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: 1648822
Sex: F
Age:
State: TN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fatigued; Headache; Nausea; Feeling tired, lethargic; I don't feel well, I was just felt worn out after the shower; Allergy; I started having lot of joint issue; This is a spontaneous report from a contactable consumer (patient). This 70-year-old female consumer (patient) reported for herself that she received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in left arm on 15Mar2021 (Lot Number: EN6204, expiration date not provided) as dose 2, single for COVID-19 immunization. The patient was 70-year-old at the time of vaccination. Medical history included hypertension, ongoing anxiety, interstitial cystitis, ongoing reflux, polymyalgia rheumatica and one kidney and then i have quarter of another kidney that functions. Historical Vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, at 70-years), dose 1, single on unspecified date (Batch/Lot Number: not reported) as dose 1, single for COVID-19 immunization. Concomitant medications included amlodipine at 2.5 mg taken for anxiety, start and stop date were not reported; omeprazole taken at once a day for reflux, start and stop date were not reported; calcium carbonate, colecalciferol (CALTRATE 600 + D) taken for bones, start and stop date were not reported; prednisone at 3 mg, once a day per day taken for an unspecified indication, start and stop date were not reported; ascorbic acid, betacarotene, biotin, calcium carbonate, calcium pantothenate, calcium phosphate dihydrate, chromic chloride, colecalciferol, copper sulfate, cyanocobalamin, dl-alpha tocopheryl acetate, ferrous fumarate, folic acid, lycopene, magnesium oxide heavy, manganese sulfate monohydrate, nicotinamide, phytomenadione, potassium iodide, pyridoxine hydrochloride, retinol acetate, riboflavin, sodium selenate, thiamine mononitrate, xantofyl, zinc oxide (CENTRUM FOR WOMEN) taken for an unspecified indication, start and stop date were not reported. The patient received her 2nd Pfizer vaccine dose on 15Mar2021. "Late in the evening I got fatigued and headache, nausea. I feel pretty bad today." The patient also took 4 mg prednisone po daily for medical condition. "Is it ok to take the prednisone that have taken for a long time?" The patient asked if it was ok to take acetaminophen for pain following the vaccine. The patient had the 2nd Pfizer dose on 15Mar2021, and she was having some fatigue, headache and nausea. The patient stated "Yes, I didn't have any of that when I first got home from having the vaccine, the 2nd shot. I was going well and later that evening I just started feeling tired, lethargic and a little nausea where it then, I really don't feel. I haven't thrown up, but I feel when I eat. I don't feel well. I took a shower an hour ago and I was just felt worn out after the shower and I am a person that, I work a lot. I do have a little bit of allergy, but I know that's all-normal pretty typical side effect." The patient had Polymyalgia rheumatica and wanted to know should I take the vaccine. The patient added "I started having lot of joint issue and I went to my doctor to see the rheumatologist." The patient stated, "I do a Nasal spray (further details unknown)." stated, "I had a physical and everything was great. I have not taken anything.". The outcome of the events was unknown. Information on lot/batch number was available. Additional information has been requested. Follow-up (01Jul2021): Follow-up attempts completed. No further information expected.

Other Meds: AMLODIPINE; OMEPRAZOLE; CALTRATE 600 + D; PREDNISONE; CENTRUM FOR WOMEN

Current Illness: Anxiety; Reflux esophagitis (Reflux)

ID: 1648823
Sex: F
Age:
State: MI

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Test Name: Blood Pressure; Result Unstructured Data: Test Result:171/91; Test Name: Temperature; Result Unstructured Data: Test Result:97; Test Date: 20210315; Test Name: ECG; Result Unstructured Data: Test Result:tachycardia; Test Name: Heart rate; Result Unstructured Data: Test Result:90's - 130's; Comments: heart rate ranges from the high 90's to the high 130's; Test Name: pulse; Result Unstructured Data: Test Result:108; Test Name: Oxygen level; Test Result: 98 %; Test Name: Respirations; Result Unstructured Data: Test Result:23 pulse - 108; Comments: respirations- 23

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Headache; nausea; Feeling unwell/ Feeling sick; Swollen lymph nodes; pressure in chest; chills; burning where inflammation is/burning in the groin, tailbone and neck; weakness; feeling dizzy/ Dizziness; heart was racing; tachycardia; blood pressure has been elevated/blood pressure - 171/91; burning where inflammation is; foggy head; injection site pain; This is a spontaneous report from a contactable consumer. This female consumer reported. A 63-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN6206 and Expiration Date: 30Jun2021), via an unspecified route of administration, administered in right arm on 12Mar2021 (63-year-old at the time of vaccination) as dose 1, single for covid-19 immunisation. Medical history included diabetes and thyroid issues and family medical history included heart issues in her family, mom and dad are deceased, sister had a mitral valve replaced. Concomitant medication(s) included cortisone taken for an unspecified indication, start and stop date were not reported, cortisone injection in her knee, one in each knee. The patient had reaction back in November to the second singles vaccine, unknown lot and expiration date. On 12Mar2021, the patient experienced, Tachycardia, Dizziness, burning where inflammation, foggy head, injection site pain, nausea, Feeling unwell, Feeling sick, Swollen lymph nodes, pressure in chest. Headache on 13Mar2021. On 12Mar2021, within minutes of receiving the first dose she started feeling dizzy and her heart was racing. She states that she has had tachycardia ever since. She did go to the urgent care to be seen and was given medication to help control her heart rate. She was only given 5 pills. She reports that her heart rate ranges from the high 90's to the high 130's and her blood pressure has been elevated too. She reports that her vitals were blood pressure - 171/91 temperature - 97 respirations- 23 pulse - 108 and oxygen level 98%. She wanted to know how long she can expect this elevated heart rate to last. The reporter stated that she has a rapid heartrate, it was diagnosed as tachycardia at the urgent care. The patient's heartrate increased within the 15 mins after the vaccine was administered so they told her to stay an extra 15 minutes. The reporter was dizzy, the heartrate fluctuates from the high 90s to the high 130s, it feels like her heart is jumping out of her chest. The caller notified her primary care provider and then went to the urgent care. The provider at the urgent care wrote for the prescription vistaril oral dosage capsule 25 mg x 100, Hydroxyzine pamoate 25mg it is usually for anxiety, but the provider said it would help with the patient's heart rate but it is not really doing its job. The patient's heart rate still bounces from the high 90s to the high 130s. The reporter had 6 side effects Dizziness, groin pain, foggy head, any inflammation in the body that she already had started burning which happened one day and a half. The reporter was concerned before she got the first vaccine but her doctor said to go ahead and get so she did. The patient had the elevated heartrate as soon as she had the vaccine but it was diagnosed as tachycardia at urgent care yesterday. The caller's heartrate came down to the high 90s after waiting the 15 minutes after receiving the vaccine and she didn't want to wait so they left, her heartrate went as high as high 130s. The patient's dizziness comes and goes with the elevated heartrate. The patient had injection site pain, headache, chills, feeling unwell, nausea, feeling sick, swollen lymph nodes, pressure in the chest which she thinks was from the increased heartrate. The patient had burning in the groin, tailbone and neck, it was burning and has burned for a day and a half. These were all areas where the caller already had inflammation. The caller mentions that the heartrate and dizziness and weakness is for the severe reaction. Yesterday the caller felt like her heart was going to jump out of her chest. Urgent care said it would take 4-5 days for these symptoms to work themselves out. The inflammation is gone, it has subsided. The foggy head subsided. The headache is tolerable. The injection site pain is gone. The high heartrate and dizziness are the two side effects that are persistent and bothersome. The caller thinks the nausea is part of the high heartrate, it didn't last for a long time. The feeling unwell lasted 2 days. The chest pain is on the right side of the chest, they stuck one of the ECG leads there when they took the ECG. The patient had the elevated heartrate as soon as she had the vaccine, but it was diagnosed as tachycardia at urgent care yesterday on 15Mar2021. The patient underwent lab tests and procedures which included blood pressure measurement: 171/91, body temperature: 97, heart rate: ranges from the high 90's to the high 130's, oxygen level 98%, respiratory rate: 23, pulse ? 108 on an unknown date and electrocardiogram: tachycardia on 15Mar2021. Therapeutic measures were taken as a result of heart was racing and tachycardia, Investigations: 12 lead ECG. The patient had an elevated pulse and blood pressure.Clinical outcome of event headache was recovering/resolving and for events feeling dizzy/ dizziness, heart was racing and tachycardia was not recovered and for other events it was unknown. No follow-up attempts are possible. No further information is expected. Follow-up attempts completed. No further information expected.

Other Meds: CORTISONE

Current Illness:

ID: 1648824
Sex: F
Age:
State: IA

Vax Date: 04/20/2021
Onset Date: 05/01/2021
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: pain in her left arm after getting covid vaccine; injection site "achiness"; The initial case was missing the following minimum criteria: no adverse event. Upon receipt of follow-up information on 11Aug2021, this case contains all required information to be considered valid. This is a spontaneous report from a contactable consumer (patient) from a Pfizer Sponsored Program COVAX US Support. A 62-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) via an unspecified route of administration on 20Apr2021 (Lot number was not reported) as dose 2, single for covid-19 immunisation. Medical history included allergy to dyes like for MRI, allergy to alcohol, allergy to sulfite containing foods, allergy to narcotics, Sjogren's syndrome, Raynaud's phenomenon, schleroderma antibodies, spider bite or gets stung, and the patient reacted to everything a person with mastocytosis reacts to. The patient was immunocompromised and had multiple allergies, neck and back problems. The patient's concomitant medications were not reported. The patient previously took versed and experienced drug hypersensitivity, epipen for spider bite or stung. Other historical vaccine includes shingle vaccine for immunization in which the patient became sick and influenza vaccine for immunisation and had experienced pyrexia. The patient also previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) via an unspecified route of administration on 29Mar2021 (Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient started noticing injection site achiness in May2021 that had not gone away. The patient did not have any allergic reaction to the vaccine, but her left arm/hand would ache sometimes. She stated that she knew that the achiness was not from her neck and back problem because she felt it where she had received her injection. The patient stated that she can use it, but it still ached where she got the shot. The patient was asking if there was a booster dose, and if not, and when there would be, and if it would be the same as the other two doses of the Pfizer BioNTech Covid-19 Vaccine. The patient was asking if the booster would cover Covid-19 variants, especially the Delta Variant. The patient stated that she would be first in line for the booster if and when it was available. The patient was asking if current doses of the Pfizer BioNTech Covid-19 Vaccine were effective against circulating Covid-19 variants, especially the Delta Variant. The patient asked how long protection from the first two doses of the Pfizer BioNTech Covid-19 Vaccine lasts and how long her side effect of injection site pain would last. The patient also asked if someone was exposed to the Delta Variant or any other Covid-19 variant, how long would it take before that person would test positive for Covid- 19. The patient asked if breakthrough infections with variants had occurred after being fully vaccinated with the Pfizer BioNTech Covid-19 Vaccine. The outcome of the events was not recovered. The lot number for BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1648825
Sex: F
Age:
State: TX

Vax Date: 02/18/2021
Onset Date: 03/11/2021
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: Fever; Result Unstructured Data: Test Result:100.9; Test Name: Fever; Result Unstructured Data: Test Result:99.8; Test Name: Fever; Result Unstructured Data: Test Result:97.1; Test Name: Fever; Result Unstructured Data: Test Result:96.6; Test Name: Fever; Result Unstructured Data: Test Result:97.7; Test Name: Blood oxygen; Test Result: 97 %

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: tired; chill; a fever of 100.9; This is a spontaneous report from a contactable other hcp (Patient). A 47-years-old non pregnant female patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN5318), via an unspecified route of administration, administered in Arm Left on 18Feb2021 16:00 (Age at vaccination: 47-years-old) as single dose for covid-19 immunization. (Vaccination facility: other: High School). No medical history and no concomitant medications were reported. Historical vaccine included first dose of bnt162b2 (Lot unknown: EL1283) in Left arm on 27Jan2021 16:00 for covid-19 immunization. Patient did not receive other vaccine in four weeks and also any other medications in two weeks. Patient was not diagnosed with covid prior to vaccination. Patient did not have Known allergies and also not pregnant at the time of vaccination. It was reported that on 11Mar2021 around 4 to 5PM she began to feel really tired and developed a chill. she got into bed and felt like a fever was coming on. she ended up with a fever of 100.9 by 6PM or so for several hours, it went down to 99.8 by 11PM, and her temperature was down to 96.6 then 97.1 then back to her normal of 97.7 by 7AM. she have no other symptoms so far, will continue to check for fever. she had a pulse oximeter she checked several times, and blood oxygen is constant at 97 percent. If any other symptoms show up she will go get tested and she was self-isolating. She is healthcare practitioner and have been wearing a mask and acting the same way she have for the past year even though vaccinated. she find it interesting her fever came on 3 weeks to the day and hour that received her second vaccination. She do not generally get sick or fevers often, nor did have any other symptoms. Patient did not receive treatment for the events. Patient was not tested for covid post vaccination. The patient underwent lab tests and procedures which included body temperature: 100.9, body temperature: 99.8, body temperature: 97.1, body temperature: 96.6, body temperature: 97.7, Blood oxygen: 97 percent. The outcome for the events was reported as unknown at the time of this report. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1648826
Sex: F
Age:
State: KY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: numbness/paresthesias to left upper arm. This then progressed to numbness that radiated down left arm and into left 4th and 5th fingers.; numbness/paresthesias to left upper arm. This then progressed to numbness that radiated down left arm and into left 4th and 5th fingers.; The left side of my face also felt numb; This is a spontaneous report from a contactable consumer (patient) or other healthcare professional. A 35-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6205, Expiration date was not reported), via an unspecified route of administration, administered in left arm on 05Mar2021 16:30 (at the age of 35-year-old) as dose 2, single for COVID-19 immunisation. Medical history included chronic allergies and environmental allergies from unknown date unknown if ongoing. Patient had no known drug allergies. Concomitant medications included drospirenone, ethinylestradiol (LORYNA); meloxicam (MOBIC); loratadine (CLARITIN); budesonide, formoterol fumarate (SYMBICORT); montelukast sodium (SINGULAIR) all taken for unspecified indication start and stop date were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL9267), via an unspecified route of administration, administered in left arm on 12Feb2021 13:30 (at the age of 35-year-old) as dose 1 single for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID. The patient did not receive other vaccine in four weeks. Post vaccination, the patient had not been tested for COVID. Approximately 15 minutes after receiving the second dose of Pfizer vaccine in her left arm on 05Mar2021 16:45, patient experienced numbness/paresthesias to left upper arm. This then progressed to numbness that radiated down left arm and into left 4th and 5th fingers. The left side of her face also felt numb. patient did not received any treatment for adverse event. Not all fingers were numb, just ulnar distribution. No drooping or motor deficits. Symptoms lasted less than 10 minutes. Outcome of the events was resolved on 05Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: LORYNA; MOBIC; CLARITIN [LORATADINE]; SYMBICORT; SINGULAIR

Current Illness:

ID: 1648827
Sex: F
Age:
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: It was kind of hard to open and close; Numbness at the bottom of my toes and on the right side where I had the shot and under my foot; Pain in my arm;my foot and my hand had a lot of pain in it/I only took some Tylenol as I started getting pain in my arm and it got worse and worse but it (Tylenol) really didn't do anything for it; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 13Mar2021 (age at vaccination 65 years), (Batch/Lot Number: EN6199) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing Verbatim: High blood pressure. Concomitant medication included losartan and amlodipine taken for an unspecified indication, start and stop date were not reported. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) for covid-19 immunisation on unspecified date. Patient stated, "I had the second Covid-19 Pfizer vaccine yesterday and I wanted to know if it is one of the side effects that you had numbness in your foot. I had numbness at the bottom of my toes and on the right side where I had the shot and under my foot, was that normal" Patient stated, "No, I started to get numbness today (14Mar2021). Yesterday (13Mar2021), I only took some Tylenol as I started getting pain in my arm and it got worse and worse, but it (Tylenol) really didn't do anything for it and then I took some pain reliever. I had the shot around 2:00 yesterday(13Mar2021) and I didn't start getting a pain in my arm until 6 o'clock in the evening. It was little better today (14Mar2021); it was just this numbness was on that same side and my foot and my hand had a lot of pain in it earlier and it was kind of gone away and it was kind of hard to open and close it when I woke up this morning." Therapeutic measures were taken as a result of pain in my arm; my foot and my hand had a lot of pain in it/ I only took some Tylenol as I started getting pain in my arm and it got worse and worse, but it (Tylenol) really didn't do anything for it as Tylenol. The clinical outcome of the event Pain in my arm; my foot and my hand had a lot of pain in it/I only took some Tylenol as I started getting pain in my arm and it got worse and worse, but it (Tylenol) really didn't do anything for it was not recovered and remaining all other events was unknown at the time of the report. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN; AMLODIPINE

Current Illness:

ID: 1648828
Sex: M
Age:
State: IL

Vax Date: 03/06/2021
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Hive near the injection site; Hive near the injection site; This is a spontaneous report received from a Pfizer Sponsored Program Covax US Support. A contactable male consumer (Patient) reported that a male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and expiration date was not reported), second dose via an unspecified route of administration on 06Mar2021 single for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and expiration date was not reported), first dose via an unspecified route of administration on unspecified date single for covid-19 immunization. On an unspecified date the patient experienced Hive near the injection site and sides of his torso after the second dose. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds:

Current Illness:

ID: 1648829
Sex: F
Age:
State: NV

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: PT said she has an immediate reaction to the vaccine and she experienced hot flashes, her chest felt heavy and her head felt light; PT said she has an immediate reaction to the vaccine and she experienced hot flashes, her chest felt heavy and her head felt light; PT said she has an immediate reaction to the vaccine and she experienced hot flashes, her chest felt heavy and her head felt light; This is a spontaneous report from a contactable consumer or other non hcp (patient) received from Pfizer sponsored program COVAX US Support. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on Feb2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb2021, the patient experienced an immediate reaction to the vaccine and she experienced hot flashes, her chest felt heavy and her head felt light. Patient was asking if it is advisable to take the second dose. The outcome of the events was unknown. Information on lot/batch number was requested.

Other Meds:

Current Illness:

ID: 1648830
Sex: F
Age:
State: MI

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: temp; Result Unstructured Data: Test Result:108; Test Date: 202103; Test Name: temperature; Result Unstructured Data: Test Result:100.8 Fahrenheit; Comments: highest temperature was 100.8F.

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: headache; sore throat; sore arm/ arm hurts; nausea; 108 temp; chills; body ache; This is a spontaneous report from a Pfizer-sponsored report from a contactable consumer (reported for herself). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 16Mar2021 at 10:00 as dose 1, single for covid-19 immunisation. Medical history included covid-19 from an unknown date and unknown if ongoing (Patient had COVID one year ago). The patient previously received aspirin [ACETYLSALICYLIC ACID] and experienced drug hypersensitivity. The patient experienced headache, sore throat, sore arm/ arm hurts on 16Mar2021 and 108 temp, chills, body ache, nausea on an unspecified date in Mar2021. The clinical course was as follows: After the first dose and patient is experiencing headache, sore throat, and sore arm. Patient was seeking information if she can take Motrin 400mg for pain. Patient allergic to a lot of medication. Reporter want to know if she can continue taking her medication. Patient allergic to aspirin. Reporter want to know if she can take Motrin, allergy pills, folic acid, b12, thiamine, metoprolol, Protonix for nausea. Reporter takes an over-the-counter allergy medicine which she knows is an antihistamine. The caller takes a lot of medications and has a lot of allergies to medications, so she has a few questions about that and is concerned now. The patient underwent lab tests and procedures which included body temperature: 108 and body temperature: 100.8 Fahrenheit on an unspecified date in Mar2021 (highest temperature was 100.8F). The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1648831
Sex: F
Age:
State: MO

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: General malaise; unable to do anything, could not function; could not fix food; sort of like flu only without nausea; This is a spontaneous report from a contactable consumer (patient). A 90-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EA6255), dose 2 via an unspecified route of administration, administered in Arm Left on 06Mar2021 12:15 (at the age of 90-year-old) as dose 2, single for COVID-19 immunization. Medical history included GERD, HBP, neuropathy, high cholesterol, sleep apnea and known allergies (known allergies: Yes) from an unknown date and unknown if ongoing. Concomitant medication(s) included acyclovir [aciclovir] (ACYCLOVIR [ACICLOVIR]); amlodipine; apap; hydrocodone and levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported (other medications in two weeks). The patient was not pregnant at the time of vaccination. The patient previously received first dose of BNT162B2 (Lot number: EB-6200) via an unspecified route of administration, administered in Left arm on 13Feb2021 12:30 PM (at the age of 90-year-old) for COVID-19 immunization. Facility where COVID-19 vaccine was administered at Hospital. The patient did not receive other vaccines in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. On 08Mar2021, patient experienced general malaise, unable to do anything, could not function, could not fix food, sort of like flu only without nausea, for two days. There was no treatment for the events. The clinical outcome of events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds: ACYCLOVIR [ACICLOVIR]; AMLODIPINE; APAP; HYDROCODONE; SYNTHROID

Current Illness:

ID: 1648832
Sex: F
Age:
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:Unknown result; Comments: I am pretty sure I had a fever but I didn't take temperature, I really didn't do anything but go back to bed.

Allergies:

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

Symptoms: weak; Migraine; Fever; I got very dizzy; hot cool clammy sweats; I stayed in bed all of Friday; I didn't eat anything all day Friday; I felt a little tired; painful all over, my kidneys hurt, I think it's my kidneys, my lower back, something internal anyways/really miserable, entire inside hurts; I was unable to sleep; I would wake up about every half hour; I couldn't think what to do; This is a spontaneous report from a contactable Consumer (patient) reported for herself. A 72-year-old female patient received second dose of bnt162b2 (Pfizer's Covid 19 vaccine, Solution for injection, Batch/lot number: EN6205, Expiration date: unknown), via an unspecified route on an 11Mar2021 (Thursday) at 10:00 (age at vaccination: 72-year-old) as a single dose for covid-19 immunization. Medical history included arthritis and skin cancer. Nothing was been diagnosed. She was sure she did better with her blood sugar and her high blood pressure, but she was not on any medications for that, she just need to be careful about her diet. She doesnt know, she hasnt had it tested in a while, she stated it's possible it's on the high side like most people are and because she doesnt get enough exercise but it's nothing that she has to take medications for so. Concomitant medications included L-Carnitine because patient was vegetarian although she eats fish, she is not a vegan; Vitamin C; Multivitamin; Calcium; Joint Supplement; curcuma longa (Turmeric); tocopherol (Vitamin E); Vitamin D and Niacinamide as is supposed to help with skin cancer but she doesnt know if they really know that. Historical vaccine included first dose of bnt162b2 (Pfizer's Covid 19 vaccine, Solution for injection, Batch/lot number: EL9266), as a single dose for covid-19 immunization. On 11Mar2021, after finishing the second dose of Pfizer patient felt fine. She waited 15 minutes because it was a drive through and then she went for a walk a little later, she walked about a mile and went home, nothing. In the evening, she felt a little tired, so she decided to go to bed early and when she woke up it was night and she hurt all over. She just woke up and she couldn't think what to do and just started drinking a little bit of water. She stayed in bed, but it was very painful all over, her kidneys hurt she don't know why, she thinks it's her kidneys, her lower back whatever 2 organs liver or kidney, something internal anyways. She continued the night, but she was unable to sleep because no matter what position she was in something hurt so she would wake up about every half hour and in the morning, this was Friday morning (12Mar2021), she had to get up to feed her animals, she really didn't want to, but she was very weak. She went out to her kitchen and when she was trying to open a can of cat food, she got very dizzy and hot cool clammy sweats and she kind of slid down to the floor. She didn't fall, didn't lose consciousness but she stayed on the floor because it was so nice and cool for about 5 minutes or so and then she decided that she need to get up and get back to bed so she did that and she stayed in bed all of Friday and she also had a migraine because she is prone to that but she didn't want to take any medicines because she didn't want to there to be any chemical interactions with whatever was going on. So, she just stayed in bed all day Friday and it was really miserable. She never had problems breathing, she didn't have any shortness of breath, nothing like that but her entire inside hurts and many parts of her body. She is 72 so she have arthritis (Medical history) and she also have aches and pains but they are not related to that but this was definitely a reaction because she have not had anything like that in, she have not been sick in years and she kept thinking to herself, she live alone but it's not an emergency she don't need to go to the hospital, this is a reaction, a possible reaction and nobody died from this so if wait it will go away. She was pretty sure she had a fever, but she didn't take temperature, she really didn't do anything but go back to bed. This is Sunday, she stayed not in bed all day yesterday but a very limited activity, also she didn't eat anything all day Friday except for water and she just had a bite of cheese and couple of blueberries because she didn't want to get completely weak and then Saturday she started again, she had a little bit of soup and that kind of thing. It was more extreme reaction than she expected but she thought she will give that information. On an unknown date, she didn't want to do the web thing because she didn't have the energy to sit on the website and type. Patient did not receive any treatment for the events, not even her regular vitamins, water. The patient underwent lab test and procedure which included body temperature as unknown. The clinical outcome of events: she felt a little tired; unable to sleep would wake up about every half hour; couldn't think what to do; weak; dizzy; hot cool clammy sweats; stayed in bed all of Friday; she didn't eat anything all day Friday except for water was recovering; fever got better now; headache went away and pain (it was very painful all over, her lower back whatever 2 organs liver or kidney/ it was really miserable, entire inside hurts) went away. No follow-up attempts are possible. No further information is expected.

Other Meds: L-CARNITINE [LEVOCARNITINE]; VITAMIN C [ASCORBIC ACID]; CALCIUM; TURMERIC [CURCUMA LONGA]; VITAMIN E [TOCOPHEROL]; VITAMIN D NOS; NIACINAMIDE

Current Illness:

ID: 1648833
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Body aches; Pain at the site of injection; Fever; Tired; just want to sleep; This is a spontaneous report from a contactable consumer (patient spouse). A 73-years-old male patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number and Expiration date were not reported) via an unspecified route of administration on an unspecified date (age at the vaccination 73-year-old) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number and Expiration date were not reported) on an unspecified date as dose 1, single for COVID-19 immunization. On an unspecified date, Caller stated, caller and her husband had a few side effects after receiving the second dose of the Pfizer COVID-19 vaccine 10 days ago. Nothing severe. The first dose was no problem and had body aches, pain at the site of injection, fever and really bad fatigue. The fatigue is getting better but still there and feel so tired we just want to sleep. Caller wants to know any data on how long the fatigue should last. Caller had heard generally within 2-3 days side effects starts to lessen. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648834
Sex: F
Age:
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210412; Test Name: Covid test PCR; Test Result: Negative ; Comments: needed to get in order to get endoscopy for heart burn; Test Date: 20210325; Test Name: Covid test rapid; Test Result: Negative ; Comments: needed to get had traveled out of state.

Allergies:

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

Symptoms: both sides of her face, lip and tongue went numb; both sides of her face, lip and tongue went numb; About an hour later her tongue tingled for a while; This is a spontaneous report from a contactable consumer (patient). A 59-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular, administered in Arm Left on 10Mar2021 11:52 (at the age of 59-years-old) (Lot Number: EN6202; Expiration Date: Jun2021) as single dose for COVID-19 immunization. Medical history included blood pressure, allergies, Heartburn. Concomitant medication(s) included hydrochlorothiazide taken for blood pressure from 03Mar2021 and ongoing; atenolol (TENORMIN) taken for blood pressure from 03Mar2021 and ongoing; loratadine (CLARITIN) taken for allergies from an unspecified start date 10 years ago and ongoing; pantoprazole sodium sesquihydrate (PROTONIX) taken for heartburn from 03Mar2021 and ongoing. The patient did not receive any prior vaccinations (within 4 weeks). The patient received the first dose of the Pfizer COVID on 10Mar2021. On 10Mar2021 12:22, about an half hour after receiving the vaccine, both sides of her face, lip and tongue went numb. She stated the numbness in her face came back after 5 minutes, numbness in her lips came back after 10 minutes and the numbness in her tongue came back after about an hour. She never had any swelling, trouble swallowing or breathing. Caller states everything just went numb after the injection and she has had no problems since. Caller says that she was trying to get information on whether she should get the second dose of the Pfizer COVID vaccine because she had an adverse event with the first dose of the COVID vaccine. She was wondering what the guidance is that Pfizer is providing. She received her COVID vaccine on 10Mar2021 and 30 minutes after the COVID vaccine her face, on both sides, went numb, then her lips went numb and then her tongue went numb. She had no droop, her face just froze. About 5 minutes later her face came back, 5 minutes after that her lips came back, and then her tongue slowly came back over the next hour and it slowly got better and better. It was like she had gotten 2 shots of Novocain in both sides of her face. She was trying to decide if she should get the next dose of the COVID vaccine. Caller said that she will email her provider about this but she wanted to see if the medical information department has any general guidance on this to provide to her provider. She says that she went to the VAERS site and had what she experienced sent on that site so that what she experienced would be recorded. She has had nothing new that has occurred since then. 30 minutes after 1st dose face, lips and tongue went numb about 10-15 minutes later the feeling in her face came back. Another 10 minutes her lips she could feel. About an hour later her tongue tingled for a while and then went back to normal. She consulted her primary care doctors who made an appointment with an allergist to confirm if she should get the 2nd dose. The doctor said to get it and received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular, administered in left upper arm on 31Mar2021 11:58 (Lot Number: ER8732; Expiration Date: Jul2021) for COVID-19 immunization. The patient did not receive any treatment for the events. AE required visit to: Physician dept. virtual. The patient underwent lab tests which included Covid test rapid on 25Mar2021 to travel out of state which was negative; Covid test PCR on 12Apr2021 in order to get endoscopy for heart burn which was negative. Outcome of the events was recovered on 10Mar2021. Follow-up attempts are possible. No further information is expected.

Other Meds: HYDROCHLOROTHIAZIDE; TENORMIN; CLARITIN [LORATADINE]; PROTONIX [PANTOPRAZOLE SODIUM SESQUIHYDRATE]

Current Illness:

ID: 1648835
Sex: F
Age:
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: blood work; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: My mouth is being very dry; Cold sores; Right side of my face and like under my ear of being very swollen, a lump is there and it hurts even to touch it; Right side of my face and like under my ear of being very swollen, a lump is there and it hurts even to touch it; Right side of my face and like under my ear of being very swollen, a lump is there and it hurts even to touch it; Chills; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 79-year-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: EN6207), via an unspecified route of administration on 12Mar2021 (at the age of 79-years-old) as dose number unknown, single for COVID-19 immunisation. The medical history of the patient included Blood pressure high. The concomitant medications of the patient included carvedilol (CARVEDILOL) taken for hypertension, start and stop date were not reported. On 12Mar2021, the patient experienced chills, on 14Mar2021 experienced right side of my face and like under my ear of being very swollen, a lump is there and it hurts even to touch it and also my mouth is being very dry, cold sores on an unspecified date. The patient reported that she had the vaccination shot Friday around 4'o clock and experienced the chills all night and all day Saturday and Sunday but Sunday afternoon she started with her right side of her face and like under her ear of being very swollen, a lump was there and it hurts even to touch it and her mouth was being very dry and then she got a cold sore on top of that so she do not know if this is related to the vaccine or something else is going on. She stated chills she had right after she came home all through the weekend but the swelling came in previous day Sunday about may be 7 o'clock at night started happening and the lump got really big and hurted. They do general blood work and checked for her AC Lung and Cluster lung (Not clarified. Hence, not captured in the tab). The patient underwent lab tests and procedures which included blood test: unknown results on an unspecified date. The patient recovered from chills on 14Mar2021 and the outcome of the events right side of my face and like under my ear of being very swollen, a lump is there and it hurts even to touch it, my mouth is being very dry and cold sores was reported as unknown. No follow up attempts are possible. No further information is expected.

Other Meds: CARVEDILOL

Current Illness:

ID: 1648836
Sex: F
Age:
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: numbness in both arms for 48 straight hours after her second injection; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number and Expiration Date was not reported) via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 on an unspecified date as dose 1, single for COVID-19 immunization. On an unspecified date, the patient experienced numbness in both arms for 48 straight hours after her second injection. 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: 1648837
Sex: F
Age:
State: NM

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:an elevated heart rate

Allergies:

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

Symptoms: an elevated heart rate; problems with breathing; This is a spontaneous report from a contactable consumer (patient), received from a Pfizer sponsored program COVAX US Support. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: Unknown), via an unspecified route of administration on 15Mar2021, as dose 1, single for COVID-19 immunization. The patient's medical history included lot of allergies. Concomitant medications were not reported. The patient's past drugs included Benadryl and Epipen, and experienced allergy with both drugs. On 15Mar2021, within a few minutes after the first dose of vaccine, the patient experienced an elevated heart rate and problems with breathing. Patient received a note from her doctor stating that she cannot get the second dose as well. Patient underwent lab test and procedures which included heart rate: an elevated heart rate, on an unspecified date. The clinical outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648838
Sex: M
Age:
State: NY

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:98.4; Comments: One time I take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4; Test Name: Body temperature; Result Unstructured Data: Test Result:101.1; Comments: One time I take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4; Test Name: Body temperature; Result Unstructured Data: Test Result:101.4; Comments: One time I take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4; Test Date: 20210309; Test Name: Body temperature; Result Unstructured Data: Test Result:103; Comments: I have been having, one day I had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8; Test Date: 20210309; Test Name: Body temperature; Result Unstructured Data: Test Result:104; Comments: I have been having, one day I had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8; Test Date: 20210309; Test Name: Body temperature; Result Unstructured Data: Test Result:101; Comments: I have been having, one day I had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8; Test Date: 20210309; Test Name: Body temperature; Result Unstructured Data: Test Result:101.8; Comments: I have been having, one day I had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8

Allergies:

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

Symptoms: One time I take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4.; had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 64-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EN6199), via an unspecified route of administration (at the age of 64-years), administered in arm left on 08Mar2021 as dose 1, single for COVID-19 immunization. Medical history included asthma and chronic obstructive pulmonary disease from an unknown date and unknown if ongoing. Concomitant medications included ibuprofen (ADVIL [IBUPROFEN]), salbutamol (VENTILAN [SALBUTAMOL]), prednisone (PREDNISONE), paracetamol (TYLENOL) and vitamins taken for an unspecified indication, start and stop date were not reported. On 09Mar2021, the patient experienced had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8. On an unspecified date , experienced one time i take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4. The treatment was not received for all the event. Consumer stated, I had my 1st Pfizer shot on 03Aug21, and I felt good the day after but since then I have been having, one day I had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8 and its every day since that shot and I called my doctor and they are going to try to see what they can do and is it the shot that doing this. Consumer stated, yes, because I never had a temperature for a week that went up and down. Consumer stated, no, I go back 29Mar21 at 04:15 for my second shot. Consumer stated, because of the risk, because I have COPD and asthma. When probed as event had worsened, improved or persisting, Consumer stated, It is up and down. One time I take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4. Treatment for event: Consumer stated, no. The patient underwent lab tests and procedures which included body temperature: had 103 temperature but it is up and down from 104 back down to normal temperature back up to 101 then back down to normal temperature and up to 101.8 all done on 09Mar2021, one time i take my temperature it is 98.4, a couple hours later it will be 101.1 or 101.4 done on an unspecified date. The clinical outcome of the events was reported as unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: ADVIL [IBUPROFEN]; VENTILAN [SALBUTAMOL]; PREDNISONE; TYLENOL

Current Illness:

ID: 1648839
Sex: F
Age:
State: UT

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:increased; Test Name: Heart rate; Result Unstructured Data: Test Result:72; Comments: Sleeping RHR is 72.; Test Name: Heart rate; Result Unstructured Data: Test Result:90; Comments: Working at my computer is 90.

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Resting heart rate has been rising each day since vaccine. May be an autoimmune response. I have Graves' disease. Sleeping RHR is 72. Working at my computer is 90. If it keeps rising I'll call my doct; This is a spontaneous report from a contactable consumer (patient). A 51-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EN6207) via an unspecified route of administration, in the right arm on 11Mar2021 10:15 (at the age of 51-years-old) as dose 1, single for COVID-19 immunization. Facility type vaccine was other. Medical history included Graves and Hashimotos disease both from an unknown date and unknown if ongoing. Concomitant medications included methimazole, propranolol and rosuvastatin calcium (CRESTOR) all taken for an unspecified indication, start and stop date were not reported. Prior to vaccination patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient did not receive any vaccines within four weeks prior to the vaccination. On 11Mar2021, at 13:00, the patient experienced resting heart rate had been rising each day since vaccine. May be an autoimmune response. The patient had Graves disease. Sleeping RHR was 72. Working at her computer was 90. If it keeps rising, the patient reported that she would call her doctor. The patient did not receive any treatment for the event. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: METHIMAZOLE; PROPRANOLOL; CRESTOR

Current Illness:

ID: 1648840
Sex: F
Age:
State: PA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210311; Test Name: Blood pressure; Result Unstructured Data: Test Result:shot up; Test Date: 20210311; Test Name: Heart; Result Unstructured Data: Test Result:Racing

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: finger and toes went numb; heart racing; blood pressure shot up; This is a spontaneous report from a Pfizer-sponsored program COVAX US SUPPORT. This report received from a contactable consumer or other non hcp. This consumer reported for patient (daughter) that a 42-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: not reported), dose 1 via an unspecified route of administration on 11Mar2021 (Age at vaccination 42 years) as dose 1, single for covid-19 immunisation. Medical history included psoriasis, immune compromised and cardiomyopathy. Concomitant medication(s) included risankizumab rzaa (SKYRIZI [RISANKIZUMAB RZAA]) (She does not know the dose her daughter receives. She just knows it is 2 injections. On 11Mar2021, the patient experienced finger and toes went numb; heart racing and blood pressure shot up. The patient underwent lab tests and procedures which included blood pressure measurement: shot up on 11Mar2021, heart rate: racing on 11Mar2021. It was reported that reporter calling on behalf of her 42-year-old daughter who after receiving the 1st dose of the vaccine experienced "heart racing, blood pressure shot up, finger and toes went numb" would that be regarded as a severe reaction and is it a contraindication to second dose. Her daughter went to get the Pfizer COVID vaccine. She takes injections for psoriasis called Skyrizi so she was immune compromised. Caller also says when the patient was pregnant and had a daughter 15 years ago she had cardiomyopathy which was a heart condition caused by the pregnancy. When her daughter got the shot about 20 seconds after it, her heart started racing, her blood pressure shot up and her fingers and toes went numb. They got the paramedics, thank God they were at a place that had paramedics, they monitored her for while and her blood pressure came back down, the heart racing sort of was off and on a little bit but finally settled and they went home. Caller doesn't think her daughter should have the second shot because of that, the paramedic didn't say anything about that, they told her to call her family doctor, and they have not gotten back to her, she doesn't know if the family doctors don't know enough about it but she put in a second request for information with them and she still has not gotten an answer. Her daughter was supposed to get it 08Apr so they have a little time but she doesn't think her daughter should have it and she wanted to see if Pfizer has any opinions about that. She also wanted to know if that was considered an allergic reaction question, is it one of the severe allergic reactions, in the severe allergic reaction section it has heart racing but she didn't know if you had to have all of those for it to be considered severe allergic reaction. The date of her daughter's first dose was 11Mar2021. She has not had anymore issues with is since that day, it is recovered, so far she has not had any issues after that episode. She confirms it happened right after the dose so it was the same day as the first dose. The only thing she knows was her daughter got her Skyrizi shot a week or a week and a half before the vaccine but she was not sure if that was relevant. Her daughter caller her dermatologist to see if she should get the injection and they told her yes, the CDC was saying follow all your regular protocols. She was not sure about the spelling of the medication. She was guessing at how to say Skyrizi. She asks will they even answer her question or will they just say talk to your family doctor. She says it is weird no one seems to be able to give an answer, they do not say go head with the second one. No one will answer, it is like they don't want to say get it or don't get it because if something happens.". Caller wanted to know if her daughter should receive second dose of vaccine. Investigation Assessment: No. The clinical outcome of all events were recovered on 11Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: SKYRIZI [RISANKIZUMAB RZAA]

Current Illness:

ID: 1648841
Sex: F
Age:
State: NY

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: it worsened because it is further up her leg, she says the ache is the same but it extended further up the leg; it worsened because it is further up her leg, she says the ache is the same but it extended further up the leg; numbness of right knee, leg, and ankle/her right leg feels numb now from her ankle all the way to the knee; This is a spontaneous report from a contactable consumer(patient). A 70-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection; Lot Number: EN6207; Expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 17Mar2021 10:30 (at the age of 70-year-old) as dose 1, single for covid-19 immunization. Medical history included cancer, covid-19 from Nov2020 to an unknown date, surgeries from an unknown date and unknown if ongoing surgeries because she had a tube in her lung, ovarian cancer from an unknown date and unknown if ongoing, chemo, blood clot, Indication was reported as such so, she didn't get covid. She has been testing positive for covid since November. She had a couple of surgeries because she had a tube in her lung and she had to be tested for that and she kept testing positive right up until 01Mar which was the surgery for the ovarian cancer, she tested negative before that surgery. So, from 06Nov all the way to 27Feb, she thinks that was the date of the test, for all that time she tested positive. She confirmed all of that happened before receiving the covid-19 vaccine. The doctors said told her when she tested negative that she could get the vaccine. She did not know if she should since she had been on chemo, but they told her she could, so she did. History included she has not had chemo since February, it has been 6 weeks, because of the operation for the ovarian cancer, she skipped 2 chemo treatments so she should be better without the chemo. No further information provided. If she was still on chemo, she would blame it on that but she doesn't take her chemo again until next week that is why she took the vaccine now so she would know what it was if something happened. History of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the Pfizer suspect were reported as none. The patient did not receive any other vaccines within four weeks prior to the vaccination. AE(s) following prior vaccinations was reported as none. Family Medical History Relevant to AE(s) and Relevant Tests were reported as none. Patient was calling about the Pfizer shot, she confirmed the covid-19 vaccine. She had cancer, she said they got it all out on the 01Mar, but she still takes, she said she was at a loss for words, she has blood clots, so she takes a blood thinner. She had the first dose on the 17Mar. She first noticed her right leg feeling numb about an hour after the dose. She went from there to the doctor's office and while she was in the office her right leg started to feel numb, kind of like you feel numbness sometimes if you are sitting on it, but she was not sitting on it. It comes and goes, when she got up and walked it wasn't as much but as the day went on it progressed it and now it stays. She would say it worsened because it is further up her leg, she says the ache is the same, but it extended further up the leg. She was wondering if that was a sign or symptom or if they have anything about that happening. It was annoying. The patient did not visit to emergency room or physician office. The clinical outcome of events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648842
Sex: M
Age:
State:

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: 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: developed extremely swollen lymph nodes in the neck, throat, armpits, back which looks like a christmas tree pattern and the left side of his face from his chin to nose is numb and has not gone away; developed extremely swollen lymph nodes in the neck, throat, armpits, back which looks like a christmas tree pattern and the left side of his face from his chin to nose is numb and has not gone away; This is a spontaneous report from contactable consumer (reported himself). A male patient of 39 (units unspecified) age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: unknown), via an unspecified route of administration on 24Feb2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had no known allergies. The consumer stated that after the first dose of vaccination the patient "gradually over 4-6 developed extremely swollen lymph nodes in the neck, throat, armpits, back which looks like a christmas tree pattern and the left side of his face from his chin to nose is numb and has not gone away". The patient asked as he was scheduled to receive second dose tomorrow, can the patient delay it for a week or so. 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: 1648843
Sex: M
Age:
State: FL

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: Heart rate; Result Unstructured Data: Test Result:101-102; Test Date: 202103; Test Name: Heart rate; Result Unstructured Data: Test Result:78; Test Date: 202103; Test Name: Heart rate; Result Unstructured Data: Test Result:88

Allergies:

Symptom List: Unevaluable event

Symptoms: Heart rate was extremely high; when I make any effort it goes high; This is a spontaneous report from a contactable consumer (patient). A 74-years-old male patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Formulation: solution for injection, Batch/Lot Number unspecified, expiration date unspecified) via an unspecified route of administration on 16Mar2021 15:30 as DOSE 1, SINGLE for covid-19 immunization (74 year when vaccinated). Medical history included diabetes mellitus and hypertension from an unknown date. The patient's concomitant medications were not reported. On an unknown date in Mar2021, the patient reported I took a Covid 19, my first shot around 3:30 this afternoon and around 2:30 I woke up my heart rate was extremely high. When I did check it, it was like 101-102 and when I sit out for rest it got down to 78 or whatever, then I went back to bed. I just woke up around 6:15 and I went to the rest room and when I got to the rest room at very short distance my heart rate was extremely high and still, I am still resting now. I did not take anything, but it did get down to 88 but it is also like when I make any effort it goes high, walking over. On an unknown date in Mar2021, the patient had his heart rate checked and results were 101-103, 78 and 88 respectively. The outcome of the event was reported as unknown at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained applicable.

Other Meds:

Current Illness:

ID: 1648844
Sex: F
Age:
State: FL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: the tip of her tongue started to feel numb; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 75-years-old female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection), dose 1 via an unspecified route of administration, administered in Arm Right (right upper arm) on 04Mar2021 (Batch/Lot Number: EN6199) (at the age of 75-years-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included: lacunar stroke from Jul2020 to an unknown date (She had a stroke 9 months ago-I have numbness in my fingers, toes, and side of face. It was a Lacunar stroke), heart burn and allergy to iodine (diagnosed with the allergy to iodine in the 80s.). Concomitant medications included: clopidogrel (75mg daily) lisinopril (2.5mg twice a day), atorvastatin (80 mg daily) and gabapentin (100mg twice a day, taken for pain from an unspecified start date to 17Mar2021). The patient went to the doctor yesterday, with the stroke she gets pain and numbness in the fingers Gabapentin was for the pain. It was told that she could take Tylenol and stop Gabapentin. The patient did not take any other vaccine within 4 weeks prior to Covid vaccine. There were no adverse events following prior vaccinations. On 04Mar2021, after 20 minutes of first dose of vaccine administration, the patient experienced the tip of her tongue started to feel numb that is still ongoing. They kept her there for 15 minutes and as she was leaving the tongue started to feel numb. She still has numbness. She is waiting on an appointment with the doctor as it was not going away. It is still there, but she is hoping it would go away. She has not been to the emergency. If she takes the other shot would her whole tongue to go numb. The patient was worried that it could get worse with the 2nd dose. The clinical outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: CLOPIDOGREL; LISINOPRIL; ATORVASTATIN; GABAPENTIN

Current Illness:

ID: 1648845
Sex: M
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: numbness; tingling in arms; chest tightening; GI discomfort; bad taste in his mouth; This is a spontaneous report from a contactable consumer. This 40-year-old male consumer reported for himself that: A 40-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot number and Expiry date was not reported), dose 1 via an unspecified route of administration on an unspecified date as DOSE 1, single dose for covid-19 immunisation. The patient medical history was not reported. The patient concomitant medications were not reported. on an unspecified date, after 2 hours administration of first covid vaccine, the patient experienced numbness, tingling in arms, chest tightening, GI discomfort and bad taste in his mouth. Events took place after use of product. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648846
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: sore arm; joint pain; This is a spontaneous report from a contactable consumer. A 66-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot Number: EL1283), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date caller received both doses of the PFIZER-BIONTECH COVID-19 vaccine. With the first shot she only had a sore arm for 2 days and joint pain for over a week. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1648847
Sex: F
Age:
State: OH

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

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

Lab Data:

Allergies:

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

Symptoms: numb hands; This is a spontaneous report from a contactable consumer or other non healthcare professional (patient). A 79-years-old female patient received bnt162b2 (BNT162B2, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced numb hands on an unspecified date. Patient stated, "I had my first vaccination. I have numb hands. I have trouble writing." The outcome of event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648848
Sex: F
Age:
State:

Vax Date: 03/04/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: This is a spontaneous report from a noncontactable consumer or other non-HCP. A female patient, of an unspecified age, received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, batch/lot# not reported), via an unspecified route of administration, on Mar 4, 2021, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. The patient had a very bad reaction, which affected her heart (cardiac disorder) and felt cold (non-serious) Mar 2021; with outcome of unknown. The action taken in response to the event(s) for BNT162B2: not applicable.

Other Meds:

Current Illness:

ID: 1648849
Sex: F
Age:
State: NJ

Vax Date: 03/17/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: muscle pain in shoulder when she moves it around; Marbelization on front of arm; Discoloration; lesion also has blisters and across the colored lesion there are wrinkles in the skin caused by the changes in the coloration, tone and elasticity of the skin.; lesion also has blisters and across the colored lesion there are wrinkles in the skin caused by the changes in the coloration, tone and elasticity of the skin./Upper layer of skin got blisters; Painful; swollen going down to the elbow/Swelling; narrow from the injection site may b 2-1 inch a needle site and it now it is going all the way to down to the way to the elbow/Ridges under the skin; redness/muscle got very big red/a very big red mark going down to my elbow; pain in the injections site; swelling in the injections site; evolved to be a dark blue to brown lesion that went from the injection site up to the elbow.; This is a spontaneous report from a contactable consumer or other non hcp. A 67-years-old female patient received bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6208), via an unspecified route of administration, administered in Arm Right on 17Mar2021 (at the age of 67-year-old) as dose 2, single for covid-19 immunisation. Medical history included thyroid disorder from an unknown date and unknown if ongoing, appendicitis from an unknown date and unknown if ongoing. The patient had lot of allergies, reported that she went to an allergist and she had an allergic reaction to the glycerin in the liquid allergy test. The patient reported if she opens bottle of perfume and puts the perfume on her finger, she can taste the perfume within a minute. Caller stated that she liked to use musk oil and had to use a tissue to open the bottle. Concomitant medications included nicotine taken for smoking cessation therapy from an unspecified start date to 17Mar2021; levothyroxine sodium (SYNTHROID) taken for thyroid disorder from an unspecified start date and ongoing. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6203), via an unspecified route of administration, administered in Arm left on 26Feb2021 (at the age of 67-year-old) as dose 1, single for covid-19 immunisation and experienced pain in arm. The patient previously took flu shot 2 years ago, around the beginning of winter in 2019, and experienced arm got very swollen. The patient previously took toxoid vaccine as a child where she had to rush to ER and stayed in the Hospital for 2 days for the management of the symptoms, reported that she fainted, was in total delirium. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 17Mar2021, patient experienced painful, swollen going down to the elbow/swelling, narrow from the injection site may b 2-1 inch a needle site and it now it is going all the way to down to the way to the elbow/ridges under the skin. On 18Mar2021, patient experienced the consumer described that the lesion also has blisters and across the colored lesion there are wrinkles in the skin caused by the changes in the coloration, tone and elasticity of the skin./upper layer of skin got blisters, marbelization on front of arm. On 19Mar2021, the patient experienced muscle pain in shoulder when she moves it around. On an unspecified date in Mar2021, patient experienced redness/muscle got very big red/a very big red mark going down to my elbow, pain in the injections site, swelling in the injections site, evolved to be a dark blue to brown lesion that went from the injection site up to the elbow. the events did not resulted in emergency room visit. Events swelling, blistering, discoloration of arm resulted in Physician Office visit. Therapeutic measures were taken as a result of events included Aleve and it got better. The outcome of the events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: NICOTINE; SYNTHROID

Current Illness:

ID: 1648850
Sex: F
Age:
State: NC

Vax Date: 03/15/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210316; Test Name: fever; Result Unstructured Data: Test Result:102 Fahrenheit; Comments: Temperature early in the morning; Test Date: 20210316; Test Name: fever; Result Unstructured Data: Test Result:101 Fahrenheit; Comments: Her fever that afternoon was 101F; Test Date: 20210316; Test Name: fever; Result Unstructured Data: Test Result:100.8 Fahrenheit; Comments: Her temp was staying at 100.8F, but never got back up to 102; Test Date: 20210317; Test Name: fever; Result Unstructured Data: Test Result:100-99.8 Fahrenheit; Comments: In the morning, after getting rest, her temperature dropped to 100F- 99.8F,; Test Date: 20210317; Test Name: fever; Result Unstructured Data: Test Result:99 Fahrenheit; Comments: 99F on 17Mar2021 in the early evening.

Allergies:

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

Symptoms: Got a full blown reaction; Weakness; she felt dizzy; Feeling extreme cold, no way I was able to warm myself under warm blankets and heating pads; Chills; High fever; Sick; left arm with feeling extreme cold; Malaise; Headache; Nausea; Tired/ Getting a little weary; Little unsteady when I was walking; didn't faint; Slept most of the day; Anxious; This is a spontaneous report from a contactable Nurse (Patient). A 78-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201), dose 2 intramuscular, administered in Arm Left on 15Mar2021 at 11:45 (Age at vaccination: 78 years) as dose 2, single for covid-19 immunisation. Medical history included hypertension. Concomitant medications included Labetalol 100 mg, tablet, twice a day, oral for Hypertension, Losartan 25 mg, tablet, twice a day, orally for Hypertension. Historical vaccine included bnt162b2 (COMIRNATY) as dose 1 on 23Feb2021 with lot number EN6201 on left arm, left deltoid for covid-19 immunisation. It was a subcutaneous needle in the left arm, she believes, she asked, how much it was, and she think they said 3 cc. The patient experienced sick, high fever, chills, left arm with feeling extreme cold on 15Mar2021, feeling extreme cold, no way she was able to warm herself under warm blankets and heating pads on 15Mar2021 at 22:00, she felt dizzy on 16Mar2021, malaise, headache, nausea, tired/ getting a little weary, little unsteady when she was walking; didn't faint, slept most of the day, anxious in Mar2021, weakness on 18Mar2021, got a full-blown reaction on an unspecified date. The patient underwent lab tests and procedures which included pyrexia: 102 fahrenheit on 16Mar2021 Temperature early in the morning , pyrexia: 101 fahrenheit on 16Mar2021 Her fever that afternoon was 101F , pyrexia: 100.8 fahrenheit on 16Mar2021 Her temp was staying at 100.8F, but never got back up to 102 , pyrexia: 100-99.8 fahrenheit on 17Mar2021 In the morning, after getting rest, her temperature dropped to 100F- 99.8F, pyrexia: 99 fahrenheit on 17Mar2021 99F on 17Mar2021 in the early evening. Reporter stated that she received her second Covid vaccine dose on March 15th and 10 hours later she was sick all night, 24 hours later she felt better and the next day she felt dizzy and was back in bed. She reports experiencing high fever, malaise, headache, nausea and weakness "can't get out of bed". She asks, do these symptoms wax and wane like this?She reports that she spoke with her doctor who was "clueless" and who advised her to take Ibuprofen and take a tepid bath. She stated that Was feeling perfectly well until she got the vaccine. She started approximately 10 to 11 hours post injection in her left arm with feeling extreme cold, no way she was able to warm herself under warm blankets and heating pads and then she started feeling very chills and nauseous and weak and then, when she says weak, just tired and feeling a little unsteady when she was walking but she didn't faint or anything like that. And then her fever went up to '102' (not confirmed) and she took Tylenol 500 mg because she was afraid to take Ibuprofen because the instructions were to take Tylenol. And the next morning, she woke up and her fever was, she thinks it was about 101 and she did take two more Tylenol and slept most of the day. The nausea started to subside. She felt a little headachy. And later in the day, she started to feel better. About 24 hours in she thought she was over it. She thinks it was miserable 24 hours, but she was now feeling better and last night, she was able to feel a little bit more like herself. So, this morning when she got out of bed, she got very, very dizzy, she had dizziness, not vertigo, not spinning when she moved her head. her temperature, she may feel well right now. She took two ibuprofen last night before she went to bed with a low-grade temperature of 99. So, she felt she just need to report this. She does not know what to expect, how much longer. She doesn't know if you have any parameters if you could be happy to share. She would like some professional opinion or advice. She would like to hear from you." Consumer further stated, "she only took one 500 mg and then she wasn't feeling that much better. So, she took it at bedtime. She took two Ibuprofen, 200 mg tablets. Thanks to a total of 400 mg Ibuprofen and that brought her fever down. So, in the morning it was, her fever was 98 or so. She was very happy with that and then during the day, she felt quite good. The 16th she was very sick, the 17th she felt quite good after taking the Ibuprofen. In the morning, she didn't feel great, but she was up and about, and she ate normal food and her temperature at bedtime was 99 and she thought she was over all this and then this morning, she woke up with quite a bit of dizziness. She didn't take anything because she didn't think it was indicated, she didn't have a fever. She didn't take anything but just fluids, 'ginger ale' (not clarified further). She did have a breakfast, she thought my blood sugar was down, she had age and a toast and she also had the coffee for the first time in 3 days."Consumer further stated, "Six hours later she took one and then 6 hours after that, she took two Motrin." Therapy was given for High fever and Headache. The outcome of High fever was recovered on 17March2021. The outcome of the rest of the events were unknown. Causality: Consumer stated, "Absolutely, yes, it was right after the shot. She was perfectly healthy and fine before she got the shot. No symptom or allergy, no fever, nothing. They take your temperature by the way. As soon as you go in, they check you and ask you for all that information." No follow-up attempts are needed. No further information is expected.

Other Meds: LABETALOL; LOSARTAN

Current Illness:

ID: 1648851
Sex: F
Age:
State: NY

Vax Date: 03/10/2021
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: vertigo; dizzy; Numbness of the Arm; my fingers still have some tingling; I was feeling off; my left arm and fingers get numbness; This is a spontaneous report received from a contactable consumer (Patient). A 81-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Batch/Lot Number: EN6206) via an unspecified route of administration, administered in Arm Left on 10Mar2021 18:00 at 0.3 ML single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced numbness of the arm, fingers still have some tingling on 11Mar2021, dizzy on 16Mar2021, vertigo on 18Mar2021, she was feeling off and patient left arm and fingers get numbness in Mar2021. It was reported that Caller states, I had the vaccine last Wednesday, Pfizer covid vaccine on the 10Mar2021 first dose, and on the 16th, I started feeling a little dizzy, yesterday and last night I had vertigo. Never had vertigo, but that is what I think, it sounds like it. I was feeling off. I also, from the day after the vaccine, my left arm and fingers get numbness during the day and night and my fingers still have some tingling. My daughter feels to long since the shot and is not related. Caller states that her daughter is on her back about calling, states she doesn't know if call handler can answer this but her daughter is pushing her to call before she sends her off. Caller states that she received the vaccine on 10Mar2021, so a week ago Wednesday and she just realized now the connection. She states she has numbness of her arm and tingling of her fingers, and she still has it. States that she didn't connect it before but now she is seeing it could be related. She states that a week later after that, she started having vertigo and dizziness. Caller states that her daughter wants her to make sure its related to the vaccine. Caller states that she has no temperature. Arm Numbness and Tingling Fingers AE: States it occurred one or two days after. She states she didn't even connect it, she thought she was laying on her arm or something. States that it is mainly at night when she is laying down. Dizziness and Vertigo AE: States it didn't occur until a week later and that is why her daughter thought it was too long after the shot to be related. Clarifies it was her first dose. States she is afraid now to get the second one on 31Mar2021. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1648852
Sex: M
Age:
State: WA

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: pain in in the injection site; This is a spontaneous report from a contactable consumer reporting himself (patient) and from a Pfizer sponsored program COVAX US Support. A 60-year-old male patient received first dose of bnt162b2 (BNT162B2; Solution for injection; Lot Number: EN6208), via intramuscular, administered in left arm as dose 1, single for on 12Mar2021 09:30 covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient got his first shot of the Covid 19 vaccine and experienced pain in the injection site on unspecified date in 2021. Patient scheduled to get his second dose on 02Apr2021 but would like to confirm as he has a friend who got very ill, vomited and ended up with pneumonia after getting the vaccine. Patient asked that how many people might have experienced feeling ill and vomiting after getting the second dose of the vaccine and about the prevalence of side effects experienced after receiving the 2nd dose of the Covid-19 vaccine because he knew from her wife that her coworker had nausea, vomiting, pneumonia, and was sick for a week. Patient's wife didn't want him to get the second shots as she was worried, he may get sick, patient talked to two different people each of which asked me a list of questions. Beyond a sore arm patient had no ill affects fall upon him, no vomiting, nothing, the co-workers he referred to were the ones that had reactions after his first and second dose of vaccines. At the time of this report, outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648853
Sex: M
Age:
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: numbness in right hand/numbness in fingers of just the right hand; Headache; Tiredness; little fever; achy body; This is a spontaneous report from two contactable consumers. A 87-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EN6208; Expiration Date: 30Jun2021), via an unspecified route of administration, administered in Arm Left on 16Mar2021 (at the age of 87 year) as dose 1, 0.3 mL single for COVID-19 immunisation at Mega Site. Medical history included vascular graft (the surgery was about 5 or 6 years ago), stent placement in 1996 and 2006, covid-19 from Jan2021, haemorrhagic stroke (Had about 10 or 11 years ago), age-related macular degeneration, blood cholesterol abnormal, allergies. Concomitant medication(s) included ongoing ubidecarenone,100 mg, 1x/day,oral (COQ 10; has been taking medication for years) taken for supplementation therapy; ongoing ascorbic acid, retinol, tocopherol (OCUVITE [ASCORBIC ACID;RETINOL;TOCOPHEROL]; Been taking for a couple of years) taken for age-related macular degeneration; ongoing aspirin,0.5mg tablet by mouth [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]; Been taking for a few years) taken for anticoagulant therapy; ongoing torasemide 20mg one time a day (TORSEMIDE; taking about a year ago); ongoing metoprolol tartrate 25mg tablet by mouth twice a day, one in morning one at night (METOPROLOL TARTRATE; Been taking for quite a while, a couple of years) taken for blood cholesterol abnormal; ongoing pravastatin 20mg tablet one time a day (PRAVASTATIN) taken for blood cholesterol abnormal; ongoing Tamsulosin 0.4mg tablet by mouth once a day (TAMSULOSIN; Been taking for a couple of years probably 4 or 5 years) for Prostate; ongoing ascorbic acid, betacarotene, biotin, calcium, chromium, colecalciferol, copper, folic acid, iodine, iron, lycopene, magnesium, manganese, nicotinamide, pantothenic acid, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, vitamin b1 nos, vitamin b12 nos, vitamin e nos, xantofyl, zinc (CENTRUM SILVER [ASCORBIC ACID;BETACAROTENE;BIOTIN;CALCIUM;CHROMIUM;COLECALCIFEROL;COPPER;FOLIC ACID;IODINE;IRON;LYCOPENE;MAGNESIUM;MANGANESE;NICOTINAMIDE;PANTOTHENIC ACID;PHOSPHORUS;PHYTOMENADIONE;POTASSIUM;PYRIDOXINE HYDROCHLORIDE;RETINOL;RIBOFLAVIN; Been taking for a really long time, for years and years and years); ongoing fluticasone propionate 50mcg per spray (FLONASE [FLUTICASONE PROPIONATE]; Been taking for years) taken for hypersensitivity, Metoprolol for blood pressure. Patient did not receive any prior Vaccinations within 4 weeks.Relevant Tests None. On 17Mar2021, Reporter stated that patient felt that his right hand was numb. Reporter clarified with patient that it was numbness in fingers of just the right hand. Reporter stated that patient got up this morning and was sitting down in chair and that this happened maybe about a hour or hour and a half ago. Headache started this morning when patient woke up, it was better. On 16Mar2021, patient felt like a little fever last night and achy body started overnight and patient was tired over here like past out. Reporter stated Metoprolol must be for blood pressure. Patient took Tylenol for headache which could be why it was better. Patient did not use anything else for the other events. AE(s) did not require a visit to Emergency Room or Physician Office. The outcome of little fever was recovered on 16Mar2021,Numbness in fingers was recovered on 17Mar2021, for achy body, Fatigue was not recovered, for Headache was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: COQ 10; OCUVITE [ASCORBIC ACID;RETINOL;TOCOPHEROL]; ASPIRIN [ACETYLSALICYLIC ACID]; TORSEMIDE; METOPROLOL TARTRATE; PRAVASTATIN; TAMSULOSIN; CENTRUM SILVER [ASCORBIC ACID;BETACAROTENE;BIOTIN;CALCIUM;CHROMIUM;COLECALCIFEROL;COPPER;FOLIC ACID

Current Illness:

ID: 1648854
Sex: F
Age:
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210319; Test Name: heart rate; Result Unstructured Data: Test Result:increased

Allergies:

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

Symptoms: then she felt shakey; see stars; legs feel heavy; got very dizzy; rapid heart rate; tingling through her legs; had a little bit of chills; This is a spontaneous report from a contactable consumer reported for herself. A 46-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6206), dose 1 via an unspecified route of administration, administered in Arm Left on 19Mar2021 at 09:00 (age a vaccination: 46 years) as dose 1, single for covid-19 immunisation. Medical history was re-ported as None. There were no concomitant medications. Patient did not receive prior vaccinations within 4 weeks. The patient experienced got very dizzy, rapid heart rate, tingling through her legs, had a little bit of chills, see stars (feeling abnormal), legs feel heavy on 19Mar2021, then she felt shakey on an unspecified date. The patient underwent lab tests and procedures which included heart rate was increased on 19Mar2021. The reporter got her first dose that morning about 9:00 am in (State Name) she went to (Name), it was a drive through. The reporter was feeling better now but the first 2 minutes after the shot she felt like she was going to black out, she had a rapid heartbeat, really dizzy almost like she was seeing stars. Right after that she called someone over. The caller's legs felt heavy and tingly. The caller was able to drive home, she was feeling a lot better and was still a little dizzy. She was concerned about her second shot; she will not drive herself there. On the chart it had severe reactions- she did not have swelling, or shortness of breath or a rash. She wants to know "if she should get the second dose?" In this chart from the place, it says a severe allergic reaction would happen within an hour of getting the first dose- the reporter only had the dizziness and rapid heartbeat, it could be anxiety. Then at home she was really dizzy, now she was in bed had a little bit of chills, and the dizziness. The caller has 2 out of 5 of the severe risks. She knows someone who had a reaction on the first dose but not with the second dose. She mentioned that she rarely gets sick a lot it could be her strong immune system causing this. The reporter was lying in bed because she feels like her equilibrium was kind of off, not flu like symptoms. The seeing stars quickly went away, then she felt shaky. The reporter has been drinking a lot of water and took a couple of Tylenol and has eaten lunch. The outcome of got very dizzy, had a little bit of chills, legs feel heavy was not recovered. The outcome of rapid heart rate was recovering. The outcome of tingling through her legs, then she felt shakey, see stars was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648855
Sex: F
Age:
State: FL

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

Allergies:

Symptom List: Tremor

Symptoms: mild headache; fever; pain at the injection site; felt very tired; felt like if her heart warmed up and burning sensation in her left side of the neck and face; This is a spontaneous report from a contactable other healthcare professional, the patient. A female patient of unspecified age (57; units: unknown) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number was not provided), via an unspecified route of administration, administered in Left arm on 15Jan2021 as dose 1, single for covid-19 immunization. Medical history and concomitant medications were not reported. The patient received the injection on her left side, she was kept for half an hour and then on the same day (on 15Jan2021), she had a mild headache and slept. On unspecified dates in 2021, she had a reaction to the vaccine, had a mild reaction with first one, she felt like if her heart warmed up and a burning sensation in her left side of the neck and face, she also had fever, pain at the injection site and felt very tired. The outcome for the events was unknown at the time of report. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1648856
Sex: F
Age:
State: NJ

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

Lab Data: Test Date: 20210305; Test Name: Blood work; Result Unstructured Data: Test Result:white blood cells and leukocytes high; Comments: white blood cells and leukocytes high

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Infection; White blood count and other things like neutrophils and monocytes were all high; White blood count and other things like neutrophils and monocytes were all high; leukocytes to go high; she felt just kind of a little bit under the weather show, that's what we say, not great; Chills; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: unknown), via unspecified route of administration, administered in the left upper arm, on 02Mar2021 (age at vaccination 79-year-old), as dose 1, single for COVID-19 Immunization. Medical history included hypertension. Concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unknown date at the age of 79 year, as dose 1, single for COVID-19 Immunization. Patient had the second shot on 02Mar. So, the next day (03 Mar2021) patient had chills and the next day (04Mar2021) she felt just kind of a little bit under the weather show, that's what we say, not great. And on 05Mar, it was her blood work and she thought that the vaccine caused her white blood cells and leukocytes to go high, to try to fight off this infection. She just wondered if other people had that same results. Her doctor on 05Mar2021, got her report and she just thought it was very strange that her white blood count and the other things like the neutrophils and the monocytes, they were all high. And she thought it was probably the vaccine because that thing kind of gave you like a little, mild infection. Also reported that patient sat in a room for 15 minutes after the shot. she felt okay. Patient have a little high blood pressure. She was going go to see her heart doctor. she just wanted to know has any other person reported that white blood cells were high because of the vaccine. The outcome of the events was unknown. No follow up attempts are possible. Information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1648857
Sex: F
Age:
State: IN

Vax Date: 03/20/2021
Onset Date: 03/21/2021
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: Test Name: heart rate; Result Unstructured Data: Test Result:resting would not go under 100 and with any little; Comments: resting would not go under 100 and with any little activity, would jump up to 150

Allergies:

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

Symptoms: Elevated or racing heart/ My heart rate has been jumping over 130 with Simple activities like brushing my teeth/ elevated HR 130-150s; This is a spontaneous report from a contactable other health care professional (patient). A 33-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Unknown) via an unspecified route of administration in Arm Right on 20Mar2021 09:15 (at the age of 33 years old, unknown if patient pregnant) as dose 1, single for Covid-19 immunization. Medical history reported as none. Patient did not have allergies to medications, food, or other products. The patient's concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the Covid vaccine. Patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with Covid-19. Since the vaccination, the patient has not been tested for Covid-19. The patient experienced elevated or racing heart/ my heart rate has been jumping over 130 with simple activities like brushing my teeth/ elevated heart rate 130-150s on 21Mar2021. Event reported as, elevated or racing heart. patient was very physically fit person with an average resting heart rate in the 50's. Patient heart rate has been jumping over 130 with simple activities like brushing her teeth. Patient was well hydrated and no fever. Elevated heart rate 130-150s. 100 resting. She was asking for a recommendation on receipt of second dose. She received her first dose 20Mar2021, and on Sunday, patient heart rate was super elevated. Her resting would not go under 100 and with any little activity, would jump up to 150. The day after was fine and she has been fine since. She is scheduled to get next dose 10Apr2021, and wants to make sure it is safe for her to get it. No treatment received for the adverse event. The patient underwent lab tests and procedures which included heart rate: resting would not go under 100 and with any little activity, would jump up to 150 on an unspecified date. Outcome of the event was resolved. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648858
Sex: F
Age:
State: WA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: She woke up completely wet; can hardly move/unable to move her left arm; She has had fatigue and is totally exhausted; no taste; Unable to eat; throwing up; Runny nose; fever and chills; Diarrhea; muscle pain: there is not a muscle in her body that doesn't hurt. She feels like she has been hit with a baseball bat; fever and chills; Coughing; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 70-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EP6955; Expiration Date: Jun2021) via an unspecified route of administration, administered in arm left on 15Mar2021 (at the age of 70-year-old) at dose 1, single for covid-19 immunisation. Medical history included blood disorder from an unknown date and unknown if ongoing. Concomitant medication included rivaroxaban (XARELTO) 20mg daily taken for blood thinner from 2020 and ongoing. Prior Vaccinations (within 4 weeks) was none. On an unspecified date the patient experienced she woke up completely wet, on 15Mar2021 fever, chills, runny nose, diarrhea, muscle pain: there is not a muscle in her body that doesn't hurt. she feels like she has been hit with a baseball bat, coughing, on 16Mar2021 throwing up, unable to eat, no taste, she has had fatigue and is totally exhausted, can hardly move/unable to move her left arm. Reporter received the Covid-19 vaccine on Monday. She has had all the symptoms. She has been so sick. Today is the first time she has been out of bed. She is concerned about getting the second dose. She has been coughing. She can hardly move. Her main concerns is if she want to do the second shot. When asking about weight she stated she weighs too much. Where she lives she is under quarantine. They bring the meals to them. Her brother lives in. On the form they gave it says the vaccine is unapproved. Her daughter made the appointment for her. She went on Monday. She has been totally sick ever since. The paper says in 2-14 days you will get these symptoms. She has all the symptoms on the form. She has had fever and chills. She woke up completely wet. She has had fatigue and is totally exhausted. There is not a muscle in her body that doesn't hurt. She feels like she was hit with a baseball bat. She does not have any taste. She is unable to eat. She has had diarrhea. She is unable to answer outcome of event for diarrhea. She has a garbage can next to the couch, her bed and bathroom. She has been throwing up. She has a runny nose. She has been unable to move her left arm. She received the vaccine at the Safeway in. It is a grocery store with a pharmacy inside. Adverse Event: coughing, can hardly move, fever and chills, fatigue, there is not a muscle in her body that doesn't hurt. She feels like she was hit with a baseball bat. She does not have any taste. She is unable to eat. She has had diarrhea. Has been throwing up. Unable to move her left arm, is concerned about getting the second dose. Adverse events did not require a visit to Emergency Room, Physician Office. Outcome of the event she woke up completely wet, throwing up was unknown, Fever, chills, runny nose, unable to eat, no taste, muscle pain: there is not a muscle in her body that doesn't hurt. she feels like she has been hit with a baseball bat, she has had fatigue and is totally exhausted, coughing was not resolved, can hardly move/unable to move her left arm was resolving, Diarrhea was resolved on 17Mar2021. No follow up attempts are possible. No further information is expected.

Other Meds: XARELTO

Current Illness:

ID: 1648859
Sex: F
Age:
State: NY

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Whenever she got the covid vaccine, more numbness came. It increased in her face, legs, feet and hands.; This is a spontaneous report from a contactable Nurse (patient). A 73-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: not provided), dose 1 via intramuscular route of administration, administered in left arm on 16Mar2021 at 07:15 as a dose 1, single for covid-19 immunization and prevention (at the age of 73-years-old). Medical history included lymphoma and numbness in her forehead. The patient's concomitant medications were not reported. The patient previously took vincristine for chemotherapy and experienced numbness. Her situation was a little complicated. Her last cancer treatment was 6 months ago. The reason why she was saying all of this is because she had side effects from the cancer medications of numbness so they stopped the medications. The nerve effects have not completely stopped. She just wanted to know, she was nervous to take the second shot. She had side effects and she did not want to have any more. On 17Mar2021, the patient experienced whenever she got the covid vaccine, more numbness came. it increased in her face, legs, feet and hands. The outcome of all the events was not recovered. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648860
Sex: F
Age:
State: CA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
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: Exactly 48 hrs after 1st dose of Pfizer COVID-19 vaccine I began having heartburn.; Acid reflux is not something I suffer from regularly; This is a spontaneous report from a contactable consumer (patient). A 35-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EP6955, Expiry date: not reported, age at vaccination: 35-year-old), via an unspecified route of administration, administered in Arm Right on 18Mar2021 at 15:15 as dose 1, single for covid-19 immunisation. The patient was not pregnant at the time of vaccination. No medical history was reported. The patient had no known allergies. Concomitant medications included temazepam (TEMAZEPAM) taken for an unspecified indication, start and stop date were not reported; lorazepam (ATIVAN) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine in four weeks of covid-19 vaccination. The patient did not have covid prior vaccination and was not tested for covid post vaccination. On 20Mar2021 at 15:00, exactly 48 hrs after 1st dose of pfizer covid-19 vaccine the patient began having heartburn, acid reflux was not something she suffer from regularly which kept her up all night. The patient started antacid over the counter meds today (24 hrs after the onset of symptoms) as corrective therapy and still no relief. The patient have not contacted her Dr yet as today is a Sunday. The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: TEMAZEPAM; ATIVAN

Current Illness:

ID: 1648861
Sex: F
Age:
State: IL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210321; Test Name: Blood draw; Result Unstructured Data: Test Result:No stroke related concerns identified; Test Date: 20210321; Test Name: CT scan; Result Unstructured Data: Test Result:No stroke related concerns identified; Test Date: 20210321; Test Name: MRI; Result Unstructured Data: Test Result:No stroke related concerns identified; Test Date: 20210321; Test Name: Physical evaluation; Result Unstructured Data: Test Result:No stroke related concerns identified

Allergies:

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

Symptoms: Initially left chin and lower cheek were numb/tingling/Numb feeling spread up left side of face and also to left leg and left arm; Initially left chin and lower cheek were numb/tingling; Nausea; Slight dizziness; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EP7534), via an unspecified route of administration in arm left on 21Mar2021 at 13:15 (at the age of 55-year-old) as a dose 1, single for COVID-19 immunisation. The patient's medical history included prone to migraines. The patient had no known allergies. The patient was not pregnant at time of vaccination. Allergies to medications, food or other products was reported as no. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient's concomitant medications received within 2 weeks of vaccination included dexlansoprazole (DEXILANT) taken for stomach acid issues. Previously patient received omeprazole for stomach acid issues. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 21Mar2021 at 14:00, the patient experienced initially left chin and lower cheek were numb/tingling/ Numb feeling spread up left side of face and also to left leg and left arm, nausea and slight dizziness. This occurred about 40-45 minutes after vaccine. Called CVS and primary doctor, both advised going to emergency room. In a 13-hour emergency room visit had CT scan, blood draw and MRI as well as physical evaluation. No stroke related concerns identified. Post emergency room, left side facial numbness remains, all other issues have subsided. The events resulted in emergency room/department or urgent care. The reporter considered the events as non-serious. On 21Mar2021, the patient underwent lab tests and procedures which included blood draw, CT scan, MRI and physical evaluation, all were resulted as no stroke related concerns identified. The outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: DEXILANT

Current Illness:

ID: 1648862
Sex: M
Age:
State: DE

Vax Date: 02/01/2012
Onset Date: 03/03/2021
Rec V Date: 08/28/2021
Hospital: Y

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

Lab Data: Test Date: 2021; Test Name: Chest X ray; Result Unstructured Data: Test Result:UNKNOWN; Test Date: 2021; Test Name: Chest CT scan; Result Unstructured Data: Test Result:UNKNOWN; Test Date: 2021; Test Name: Lumbar puncture; Result Unstructured Data: Test Result:UNKNOWN; Test Date: 2021; Test Name: Brain MRI; Result Unstructured Data: Test Result:UNKNOWN

Allergies:

Symptom List: Pain in extremity

Symptoms: The initial case was missing the following minimum criteria: no adverse effect (unspecified). Upon receipt of follow-up information on 27Jul2021, this case now contains all required information to be considered valid. This is a spontaneous report from the contactable consumers (including patient's wife) and physician. A 69-year-old male patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), in Feb2012 (Batch/Lot Number: EN6198) as DOSE 1, SINGLE, and on 03Mar2021 17:45 (Batch/Lot number was not reported) as DOSE 2, SINGLE both given via an unspecified route of administration for COVID-19 and cefalexin (KEFLEX), via an unspecified route of administration from 10Mar2021 (Batch/Lot number was not reported) to 10Mar2021, at unspecified dose and for an unspecified indication. Medical history and concomitant medications were not reported. The patient had pneumonia vaccine in Feb2012 and he ended up in hospital because he had a reaction (unspecified) from it. On 03Mar2021 17:45, the patient had the 2nd dose of pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) for COVID 19 (as reported- pending clarification). It was also mentioned that the patient had COVID vaccines, the first was 10Feb2021 and the second was on 03Mar2021 at 6pm (AER 2021311937). It was reported that on 05Mar2021 the patient had a small cut patient procedure done to remove lymph node under left arm (noted on unknown date). On 10Mar2021, the surgeon put the patient on cefalexin. Half hour after taking cefalexin, the patient started seizing, then vomiting uncontrollably. The patient was rushed to hospital by ambulance/emergency room and was admitted on 10Mar2021. The patient had numerous labs including chest X-ray, chest CT scan, brain MRI, and lumbar puncture in 2021 with unknown results. The patient was then discharged on 13Mar2021. Outcome of the events were unknown.

Other Meds: KEFLEX [CEFALEXIN]

Current Illness:

ID: 1648863
Sex: F
Age:
State: PA

Vax Date: 03/01/2021
Onset Date: 03/22/2021
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: 20210322; Test Name: Blood pressure; Result Unstructured Data: Test Result:High

Allergies:

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

Symptoms: her blood pressure today is so high; This is a spontaneous report from a contactable consumer (patient) reporting herself. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 01Mar2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient reported that, she was scheduled for the second shot today (22Mar2021). However, her blood pressure was so high that she felt it was not safe to drive. She was wondering, if she could reschedule her second dose of the vaccine for tomorrow (unspecified date) even though it was past the 21-day interval. The patient underwent lab tests and procedures which included blood pressure measurement: high on 22Mar2021. The outcome of the event high blood pressure was unknown. No follow-up attempts are needed. Information about lot/Batch number is requested.

Other Meds:

Current Illness:

ID: 1648864
Sex: F
Age:
State:

Vax Date: 03/21/2021
Onset Date: 03/01/2021
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: my left hand went numb a little beyond my wrist and then my left foot started feeling numb too and my fingers are still numb and the tops of my toes feel numb.; toes also sting a little bit at times; nervous about my side effect; This is a spontaneous report from a contactable consumer (patient) via Pfizer Medical Information department. A 50-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 21Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications was not reported. On 21Mar2021, about 30 minutes after receiving the vaccine, which they gave it to her in her left arm, her left hand went numb a little beyond her wrist and that lasted about 5 hours and then her left foot started feeling numb too. On 22Mar2021 (this morning) the tops of her fingers were still numb, and the tops of her toes feel numb. The tops of her toes also sting a little bit at times (start date: Mar2021). She was working from home on 2Mar2021 (today) and when she used her left hand the numbness seemed to get worse. She stated that she should rather talk to someone about her medical situation first and then she can come back to Pfizer, but she really needed to speak to someone because she was little nervous about her side effect (start date: Mar2021). Events assessed as non-serious by reporter. The clinical outcome of 'my left hand went numb a little beyond my wrist and then my left foot started feeling numb too and my fingers are still numb, and the tops of my toes feel numb' was not recovered and for rest all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648865
Sex: F
Age:
State:

Vax Date: 03/17/2021
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: messing with her heart/ heart trouble; This is a spontaneous report from a contactable consumer, the patient. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: unknown), via an unspecified route of administration, on 17Mar2021, as single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unknown date in 2021, patient has had trouble with Pfizer's COVID-19 vaccine. Patient received the first dose on Wednesday 17Mar2021, but it was messing with her heart, patient asked that, do people with heart trouble get the vaccine. Patient was called and told she had a close episode and whether patient got a defibrillator to shock patient's heart back if it stopped. Patient was having no problems before she got the shot. Patient was going to the doctor right now. Patient got the Pfizer shot the first shot and was wondering that didn't know if a person that has heart trouble (Further clarification was unknown) probably should not get that right. Because patient's heart doctor just called to patient and patient got to go in (incomplete sentence), some type of emergency thing (clarification unknown), patient just wanted to know if the Pfizer shot related to that or you just don't know. 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: 1648866
Sex: M
Age:
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:elevated

Allergies:

Symptom List: Vomiting

Symptoms: elevated Heart rate; he received a mishandled dose yesterday, an Expire batch of covid 19 vaccine; This is a spontaneous report from a contactable consumer. This (Age: 33, Unit: Unknown) male consumer (Patient) reported that: A male patient of age 33 (Unit: not reported) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, on a day prior to this report (stated as yesterday) as DOSE NUMBER UN-KNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. A day prior to this report (stated as yesterday), the patient experienced elevated heart rate, he received a mishandled dose yesterday, an expire batch of covid 19 vaccine. Reporter said he got a call from the pharmacy today stating he received a "spoiled vaccine" and the Pharmacist wanted to get him a moderna vaccine today. Reporter further stated "I wasn't comfortable with mixing the two" and have a "elevated Heart rate for a few minutes yesterday". It was stated that the pharmacy said they would give another Pfizer dose tomorrow and asked for information about re-vaccination after an invalid/bad dose. Reporter was made aware if he has received Pfizer, he needed to continue with Pfizer for series. The patient underwent lab tests and procedures which included heart rate: elevated on an unspecified date. The outcome of events was unknown. No follow-up attempts were possible; Information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1648867
Sex: F
Age:
State: MO

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: stressed out; numbness and tingling to left side of her face; numbness and tingling to left side of her face; left arm soreness; she still has it in her face and part of her tongue; she still has it in her face and part of her tongue; she had soreness 5 minutes later up her neck on the side where she got the shot; she was sore 30 minutes after that to her chin and cheek on the left side of her face, but no higher than her eye.; her tongue still feels weird, and her cheek and jaw are uncomfortable and numb; she just gets kind of a little bit of pain like with overstretched muscles, it is uncomfortable and hurts a little; This is a spontaneous report from a contactable consumer (patient). A 27-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6205, Expiry date: Unknown), via an unspecified route of administration, administered in left arm on 01Mar2021 at 15:04 as dose 1, single (at the age of 27-years-old) for COVID-19 immunization. Medical history included Anxiety and Depression from 2015, Attention deficit hyperactivity disorder from 2000; all to an unknown date and Historical Vaccine included Flu shot (Lot number and Expiry date: Unknown) for Immunization, almost a year prior to this vaccine. The patient's concomitant medications were not reported. On 01Mar2021, 30 minutes after vaccination, the patient experienced numbness and tingling to left side of her face. Later on an unspecified date in Mar2021, it was slowly creeping up her arm. She says she had soreness 5 minutes later up her neck on the side where she got the shot, then she was sore 30 minutes after that to her chin and cheek on the left side of her face, but no higher than her eye. She says she did not feel it in her forehead, but she did in the left side of her tongue, She still has it in her face and part of her tongue. She says that it is a lot better, but her tongue still feels weird, and her cheek and jaw are uncomfortable and numb. She says when she gets stressed it gets worse. She says she still has numbness and tingling on her left lower jaw where before it was all of the left side of her face. She says it is unknown if there is any correlation, she just gets kind of a little bit of pain like with overstretched muscles, it is uncomfortable and hurts a little, though it is definitely a lot better, it is still there and gets worse when she is stressed out. On an unspecified date in Mar2021, patient had left arm soreness, She says her arm soreness went away within 15-24 hours for that dose, that was fast. It was reported patient had weird side effects and her doctor told her to go to urgent care and they said to deal with it. She says that she has all of her symptoms written down since 10 minutes after she got the vaccine. Patient says that her second dose appointment date was on 23Mar2021 at 09:25. No investigation assessment. The outcome of event kind of a little bit of pain like with overstretched muscles, it is uncomfortable and hurts a little was recovering and the outcome for left arm soreness was recovered and for rest of the events it was unknown. No follow-up attempts are possible. Information about Lot/Batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648868
Sex: F
Age:
State: CA

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Had bad reaction affecting heart and pulse; Had bad reaction affecting heart and pulse; This is a spontaneous report from a contactable consumer (patient herself) via Pfizer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 04Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient had bad reaction affecting heart and pulse. The patient wanted to come back on 25Mar2021 for second shot of Covid but now is questioning getting second shot. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648869
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: shortness of breath with exercise; sore arm; back pain; occasional diarrhea; anemic; This is a spontaneous report from a contactable other hcp. A 62-years-old female patient received 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 the age of 62 years), as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced shortness of breath with exercise but much improved, back pain, occasional diarrhea, "anaemic but feeling ok", sore arm after covid vaccine last month. The clinical outcome of the event shortness of breath was recovering and remaining all other events was recovered in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1648870
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: groaning; terrible pain; This is a spontaneous report from a non-contactable consumer via Pfizer sales representative. This consumer reported for an unspecified age of female patient that received bnt162b2 (COMIRNATY, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date patient at hair salon was experiencing terrible pain after receiving Pfizer COVID vaccine. Unclear If it was his employee or clientf but said she was groaning because she was in such pain. Patient described it as pregnancy contractions. Outcome of the events moaning and terrible pain was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1648871
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: Heart rate; Result Unstructured Data: Test Result:elevated heart rate; Comments: since Friday morning has had an elevated heart rate

Allergies:

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

Symptoms: since Friday morning has had an elevated heart rate; This is a spontaneous report from a non-contactable consumer reported for an adult female patient (lady friend). An unspecified age adult female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection Lot number was not reported) via an unspecified route of administration on 11Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history included breast cancer survivor from an unknown date and unknown if ongoing he is a breast cancer survivor, has numerous allergies and perhaps also an autoimmune disease, numerous allergies from an unknown date and unknown if ongoing he is a breast cancer survivor, has numerous allergies and perhaps also an autoimmune disease, autoimmune disease from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. On an unspecified date in Mar2021, the patient experienced since Friday morning has had an elevated heart rate. The patient underwent lab tests and procedures which included heart rate resulted as elevated heart rate on an unknown date Mar2021 since Friday morning has had an elevated heart rate. The clinical outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am