 48 hours; This is a spontaneous report from a contactable consumer reported for herself. A 23-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3247), dose 2 via an unspecified route of administration, administered in Arm Left on 25Feb2021 11:00 (at the age of 23-years-old) as a single dose for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) received within 2 weeks of vaccination included acetaminophen; ibuprofen. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in Arm Left on 04Feb2021 11:00 (at the age of 23-years-old) as a single dose for covid-19 immunization. The patient had allergy with nitrofurantoin. The patient was not pregnant at the time of vaccination. The patient had no other vaccine within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Feb2021 02:00, the patient experienced low grade fever (max 100.6 degF) developed approximately 12hours after injection and lasted approximately 12hours. Body aches and chills accompanied the fever but faded when it did. Injection site soreness lasted approximately 48hours. The patient did not receive any treatment. Outcome of the event was not recovered, at the time of this report. Follow-up attempts completed. No follow-up attempts are needed. No further information is expected.

Other Meds: ACETAMINOPHEN; IBUPROFEN

Current Illness:

ID: 1648540
Sex: F
Age:
State: NY

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:97.2; Comments: temperature is usually around 97.2 degrees Fahrenheit; Test Date: 20210228; Test Name: Fever; Result Unstructured Data: Test Result:100; Comments: temperature was 100 degrees Fahrenheit.

Allergies:

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

Symptoms: upset stomach; temperature of 100; chills; aches and pains; as if she has the flu; tired; pain in her arm; This is a spontaneous report from a contactable consumer. A 70-year-old female patient received second dose of patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown; expiration date: unknown) via an unspecified route of administration in right arm on 27Feb2021 at 14:00 (at the age of 70-year-old) as single dose for COVID-19 immunization. Relevant medical history of the patient included Diverticulitis (started in 2011 and was ongoing- She takes no medication for this condition, she was fine, she just does not eat things with seeds or anything like that in it. Genetic-mother had diverticulitis and sister has diverticulitis), Bowel resection (in 2011), heartburn, respiratory arrest. Family history included-patient's mother had uterine cancer and diverticulitis-she believes mother died as a result of the uterine cancer even after she told she was cancer free. Patient's father had colon cancer, but he was cancer free for years after that and died of natural causes. Sister has diverticulitis. Concomitant medication included Famotidine taken for heartburn [taken for years] started on an unspecified date and was ongoing, Magnesium Unknown [taken for years] started on an unspecified date and was ongoing, lorazepam (ATIVAN) started on an unspecified date and was ongoing [taken for years]. She did not take Ativan before vaccine on 27Feb2021 because she wanted to be as clear as she could be]. Patient previously took Penicillin and experienced allergy [Onset at age 13 years, she has had penicillin derivative medications since then without problem because doctor said that you can outgrow penicillin allergy with age], took sulfa drug on an unspecified date and experienced allergy [She never takes sulfa drugs because she always tells the doctors who never prescribe anything with sulfa], patient took clindamycin in 2012 [Onset maybe 9 years ago] and experienced allergy, took Creon (stomach medicine) in 2016 [onset 5 years ago] and experienced allergy, received iodine compounds used in contrast dye in 1978 and experienced allergy [Onset was 43 years ago when she had respiratory arrest. She has not used any iodine compounds used in contrast dye since then. Iodine compounds used in contrast dye], previously received pneumonia vaccine, or pneumococcal vaccine on an unspecified date about three years ago and experienced tiredness for about two days. Patient previously received first dose of patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown; expiration date: unknown) via an unspecified route of administration in left arm on 06Feb2021 at 14:00 as single dose for COVID-19 immunization. On 28Feb2021 at 06:00, after receiving second dose of vaccination, patient experienced fever, Chills, aches, pains, flu-like symptoms. Her temperature was usually around 97.2 degrees Fahrenheit; but on 28Feb2021 her temperature was 100 degrees Fahrenheit, later in the day she got tired and took Motrin and the temperature went down but it went up last night. She had a little temperature of 99.9 this morning and had no aches and pains this morning (report date: 01Mar2021) but was still pretty tired and has a bit of an upset stomach. She had a little pain in her arm yesterday (28Feb2021) but had no tenderness and it was not red. She stated she was feeling better. She took today off of work due to events, and thinks she needs to take tomorrow off. She was taking Motrin for the events and the symptoms would go away but she has not taken Motrin since last night around 23:00 because she did not want to mask the symptoms. She had no allergic reaction to the Pfizer COVID-19 Vaccine because she sat there for the first 15 minutes after the vaccine was administered and felt fine. She felt fine the night of 27Feb2021; she cooked a big dinner for a dinner party they had for her cousin's birthday and stayed up watching a movie and was fine until waking around 06:00 on 28Feb2021. She has no pain, no redness or swelling or anything in the arm where she got the injection. She could tell if it was anything more because her fever temperature would be more. She felt best when she was in the bed. She gets the chills and gets very tired when she gets up out of bed moving around. Patient was due to have a saliva COVID test tomorrow for work. Outcome of the events were resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: FAMOTIDINE; MAGNESIUM; ATIVAN

Current Illness: Diverticulitis (Verbatim: Diverticulitis)

ID: 1648541
Sex: F
Age:
State: TX

Vax Date: 02/22/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:96 Fahrenheit; Test Name: Body temperature; Result Unstructured Data: Test Result:97.1 Fahrenheit; Test Name: Body temperature; Result Unstructured Data: Test Result:97.5-98.7 Fahrenheit

Allergies:

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

Symptoms: felt really sleepy and slept half the day; low grade temp / 96 degrees F. my Doctor told me that time I had my temp was 97.1, Ever since the vaccine my temperature has been running 97.5 degrees Fahrenheit up to 98.7; low grade temp / 96 degrees F. my Doctor told me that time I had my temp was 97.1, Ever since the vaccine my temperature has been running 97.5 degrees Fahrenheit up to 98.7; This is a spontaneous report from a contactable consumer or other non hcp. A 75-years-old female patient received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: LWEN6198) via an unspecified route of administration, administered in Arm Left on 22Feb2021 10:50(age at vaccination 75Years) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included, ongoing Sjogren's syndrome She has had Sjogren's disease for 40 years. The patient's concomitant medications were not reported. patient previously received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number EL9265) via unspecified route of administration in Arm left on 02Feb2021(age at vaccination 75Years) as DOSE 1, SINGLE for covid-19 immunisation. The patient experienced low grade temp / 96 degrees f. my doctor told me that time I had my temp was 97.1, ever since the vaccine my temperature has been running 97.5 degrees fahrenheit up to 98.7 on Feb2021, felt really sleepy and slept half the day on 28Feb2021, low grade temp / 96 degrees f. my doctor told me that time i had my temp was 97.1, ever since the vaccine my temperature has been running 97.5 degrees fahrenheit up to 98.7 on Feb2021. The patient underwent lab tests and procedures which included body temperature: 96 fahrenheit on unspecified date, body temperature: 97.1 fahrenheit on unspecified date, body temperature: 97.5-98.7 fahrenheit on unspecified date. Relevant tests were not reported. The outcome of the event somnolence was recovered, the outcome of the events pyrexia, condition aggravated was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Sjogren's disease (She has had Sjogren's disease for 40 years.)

ID: 1648542
Sex: M
Age:
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Unevaluable event

Symptoms: fever from afternoon of shot through next evening; This is a spontaneous report from a contactable consumer (Patient). A 61-years-old male patient received bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number EN6200), dose 1 via an unspecified route of administration, administered in Arm Left on 27Feb2021 09:30 as DOSE 1, SINGLE for covid-19 immunisation (Age at vaccination 61 Years). No other vaccine in four weeks. Had covid prior vaccination. The patient not covid tested post vaccination. No known allergies. Medical history included cardiac disorder, covid-19. Concomitant medication(s) included metoprolol tartrate (METOPROLOL TARTRATE); ibuprofen (IBUPROFEN); acetylsalicylic acid (ASPIRIN 81). On 27Feb2021 16:00 patient experienced fever from afternoon of shot through next evening. No treatment was received. The outcome of event fever was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: METOPROLOL TARTRATE; IBUPROFEN; ASPIRIN 81

Current Illness:

ID: 1648543
Sex: F
Age:
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever; Chills; injection site pain; body aches; back pain; jaw and teeth pain; jaw and teeth pain; headache; This is a spontaneous report from a contactable Nurse (patient herself). A 48-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: en6202, expiry date: unknown) via intramuscular route, administered in left arm, on 26Feb2021 09:00 (age at vaccination: 48-years) as dose 2, single for Covid-19 immunisation. Patient was not pregnant at the time of vaccination. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: el9269, expiry date: unknown) via intramuscular route, administered in right arm, on 05Feb2021 9:00 AM (age at vaccination: 48-years) as dose 1, single for Covid-19 immunisation. Facility type vaccine was other. No other vaccine in four weeks was administered. Medical history of patient included chronic mood disorder, elevated cholesterol, obesity from an unspecified date and unknown if ongoing (other medical history: Chronic mood disorder, elevated cholesterol, obesity). Concomitant medications included Citalopram, Atorvastatin taken in two weeks, taken for unspecified indication, start and stop date unknown. Past drug event included known allergies due to Bactrim. Patient was not diagnosed for covid prior vaccination and was not tested for covid post vaccination. On 26Feb2021 07:30 PM, patient experienced fever, chills, injection site pain, headache, body aches, back pain, jaw and teeth pain. No treatment was given as a result of the adverse events. The outcome of the events was recovering. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds: CITALOPRAM; ATORVASTATIN

Current Illness:

ID: 1648544
Sex: F
Age:
State: CT

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Fever; Chills; Aches; Headache; This is a spontaneous report from a contactable HCP (Pharmacist) reported for a female patient. A 45-year-old adult female patient (non-pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown), dose 2 via an intramuscular route of administration on 27Feb2021 (at the age of 45-year-old), as DOSE 2, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The patient medical history and concomitant medications were not reported. The patient had no covid prior vaccination. The patient previously received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown), via an intramuscular route of administration on 06Feb2021, as single for covid-19 immunisation. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown since the vaccination the patient had been tested for COVID-19. Prior to vaccination, the patient was not diagnosed with COVID-19. On 01Mar2021 at 04:00 AM, the patient experienced fever, chills, aches and headache. Patient received treatment with Tylenol to treat the events. The patient outcome of the events was resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648545
Sex: F
Age:
State: OH

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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 Date: 20210223; Test Name: heart rate; Result Unstructured Data: Test Result:increased; Comments: increased heart rate (86-92); Test Date: 20210223; Test Name: heart rate; Result Unstructured Data: Test Result:86-92; Comments: increased heart rate (86-92); Test Date: 20210219; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: increased heart rate (86-92); Headache; extreme face flush; This is a spontaneous report from a contactable consumer (patient herself). A 70-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EN6202; Expiration date: was not reported) via an unspecified route of administration, administered in Arm Left on 23Feb2021 12:00 (at the age of 70-years-old) as dose number unknown, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Medical history included hypertension and atrial fibrillation from an unknown date and unknown if ongoing. Concomitant medication included hydrocortisone (HYDROCORTISONE) taken for an unspecified indication from 22Feb2021 to an unspecified stop date. Patient had not known allergies. Patient did not receive any other vaccine in four weeks of vaccination. Patient had not COVID prior to vaccination. On 23Feb2021 13:00 the patient experienced increased heart rate (86-92), headache and extreme face flush. Patient did not receive any treatment for adverse events. The patient underwent lab tests and procedures which included heart rate which was increased on 23Feb2021, on same day heart rate was 86-92. Patient did COVID test post the vaccination (SARS-COV-2 test: nasal swab) which was negative on 19Feb2021. The outcome of all events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: HYDROCORTISONE

Current Illness:

ID: 1648546
Sex: F
Age:
State: NC

Vax Date: 02/23/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: got sick and I ran a high fever; got sick and I ran a high fever; sore arm; This is a spontaneous report from a contactable consumer. These 64 years-old female consumers (patient) reported for herself. A 64-year-old female patient received a dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: EN6203, Expiration date: unknown), via unspecified route, administered in right arm on 23Feb2021 (at the age of 64-year-old) as dose 1, single for COVID-19 immunization. The patient medical history includes sclerotherapy and varicose veins from an unknown onset and unknown ongoing and concomitant medications were not reported. On 23Feb2021 after the vaccination, the patient experienced sick and she ran a high fever on Saturday, but she has been around someone that was sick, so it could have been that. she had a sore arm for 2 days and was sick for 24 to 48 hours. She didn't' feel well until today. she is scheduled for sclerotherapy on the veins in her legs this week, but doesn't know if she should postpone that, she had it back in December, for superficial clot in her veins and they are fixing them. she had the ablation and trying to get the sclera therapy, they will be injecting the foam in her legs. she has varicose veins. The events assessed as non-serious. The outcome of the events was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1648547
Sex: M
Age:
State:

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: LA

Lab Data: Test Name: low fever; Result Unstructured Data: Test Result:low fever (38 C)

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: low fever (38 C) from 8 - 36 h after dosing; chill; headache for 3-4 days after dosing; arm injection site pain for 2 days after dosing; This is a spontaneous report from a non-contactable consumer. This 32-Years-Old male consumer reported that she received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EL3247) via an unspecified route of administration on 17Feb2021 (at 32-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not have covid prior vaccination, was not tested for covid post vaccination and had no allergies. On 17Feb2021 the patient experienced low fever (38 C) from 8 - 36 h after dosing; chill; headache for 3-4 days after dosing; arm injection site pain for 2 days after dosing. No treatment was received. On an unknown date in 2021 the patient recovered from fever and chills. The outcome of headache for 3-4 days after dosing and arm injection site pain for 2 days after dosing was unknown. No follow-up attempts were possible. No further information was expected.

Other Meds:

Current Illness:

ID: 1648548
Sex: F
Age:
State: TN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210227; Test Name: Fever; Result Unstructured Data: Test Result:101

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever 101; Chills; lethargy; headache; arm soreness at vaccine site; This is a spontaneous report from a contactable consumer. A 68-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: EN6193), dose 1 via an unspecified route of administration, administered in right arm on 26Feb2021 at 17:30 (at the age 68-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included drug hypersensitivity (known allergies- Penicillin) from an unknown date and unknown if ongoing. Concomitant medication(s) included levothyroxine sodium (LEVOTHYROXINE SODIUM), fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]), pseudoephedrine hydrochloride (SUDAFED [PSEUDOEPHEDRINE HYDROCHLORIDE]) and montelukast (MONTELUKAST) taken for an unspecified indication, start and stop date were not reported received within 2 weeks. No other vaccine in four weeks. No COVID prior to vaccination. The patient was not pregnant at the time of vaccination. Facility type vaccine at Pharmacy or Drug store. On 27Feb2021 at 11:15 the patient experienced fever 101, chills, lethargy, headache, arm soreness at vaccine site. The patient underwent lab tests and procedures which included body temperature: 101 on 27Feb2021. COVID tested post vaccination reported as no. The outcome of the events were recovered on 20221. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE SODIUM; FLONASE [FLUTICASONE PROPIONATE]; SUDAFED [PSEUDOEPHEDRINE HYDROCHLORIDE]; MONTELUKAST

Current Illness:

ID: 1648550
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/27/2021
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 Name: Rapid test; Test Result: Negative ; Comments: aller stated that before the vaccination, she had a Rapid and PCT test. The Rapid test came back negative, but on Friday (26Feb2021) morning, Caller was informed of a positive PCR test from a phone call; Test Date: 20210226; Test Name: Rapid test; Test Result: Positive ; Comments: aller stated that before the vaccination, she had a Rapid and PCT test. The Rapid test came back negative, but on Friday (26Feb2021) morning, Caller was informed of a positive PCR test from a phone call

Allergies:

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

Symptoms: low grade fever; This is a spontaneous report from a contactable consumer (patient). A 49-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 1 via an unspecified route of administration on 25Feb2021 as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient stated that before the vaccination, she had a Rapid and PCT test. The Rapid test came back negative, but on Friday (26Feb2021) morning, Caller was informed of a positive PCR test from a phone call. On 27Feb2021, she had a low grade fever for 2 days after receiving the first dose. Potential AE documented after call (Clinically significant underlying condition). The patient is scheduled for her second dose on 16Mar2021. The patient was asking if she should still proceed with the second dose of the vaccine. She is still not feeling well on the schedule of the 2nd shot, "can I still take the vaccine" Caller seeking guidance on the scheduling of the second vaccine. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648551
Sex: M
Age:
State: OK

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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: 20210222; Test Name: Fever; Result Unstructured Data: Test Result:99; Test Name: COVID; Result Unstructured Data: Test Result:had COVID, which was a medium-severe case; Comments: had COVID, which was a medium-severe case, three months ago around Thanksgiving. It wasn't bad, but it wasn't easy.

Allergies:

Symptom List: Nausea

Symptoms: sweating; Fever of 99; Stomach is upset; Doesn't feel well; his back hurts; Left arm is sore; violent chills; dose of bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EM9809; Expiration Date: 30Jun2021), dose 1 via an unspecified route of administration, administered in Arm Left on 20Feb2021 as DOSE 1, SINGLE for covid-19 immunisation (age at vaccination 68 years). Medical history included pre-diabetes, vitamin d deficiency, borderline for high blood pressure (The patient won't let his doctor put him on a blood pressure medication. Clarified caller has not yet been prescribed a blood pressure medication), EHD, Covid-19 from an unknown date and unknown if ongoing. Caller stated that he got COVID shot on Saturday, 20Feb2021. Had multiple reactions to it. Left arm is sore of course, which is no big deal. Each night for the last two nights, has woken up around midnight and has been violently chilled. So chilled that he couldn't even open a bottle of Tylenol. He took some Tylenol and then was sweating profusely about an hour later. He is not allergic to anything. He got a fever today of 99 and of course doesn't feel good. Reported all symptoms on online report except for fever of 99, stomach is upset, and didn't feel well. Patient is normally an energetic person. Fever of 99 Started at 5AM, 22Feb2021. Was sweating profusely. Noticed he wasn't feeling well yesterday when he got out of bed after violent chills. Chills kept him up in the night. Night before Saturday, he got up late after he finally had some Tylenol. Took some Tylenol and the violent shaking stopped hours later. He was able to get a little bit of rest. Same thing happened last night. He shook so hard his back hurts. Left arm is injection arm. His arm was sore. Feels like when he was a kid and the neighborhood bully pounded on him. It began 15 minutes after the COVID shot and has been that way. He took two different types of Tylenol. He took capsules the night before last and is not sure he can read the print on the packaging. It is small print on the pill. His girlfriend left him a handful red and blue gel capsules with powder in the middle. He used those last night. He used the hard pills the night before. Has heard the second COVID shot is worse than the first. If it is worse, he is not sure he wants the second COVID shot. Asked if having COVID impacts his physiology of getting a shot for COVID. Asked if it make any difference in getting the COVID shot. The outcome of the event left arm is sore was recovered and outcome of other events was unknown. Information about lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648552
Sex: F
Age:
State: CT

Vax Date: 02/17/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:99.5

Allergies:

Symptom List: Injection site pain

Symptoms: didn't feel so well; woke up feeling clammy; fever; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 70-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201, Expiry date: unknown, at the age of 70-year-old), dose 1 via an unspecified route of administration, administered in Arm Left on 17Feb2021 13:30 as dose 1, single for covid-19 immunization. Medical history and concomitant medications reported as none. No additional vaccines administered on same date of the Pfizer suspect. It was reported as none for prior vaccinations (within 4 weeks), AE(s) following prior vaccinations, patient's medical history, family medical history relevant to AE and relevant tests. The patient experienced fever on Feb2021. Caller says 5 days after, I woke up clammy. not sure if I had a fever or not. I take over the counter pain med for various reasons. Yesterday I had a fever low grade. I took Advil for fever. no fever this morning, but after 16 hours later, a fever again. Caller asking if this could be related to the vaccine. The patient experienced didn't feel so well and woke up feeling clammy on an unspecified date. The caller was calling about the Covid vaccine, Pfizer. The caller got it 12 days ago. The caller had a fever yesterday, she woke up and didn't feel so well, she popped some Advil, she takes a lot of over the counter medications like Advil and Tylenol when she needs it, not every day, but she does take it regularly. She took the Advil and felt fine. The caller felt a little funny, she had a temperature of 99.5, which is strange for her, her temperature never was over 99. The caller took Advil at 6:00 last night, went to sleep, woke up this morning and she didn't have a fever, was awake, then the fever came back. Is there any way that this shot could cause low grade fevers. The patient takes a lot over the counter pills so its possible she has had this fever and did not know. Its only been 11 days. It could be that 5 days after the shot she got a new bed, she slept on it and woke up feeling clammy, like maybe she had a temperature. The patient is not going through mesopause so it was not that. The patient may have taken her temperature, she was not sure. May be she took Tylenol or Advil, she does not know. May be she was having low grade fevers, she does not know. The patient's fever was resolved last night and now its back again. Time the Vaccination Was Given: 1:30 in the afternoon. Patient did not visited to any Emergency room or Physician's office. Therapeutic measures were taken as a result of fever, didn't feel so well. The patient underwent lab tests and procedures which included body temperature: 99.5. The clinical outcome of event fever was not recovered and other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648553
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: Test Name: BP; Result Unstructured Data: Test Result:very high

Allergies:

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

Symptoms: trouble swallowing; BP went very high; This is a spontaneous report from a contactable consumer (patient) reported for herself that a female patient of an unknown age received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, Solution for injection, batch/lot number: unknown), via an unknown route of administration on an unknown date as single for COVID-19 immunisation. The patient's medical history included diabetes and had 2 auto immune diseases. Concomitant medications were not reported. On an unknown date, the patient experienced trouble swallowing and blood pressure went very high. It was explained that while on the vaccine site and she had trouble swallowing and that went away when they gave her a drink of water. Then her BP went very high. Higher than it ever has been. They kept the cuff on her and it gradually went down to close to normal. It took 24 hours to get a normal reading." The outcome of the events was recovered on an unknown date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648554
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: facial swelling; eyes started to swell; she broke out in hives over her body.; Caller reports that around 11:30 p.m. she experienced a numbing sensation in her bottom lip. When caller woke up at 2:30 a.m. her lip was swollen & numbness continued (top and bottom).; This is a spontaneous report from a non-contactable consumer or other non hcp. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, dose 1 via an unspecified route of administration on 10Feb2021 13:00 (Lot number and expiry date was not reported) as a single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient reported that around 11:30 p.m. that around 11:30 p.m. she experienced a numbing sensation in her bottom lip. When caller woke up at 2:30 a.m. her lip was swollen & numbness continued (top and bottom). Patent took Benadryl, with no results. She contacted her HCP the next day and was advised to go to the ER. During that time her eyes started to swell. Patient was treated at the ER with a steroid injection and advised to not take the second vaccine. Improvement noted after treatment. About thirty hours later facial swelling started back. Patient took more Benadryl. She contacted her HCP and was advised to get an Epi Pen. On 26Feb2021 she started to have numbness in her lip and her top lip was completely swollen. The next day patient reports she broke out in hives over her body. Outcome of the events Hypoesthesia oral was not recovered, sweling face, Urticaria was unknown, Eye swelling was recovering. Follow-up (31Mar2021): This is a follow-up spontaneous report received in response to the mail trail sent regarding the confirmation below mentioned query response. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1648555
Sex: M
Age:
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Fever of 99.5; muscle aches; joint aches; cold sweat; This is a spontaneous report received from a contactable consumer or other non hcp. A 73-years-old male patient received 1st dose of bnt162b2 (COMIRNATY,Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm Left on 27Feb2021 10:30,at the age of 73 years old, as Dose 1,single for covid-19 immunization .The patient medical history was not reported. Concomitant medications included clindamycin,celecoxib taken for arthritis and lisinopril taken for an unspecified indication, start and stop date were not reported.The patient previously took penicillin b and experienced drug hypersensitivity.The patient experienced fever of 99.5, muscle aches, joint aches and cold sweat on 27Feb2021 21:00.The outcome of the events was recovered.The drug was administered at pharmacy or drug store.The patient had not received any other vaccine within 4 weeks.The patient had not received any treatment for the event.The patient was not diagnosed with covid prior vaccination and not tested for covid post vaccination.The adverse event didn't result in patient emergency room and physician office visit. No follow-up attempts are possible. No further information is expected.

Other Meds: CLINDAMYCIN; CELECOXIB; LISINOPRIL

Current Illness:

ID: 1648556
Sex: F
Age:
State: NC

Vax Date: 02/27/2021
Onset Date: 02/28/2021
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: Fever; Result Unstructured Data: Test Result:101.7 Fahrenheit; Comments: Fever of 101.7?F; Test Name: Fever; Result Unstructured Data: Test Result:99 Fahrenheit; Comments: After 24 hours temperature is down to 99

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Fever of 101.7?F; very bad body aches especially in arms; legs burning; tingling of feet numb tingling fingers; nausia; several minutes after the shot my tongue went numb at the tip with tingling; Body aches total weakness; Extreme shaking could not stop shaking; Severe migraine lasting two days now; Today extreme sweating and weakness; The sickest I have been in many years it appears I may be getting better somewhat today; A 65-years-old female patient received second dose of bnt162b2 (Solution injection; Batch/Lot Number: EN6203), via an unspecified route of administration, administered in Arm Left on 27Feb2021 at 15:30 as single dose for covid-19 immunisation. The patient previously took first dose of bnt162b2 (Solution injection; Batch/Lot Number: Em9809), via an unspecified route of administration, administered in Arm Left on 06Feb2021 at 16:30 (Batch/Lot Number: EN6203) as single dose for covid-19 immunization. Medical history included hereditary haemorrhagic telangiectasia. Patient had no known allergies. Concomitant medications included oxycodone hydrochloride, paracetamol (PERCOCET [OXYCODONE HYDROCHLORIDE; PARACETAMOL]), propanol (PROPANOL), furosemide (LASIX [FUROSEMIDE]), alprazolam (XANAX), calcium, colecalciferol (CALCIUM & VITAMIN D [CALCIUM;COLECALCIFEROL]) and ergocalciferol (VITAMIN D [ERGOCALCIFEROL]). Patient was not diagnosed with COVID prior to vaccination. The patient was not tested for COVID post vaccination. On 28Feb2021, the patient experienced fever of 101.7?F, very bad body aches especially in arms, legs burning and tingling of feet numb tingling fingers nausea, several minutes after the shot her tongue went numb at the tip with tingling. Patient had body aches total weakness. She had extreme shaking and she could not stop shaking. She had severe migraine lasting two days now. After 24 hours temperature was down to 99 her normal temp was usually 97.5 still have body aches shakes and tremors legs feel like they want to give out. Today extreme sweating and weakness. Patient stated that it was the sickest she have been in many years it appears she may be getting better somewhat today. Therapeutic measures were taken due to the events and she was advised to take percocet and drink plenty of water. The patient underwent lab tests and procedures which included body temperature which was 101.7 fahrenheit. The outcome of the events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds: PERCOCET [OXYCODONE HYDROCHLORIDE;PARACETAMOL]; PROPANOL; LASIX [FUROSEMIDE]; XANAX; CALCIUM & VITAMIN D [CALCIUM;COLECALCIFEROL]; VITAMIN D [ERGOCALCIFEROL]

Current Illness:

ID: 1648557
Sex: F
Age:
State:

Vax Date: 02/11/2021
Onset Date: 02/25/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling and numbing sensation in face around mouth and chin.; Tingling and numbing sensation in face around mouth and chin.; This is a spontaneous report from a non-contactable consumer (patient). A 27-years-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: not reported), via an unspecified route of administration in the left arm on 11Feb2021 at 02:30 (at the age of 27-year-old) as single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included ibuprofen (ADVIL) taken for an unspecified indication, start and stop date were not reported. The most recent COVID-19 vaccine was administered in workplace clinic. The patient did not have any known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Prior to vaccination, it was unknown if patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient experienced tingling and numbing sensation in face around mouth and chin on 25Feb2021. The patient did not receive any treatment. The clinical outcome for the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ADVIL

Current Illness:

ID: 1648558
Sex: F
Age:
State: OR

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Numbness left side of face and arm down to fingertips.; Metal taste in mouth; Red spot about a quarter size around the injection site; This is a spontaneous report from a contactable consumer or other non hcp. A 52-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number; EL3302) via an unspecified route of administration, administered in Arm Left on 23Feb2021 11:30 (at the age of 52-Years-old) as dose 2, single for COVID-19 immunisation. Facility where the most recent COVID-19 vaccine was administered reported as Public Health Clinic/Veterans Administration facility. Medical history included known allergies for an unspecified indication with unspecified start and stop date. Concomitant medication(s) included dextromethorphan hydrobromide, doxylamine succinate, ephedrine sulfate, ethanol, paracetamol (NYQUIL) taken for an unspecified indication, start and stop date were not reported. The patient previously took BNT162B2 (Lot number: EK9231) via an unspecified route of administration, administered in Arm Left on 26Jan2021 (at the age of 52-Years-old) as dose 1, single for COVID-19 immunisation. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine (prior vaccination was none). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Past drugs included Hydrocodone, Percodan, Percoset, Codeine, Dilaudid, Alleve, Sanitizer, Cannabis. The patient experienced numbness left side of face and arm down to fingertips, metal taste in mouth and red spot about a quarter size around the injection site on 23Feb2021. AE was resulted in doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. No treatment was received for the reported events. The outcome of the events were not recovered. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021227872 similar report from same reporter

Other Meds: NYQUIL

Current Illness:

ID: 1648559
Sex: F
Age:
State: PA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210222; Test Name: body temperature; Result Unstructured Data: Test Result:100.2; Comments: fever never went above 100.2

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: soreness in her arm; fever; Nausea; Body aches; Cold sweats; raging headache; This is a spontaneous report from a contactable consumer (patient herself). A 51-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EL9266; Expiration date: unknown) intramuscular, administered in Arm Left on 20Feb2021 12:20 (at age of 51-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included lung neoplasm; lung cancer, lung cancer metastatic, adrenal gland cancer metastatic, throat cancer, metastasized to spine; had Chemo 1 year ago and SBRT radiation in Aug2020. In remission as of Sep2020 and bone cancer from an unknown date and unknown if ongoing. Rheumatoid arthritis from 2005 and ongoing. Concomitant medication included oxycodone (OXYCODONE) taken for rheumatoid arthritis and bone cancer from an unspecified start date and ongoing. History of all previous immunization with the Pfizer vaccine considered as suspect was none. Patient's medical history (including any illness at time of vaccination) was none. Family medical history relevant to AE(s) was none. It was reported that, patient just got her 1st dose on Saturday, 20Feb2021, and she was a cancer patient so her doctor recommended that she call and report her side effects. Her side effects were not bad enough to go to the hospital, but they were kind of bad. It was reported that, on 22Feb2021 04:00 she had a fever, thought it never went above 100.2; she had nausea, and body aches which felt like she had been hit by a bus, cold sweats, and a raging headache. Also stated that she had soreness in her arm that kind of felt like someone punched her in the arm on an unspecified date. Stated that all the events began around 4 am on Monday; she woke up feeling not so good. She had about 48 hours of misery and she was feeling much better today. States that it was much better than getting COVID. Adverse event did not require a visit to emergency room or physician office. The patient underwent lab tests and procedures which included body temperature: 100.2 fever never went above 100.2 on 22Feb2021.The outcome of event soreness in her arm was unknown while all other events was resolved on 24Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds: OXYCODONE

Current Illness: Rheumatoid arthritis (Rheumatoid arthritis (From: 2005 To: Ongoing))

ID: 1648560
Sex: M
Age:
State: AK

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:99.8; Comments: went back up to 99.8

Allergies:

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

Symptoms: slight fever of 99.8; nauseated; not feeling well; achy; threw up twice; This is a spontaneous report from a contactable consumer or other non-hcp. A 38-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Lot Number: EL3302) via an unspecified route of administration (age at vaccination 38-year) in Right Arm on 23Feb2021 at 04:00 PM as dose 1, single for COVID-19 immunization. Medical history included Special needs, CP, MR, behaviors from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. No known allergies were reported. The patient received other Pfizer vaccine 4weeks (lot number= EL0140) in right arm on 02Feb2021. No COVID prior vaccination was reported, the patient not tested COVID post vaccination. On 23Feb2021 at 07:00 PM the patient experienced slight fever of 99.8, nauseated, not feeling well, achy, threw up twice. The patient underwent lab tests and procedures which included pyrexia: 99.8 (fever went back up to 99.8) on an unspecified date. Therapeutic measures were taken as a result of the adverse events, the patient took ibuprofen 2/24 as AE treatment. The clinical outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648561
Sex: F
Age:
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210215; Test Name: fever; Result Unstructured Data: Test Result:102 Fahrenheit

Allergies:

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

Symptoms: terrible migraine; fever 102 farenheit; muscle pain; chills; red eyes; not able to sleep the rest of the night; This is a spontaneous report from a contactable consumer (patient). A 24-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 15Feb2021 11:00 (at the age of 24-year-old) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient was not pregnant at the time of vaccination. The patient previously received first dose of BNT162B2 (Lot number: unknown), via an unspecified route of administration, administered in Arm Left on 20Jan2021 12:00 PM (at the age of 24-year-old) for COVID-19 immunization and experienced muscle pain in my arm. The patient did not receive any other vaccines in 4 weeks prior to the COVID vaccine. Patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. On 15Feb2021 18:00, patient experienced fever 102 farenheit, muscle pain, chills, red eyes, not able to sleep the rest of the night, terrible migraine on 16Feb2021 (the next day). Patient reported that initially got the shot, I noticed my muscle pain in my arm was not as bad as the 1st one. Later that day, I got chills which led to a fever 102 farenheit, red eyes, and I was not able to sleep the rest of the night. The next day, I had a terrible migraine. There was no treatment for the events. The events were assessed as non-serious. The patient underwent lab tests and procedures which included fever: 102 fahrenheit on 15Feb2021. The clinical outcome of events was recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648562
Sex: F
Age:
State: CA

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 03/01/2021; Test Name: Fever; Result Unstructured Data: Test Result: 99.8?F.

Allergies: Allergies: Acetaminophen, ibuprofen, cephalosporins; monk fruit and spinach.

Symptom List: Pain in extremity

Symptoms: This is a spontaneous report from a contactable consumer. A 21-year-old (non-pregnant) female patient received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# not reported), at the age of 21, via an unspecified route of administration, left arm, on Feb 28, 2021, single dose, for COVID-19 immunization, at a school. The patient's medical history included asthma. Allergies included acetaminophen, ibuprofen, cephalosporins, monk fruit and spinach. No other vaccine administered in four weeks. No COVID-19 prior vaccination and no COVID-19 tested post vaccination. 24 hours after vaccine, on Mar 1, 2021, at 10:30 am, patient developed a low-grade fever (99.8?F), muscle aches and weakness; with outcome of not recovered. No treatment received for the adverse events. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648563
Sex: M
Age:
State: NC

Vax Date: 02/09/2021
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: 2
Vax Route:
Vax Site:

Lab Data: Test Date: 20210220; Test Name: strep throat; Result Unstructured Data: Test Result:Negative; Test Date: 20210220; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: heavy heart burn; fever; fatigue; sore throat on left side lasting four days (sore throat, 2 days longer); This is a spontaneous report from a contactable consumer (patient). A 74-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL3247, Expiration date: Unknown), via an unspecified route of administration, administered in right arm on 09Feb2021 at 08:30 am (at the age of 74-year-old) as dose 2, single for COVID-19 immunisation at other facility. No other vaccines were received in four weeks. The patient did not have Covid prior vaccination. No medical history was reported. No known allergies were reported. The patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EL1283, Expiration date: Unknown), via an unspecified route of administration, administered in arm left on 22Jan2021 at 07:00 PM (at the age of 74-year-old) as dose 1, single for COVID-19 immunisation at another facility. Concomitant medications included amlodipine, meteprolol and atorvastatin (LIPITOR). On 18Feb2021 at 11:00pm, at 9 days after the second dose, the patient experienced: initially heavy heart burn, followed by fever, fatigue and very sore throat on left side lasting four days (sore throat, 2 days longer). Tested for COVID (3 times) and strep throat (2 times) all negative. On 20Feb2021, the patient underwent covid test post vaccination with covid test type nasal swab: negative, covid test post vaccination for strep throat: negative. No treatment was received for the events. Outcome of the events was recovered with lasting effects (recovered with sequel).

Other Meds: AMLODIPINE; METOPROLOL; LIPITOR

Current Illness:

ID: 1648564
Sex: F
Age:
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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; Fatigue; Muscle aches; Discomfort at injection site; Headache; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient). A 71-years-old non-pregnant female patient received unknown dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6203), via an unspecified route of administration, administered in Arm Left on 23Feb2021 12:45 (at the age of 71-years-old) as dose number unknown, single for COVID-19 immunisation. Medical history included chronic obstructive pulmonary disease (COPD), allergy to metals (known allergies: Nickel) from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient did not diagnosed with COVID-19. Since the vaccination, did not patient been tested for COVID-19. Concomitant medications included fluticasone propionate, salmeterol (WIXELA INHUB), tiotropium bromide (SPIRIVA), atorvastatin (ATORVASTATIN), albuterol [salbutamol] (ALBUTEROL [SALBUTAMOL]) taken for an unspecified indication, start and stop date were not reported. The patient experienced low grade fever, fatigue, muscle aches, discomfort at injection site, headache on 24Feb2021 08:00. No treatment was received for the events. The outcome of the events was reported as recovered in 2021. No follow-up attempts are possible, information about lot/batch number cannot been obtained.

Other Meds: WIXELA INHUB; SPIRIVA; ATORVASTATIN; ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 1648565
Sex: M
Age:
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; chills; This is a spontaneous report from a non-contactable pharmacist (the patient). A 45-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in Arm Left on 23Feb2021 13:30 (at the age of 45-years-old) as a single dose for COVID-19 immunisation at Workplace clinic. The patient has no medical history. The patient was not allergic to any drugs, food and other products. The patient's concomitant medications were not reported. The patient not received any other vaccines in four weeks prior to COVID-19 vaccination. The patient was not diagnosed with COVID prior vaccination. The patient has not been tested for COVID post vaccination. On 27Feb2021 16:00, the patient experienced fever, chills. It was reported that, in the afternoon on 27Feb2021, 4 days after receiving the Pfizer/BioNTech COVID-19 vaccine, the patient started to experience chills followed by fever. The patient took 2 Advil around 19:30 and the chills and fever subsided. After going to sleep on 27Feb2021, the patient woke up in the middle of the night again with fever and chills. Again the patient took two Advil and the fever and chills subsided. On 28Feb2021, the patient had a low grade fever all day with mild chills, but he did not feel the need to take any additional Advil. At the time of reporting, the fever and chills were completely gone and seems like he has fully recovered. The outcome of events fever and chills was recovered on unspecified date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648566
Sex: U
Age:
State: MA

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: Test Date: 20210211; Test Name: Fever; Result Unstructured Data: Test Result:100 Fahrenheit; Comments: fever was low grade when it comes, has never risen above 100 degrees F.

Allergies:

Symptom List: Vomiting

Symptoms: began feeling the worst of the symptoms (lethargy, fever, general malaise); began feeling the worst of the symptoms (lethargy, fever, general malaise); began feeling the worst of the symptoms (lethargy, fever, general malaise); This is a spontaneous report from a contactable consumer or other non HCP (patient). A patient of unspecified age and gender received bnt162b2 (BNT162B2, formulation: 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 medication was not reported. Patient received first vaccine dose on 10Feb2021 and have had an intermittent fever, began feeling the worst of the symptoms (lethargy, fever, general malaise) on 11Feb2021 at morning and went home sick that day. The patient underwent lab tests and procedures which included body temperature: 100 degrees Fahrenheit on 11Feb2021. The fever was low grade when it comes, has never risen above 100 degrees F. It was reported that patient feeling better within 24 hours by 12Feb2021 but had never been able to shake the intermittent fever. The outcome of event intermittent fever was not recovered and other events was recovering. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1648567
Sex: F
Age:
State: NC

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:101.7 Fahrenheit; Test Name: Fever; Result Unstructured Data: Test Result:99 Fahrenheit

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: fever of 101.7?F; arms legs burning; tingling of feet numb tingling fingers; nausea; my tongue went numb at the tip with tingling.; my tongue went numb at the tip with tingling.; Extreme shaking could not stop shaking; Severe migraine lasting two days now; extreme sweating and weakness; weakness; Body aches; This is a spontaneous report from a contactable consumer. A 66-year-old non pregnant female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Left on 27Feb2021 15:30 (Batch/Lot Number: EN6203) as DOSE 2, SINGLE for COVID-19 immunisation. Medical history included HHT (hereditary haemorrhagic telangiectasia) from an unknown date and unknown if ongoing. The patient had no allergies. Concomitant medication(s) included furosemide (LASIX [FUROSEMIDE]) taken for an unspecified indication, start and stop date were not reported; alprazolam (XANAX) taken for an unspecified indication, start and stop date were not reported; calcium carbonate, colecalciferol (CALCIUM & VITAMIN D3) taken for an unspecified indication, start and stop date were not reported; oxycodone hydrochloride, oxycodone terephthalate, paracetamol (PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]) taken for an unspecified indication, start and stop date were not reported; propranolol (PROPANOLOL [PROPRANOLOL]) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination.Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient previously received first dose of bnt162b2 (BNT162B2) on 06Feb2021 via an unspecified route of administration, administered in Left arm on 06Feb2021 04:30 PM (Batch/Lot Number: Em9809) for COVID-19 immunisation. It was reported that fever of 101.7?F very bad body aches especially in arms legs burning and tingling of feet numb tingling fingers nausea, several minutes after the shot her tongue went numb at the tip with tingling. Body aches total weakness. Extreme shaking could not stop shaking. Sever migraine lasting two days now. After 24-hour temperature was down to 99 her normal temp was usually 97.5 still have body aches shakes and tremors legs feel like they want to give out. Today extreme sweating and weakness. The sickest she has been in many years it appears she might be getting better somewhat today. As an add a note her best friend went at the exact same time with me to get the shot with our husbands are husbands did not have any side effects not even a sore arm her friend had almost identical symptoms to her we were both so sick we could not move. Possibly the sickest she has ever been in my life. The patient was treated with Percocet and advised to drink plenty of water. The outcome of the events were recovering. No follow-up attempts are possible. No further information is expected

Other Meds: LASIX [FUROSEMIDE]; XANAX; CALCIUM & VITAMIN D3; PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]; PROPANOLOL [PROPRANOLOL]

Current Illness:

ID: 1648568
Sex: F
Age:
State: CA

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

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

Lab Data: Test Date: 202102; Test Name: Ct Scan; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: my fingers on my left hand would become numb every now & then; Left Arm was sore; This is a spontaneous report from a contactable consumer or other non hcp. A 62-year-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN9581) via an unspecified route of administration, administered in Arm Left on 10Feb2021 at 15:45 (Age at time of vaccination: 62-year-old) as 2ND DOSE, SINGLE for covid-19 immunisation. Medical history included pain in extremity and neoplasm malignant. There were no concomitant medications. The Patient received historical vaccine as bnt162b2 (BNT162B2, Batch/Lot Number: EL3246) via an unspecified route of administration, administered in Arm Right on 20Jan2021 at around 3:45PM or 4PM as DOSE 1, SINGLE for covid-19 immunisation.The Patient got her First Dose on 20Jan2021 at around 3:45PM or 4PM, the first dose was administered on the Right Arm. She got her Second Dose on 10Feb2021 at Same time 3:45PM but it was in the Left Arm.The Patient received the 2nd Pfizer Covid Vaccine on 10Feb2021 & her arm hurt for several days & last week patient noticed that her fingers on left hand would become numb every now & then. Could you please provide any information regarding this numbness feeling she keep getting off & on in left hand. After receiving the second dose, her Left Arm was sore the next day on 11Feb2021, this lasted 2-3 days.The numbness began in the ending of the week before, around 19Feb2021, caller clarifies that it is her forearm to the fingers in the left hand that goes numb. On19Feb2021, the patient experienced fingers on her left hand would become numb every now & then. On 11Feb2021, patient experienced left arm was sore. The Patient experienced "numbness from time to time" on her forearm and fingers on her left arm. Caller would like to know if there had been any reports of numbness or tingling after receiving the vaccine, and would like to know how long Patient should expect it to last. When she received her second vaccine. The Patient had to wait 30 minutes for the vaccine to thaw before receiving it whereas with her first dose, she didn't have to wait 30 minutes before they gave it for the second dose, but during the First shot she didn't have to wait. She did tell her GI doctor, and the GI doctor said it shouldn't be hurting that long. Numbness was not going away. With the first dose she did not have side effects, her arm didn't hurt on the first one, well it only hurt where the shot was given for the right arm. She had went to the doctor a couple months ago for her Left Forearm because it was hurting, or like if she raised her right hand. She was doing push ups and her jiggling tricep part under the left arm was hurting, and she asked the doctor why is that hurting. She was also doing sit ups. The doctor said maybe she pulled a muscle. Caller states that the hurting in the left arm from that time went away. Tomorrow she has an endoscopy and colonoscopy, and so she may make an appointment with her primary Care doctor if this keeps going on. It doesn't stay numb that long, she has to work it out and move the hand and then its okay, but she is wondering why is it happening. The Patient had not done an X-ray on the arm. The patient underwent lab tests and procedures which included computerised tomogram (Ct Scan on the lungs): unknown results on Feb2021. The outcome of the event (hypoaesthesia) was not recovered and (pain in extremity) was recovered on with sequelae on 14Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648569
Sex: M
Age:
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: 20210223; Test Name: Fever; Result Unstructured Data: Test Result:100-101 Fahrenheit

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 2nd dose: fever (100?101?F) for 18?36 hrs after receiving vaccine; very sore arm at injection site; Mild headache; This is a spontaneous report from a contactable consumer (patient). A 24-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9267) via an unspecified route of administration in Arm Left on 22Feb2021 12:45 (at the age of 24 years old) as dose 2, single for COVID-19 immunisation at vaccine school or student health clinic. The patient medical history was not reported. There were no concomitant medications. Patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL8982) via an unspecified route of administration in Arm Left on 30Jan2021 13:45 (at the age of 24 years old) as single for COVID-19 immunisation and experienced sore arm. Patient did not received other vaccine within four weeks of COVID vaccine. Patient did not have COVID prior to vaccination. The patient experienced 2nd dose: fever (100-101 f) for 18-36 hrs after receiving vaccine, very sore arm at injection site, mild headache on 23Feb2021 09:00. No treatment were given for the adverse events. Patient did not tested for COVID post vaccination. The patient underwent lab tests and procedures which included body temperature: 100-101 fahrenheit on 23Feb2021. Outcome of all the events were recovered on Feb2021. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648570
Sex: F
Age:
State: MI

Vax Date: 01/14/2021
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: RA

Lab Data: Test Date: 20210225; Test Name: blood work; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210225; Test Name: chest xrays; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210212; Test Name: Nasal swab; Test Result: Negative

Allergies:

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

Symptoms: fever; chills; sore throat; cough; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A 29-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date: Unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 14Jan2021 06:00 as DOSE 1, SINGLE for covid-19 immunization. The patient medical history was not reported. Concomitant medication included measles vaccine, mumps vaccine, rubella vaccine (MMR) taken for an unspecified indication, start and stop date were not reported; meningococcal vaccine (MENINGOCOCCAL VACCINE) taken for an unspecified indication, start and stop date were not reported.The patient previously took doxycycline and experienced drug hypersensitivity.The patient did not receive any other vaccines within 4 weeks prior to the Covid vaccine. The patient did not received 2 weeks other medications of vaccination. The patient was not diagnosed with Covid 19 and has not been tested for Covid-19 Since the vaccination. On Feb2021 the patient experienced fever, chills, sore throat, cough. The patient underwent lab tests and procedures which included blood test: unknown result on 25Feb2021, chest x-ray: unknown result on 25Feb2021, sars-cov-2 test: negative on 12Feb2021.Therapeutic measures were taken as a result of fever, chills, sore throat, cough. Ae treatment included antibiotics/chest xrays/blood work. The outcome of event was not recovered. Information about lot/Batch number has been requested. ; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021228456 similar report from same reporter

Other Meds: MMR; MENINGOCOCCAL VACCINE

Current Illness:

ID: 1648571
Sex: F
Age:
State: MD

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: she is still experiencing a lot of pain in her head/ also her neck and her head; she is still experiencing a lot of pain in her head, her ears and her arm and arm pit; she is still experiencing a lot of pain in her head, her ears and her arm and arm pit/ her armpit area is giving pain; Her arm pit is swollen like a gland might be flared up; pain in the arm; her armpit area is giving pain, also her neck and her head; pressure in her ears/ eardrums are cold; her ear are giving her discomfort; she's having chills that come and go; hasn't eaten anything since Saturday; fever; Ache; This is a spontaneous report from a contactable consumer (patient). A 30-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6205, Expiration date: Jun2021), via an unspecified route of administration in the right arm on 27Feb2021 (at the age of 30-years-old) as dose 2, single for COVID-19 immunization. The patient medical history included surgery- hole in ear drum from previous surgery and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9264, Expiration date: May2021), via an unspecified route of administration on an unspecified date as dose 1, single for Covid-19 immunization. The patient stated, she would like to check on some side effects that she was experiencing and how long they were supposed to last. Yesterday (27Feb2021) the fever broke, she had a lot of pain in the arm, her armpit area was giving pain, also her neck and her head, she also stated that it was not a headache it like, if your brain was hitting your skull, rattling, her ear were giving her discomfort and also her eardrums were cold, she was having chills that come and go but nothing compared to what it was. She also had not eaten anything since Saturday (27Feb2021). She further stated that, she got it on Saturday and since then Saturday and Sunday she spent in bed with fever, aches, and normal stuff of what was to be expected but now it was Tuesday and she still had really bad aches, she was over the fever, that broke yesterday morning she would say but she was still experiencing a lot of pain in her head, her ears and her arm and arm pit. Her arm pit was swollen like a gland might be flared up. Her arm, her neck and her head hurt. Her head was like not like a headache, it was a feeling as if she could feel her brain hitting her skull type of pain. She had a hole in ear drum from previous surgery but she had never had this much pressure in her ears. The clinical outcome for event prexia was resolved on an unspecified date in 2021, not resolved for aches, she is still experiencing a lot of pain in her head/ also her neck and her head, she is still experiencing a lot of pain in her head, her ears and her arm and arm pit/ her armpit area is giving pain, pain in the arm and unknown for all other events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am