VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1648572
Sex: F
Age:
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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: administrator applied pressure; little blood on the bandage; 2 inch by 1 inch bruise on her arm; wondering if the vaccine has been administered intramuscularly; had to hold pressure because blood came out a little bit; This is a spontaneous report from a contactable Nurse. A 70-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via intramuscular, administered in Arm Left on 24Feb2021 (Age at Vaccination 70-years-old) as single dose for COVID-19 immunization. Medical history included arterial stent insertion from 2011 and ongoing Verbatim: coronary artery stent. Concomitant medication(s) included acetylsalicylic acid (ASPIRIN CHILDREN) taken for ischaemic heart disease prophylaxis from an unspecified start date and ongoing. Patient took first dose of bnt162b2 for COVID-19 Immunization. The patient experienced had to hold pressure because blood came out a little bit on 24Feb2021. The patient experienced administrator applied pressure, little blood on the bandage, 2 inch by 1 inch bruise on her arm and wondering if the vaccine has been administered intramuscularly on an unspecified date.it was reported that After the second dose, the administrator applied pressure and the caller noticed there was a little blood on the bandage. She stated it did not hurt a whole lot and my range of motion was ok. Caller states she was on Aspirin. 6 days later, on 02Mar2021, she noticed a 2 inch by 1 inch bruise on her arm. Caller was wondering if the vaccine has been administered intramuscularly and if the efficacy would be different. She is a little concerned. She hasnt been working in the nursing home because she was 70. She got the second vaccine on the twenty fourth. The person that gave it to her had to hold pressure because blood came out a little bit. She hasnt been able to see the area. She was concerned enough vaccine didnt go into the muscle. The person that gave it to her had to hold pressure because blood came out a little bit. She hasnt been able to see the area. She is concerned enough vaccine didn't go into the muscle. She is not sure if she got enough of the vaccine to produce antibodies since it bled. Caller clarified vaccine as COVID19 Vaccine. The first dose didn't bleed. She just wants to make sure she has enough antibodies. Caller clarified that she was calling to see what the efficacy to produce antibodies would be because she bled when receiving the vaccine. COVID19 Vaccine: had to hold pressure because blood came out a little bit related. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds: ASPIRIN CHILDREN

Current Illness: Arterial stent insertion NOS (Verbatim: coronary artery stent)

ID: 1648573
Sex: F
Age:
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Fever; chills; muscle ache; joint ache; Headache; Injection site pain; This is a spontaneous report received from a contactable other hcp. A 33-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EJ1685; Expiration Date: Mar2021) via an intramuscular route of administration in Arm Right on 12Jan2021 16:00 as single dose for covid-19 immunisation. Medical history included obesity from an unknown date and unknown if ongoing. Concomitant medication(s) included ibuprofen (MOTRIN [IBUPROFEN]) taken for an unspecified indication from 12Jan2021 to 14Jan2021; paracetamol (TYLENOL) taken for an unspecified indication from 12Jan2021 to 14Jan2021. On 12Jan2021 the patient experienced fever, chills, muscle ache, joint ache, headache, injection site pain. The clinical outcome of the event was recovered in 2021. Therapeutic measures were taken as a result of fever, chills, muscle ache, joint ache, headache, injection site pain. No follow-up attempts are possible. No further information is expected.

Other Meds: MOTRIN [IBUPROFEN]; TYLENOL

Current Illness:

ID: 1648574
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; Body aches; headache; severe hives; This is a spontaneous report from a contactable Nurse (patient) received via HCP follow-up letter sent in cross reference case. This case is for dose 2. A 47-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL3248), intramuscular in the left deltoid on 11Jan2021 at 12:30 (at the age of 47-year-old) as a single dose for covid-19 immunization. The patient's medical history included allergy, asthma and sinusitis (started on 02Dec2020 and were ongoing), post-nasal drip, GERD. Concomitant medications included levocetirizine dihydrochloride (XYZAL) taken for allergy started on 02Dec2020 daily increase after vaccine reaction twice a day for 4 days] and was ongoing, amoxicillin/clavulanic acid (AUGMENTIN) for sinusitis started on 02Dec2020, omeprazole (PROTONIX) for GERD started on 02Dec2020 and was ongoing, fluticasone propionate/salmeterol xinafoate (ADVAIR) for asthma started on 02Dec2020 and was ongoing, budesonide (PULMICORT) for post nasal started on 02Dec2020 and was ongoing, and albuterol [salbutamol] (ALBUTEROL [SALBUTAMOL]), and guaifenesin, acetaminophen started on 21Dec2020 and antihistamines. The patient did not receive any recent vaccines for any other conditions prior to the event being reported and have not received any other vaccines around the time of Pfizer-BioNTech COVID-19 Vaccine vaccination. Patient previously took SULFA and experienced allergy. Patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK5730), intramuscularly in the left arm on 20Dec2020 at 10:00 as single dose for covid-19 immunization and experienced anaphylactic reaction, headache, soreness on injection site, hives and nausea. On 11Jan2021 at 12:30 after receiving second dose of vaccination, patient experienced severe hives, soreness, headache, body aches, fever. As per reporter there was a reasonable possibility that the event was related to suspect product. Patient was not hospitalized. Patient was being treated with antihistamines. Outcome of the events were not resolved. Follow-up attempts completed. No further information expected.

Other Meds: ADVAIR; AUGMENTIN [AMOXICILLIN SODIUM;CLAVULANATE POTASSIUM]; BUDESONIDE; PROTONIX [OMEPRAZOLE]; XYZAL; ACETAMINOPHEN

Current Illness: Allergy; Asthma; Sinusitis

ID: 1648575
Sex: F
Age:
State: WA

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

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

Lab Data: Test Name: heartbeat for three days; Result Unstructured Data: Test Result:faster than normal; Test Date: 202004; Test Name: Covid test; Test Result: Positive ; Comments: she had Covid; Test Date: 2020; Test Name: Covid test; Test Result: Negative ; Test Name: urine output; Result Unstructured Data: Test Result:very little; Test Date: 202004; Test Name: X-ray; Result Unstructured Data: Test Result:bronchitis; Test Date: 2020; Test Name: X-ray; Result Unstructured Data: Test Result:pneumonia

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: ice cold hands and feet, I am shaky.; ice cold hands and feet, I am shaky.; absolutely no appetite/not thirsty; so very little urine output; runny nose; have almost from years a dry cough and this one turned wet; felt like I had the flu; upset stomach; chills; headache; fever; fatigue; very dry eyes and they felt hot; dry eyes; Then the arm was, that was not a big deal, the arm was a little bit sore; heartbeat for three days which was faster than normal; This is a spontaneous report from a contactable consumer. A 75-year-old female patient received BNT162B2 (BNT162B2, PFIZER-BIONTECH, COVID-19 Vaccine, Solution for injection, Batch/Lot Number: FL9264, Expiration date: Not reported), dose 1 via an unspecified route of administration on 28Jan2021 as DOSE 1, 0.3 ML SINGLE (age at vaccination 75-year-old) for COVID-19 IMMUNISATION. The patient medical history included Hypertension, arthritis, She also reported that she also almost forgot in April of last year I was diagnosed with corona virus. So, she went to the doctor had little bit of breathing difficulty so they did X-ray and they said I have bronchitis but he said I don't like the sound of your cough, so he made the COVID test and 2 days later I received a call back from the health department and then the doctor on that told her that she had COVID and she said what a nice holiday present and then about 3 weeks later she felt bad again and had to go to the emergency room the hospital here and she had pneumonia and she received very good medication (treatment) and like the five pills which they give for pneumonia and they wanted to admit her to the hospital and she said no, was in the emergency room for 6 hours and that was enough and they made another COVID test and that was negative but it was the X-ray shown that she had pneumonia. Concomitant medication included cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]); fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]), Vitamin NOS and took regular meds (Unspecified Medications). It was reported that on the 29th (not clarified) when I got the vaccine I waited 15 minutes and then I left. The first symptoms I had, I had extremely dry eyes, they were so dry I had to pull over on the side to drive home. Then the arm was, that was not a big deal, the arm was a little bit sore but then I had for several days a slight headache, very dry eyes and they felt hot, ice cold hands and feet, I am shaky. I had absolutely no appetite, I was not thirsty and there was so very little urine output. I had a runny nose, I have almost from years a dry cough and this one turned wet(event captured as provided). I had a very upset stomach that I could not eat or drink anything and I felt extremely tired and it felt like I had the flu. On the 30th, I still had a headache, the cough, the eyes were a little bit better and they didn't hurt that much. I still had no appetite, I did started to drink a little bit more and I had a heartbeat for three days which was faster than normal and that lasted for about three days, further stated, On Saturday night, the 30th (not clarified), I finally could urinate normal again and the upset stomach sort of subsided. On Sunday, in the evening I felt okay with a few minor things like headache and a little shaky. By Monday, on the 1st of February (not clarified), I was okay again a little bit shaky. So, I wrote everything down and I took it to the hospital and wanted the doctor to read it and let me know if I was safe to take the second one. I couldn't get a hold of her so the nurse called me back and she said well this vaccine is new, we don't know anything about it yet and I would have to ask medical personnel out where I get the second vaccine which I did. So, he said, you hit almost everything what is on there and he said that one is supposed to be on the second shot. The patient underwent lab tests and procedures which included heart rate: faster than normal , sars-cov-2 test: she had COVID on Apr2020, negative on unknown 2020 , x-ray: bronchitis on Apr2020, x-ray: pneumonia on unknown date in 2020, urine output: very little on an unspecified date. No treatment was received for events. The outcome of all events were recovered on 01Feb2021 No follow up attempts are possible. No further information is expected.

Other Meds: VITAMIN B12 [CYANOCOBALAMIN]; FLONASE [FLUTICASONE PROPIONATE]

Current Illness:

ID: 1648576
Sex: F
Age:
State: AZ

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

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

Lab Data:

Allergies:

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

Symptoms: bloody noses; Runny nose; Allergies are acting up; This is a spontaneous report from a contactable consumer or other non hcp. A 68-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, (Batch/Lot Number: EN6203), dose 1 via an unspecified route of administration, administered in the left arm on 25Feb2021 as 1st dose, single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced bloody noses, runny nose, allergies are acting up. The patient stated that the patient had the Covid vaccine. The patient stated that we get so much wind here and her allergies are really acting up and the patient had a runny nose and bloody nose. The patient stated that as of today, the patient was going to stop taking the low dose aspirin, which may be aggravating it more. The was not feeling all that great. The patient stated that the paper the patient got didn't give her any answers and it doesn't sound like call handler was going to give her any answers either. Advised The patient that her primary care physician would be the best person to contact to make decisions about appropriate treatment options. The patient just wants to know if other people have experienced this problem as well. Also advised patient to consult her primary care physician before stopping her baby aspirin to which the patient had stopped it before when the patient had dental work or gone off of it before and it's just a baby aspirin it was not going to make any difference. The patient's allergies are off the charts and acting up and the patient normally had allergies but doesn't normally have a bloody nose. The patient stated that it was extremely windy, and it was pollen season. The patient had experiencing this all weekend, it had at least a good 5 days. When querying when allergies first started acting up, the patient reported this started on 26Feb2021. Clarified that the patient had the allergies prior to getting the shot, but her bloody nose started when the wind would kick in. The patient states that runny nose was constant unless the patient takes something. Clarified that the patient had a runny nose prior to the shot, it was just mucous and now after the shot, it was a bloody nose. The patient doesn't see how this was getting her anywhere and the patient would not like to answer any further questions, the patient wants to be transferred to somewhere where they can answer her question. Declines to continue with the report. Unable to clarify details or gather additional information. The patient stated that her second dose was on 18Mar2021.The patient doesn't see how this was getting her anywhere and the patient would not like to answer any further questions, the patient wants to be transferred to somewhere where they can answer her question. Declines to continue with the report. Unable to clarify details or gather additional information. Therapeutic measures were taken as a result of bloody noses (epistaxis), runny nose (rhinorrhoea), allergies are acting up (drug hypersensitivity). The patient treatment included Benadryl. The outcome of the event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648577
Sex: F
Age:
State: NM

Vax Date: 01/23/2021
Onset Date: 01/23/2021
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: sensation of numbness of tongue; swelling of tongue; tongue reddened; a red cough drop; This is a spontaneous report from a contactable pharmacist. An 89-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 VACCINE, solution for injection, lot number: EN5318) via intramuscularly on 23Jan2021 at 11:00 (at age of 89-years-old) as DOSE 1, SINGLE for COVID-19 immunisation. The patient's medical history included DM (Diabetes Mellitus), hyperlipidemia, HTN (Hypertension), OPA (Pulmonary Adenomatosis) and SOB (short of breath) and history of recent concussion after a fall. Concomitant medication and medications in two weeks included salbutamol (ALBUTEROL HFA) as needed for SOB (short of breath), ascorbic acid (VITAMIN C) at 1000 mg once a day, calcium citrate at 250mg once a day, colecalciferol (VITAMIN D3) at 2000 IU, once a day, glipizide at 5mg once a day, empagliflozin (JARDIANCE) at 10mg every morning, famotidine 20mg once a day, mirabegron at 50mg once a day and levothyroxine 100mcg once a day. Past drug event included muscle pain due to statins, unknown allergy reaction due to sucralfate, pantoprazole and ipratropium. No other vaccine in four weeks. Patient was not diagnosed with COVID, prior vaccination. Patient has not been tested for COVID, post vaccination. On 23Jan2021 at 11:05 (5 minutes after vaccination), patient experienced sensation of numbness and swelling of tongue, tongue reddened to right side, no visible swelling, patient reports recently having a red cough drop. Treatment received at 11:10 (on same day of vaccination) was diphenhydramine hydrochloride (BENADRYL) 12.5mg oral as 1 dose. Patient appears in NAD (no abnormality detected), resides in rehab center. After medication received patient monitored for additional 30 minutes and discharged back to rehab facility. The outcome of all events was resolved in 2021. No follow-up attempts are possible. No further information was expected.

Other Meds: ALBUTEROL HFA; VITAMIN C [ASCORBIC ACID]; CALCIUM CITRATE; VITAMIN D3; GLIPIZIDE; JARDIANCE; FAMOTIDINE; MIRABEGRON; LEVOTHYROXINE

Current Illness:

ID: 1648578
Sex: F
Age:
State:

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

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

Lab Data: Test Date: 2021; Test Name: pyrexia; Result Unstructured Data: Test Result:99.5 Fahrenheit; Comments: degrees

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient also received the second dose of vaccine 18 days after the first dose.; pain and swelling at injection site; pain and swelling at injection site; low grade fever (99.5 degrees Fahrenheit); chills; body aches; headache; nausea; fatigue; This is a spontaneous report from a non-contactable consumer (patient) received via COVID-19 Vaccine Adverse Event Reporting System (COVAES). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 08Feb2021, at 16:00 (Lot Number: EM9810, at the age of 27 years old) as dose 2, single for COVID-19 immunisation. The patient has no known allergies and no other medical history. She was not pregnant at the time of report. Concomitant medications included meloxicam. She did not receive any other vaccine in four weeks prior to vaccination. The patient previously received first dose of BNT162B2, administered in the left arm on 21Jan2021, at 13:30 (Lot Number: EL3246, at the age of 27 years old) for COVID-19 immunisation and experienced pain and swelling at injection site for 36 hours. On an unspecified date in 2021, the patient experienced pain and swelling at injection site, low grade fever (99.5 degrees Fahrenheit), chills, body aches, headache, nausea, and fatigue for approximately 24 hours. The patient also received the second dose of vaccine 18 days after the first dose. The patient was not diagnosed with COVID-19 prior to vaccination and she has not been tested for COVID-19 since the vaccination. The patient recovered from the events on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: MELOXICAM

Current Illness:

ID: 1648579
Sex: F
Age:
State: MI

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

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

Lab Data: Test Date: 20210302; Test Name: heart rate; Result Unstructured Data: Test Result:racing

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Heart was racing; Dizzy; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number- EN6198) via an unspecified route of administration on 02Mar2021 as dose 1 single for COVID-19 immunization. Medical history included autoimmune disease. Concomitant medication included Prednisone for autoimmune disease. Patient stated, she had no high blood pressure and she do not have heart disease and she was not a diabetic. So, she do not have any of those, other than a rare autoimmune disease that she had, she had the Prednisone to take for. Patient stated that she had a shot this morning but she had a severe reaction which lasted for 25 minutes but she went to the holding area that they put us in, a waiting area that they put us in to wait for 15 minutes but she had to wait a half an hour because she have had severe reaction to a drug (Unspecified Medication) before. So, she waited a half and hour but between that her heart was racing and she was slightly dizzy on 02Mar2021. So, her concern was none of that was documented, but she wanted to know do she go back for a second shot after what happened. The patient underwent lab tests and procedures which included heart rate: racing on 02Mar2021. The outcome of the events was recovered on an unspecified in 2021. No follow-up attempts are possible; Information on lot/batch number could not be requested

Other Meds: PREDNISONE

Current Illness:

ID: 1648580
Sex: M
Age:
State: FL

Vax Date: 02/14/2021
Onset Date: 02/26/2021
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: 20210216; Test Name: Labwork; Result Unstructured Data: Test Result:Kidney functions a little elevated; Comments: Nothing abnormal other than kidney functions; Test Date: 20210228; Test Name: fever; Result Unstructured Data: Test Result:101.7 Fahrenheit; Test Date: 20210302; Test Name: fever; Result Unstructured Data: Test Result:100 Fahrenheit; Test Date: 20210301; Test Name: COVID test; Result Unstructured Data: Test Result:Unknown resuls

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: fever; chills; This is a spontaneous report from a contactable consumer. This male consumer reported for himself. A 69-year-old male patient received bnt162b2 (PFIZER-BIOTECH COVID-19 mRNA VACCINE Solution for injection Lot number was not reported) via an unspecified route of administration in arm left on 14Feb2021 08:20 as dose 1, single (age at vaccination: 69 years) for COVID-19 immunisation. Medical history included congestive heart failure, COPD, stage III kidney failure, diverticulitis, diagnosed allergies, compromised immune status, respiratory illness, genetic/chromosomal abnormalities, endocrine abnormalities, diabetes, obesity, all from an unknown date and unknown if ongoing, colon resection from 2016 to 2016, has no spleen from 2016 and ongoing, COVID from dec2020. Concomitant medications were not reported. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Additional Vaccines Administered on Same Date of the Pfizer Suspect: Vaccines If applicable, all vaccines administered on same date with the Pfizer vaccine considered as suspect was none. The patient was not hospitalized. Prior Vaccinations (within 4 weeks) list any other vaccinations within four weeks prior to the first administration date of the suspect vaccines was none. It was reported that patient had COVID in the end of December, about 10 weeks ago. It was mild, he was not sick enough to stay in the hospital, he was put in a rehab place for 2 weeks, had no significant problems. On 26Feb2021, the patient experienced chills, last Sunday he chilled all afternoon, had 101.7-degree Fahrenheit fever, though Tylenol worked in 2 hrs and asked could he be had reactions that far out. He wondered as well if he could test positive to COVID-19, although he had it 10 weeks ago. If he did, he may miss his appointment for the second dose this Sunday. He wants to know if he could have developed fever 1.5 weeks after the first dose. Patient queried that if he could get the second dose later if he misses it this Sunday and if he still tested positive to COVID-19 ten weeks later, can he get the second shot. Had COVID end of Dec2020. Fairly mild case as it was COVID pneumonia but not bad enough to be in the hospital. They put him in a rehabilitation centre for a couple of weeks and then released him home with home health care. He did not have any reaction or anything that. He gets the flu shot every year and to his knowledge has had no adverse events following prior vaccinations other than sometimes he gets a little tired after the flu shot. He does not have products or this information to provide; he just goes to the pharmacy every year to get the flu shot, annually. The product complaint included that consumer administered first dose of Pfizer COVID-19 Vaccine on 14Feb2021. Starting about 1.5 weeks after that, a day here and there, he started to get chills at night and a little fever. His doctor told him to go out and take another COVID test and told patient that there was no way he was having a reaction to the Pfizer COVID-19 Vaccine that long after administered; he thinks the doctor is lying about that. He had the COVID test done 01Mar2021 but has not gotten the results of that test yet, as the doctor could not do a rapid test; it will take 3-5 days to get the results. He reported prior to being administered Pfizer COVID-19 Vaccine he had COVID around the end of Dec2020. The patient underwent lab tests and procedures which included lab work resulted as kidney functions a little elevated on 16Feb2021 nothing abnormal other than kidney functions, fever resulted as 101.7 Fahrenheit on 28Feb2021 and 100 Fahrenheit on 02Mar2021, COVID test resulted as unknown on 01Mar2021. The clinical outcome of the events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Spleen operation

ID: 1648581
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:99

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: todays her temperature is 99. Wondering if that a normal side effect; This is a spontaneous report from a Pfizer-sponsored program. A non-contactable consumer reported for a female patient (wife). A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration, on an unspecified date as dose 1, single for Covid-19 immunisation. Patients medical history and concomitant medications were not reported. Reporter said wifes temperature is normally 97, todays her temperature was 99. He was wondering if that was a normal side effect. Advised to reach out to HCP. The patient underwent lab test which included body temperature measurement, results as 99 on an unspecified date. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648582
Sex: M
Age:
State: AL

Vax Date: 03/01/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Fever; chills; headache; body aches; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 32 year old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Right on 01Mar2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history and concomitant medications were not reported. The patient previously took bnt162b2 for covid-19 immunisation, aspirin and experienced drug hypersensitivity. The patient experienced fever, chills, headache and body aches on 01Mar2021 with outcome of recovering. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648583
Sex: F
Age:
State: MO

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data: Test Name: Fever of 101; Result Unstructured Data: Test Result:101

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Fever of 101; Headache; Chills; Extreme body aches; This is a spontaneous report from a contactable consumer or other non hcp. A 51-years-old female patient received 2nd dose of bnt162b2 (COMIRNATY,Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 24Feb2021 13:30,at the age of 51 years old,as Dose 2,single for covid-19 immunization.Medical history included thyroid cancer from an unknown date and unknown if ongoing in 2008, hypertension, migraine,seasonal allergy and obesity from an unknown date and unknown if ongoing. Concomitant medication(s) included levothyroxine sodium , metoprolol, cetirizine hydrochloride (Zyrtec) and vitamin d [vitamin d nos] taken for an unspecified indication, start and stop date were not reported.The patient experienced fever of 101, headache, chills and extreme body aches on 25Feb2021 06:00. The patient underwent lab tests and procedures which included body temperature: 101 on unknown date.The patient historical vaccine included 1st dose of Pfizer vaccine on 04Feb2021 01:30 pm on left arm.The patient was not pregnant at the time of vaccination.The patient had not received any vaccine within 4 weeks.The patient was not diagnosed with covid19 prior vaccination and not tested for covid post vaccination.The patient reported no allergies.The outcome of the events was recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds: LEVOTHYROXINE SODIUM; METOPROLOL; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1648584
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: numbness in my face (both sides); This is a spontaneous report from a contactable Consumer (patient). A 50-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6203), via an unspecified route on 02Mar2021 at 15:15 (at the age of 50-year-old) as dose 1, single in the left arm for COVID-19 immunization. The patient's medical history included known allergies to Amoxicillin, Penicillin, Sulfa drugs, Clindamycin, Ciprofloxacin. The patient's concomitant medications included ethinylestradiol, norgestrel (CRYSELLE-28), melatonin (VITAFUSION SLEEPWELL) from an unknown date and ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 02Mar2021 at 15:45, the patient experienced roughly 25 minutes after receiving the vaccine numbness in her face (both sides). It lasted 1.5-2 hours. The patient did not received treatment for event. The outcome for the event was recovered on an unspecified date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: CRYSELLE-28; VITAFUSION SLEEPWELL

Current Illness:

ID: 1648585
Sex: M
Age:
State: MD

Vax Date: 02/14/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Numbness and tingling in the left side of the face; Numbness and tingling in the left side of the face; This is a spontaneous report from a contactable physician (patient). A 37-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown), intramuscularly, administered in Left arm on 14Feb2021 11:00 at the age of 37-years-old as dose 2, single for covid-19 immunisation. The patient medical history was not reported. The patient had no known allergies. Other medical history was reported as none. There were no concomitant medications. The patient previously took first dose of historical vaccine, bnt162b2 (Product- covid-19, Lot unknown- unknown) on an unspecified date as single dose for covid-19 immunisation. The patient did not receive other vaccine in four weeks of vaccination. The patient did not receive other medications in two weeks of vaccination. The patient was not diagnosed with COVID-19 prior vaccination. The patient has not been tested for COVID-19 post vaccination. The patient experienced numbness and tingling in the left side of the face on an unspecified date in Feb2021. The patient did not receive treatment for adverse events. Adverse events resulted in doctor or other healthcare professional office/clinic visit. The outcome of events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648586
Sex: F
Age:
State: KY

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

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

Lab Data:

Allergies:

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

Symptoms: tongue became numb; both cheeks and lower jaw became numb; This is a spontaneous report from a contactable Nurse (patient). A 72-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration in left arm on 09Feb2021 at 17:00 (at the age of 72-years-old) (Batch/Lot Number: EL9269; Expiration Date: 31May2021) as first dose, single for COVID-19 immunization. Medical history included asthma, diabetes, arthritis, and known allergies to penicillin. It was reported that the patient received several medications and supplements (unspecified) in two weeks. The patient did not receive any other vaccines in four weeks. On 09Feb2021 at 18:00, both cheeks and lower jaw became numb. By 6:45pm, tongue became numb. By 8:00pm numbness resolved on it's own. No medical treatment was received for the events. The patient was not diagnosed with COVID-19 prior to the vaccination and has not been tested for COVID-19 post vaccination. The outcome of the events was recovered on 09Feb2021 at 20:00. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648587
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; Shaking; Lower back pain; This is a spontaneous report from a contactable consumer (reported for an adult male patient). An adult male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 25Feb2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was unknown if patient receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, it was unknown if patient diagnosed with COVID-19. Since the vaccination, it was unknown whether the patient been tested for COVID-19. The patient previously received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. On 25Feb2021, the patient experienced fever, shaking and lower back pain. It was unknown whether the treatment was given for the events. The outcome of the events was resolved on an unspecified date in 2021. Health authority comment: Reporter's response: yes the patient mentioned it to me directly in conversation on the Sunday on 28Feb2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648588
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; Headache; This is a spontaneous report from a contactable consumer or other non hcp. An adult male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 26Feb2021 at dose 2, single for covid-19 immunisation. Medical history and concomitant medications were not reported. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date at dose 1, single for covid-19 immunisation. It was unknown whether the patient receive any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown whether the patient was diagnosed with COVID-19, prior to vaccination. It was unknown whether the patient had been tested for COVID-19, since the vaccination. On 26Feb2021 the patient experienced fever, headache. It was unknown whether the patient received treatment for the adverse events. Query: You reported a case for patient received COVID-19 vaccine and experienced the adverse event Fever, Headache Please confirm if the patient reported this adverse event to you. And we also would like to know when you becomes aware of the adverse event. Response: Yes the patient mentioned it to me directly in conversation on the Sunday 28Feb2021. Outcome of the events was resolved on an unspecified date in 2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648589
Sex: U
Age:
State:

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

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:99.3 (units unspecified); Comments: 99.3 (units unspecified)

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I woke up this morning with a low grade fever 99.3 and I have been just not quite feeling as well as I had then; I woke up this morning with a low grade fever 99.3 and I have been just not quite feeling as well as I had then; 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 was not reported) via an unspecified route of administration on an unspecified date as Dose 2, Single for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as Dose 1, Single for Covid-19 immunization. On an unspecified date the patient woke up this morning with a low-grade fever 99.3 and had been just not quite feeling as well as the patient had then. The patient underwent lab tests and procedures which included body temperature: 99.3 (units unspecified) on an unknown date. The outcome of event was unknown.

Other Meds:

Current Illness:

ID: 1648590
Sex: F
Age:
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Feeling feverish (but no fever when checked); drowsy; fatigued; pain at injection site; This is a spontaneous report from a contactable other healthcare professional (patient). A 22-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL3302), via an unspecified route of administration in arm left on 08Jan2021 (at the age of 22-year-old) as a dose number unknown, single for COVID-19 immunization. The patient's medical history included allergic asthma, borderline anemia. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EH9899), via an unspecified route of administration in arm left on 16Dec2020 (at the age of 22-year-old) as a dose number unknown, single for COVID-19 immunization. The patient was not pregnant at time of vaccination. Other vaccine in four weeks was reported as yes. No covid prior vaccination and no covid tested post vaccination. On 09Jan2021, 12 hours post vaccination, the patient experienced feeling feverish (but no fever when checked), drowsy and fatigued, pain at injection site. The side effects lasted less than 24 hours. Treatment was not received for the events. The outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648591
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: mild fever; This is a spontaneous report received from a non-contactable consumer or other non hcp. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number was not reported) via an unspecified route of administration on an unspecified date as dose number unknown, single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced mild fever on an unspecified date with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648592
Sex: F
Age:
State: VA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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:

Allergies:

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

Symptoms: Fever; chills; headache; muscle pain; weakness; nausea; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 48-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Lot Number: EN6198) via an unspecified route of administration (Age at vaccination 48-year) in Left Arm on 01Mar2021 at 09:45 AM as dose 2, single for COVID-19 immunization. Medical history was reported none. The patient's concomitant medications were not reported. Historical vaccine includes first dose of BNT162B2 (Lot number: Em9810) administered in left arm on 06Feb2021 at 10:30 AM for COVID-19 immunization. Facility type vaccine: Hospital. No known allergies were reported. The patient received no other vaccine in four weeks and no other medications in two weeks. No COVID prior vaccination was reported. The patient has not tested COVID post vaccination. On 01Mar2021 at 09:00 PM the patient experienced fever, chills, headache, muscle pain, weakness, nausea. AE resulted in Doctor or other healthcare professional office/clinic visit. The patient received no treatment for the adverse events. The clinical outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648593
Sex: M
Age:
State: MD

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

Lab Data: Test Name: Blood work; Result Unstructured Data: Test Result:unknown result; Test Name: fever; Result Unstructured Data: Test Result:101; Test Name: fever; Result Unstructured Data: Test Result:99.7; Test Name: Heart rate; Result Unstructured Data: Test Result:130

Allergies:

Symptom List: Unevaluable event

Symptoms: fever; fast heart rate; dizziness; pain; headache; tiredness; feeling unwell; This is a spontaneous report from a contactable consumer (son) that. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration on 25Feb2021 10:30 (Batch/Lot Number: Lot EN5318) as DOSE 2 SINGLE for covid-19 immunization. The patient past Medical history included, deafness from an unknown date and unknown if ongoing His Deafness was diagnosed at birth, tooth impacted from an unknown date and unknown if ongoing Treatment drug: Amoxicillin 875mg, Motrin and Tylenol 3 with codeine. The patient's concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. Caller states that she is calling on the phone on behalf of her son (Name-withheld). She is calling about the Pfizer BioNtech covid vaccine. Her son had the second covid shot and he woke up this morning with a fever of 101, fast heart rate, dizziness, feeling unwell, nausea, pain headache and tiredness On 26Feb2021. Caller states that they are now up at "(withheld)" to be treated. Caller states that she has notified Pfizer of all about side effects, and she needs to know what to do next. Caller was informed that Pfizer could not provide and specific medical treatment or medical advice. All symptoms started this morning at 8:30AM, he woke up feeling this way. When queried for a physician, caller states that she doesn't know yet because they are at the urgent care and he hasn't been seen yet, she doesn't understand why since his fever is 101 and they are still waiting. She just knows the practice called "(withheld). While caller is on the phone with this call handler, she states that a nurse has taken her son back for his weight and temperature, they are also going to get some blood. Fever: They just checked, and his fever now is 99.7F, it has come down. Caller clarifies that she used a manual temperature at home. Heart Rate: it is 130 now. Caller states that she does not know what his heart rate was at home. Dizziness: It is not on the list of things, but when he got moving around to get ready to come out, he was ready to throw up. His equilibrium is off because of the deafness, so it doesn't take much to get him off kilter. Nausea: is the same and Headache is worse, he also woke up and had the shakes. The patient underwent lab tests and procedures which included blood test: unknown result on Unspecified date , body temperature: 101 and 99.7 on Unspecified date and heart rate: 130 result on Unspecified date.The event outcome was Recovering for fever and Not recovered for rest of the events. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648594
Sex: F
Age:
State: GA

Vax Date: 03/02/2021
Onset Date: 03/03/2021
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 Date: 20210303; Test Name: Body temperature; Result Unstructured Data: Test Result:99.9

Allergies:

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

Symptoms: Fever 99.9; This is a spontaneous report from a contactable consumer or other non hcp. A 74-years-old female patient received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: El8982) via an unspecified route of administration, administered in Arm Right on 02Mar2021 as DOSE 2, SINGLE for covid-19 immunisation. Patient didn't receive other vaccines within 4weeks.The patient medical history and concomitant medications were not reported. Patient had no allergies, patient didn't had covid-19 prior to vaccination. Patient previously received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number El3246) via unspecified route of administration on 09Feb2021 11:15 as DOSE 1, SINGLE for covid-19 immunisation. On 03Mar2021 04:00 the patient experienced fever 99.9 () (non-serious) with outcome of recovered. The patient underwent lab tests and procedures which included body temperature: 99.9 on 03Mar2021.Patient was not tested for covid-19 to post vaccination. No treatment was received for the event. The outcome of the event pyrexia was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648595
Sex: F
Age:
State: PA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
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: left eye swelling aches; left eye swelling aches; This is a spontaneous report from a contactable (Nurse) other-health care professional (Patient). A 24-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL0140 and expiration date was not reported), first dose via intramuscular route of administration, administered in arm left on 21Dec2020 18:00 (at the age of 24 years) as single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On 22Dec2020 18:00 the patient experienced left eye swelling aches. Adverse events did not require a visit to Emergency Room or Physician Office. The outcome of the events was recovered on 23Dec2020. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648596
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: she is now experiencing sciatic nerve problem; This is a spontaneous report from a Pfizer Sponsored program. A contactable consumer reported for a female patient (Sister in Law). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 01Feb2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that Husband (Name) and Sister-in-Law (Name) had their 1st dose (01Feb2021) and 2nd dose (24Feb2021) but sister-in-law can't make it today because she was now experiencing sciatic nerve problem, Caller was calling to report this and appoint/reschedule sister in law's 2nd dose. Their dosing schedules were more than the usual 3weeks interval. The 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: 1648597
Sex: M
Age:
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: fever; Chills; Body aches; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age (Age: 76, Unit: unknown, as reported) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: solution for injection, lot number: EN6105, expiration date was not reported), via an unspecified route of administration on 02Mar2021 as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 for COVID-19 immunization. It was reported that, yesterday morning, patient had his second Pfizer vaccine shot and during the middle of the night, he experienced several of the common side effects like fever, chills, body aches on 02Mar2021 and so forth (not clarified further). So, his question is, he feel better now this morning and asks if he is contagious to others. Therapeutic measures were taken as a result of fever, chills, body aches. The outcome of the events was recovered on 03Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648598
Sex: M
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: fever; shivering; This is a spontaneous report from a contactable consumer or other non hcp (patient). A male patient of an unspecified age received second dose of bnt162b2 (IZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 24Feb2021 at dose 2, single for covid-19 immunisation. Medical history and concomitant medications were not reported. Patient previously received first dose of BNT162B2 for covid-19 immunisation. On an unspecified date in 2021 The patient experienced fever, shivering. Reporter had a fever, and he is shivering after the 2nd dose. Reporter is asking if he can take Tylenol after the 2nd dose. Reporter also asked if it will lessen the effectiveness of the vaccine. Reporter had the 2nd dose today 24Feb2021. Outcome of the events was unknown. No follow up attempts are possible. Information on lot number/batch number cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1648599
Sex: F
Age:
State: FL

Vax Date: 02/24/2021
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: High fever; High headache; Feeling like coming down with the flu; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age (age 68 unit unknown) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on 24Feb2021 (Batch/Lot number was not reported) as dose 2, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date, as single dose for COVID-19 immunization and did not have any kind of reaction or anything. The patient reported that after receiving the second dose of vaccine on an unknown date in Feb2021 she experienced high fever, headache and feeling like coming down with the flu. The reporter wanted to ask if it was normal. The patient did not have lot number at the time of report in hand since she has her granddaughter, so she said she will have to call back. The outcome of the events was unknown. Information about lot/batch no. has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648600
Sex: F
Age:
State: FL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: blood pressure; Result Unstructured Data: Test Result:everything seemed ok

Allergies:

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

Symptoms: With in few minutes of having the injections administered my face started getting numbed. I notify one of the workers from the park. Medic came to check me out to my blood pressure everything; This is a spontaneous report from a contactable other HCP, the patient. A 42-year-old female (unknown if pregnant) patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection; Lot Number: EL9267) via an unspecified route of administration (Age at vaccination 42-year) in Right Arm on 02Mar2021 at 09:00 AM as DOSE 1, SINGLE for COVID-19 immunization. Medical history included Thyroidectomy of the right side, bilateral hernia, right humerus metal rod surgeries; all from an unknown date and unknown if ongoing. Concomitant medications included thyroid NP 30 mg; ethinylestradiol, levonorgestrel (SEASONIQUE); both taken for an unspecified indication, start and stop date were not reported. No COVID prior vaccination was reported. The patient has not been tested for COVID, post vaccination. The patient has not received any other vaccine in four weeks. On 02Mar2021 at 09:00 AM, within few minutes of having the injection administered patient's face started getting numbed. Patient notified one of the workers from the park. Medic came to check patient's blood pressure, and everything seemed ok. Patient just could feel the face. Now almost 24 hours later patient still feel some parts of the face numbed. No treatment was received for the adverse event. The clinical outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: THYROID; SEASONIQUE

Current Illness:

ID: 1648601
Sex: F
Age:
State: MA

Vax Date: 03/01/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Approx. 12 hours after 2nd dose started experiencing chills then sweating. Fever ~102F; Fatigue; headache; minor body aches; chills; sweating; This is a spontaneous report from a contactable consumer. A 39-years-old female patient received second dose of bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EL3247), dose 2 via an unspecified route of administration, administered in Arm Left on 01Mar2021 10:00 AM as DOSE 2, SINGLE for covid-19 immunisation (at the age of 39 years). The patient medical history and concomitant medications were not reported. Not known allergies. The patient previously received first dose of bnt162b2 via an unspecified route of administration, administered in Arm Left on 10 Feb2021 10:00 AM (Batch/Lot Number: EL3247) as DOSE 1, SINGLE for covid-19 immunisation. On 01Mar2021 22:30 patient experienced approx. 12 hours after 2nd dose started experiencing chills then sweating. Fever 102F. Fatigue, headache, minor body aches. Fever lasted 36 hours. The patient was not received treatment medications. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648602
Sex: F
Age:
State: IL

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

Lab Data: Test Date: 20210226; Test Name: Fever; Result Unstructured Data: Test Result:101.4

Allergies:

Symptom List: Injection site pain

Symptoms: Fever 101.4; Injection sight pain; Headache; This is a spontaneous report from a contactable consumer (patient). A 50-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: el3247, patient was 50-year and not pregnant at th time of vaccination), via an unspecified route of administration, administered in Arm Left on 25Feb2021 at 04:45 PM as DOSE 1, SINGLE for covid-19 immunisation. Medical history included Penicillin allergy, covid-19 prior vaccination. Concomitant medication(s) included naproxen sodium (ALEVE); ibuprofen (ADVIL [IBUPROFEN]); acetylsalicylic acid, caffeine, paracetamol (EXCEDRIN [ACETYLSALICYLIC ACID; CAFFEINE; PARACETAMOL]) all taken within two weeks of vaccination. No other vaccine received in four weeks. No covid tested post vaccination. On 26Feb2021 at 11:00, the patient experienced fever 101.4, injection sight pain, headache. No treatment received for events. The patient underwent lab tests and procedures which included body temperature resulted as 101.4 on 26Feb2021. The outcomes of reported events were not recovered. No follow up attempts are possible. No further information is expected.

Other Meds: ALEVE; ADVIL [IBUPROFEN]; EXCEDRIN [ACETYLSALICYLIC ACID;CAFFEINE;PARACETAMOL]

Current Illness:

ID: 1648603
Sex: F
Age:
State: OH

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

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

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

Allergies:

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

Symptoms: Fever of 101; flush face; sick to my stomach; achy; Sore arm; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 67-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: 3N6201), via an unspecified route of administration (at the age of 67-years), administered in arm right on 02Mar2021 at 12:30 as dose 2, single for COVID-19 immunization. Medical history included migraines from and known allergies- yes lots mostly sulfa based from an unknown date and unknown if ongoing. Concomitant medications included topiramate (TOPIRAMATE) taken as 50 mg x 3, amitriptyline hydrochloride (AMITRIPTYL.HCL BRISTOL MYERS) and levothyroxine sodium (THYROXINE) taken as 112 mcg for an unspecified indication, start and stop date were not reported. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL9265), via an unspecified route of administration (at the age of 67-years), administered in arm right on 10Feb2021 at 12:15 as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. The patient does not have covid prior vaccination and had not been tested for covid post vaccination. On 03Mar2021 at 18:00, the patient experienced fever of 101, flush face, sick to my stomach, achy and sore arm. The treatment was received for all the adverse events with advil. The patient underwent lab tests and procedures which included body temperature: 101 on an unspecified date. The facility type was reported as hospital. The clinical outcome for all the events was reported as recovering. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds: TOPIRAMATE; AMITRIPTYL.HCL BRISTOL MYERS; THYROXINE

Current Illness:

ID: 1648604
Sex: F
Age:
State:

Vax Date: 02/27/2021
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: RA

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:103 Fahrenheit; Comments: spiked up to 103?F

Allergies:

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

Symptoms: a fever that spiked up to 103?F; a rash that broke out; neck was swollen; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 22-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on 27Feb2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported by the patient that after receiving the first dose of vaccine the patient experienced a rash that broke out, neck was swollen and a fever that spiked up to 103 degree Fahrenheit. The patient underwent lab tests and procedures which included body temperature which was spiked up to 103 degree Fahrenheit. The 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: 1648605
Sex: F
Age:
State: NM

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: tongue/face numb; tongue/face numb; Shaky/dizzy while sitting; reported arm pain; This is a spontaneous report from a contactable pharmacist. A 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: el3302), via intramuscular route of administration, administered in left arm on 20Jan2021 at 12:30 (at the age of 26-years-old) as dose 2, single for COVID-19 immunization in hospital. The patient medical history was not reported. Concomitant medication(s) included ethinylestradiol, norgestimate (SPRINTEC) (Strength 0.25mg-0.35mcg) taken for an unspecified indication. It was unknown if the patient was pregnant at the time of vaccination. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: el1284), via intramuscular route of administration, administered in left arm on 30Dec2020 at 10:00 as dose 1, single for COVID-19 immunization. Prior to the vaccination, the patient was not diagnosed with COVID-19. There were no known allergies and other medical history was none. The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccination. On 20Jan2021 at 12:30, the patient experienced tongue/face numb, shaky/dizzy while sitting and reported arm pain. Refused ED. The rapid response evaluated and the patient ambulated from cafeteria to home. The patient was not tested for COVID post vaccination. The patient did not receive any treatment for the events. The outcome of all the events was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: SPRINTEC

Current Illness:

ID: 1648606
Sex: F
Age:
State: LA

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: my right cheek began feeling numb/ travelled up to my left temple, then later to my right temple and across my forehead. Later that night went across the top of my head; This is a spontaneous report from a contactable consumer (patient). A 65-year-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection Batch/Lot number was not reported, Expiration Date was not reported), via an unspecified route of administration on 23Feb2021 17:45 as dose 1, single for covid-19 immunization at pharmacy or drug store. The patient medical history included high BP, thyroid. Concomitant medications included atenolol, l-thyroxine [levothyroxine], calcium carbonate (CALTRATE [CALCIUM CARBONATE]), all taken for unknown indications from an unknown date. Other medications received in two weeks included atenolol, L-Thyroxine, Caltrate, supplements. The patient previously took codeine and experienced allergies. The patient did not receive other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with covid. Post vaccination, the patient has not been tested for covid. It was reported that, on 23Feb2021 at 18:30, within 1 hour of dose her right cheek began feeling numb. She liken the feeling to right after Dentist gave a shot of Nova Caine, that first numb feeling. The numbness remained in the cheek for approx 2 hours, travelled up to her left temple, then later to my right temple and across her forehead. Later that night went across the top of her head. It was gone the next morning, she would say it lasted 5-6 hours. No treatment was received for adverse event (AE). The outcome of the event was recovered on an unspecified date of 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ATENOLOL; L-THYROXINE [LEVOTHYROXINE]; CALTRATE [CALCIUM CARBONATE]

Current Illness:

ID: 1648607
Sex: U
Age:
State: PA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: fever; chills; This is a spontaneous report from a contactable pharmacist (patient). A 42-years-old patient of an unspecified gender received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6203 and Expiration date was not reported), via an unspecified route of administration, administered in left arm on 02Mar2021 at 11:00 hours as dose 1, single (at the age of 42-years-old) for covid-19 immunisation. Patient had no known allergies and medical history. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for COVID-19, since the vaccination. On 02Mar2021, at around 18:00 hours, patient began getting some fever and chills. These symptoms were gone by next morning when patient woke up. Patient received no treatment for the events. Patient reported these symptoms on 03Mar2021 once patient felt much better. The outcome of the events was recovered on 03Mar2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648608
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 02/24/2021
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: fever; This is a spontaneous report from a sponsored program. A contactable female consumer reported for herself. A female patient of unspecified age received a dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on an unspecified date as dose 2, single for COVID-19 immunization. Patient received first dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on an unspecified date as dose 1, single for COVID-19 immunization. patient experienced arm pain after first dose. The patient medical history and concomitant medications were not reported. On 24Feb2021, after the vaccination, the patient experienced fever. The event assessed as non-serious. The outcome of the events was unknown. No follow-up attempts possible. No further information expected. Follow-up (PRD/SRD (14May2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up at-tempts have been completed and no further information is expected

Other Meds:

Current Illness:

ID: 1648609
Sex: F
Age:
State: WV

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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 Name: Fever; Result Unstructured Data: Test Result:Fever

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever; nausea; fatigue for 24 hours; headache (week); This is a spontaneous report from a contactable consumer, the patient. A 46-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 2 via an unspecified route of administration, administered in Arm Right on 15Feb2021 11:00 (at the age of 46-years-old) as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), dose 1 via an unspecified route of administration, administered in Arm left on 18Jan2021 10:30 (at the age of 46-years-old) as a single dose for covid-19 immunization. The patient had allergies with codeine. 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 15Feb2021 18:00, the patient experienced fever, nausea, fatigue for 24 hours, headache (week). The patient did not receive any treatment. Outcome of the event was recovered, at the time of this report. Information about lot/batch number have been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648610
Sex: M
Age:
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Unable to eat; food tastes bad; has been having weird episodes that he is unsure if it is anxiety or hypertension; has been having weird episodes that he is unsure if it is anxiety or hypertension; thoughts have been cloudy; has been feeling like total crap; This is a spontaneous report from a contactable consumer or other non-health care professional ( patient). A 56-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN6201; Expiration Date: 30Jun2021), via an unspecified route of administration (at the age of 56-years), administered in arm left on 24Feb2021 at 14:30 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 24Feb2021, the patient experienced has been feeling like total crap. On 25Feb2021, experienced thoughts have been cloudy, has been having weird episodes that he is unsure if it is anxiety or hypertension. On 26Feb2021, experienced unable to eat, food tastes bad. Patient received the Covid-19 vaccine a couple of days an ago. and it was not doing too good. He received the vaccine at the hospital . He is having some bad side effects. He wants to make sure nothing is wrong with him. He has just moved to the area and does not have a doctor. For most of his life he does not even take aspirin. He was in pretty decent shape. For the past two days he has been feeling like total crap. His thoughts have been cloudy. He has not been able to eat. Food tastes bad. He has been having weird episodes that he is unsure if he is anxious or has hypertension. He is in perfect health. What does he do? This is crazy. Is there something that will make this go away? The events has been feeling like total crap, thoughts have been cloudy and has been having weird episodes that he is unsure if it is anxiety or hypertension was reported as worsened. The patient was taking Covid-19 vaccine for Covid protection. The adverse event did not required any emergency room and physician office. The vaccination facility type was hospital. The clinical outcome for all the events was reported as not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648611
Sex: U
Age:
State:

Vax Date: 02/21/2021
Onset Date: 02/25/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 21Feb2021 (Sunday) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On 25Feb2021, the patient experienced fever and number of other symptoms. The 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: 1648612
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: fever; joint and muscle pain; joint and muscle pain; chills; headache; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6200, Expiration date: unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 02Mar2021 14:02 (at the age of 66-year-old) as dose 2, single for COVID-19 immunization. Medical history included spine issues and car accident from 2003 to an unknown date (she had spine issues from a car accident she had in 2003. She said she had been medicating with CBD oil and medical marijuana for the past 3 years. No further details provided), fibromyalgia from an unknown date and unknown if ongoing (she has had Fibromyalgia for 30 years), knee arthroplasty from an unknown date and unknown if ongoing (she had both knees replaced about 5 years ago). The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (Expiry Date: Unknown), via intramuscular, administered in Arm Left (at the age of 66-year-old) on 10Feb2021 for COVID-19 immunisation and experienced knees got so stiff/both her knees have stayed stiff. Facility where the vaccination was given unknown. Vaccine was not administered at Military facility. Number of previous doses was none. Patient did not receive any additional vaccines administered on same date of the Pfizer suspect. Patient prior vaccinations (within 4 weeks) were none reported. Patient reported that she had a reaction to her second Pfizer COVID-19 Vaccine. She clarified since 10:00AM this morning 03Mar2021 she has had a fever, joint pain, muscle pain, chills, and a severe headache. She clarified she got her second COVID-19 Vaccine shot yesterday 02Mar2021 at 2:00PM. She said her side effects started around 20 hours after she received her second COVID-19 Vaccine. Patient said she wanted to know what the usual time frame was for the COVID-19 side effects to go away. Reported she took 2 Rapid Release Acetaminophen 500mg capsules at 10:00AM this morning 03Mar2021: NDC Number: #, Lot Number: P120450, Expiration Date: Jun2022. Reported after she received her first COVID-19 Vaccine 10Feb2021, her knees got so stiff. She said she had both of her knees replaced about 5 years ago. She said both her knees have stayed stiff since she received her first COVID-19 Vaccine dose. Patient did not visit emergency room and physician office. There was no investigation assessment and no relevant tests. Therapeutic measures were taken as a result of fever, joint and muscle pain, chills, headache. The clinical outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648613
Sex: F
Age:
State: TX

Vax Date: 02/12/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210213; Test Name: fever; Result Unstructured Data: Test Result:99.2 Fahrenheit; Comments: not high, low grade

Allergies:

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

Symptoms: Tenderness near injection site on right arm by lymph node; felt tired; fever, not high, low grade 99.2F; rash around the injection site; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN6201), via an unspecified route of administration in right arm (muscle) on 12Feb2021 (at the age of 75 years old) as single for covid-19 immunisation. Medical history included ongoing chronic bladder infections. There were no concomitant medications. Historical vaccine included first dose of BNT162B2 BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN5318), via an unspecified route of administration in muscle right arm on 25Jan2021 (at the age of 75 years old) for covid-19 immunisation and it was noted that with the first vaccine on 26Jan2021 she had slight arm soreness for a couple days. It started the next day, after the injection. It may be lasted a day. She completely recovered on 27Jan2021 from this event; nothing else experienced after the first shot. She stated that she had the last Pfizer vaccine on 12Feb2021. She was about 2 weeks out from her last and final vaccine and she did have side effects so she wondered if it would be harmful at all for her to take an antibiotic. She had fever, not high, low grade 99.2 on 13Feb2021 for a day and about 3-4 days later on an unspecified date in Feb2021 she had a rash around the injection site and the lymph node. She stated that she has a bladder infection and she will tough it out if she needs to wait longer and she doesn't want to mess anything up. She clarified that she thinks the bladder infection was coming on before she received the vaccine and that she has been staying away from the doctor office. She stated, yes she thinks she had some measure of it because she has chronic bladder injections. She stated she took no treatment for the bladder infection, she just wants to make sure that the vaccine was able to do what it was supposed to first. She clarified that side effects from second vaccine started 13Feb2021. She stated that she took one Tylenol and recovered by 14Feb2021. She stated that she also felt tired on 13Feb2021 and recovered completely 14Feb2021 without treatment. She stated maybe 4-5 days later after the second vaccine, she broke out around the injection site, almost looked like a rash that went to one of lymph nodes under the one nearest the injection on right arm unfortunately and she was not sure that doesn't still have a bit of residual tenderness in the lymph nodes. She stated that the rash took about 4-5 days for it to go away, but it has improved. She further stated that she was seventy-five and doesn't improve as fast and she might have a little tenderness still but nothing to be concerned about. No treatment. She stated tenderness started 4-5 days after her second vaccine and it is ongoing but improved. She have a UTI and she would like to take an antibiotic but she don't want to do anything to mess the vaccine up. When can she take an antibiotic? The patient underwent lab tests and procedures which included body temperature: 99.2 fahrenheit on 13Feb2021 not high, low grade. Therapeutic measures were taken as a result of fever, not high, low grade 99.2f with Tylenol. The patient did not received treatment due to the felt tired, tenderness near injection site on right arm by lymph node, rash around the injection site. The outcome of felt tired, fever, not high, low grade 99.2F was recovered on 14Feb2021, rash around the injection site was recovered on an unspecified date in 2021, Tenderness near injection site on right arm by lymph node was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Bladder infection

ID: 1648614
Sex: F
Age:
State: TX

Vax Date: 02/24/2021
Onset Date: 02/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; body aches; not feeling good; This is a spontaneous report received from a contactable consumer (Patient). A female patient of an unspecified age received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), Solution for injection, via an unspecified route of administration on 24Feb2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb2021, the patient experienced fever, body aches and not feeling good. The outcome of events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648615
Sex: M
Age:
State: TN

Vax Date: 02/23/2021
Onset Date: 02/25/2021
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: 48 hrs after injection experienced temp of 102 for 2 days; chills; body aches; headache; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 68-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 Vaccine, solution for injection, Lot Number: EL9266), via an unspecified route of administration, administered in right arm on 23Feb2021 10:30 pm (68-year-old at the time of vaccination) as dose number unknown, single for covid-19 immunisation. Medical history included Osteoarthritis, osteoporosis, small vessel disease from an unknown date and unknown if ongoing. The patient previously took Imitrex (IMITREX) and Toradol (TORADOL) and experienced allergy. The concomitant medications were reported as none. The patient had not received any vaccine within four weeks. The patient did not have COVID prior to vaccination. The patient was not tested since vaccination. On 25Feb2021 02:00 pm, 48 hrs after vaccination, the patient experienced temperature of 102 for 2 days with chills and body aches and headache. No treatment was received for the events. The outcome of the events were recovered on an unspecified date on 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648616
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:138 mmHg; Comments: BP dropped from 138 to 119; Test Name: Blood pressure; Result Unstructured Data: Test Result:119 mmHg; Comments: BP dropped from 138 to 119

Allergies:

Symptom List: Vomiting

Symptoms: fever; sweats; rash; weak; BP dropped; cold sore; bumps on the roof of her mouth; sore throat; Body aches and pains; brain fog; lots of nausea; itching palms; This is a spontaneous report from a contactable consumer (patient's daughter). A 76-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a single dose for COVID-19 immunization. The patient's medical history included orthostatic issues (we have orthostatic issues in our family (Potts) Her BP dropped from 138 to 119). Concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a single dose for COVID-19 immunization. The reporter calling for her mother. The patient got a shot on Saturday. This was her second shot. The first round had a fair amount of side effects and this time she had fever, sweats, rash on an unspecified date. One thing starts and then moves to the next. She has been very weak. She felt heavy headed and felt like she should sit down. We have orthostatic issues in our family (Potts) Her BP dropped from 138 to 119 which was a Potts like reaction and asked side effect you have heard of before. She woke up today with a cold sore, bumps on the roof of her mouth and a sore throat, body aches and pains, brain fog and lots of nausea, and itching palms. She had about a half cup of saltwater that made the nausea go away, but she hasn't been up and around. She took a couple of Tylenol. We our on day 4 1/2. The patient underwent lab tests and procedure included Blood pressure measurement 138 to 119 (normal range 90 to 120) on an unspecified date. Outcome of the event lots of nausea was recovered on an unspecified date and for all other events, it was unknown. No follow-up attempts are possible; Information about lot/batch number can not be obtained.

Other Meds:

Current Illness:

ID: 1648617
Sex: F
Age:
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: itching; headache; fatigue; redness; swelling; fever; chills; Bodu aches; Heart rate; injection site pain; This is a spontaneous report from a contactable consumer (patient) reported in response to non-HCP letter sent in cross-referenced case. A 51-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL9264 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 05Feb2021 at 08:00 (age at vaccination: 51 years), as a single dose for COVID-19 immunization at hospital clinic. The patient's medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EJ1485 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 21Dec2020 (age at vaccination: 51 years), as a single dose for COVID-19 immunization at hospital clinic. Vaccine was not administered at Military Facility. On 05Feb2021 at 08:00, the patient experienced injection site pain. At 10:45, the patient had fever, chills, bodu aches, and heart rate. On 07Feb2021, the patient experienced redness and swelling. On 08Feb2021, the patient experienced itching, headache, and fatigue. On 28Feb2021, the patient diagnosed with covid-19. The patient underwent lab test and procedure included covid test-24HR: negative on 30Dec2020, covid quick test #2: negative on 31Dce2020, covid quick test#3, and Covid quick test#4: both negative on 02Feb2021. Outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648618
Sex: M
Age:
State: CA

Vax Date: 02/26/2021
Onset Date: 02/28/2021
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: Fever; Result Unstructured Data: Test Result: 101.5?F.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer reported for himself. A 76-year-old male patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# unknown), at vaccination age of 76, via an unspecified route, left arm, on Feb 26, 2021, at 15:30, single dose, for COVID-19 immunization. Medical history included quadriplegic. The patient concomitant medications not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not tested for COVID-19. No known allergies reported. On Feb 28, 2021, at 16:00, patient experienced fever 101.5?F for 36 hours. Patient did not receive any treatment for the events. The patient underwent lab test and procedure, which included fever of 101.5?F, with outcome of recovered. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648619
Sex: F
Age:
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: tongue and roof of her mouth went numb; tingly feeling around lips and face; This is a spontaneous report from a contactable consumer. A 54-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) via an unspecified route of administration on Feb2021 (at the age of 54-year-old) as dose 1, single for covid-19 immunisation. Facility type vaccine was unknown. The patient medical history and concomitant medications were not reported. Known allergies were unknown. Unknown allergies to medications, food, or other products. Prior to vaccination patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient received any vaccines within four weeks prior to the vaccination was unknown. No prior vaccination. On Feb2021, patient experienced tongue and roof of her mouth went numb and had a tingly feeling around lips and face. No idea on timing of the event, almost immediately after the 1st dose. Patient then went into ER Emergency room (unknown location) for 3 hours after the shot (1st dose). Reporter was informed that patient was waiting on an infectious disease specialist to contact her. Her 2nd shot was supposed to occur 02Apr2021, no idea on specific date on 1st dose. The patient received any treatment for the event was unknown. Reporter did not have additional details like ER hospital location, location of dose 1, batch number etc. The outcome of all events was recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648620
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: RA

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient/self-reported). A 74-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection, batch/lot# and expiry date not reported), via an unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunization. The patient's medical history and concomitant medications not reported. Historical vaccine included flu vaccine; she had previous allergic reaction to flu vaccine on an unknown date. The patient reported she received the first dose of the Pfizer COVID-19 vaccine three weeks ago from today. She stated right after the vaccine, her tongue went numb and was swollen a little. She was tingling a little bit on an unspecified date. She stated the emergency team checked her out and noticed some hives on her neck. They told her to take some Benadryl and she went home. She experienced neurological symptoms for five days after the vaccine at the same time of day. She felt no pain in facial nerve but tingling all over the trigeminal nerve in her face and all over her head in a pattern. She also experienced severe itching of the lymph nodes (from her jawbone to her neck) off and on and in the lymph nodes under her armpit and groin. She had small hives on her lymph nodes and also experienced severe headaches and soreness in her muscles. She had a rash that comes and goes in her midriff area and cheeks. She had a fever over a 24-hour period and her whole body was wet. She would like to know if her symptoms were normal and if she should receive the second dose. She stated she was scheduled for the second dose of the vaccine today, but she did not receive it due to her adverse reactions. She would like to know how long she could put off receiving the second dose. Outcome of the events: unknown. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648621
Sex: F
Age:
State: LA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Test Date: 20210302; Test Name: pulse; Result Unstructured Data: Test Result:Immediately rapid pulse

Allergies:

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

Symptoms: Immediately rapid pulse; feeling of dizziness; joint pain; heaviness in chest/pressure in face/sinuses/neck throat and chest area, feeling jittery; plus headache; weakness; pressure in face/sinuses/neck throat and chest area, feeling jittery; skin itching; pressure in face/sinuses/neck throat and chest area, feeling jittery; This is spontaneous report from a contactable consumer (patient) reported for herself. A 55-years-old female patient (patient was not pregnant at the time of vaccination) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6203, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 02Mar2021 at 18:45 pm (age at vaccination was 55 years) as dose 1, single for COVID-19 immunization. The patient's concomitant medications were not reported. The patient previous took MMR vaccine and had a strong allergic reaction as a child. The patient did not receive any other medications in two weeks. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, it was unknown if the patient was diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 02Mar2021 at 18:45 pm, the patient experienced immediately rapid pulse, feeling of dizziness, joint pain, heaviness in chest. Continued to next day, plus headache, weakness, pressure in face/sinuses/neck throat and chest area, feeling jittery, skin itching. No treatment was received for the adverse events. The patient underwent lab test which included heart rate: immediately rapid pulse on 02Mar2021. The case was reported as non-serious. The outcome of the events was not resolved. 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