VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1651630
Sex: M
Age: 15
State: NM

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

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

Lab Data: none

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: I administered an initial dose of the Pfizer vaccine to patient , 15yo who presented with his father and his brother, , on 8/28/21 @ 12:05 p.m. Pt stood behind his father while his father was watching me about to vaccinate his brother. There was a noise and another patient waiting around yelled, "He fainted!" Pt's father turned around and pt had fallen from a standing position and hit his head on the floor. I called out to Syed to call a "code white" overhead. We placed cotton balls from a shelf underneath his head, gave him an ice pack and talked to him. He was talking and asking what happened, knew his name, where he was. We were able to move patient to a chair with his father and a manager both standing next to him. I gave him another ice pack and a bottle of cold water in case he was thirsty. The patient took a sip then his head fell forward and the water fell out of his mouth. Patient was being held by his father and a manager, he did not fall out of the chair. I called out to to call 911. The patient was unconscious for less than a minute, very pale and not very responsive, but the decision was made to hold on to him and leave him in the chair rather than try to move him to the floor. When the paramedics arrived, they evaluated him, and after a conversation with and his father, did not end up leaving with them. asked for another bottle of water. He continued to sit down, regained some of his color back, and after about 45 minutes, , his father and brother said they were leaving and would continue to monitor him. We used 2 ice packs and 2 bottles of water responding to this AE. -DRB 8/28/21 I called parents later 8/28/21 @ 6:50 p.m., mother answered. Mother said he was fine, he ate a big lunch and is playing video games. She denies any complaints of any headache or memory loss, they think just stood up too fast. Confirmed 2nd appointment, mother said he would return and receive the 2nd dose as scheduled. -DRB 8/28/21 @ 6:50 p.m.

Other Meds: none

Current Illness: none

ID: 1651631
Sex: F
Age: 61
State: FL

Vax Date: 08/27/2021
Onset Date: 08/28/2021
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: None

Allergies: Zomig, levaquin, betadine

Symptom List: Anxiety, Dyspnoea

Symptoms: Pain in mid-back through mid-breast that came in waves. Lasted about 5 hours off and on. Hives started on abdomen, moved to back, buttocks, and upper thighs. Some hives on arms and under bra line. Still having hives. Some get better and then others appear in different places.

Other Meds: Aimovig 140 mg taken 8/26

Current Illness: None

ID: 1651632
Sex: M
Age: 14
State: IN

Vax Date: 08/27/2021
Onset Date: 08/28/2021
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: None so far

Allergies: ALLERGIC TO ALL TREES/POLLENS ALLERGIC TO RAW VEGETABLES ALLERGIC TO LATEX

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

Symptoms: My son has splotchy welts on the left side of his arm, same arm shot was administered. He also has had a headache and felt nauseous all day

Other Meds: NONE

Current Illness: NONE

ID: 1651633
Sex: F
Age: 47
State: AZ

Vax Date: 07/24/2021
Onset Date: 07/24/2021
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: Blood work done on 8/25 Sed Rate result is 6 ANA Result was negative Lyme Disease test was negative TSH result is 2.82 T4 result is 1.2 T3 result is 3.0 Vitamin B12 result is 1269 Folate result is 14.3

Allergies: Bactrum antibiotic

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Hello, I wanted to report an adverse reation that I had to the Moderna Covid-19 vaccination that I received on 7/24/21 (dose 1). The vaccine was given at Pharmacy store number 10150 and the shot lot number is 054C2IA. 3 hours after I received the shot I began experiencing tingling and pin pricking sensations on both of my lower legs. It was mild and the sensation stopped after 5 days. 2 weeks later during an uphill hike on 8/14 I started experiencing a sensation of "being stung by bees" on both of my calves. It was pretty intense/painful and of course there were no bees to be found. After the hike this stinging nerve pain sensation disseminated throughout my entire body, everywhere including my eyelids. It is now 8/28, and this nerve stinging sensation has not stopped. I spoke to my primary doctor last week who of course is unaware of a reaction like this. She checked to see if I had any autoimmune antibodies which I do not. I am writing to report this reaction for this dose and to see if you can provide any advice as far as treating this mysterious reaction. I had no problem with my nerves prior and the only pre-existing condition that I have is iron-deficiency anemia. I have not taken the second dose as advised by my doctor.

Other Meds: No Prescriptions, but take a multi vitamin, thyroid support supplement, iron supplment

Current Illness: Iron Deficiency Anemia

ID: 1651634
Sex: F
Age: 41
State: NY

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

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

Lab Data:

Allergies: No

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

Symptoms: Injection site pain - 11pm 08/26/21 - present Body ache - 10am 08/27/21 - present Tiredness - 10am 08/27/21 - present Intensified body ache - 2pm 08/27/21 Chills - 3pm 08/27/21 Fever (highest before taking Tylenol) 102,4 F 4:30pm 08/27/21 Lymphoadenopathy (left arm pit) 8am 08/28/21 Chills 12pm 08/28/21 - to present Fever 101F 1pm 08/28/21 (1h after Tylenol)

Other Meds: Levothyroxine 163mg Liothyronine 13mcg Montelukast 10mg

Current Illness: Stomach pain after eating gluten and dairy - 3 weeks prior to vaccination (2nd dose)

ID: 1651635
Sex: F
Age: 25
State: IN

Vax Date: 08/27/2021
Onset Date: 08/28/2021
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: N/A; took some Tylenol in hopes to relieve pain and fever, the Tylenol did not relieve my symptoms as of 8/28/2021 9:00 PM EST.

Allergies: Phenogren, walnuts, cats

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

Symptoms: Symptoms took place all day 8/28/2021: Fever of 102 degrees Fahrenheit, chills (feeling hot and cold off and on all day), left arm and left shoulder very sore (could not extend arm beyond shoulder without pain), light sensitivity (felt like I was hungover although I was sober), extreme fatigue, headache felt like I had a bowling ball for a head (felt better to lay down in bed than it was to stand up and walk around).

Other Meds: Birth control, Tylenol

Current Illness: N/A

ID: 1651636
Sex: F
Age: 27
State: TX

Vax Date: 06/14/2021
Onset Date: 07/14/2021
Rec V Date: 08/28/2021
Hospital: Y

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

Lab Data: Bone Marrow Biopsy, 7/27/2021, B-cell Acute Lymphoblastic leukemia/Lymphoma with t(4;11)(q21;q23) KMT2A-Rearranged

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pregnant 18 weeks when having the second does (6/14/2021). Arm was hurt and sore for the next 2 days. A week later, a big lymph node showed up behind my right ear (size a little bigger than half a marble). In another week, another showed up behind my left ear, and more poped out (around 10 ) all around my neck and behind my head. I went for a blood check at 7/13/2021, and got the result the next day showing 26 times more than normal white blood counts. Went to the ER that night, and got initial diagnosis of leukimea/blood cancer. I was admitted into the cancer ward in the next two days, and stayed for 3 weeks. in the first week, I had a bone marrow biopsy done and got confirmed that I got B-cell Acute Lymphoblastic Luekemia. I started receiving chemo therapy right away. 3 weeks later I was released from the hospital at 7/29/2021. That weekend, My baby died when he was 25 weeks. I had to return to the hospital and had a induction at 8/3/2021.

Other Meds: Prenatal vitamins, DHA, Calcium

Current Illness:

ID: 1651637
Sex: F
Age: 38
State: WA

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: CBC, CMP, ESR ordered 7/6/21 were within normal limits.

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Following the 2nd dose of the Pfizer vaccine the patient has experienced fatigue, generalized arthralgias, and axillary lymph node enlargement.

Other Meds: None

Current Illness: None

ID: 1651638
Sex: F
Age: 60
State: NC

Vax Date: 08/13/2021
Onset Date: 08/21/2021
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: Declomycin Ciprofloxacin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I had my first Moderna vaccine on August 13th. On August 21st, I developed a painful, red, swollen nodule about an inch in diameter at the injection site. Fairly deep on palpitation. It also had what looked like tiny red blisters on top. Today, 8-22-21, it is still painful and I have a headache.

Other Meds: Bupropion, MVI, Estroven, calcium, vit D & E, turmeric

Current Illness: None

ID: 1651639
Sex: F
Age: 54
State: FL

Vax Date: 08/27/2021
Onset Date: 08/27/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills, fatigue, upset stomach

Other Meds: Progesterone prescription

Current Illness: No

ID: 1651640
Sex: M
Age: 13
State: OR

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Within 10 minutes after receiving the vaccination, patient reported headache and blurred vision. He was sweating with shallow wheezing breaths. He reported trouble breathing. While asking him questions, his head rolled back and his arms and legs began convulsing for a couple seconds. Epinephrine from the e-kit was administered and emergency services were called. Patient was moved to prone position on the floor, breathing quickly, with pale lips and complaints of numb fingers. Emergency services arrived, were informed of events, and took over. They determined he was probably having a panic attack, although he did not report nerves regarding the vaccination. Patient had never experienced a reaction to previous vaccinations. Panic or fear of initial headache and blurred vision may have elevated reaction. Patient eventually left with family.

Other Meds:

Current Illness:

ID: 1651641
Sex: F
Age: 18
State: AL

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies: Sensitivity to lactose, pineapple, avocado

Symptom List: Rash, Urticaria

Symptoms: For about 2 hours, symptoms included nothing more than pain and swelling in and around the injection site. After 2 hours, symptoms included achy, painfully swollen joints in the hips, back, shoulders, and knees. Fever began to rise. Chills. After 3 hours, symptoms included dizziness and blurred vision, nausea, and the aforementioned symptoms. After 5 hours, symptoms included stomach and head migraines. Fever continued to rise. Inability to stand due to intense vertigo, For the next 8 hours, symptoms included feverish dreams, severe vertigo, cold sweat, chills, diarrhea, nausea, further inflammation of joints, backache, confusion, and throwing up in the mouth. The next morning, symptoms slowly declined. For the following week, upset stomach, severe vertigo, and dizzy headache remained. Remaining symptoms 1 month later include dizziness and headache. Possibly unrelated remaining symptoms include decreased nerve sensitivity in the lower legs, especially left leg (never noticed before the vaccine, ability to feel pain in leg has declined, and as a dancer, the patient noticed this).

Other Meds: Epiduo Forte topical acne treatment

Current Illness:

ID: 1651642
Sex: F
Age: 21
State: PA

Vax Date: 03/10/2021
Onset Date: 04/09/2021
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: I've had a ton of blood work only one I had that was off was my Triponin and that was why I was admitted to the hospital. My stress test, Echo, 24 hr Holter monitor were all normal. 2 week holter did show one episode of tyle 1 wenckenbach.

Allergies: Sulfa drugs, Zithromax, Flagyl

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

Symptoms: 3 days after recieving my second dose I passed out. I became nauseous and tried to go to the bathroom to vomit but instead I fell and I was in and out of conciousness. During that time I defecated myself and began to vomit as well. I went to the ER in an ambulance they ran many test everything came out okay I was diagnosed with syncope,once I was stable they sent me home. I followed up with a doctor at my DR office (my doctor didn't have space to see me for a while) she refered me to a cardiologist because I was still feeling off, I was dizzy and my blood pressure was a little low. The cardiologist ran many test but everything was basically inconclusive. Fast foward to August I still have not felt like myself. On August 4th I was working a normal shift when I started to feel pain in my chest. I finished my shift and went right to the ER where they admitted me with Acute Pericaditis. To this day even with the madication I still have pain and trouble with my breathing.

Other Meds: Vyvanse,Zoloft,Estarylla, Wixela

Current Illness:

ID: 1651644
Sex: F
Age:
State: MN

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 4 days after second dose I developed a burning rash on my legs, from ankle to knee. It does not itch, just burns under my skin like nerve pain, day and night.; 4 days after second dose I developed a burning rash on my legs, from ankle to knee. It does not itch, just burns under my skin like nerve pain, day and night.; Inappropriate schedule of vaccine administered; 4 days after second dose I developed a burning rash on my legs, from ankle to knee. It does not itch, just burns under my skin like nerve pain, day and night. Last week, almost 2 months later, I have developed a similar rash on my arms.; This is a spontaneous report from a contactable consumer, the patient. A 74-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6201) via an unspecified route of administration in the left arm on 01Mar2021 at 12:00 (at the age of 74-years-old) as a single dose for COVID-19 immunisation. Medical history included pulmonary embolism and lung cancer. Concomitant medications taken within two weeks of vaccination included warfarin (MANUFACTURER UNKNOWN) and rosuvastatin (MANUFACTURER UNKNOWN), both taken from unknown date for unknown indication. The patient previously took the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6201) via an unspecified route of administration in the right arm on 28Feb2021 at 12:00 (at the age of 74-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 05Mar2021, four days after second dose the patient developed a burning rash on her legs, from ankle to knee. It did not itch, just burned under her skin like nerve pain, day and night. On an unknown date in 2021, the previous week of report, almost 2 months later, the patient had developed a similar rash on her arms. The events resulted in doctor or other healthcare professional office/clinic visit. No therapeutic measures were taken as a result of the events. The clinical outcome of the events four days after second dose developed a burning rash on her legs, from ankle to knee; it did not itch, just burned under her skin like nerve pain, day and night; the previous week of report, almost two months later, developed a similar rash on her arms was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: WARFARIN; ROSUVASTATIN

Current Illness:

ID: 1651645
Sex: M
Age:
State: NY

Vax Date: 04/28/2021
Onset Date: 05/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Large persistent rash over torso, upper legs, and buttock region; This is a spontaneous report from a non-contactable consumer, the patient. A 29-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: Ew0175) via an unspecified route of administration in the right arm on 28Apr2021 at 00:00 (at the age of 29-year-old) as a single dose for COVID-19 immunisation. The medical history included penicillin allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any medication within two weeks of vaccination. On 01May2021 at 00:00, the patient experienced large persistent rash over torso, upper legs and buttock region. Therapeutic measures were taken as a result of reported event which included treatment with Benadryl or used calamine lotion. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event large persistent rash over torso, upper legs and buttock region was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651646
Sex: F
Age:
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash on the back - looked like small pimples.; This is a spontaneous report from a contactable consumer, the patient. A 55-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: unknown) via an unspecified route of administration in the left arm on 29Apr2021 at 14:00 (at the age of 55-year-old) as a single dose for COVID-19 immunisation. Medical history included obesity, lichen sclerosis and psoriasis. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included colecalciferol (VITAMIN D), naproxen sodium (ALEVE), multivitamin (MANUFACTURER UNKNOWN) and ibuprofen (ADVIL) all from unknown date for unknown indication and unknown if ongoing. The patient previously took morphine(MANUFACTURER UNKNOWN) for unknown indication on unknown date and experienced drug allergy. On 30Apr2021 at 11:00, the patient experienced rash on her back - looked like small pimples. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. No therapeutic measures were taken as a result of the reported event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event rash on the back - looked like small pimples was recovered on an unknown date in 2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: VITAMIN D [COLECALCIFEROL]; ALEVE; ADVIL [IBUPROFEN]

Current Illness:

ID: 1651647
Sex: F
Age:
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: body aches; Tight shoulder and upper back and neck; Numbness on left side of face.; Bone and body aches; This is a spontaneous report from a contactable consumer, the patient. A 29-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 25Apr2021 at 10:15 (at the age of 29-years-old) as a single dose for COVID-19 immunisation. Medical history included penicillin allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient did not receive any medication within two weeks of COVID-19 vaccine. On 26Apr2021, the patient experienced bone and body aches, tight shoulder and upper back and neck, numbness on left side of face. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events bone and body aches, tight shoulder and upper back and neck, numbness on left side of face was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Penicillin allergy

ID: 1651648
Sex: F
Age:
State: MA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: tingling in tongue; no taste; Numb lips; Numb lips and tongue about 1/2 hourafter injection; fatigue; This is a spontaneous report from a contactable consumer, the patient. A 55-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 29Apr2021 at 17:00 (at the age of 55-year-old) as a single dose for COVID-19 immunisation. Medical history included hepatopancreatobiliary diseases (HPB) and penicillin allergy. The patient previously took ciprofloxacin and Bactrim and experienced allergy to the medications. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received medications within two weeks of vaccination, but the medications were unspecified. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 31Mar2021 at 13:00 (at the age of 55-year-old) as a single dose for COVID-19 immunisation. On 29Apr2021 at 17:45, the patient experienced numb lips and tongue about half an hour after injection, no taste and fatigue. On 30Apr2021, next day, numbness returned plus tingling in tongue. Therapeutic measures were not taken as a result of the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event numb lip and tongue, no taste, fatigue next day numbness returned plus tingling in tongue was not recovered at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651649
Sex: F
Age:
State: CO

Vax Date:
Onset Date: 04/15/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: memory loss; Brain fog; This is a spontaneous report from a contactable healthcare professional, the patient. A 41-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: En6207) via an unspecified route of administration in the left arm on an unknown date and month in 2021 as a single dose for COVID-19 immunisation. The patient had not reported any other health issue. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included progesterone (MANUFACTURER UNKNOWN) for an unknown indication from an unknown date. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: En6203) via an unspecified route of administration in the left arm on 27Feb2021 (at the age of 41-year-old) as a single dose for COVID-19 immunisation. On 15Apr2021, the patient experienced brain fog and memory loss. The patient had a hard time finding words and short-term memory had been affected. The patient does not normally need to make lists or add things to calendar and right now if patient did not do that, patient did not remember at all and could not recall important things for work. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event brain fog and memory loss was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: PROGESTERONE

Current Illness:

ID: 1651650
Sex: M
Age:
State: NC

Vax Date: 04/28/2021
Onset Date: 04/30/2021
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: Bleeding gums; This is a spontaneous report from a non-contactable consumer, the patient. A 59-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 28Apr2021 (at the age of 59-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 07Apr2021 (at the age of 59-year-old) as a single dose for COVID-19 immunisation. On 30Apr2021, the patient had bleeding gums. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the events. The clinical outcome of the event bleeding gums was resolving at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651651
Sex: M
Age:
State: WA

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

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

Lab Data:

Allergies:

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

Symptoms: Administered 0.5 mL of vaccine instead of 0.3 mL; This is a spontaneous report from a contactable healthcare professional. A 45-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0162), intramuscularly in the left arm on 08Apr2021 (at the age of 45-years-old) as a 0.5 ml single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 08Apr2021, the patient was administered 0.5 ml of BNT162b2 vaccine, instead of 0.3 ml. The event did not result in doctor or other healthcare professional office/clinic visit or emergency room/department or urgent care. No therapeutic measures were taken as a result of the event. The clinical outcome of the event was unknown. No follow-up attempts are needed. No further information is expected. Amendment: This follow-up report is being submitted to amend previously reported information: reaction data (updated event to overdose), treatment (NO), and outcome (UNKNOWN).

Other Meds:

Current Illness:

ID: 1651652
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Sore arm; Fatigue; This is a spontaneous report from a non-contactable healthcare professional, the patient. A 40-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 16Feb2021 at 13:00 (at the age of 40-years old) as a single dose for COVID-19 immunisation. Medical history included hypothyroidism. The patient had known allergies to adhesive and imitrex. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included levothyroxine sodium (LEVOTHYROXIN) and estradiol (MANUFACTURER UNKNOWN); both from unknown dates for unknown indications and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 26Jan2021 at 13:00 (at the age of 40-years old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 16Feb2021 at 14:30, the patient experienced sore arm and fatigue. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events sore arm and fatigue was recovered on an unknown date in 2021. No follow-up attempts are possible. Information about lot number cannot be obtained. No further information is expected

Other Meds: LEVOTHYROXIN; ESTRADIOL.

Current Illness:

ID: 1651653
Sex: F
Age:
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
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: Injected in left arm, and where they vaccinated have a red spot.; Injected in left arm, and where they vaccinated have a red spot and its swollen.; Injected in left arm, and where they vaccinated have a red spot and its swollen and causing pain.; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 29Apr2021 at 17:15 (at the age of 49-years-old) as a single dose for COVID-19 immunisation. Medical history included known allergies to penicillin. The patient had known allergies to codeine and carbamazepine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included baclofen (BACLOFENE), trazodone (MANUFACTURER UNKNOWN) and venlafaxine hydrochloride (EFFEXOR); all from unknown dates for unknown indications and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 08Apr2021 at 17:15 (at the age of 49-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 30Apr2021 at 08:00, the patient experienced red spot and swelling where she got injected and it caused pain. The events did not result in doctor or other healthcare professional office or clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, patient had not been tested for COVID-19. The clinical outcome of the events red spot and swelling where she got injected and it caused pain was not recovered at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: BACLOFENE; TRAZODONE; EFFEXOR

Current Illness:

ID: 1651654
Sex: F
Age:
State: MD

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Date: 20210401; Test Name: EKG; Result Unstructured Data: Test Result:Sinus rhythm with supraventricular ectopy; Comments: At 23:00

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Sinus rhythm with supraventricular ectopy; Sinus rhythm with supraventricular ectopy; This is a spontaneous report from a contactable consumer, the patient. A 62-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 26Mar2021 at 10:00 (at the age of 62-year-old) and second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 17Apr2021 at 11:00 (at the age of 62-year-old)as a single dose for COVID-19 immunisation. The patient had no relevant medical history. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any concomitant medications. On 01Apr2021 at 23:00, the patient underwent electrocardiogram (EKG) with sinus rhythm and supraventricular ectopy which were always normal. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the reported events. The clinical outcome of the events sinus rhythm with supraventricular ectopy were unknown at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1651655
Sex: F
Age:
State:

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever; chills; headache; nausea; Pain in arm; This is a spontaneous report from a non-contactable consumer, the patient. A 17-year-old non-pregnant female patient received unknown dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 30Apr2021 at 15:00 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included vegetable allergy (Raw carrot allergy). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Concomitant medications were not reported. On 01May2021 at 02:00, the patient experienced fever, chills, headache, nausea, pain in arm. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fever, chills, headache, nausea, pain in arm was recovering at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness: Vegetable allergy (Known allergies: Raw carrots)

ID: 1651656
Sex: F
Age:
State:

Vax Date: 04/17/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: reports calcification bumps on her arms distal to elbows prior to start got bigger; md told her that her inflammation levels went down; This is a spontaneous report from a from a contactable other hcp via Pfizer-sponsored program. A 66-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection; Lot Number and Expiration date was not reported), via an unspecified route of administration on 17Apr2021(at the age of 66-year-old) as dose 2, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection; Lot Number and Expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. Patient reported her md advised her to hold xeljanz for one week before and one week after each of her two covid-19 vaccinations. Reported her second vaccination was on 17Apr2021, and she re-started xeljanz on 20Apr2021 and she also reported the calcification bumps on her arms distal to elbows prior to start got bigger during holds, unknown after re-start. She reported, md told her that her inflammation levels went down after start of therapy 27Dec2020, did not specify blood labs or values. md aware. The clinical outcome of events were unknown. No follow attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651657
Sex: F
Age:
State: NC

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Very heavy periods; Early periods; This is a spontaneous report from a contactable consumer, the patient. A 34-years-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Pfizer ER8736) via an unspecified route of administration in the left arm on 31Mar2021 at 15:00 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. Medical history included seasonal allergy and mango allergy. Concomitant medications included sertraline (MANUFACTURER UNKNOWN), fexofenadine hydrochloride (ALLEGRA 24 HOUR) and fluticasone propionate (FLONASE) (OTC- over the counter), all for an unknown indication, from an unknown date. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient period was clockwork and getting periods every 25-26 days and she tracked it. The patient was on the medications before the vaccine and had her period regularly. On 03Apr2021, the patient experienced period came three days early and it was very heavy. The clinical outcome of the events of experienced period came three days early and very heavy periods was Not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: SERTRALINE; ALLEGRA 24 HOUR; FLONASE

Current Illness:

ID: 1651658
Sex: F
Age:
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Tongue and mouth is going numb; This is a spontaneous report from a contactable consumer from a Pfizer-sponsored program. A consumer reported for a female patient (reporter's mother-in-law) of an unspecified age who received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported) via an unspecified route of administration on 02May2021 as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient's historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine) on 11Apr2021 for covid-19 immunization. The patient experienced tongue and mouth were numb on 02May2021. The reporter asked if the event was normal, or she need to her mom-in-law to the hospital. There were medical questions addressed by the program forwarded/referred to medical information. Customer and/or medical inquiry forwarded or referred to MI. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1651659
Sex: F
Age:
State:

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:Normal

Allergies:

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

Symptoms: Her lips went numb; Vomiting; Low grade fever; Nausea; Shakes; Weakness; Numbness; Tingling/sensation as when she go to the dentist or fall asleep on her arm; nerve pain; This is a spontaneous report from a contactable consumer or other non-HCP (patient herself) via Medical Information Team. A 55-Year-old female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EW0153) via an unspecified route of administration on 14Apr2021, as dose 1, single (at the age of 55-years-old) for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Immediately after the vaccine on 14Apr2021, patient lips went numb and had to be observed. She then experienced vomiting, low grade fever, nausea, shakes, and weakness which then resolved in 7 days. She called today (on an unspecified date in 2021) about numbness/tingling/nerve pain that started two weeks after the vaccine on the left side of the body, which was where the vaccine was administered. Her whole left upper quadrant was numb and tingling from her waist to the tip of her left ear lobe including her hand, arm, fingers, under her breast, back and left side of the neck. She described the sensation as when she went to the dentist or fall asleep on her arm. She had bloodwork on an unspecified date (Monday) and it all came back normal. She did not have a pinched nerve. She was scheduled for an MRI today. She was calling to see if these side effects of numbness, tingling and nerve pain have been reported and how to treat the side effects. The outcome of the events her lips went numb, vomiting, low grade fever, nausea, shakes, and weakness were resolved on 21Apr2021 and outcome for rest of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651660
Sex: F
Age:
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: I have been in menapause for 18 months. 3 days after my 2nd dose (5-3) I have started my cycle again, & am still having it.; This is a spontaneous report received from a contactable consumer (reported herself). A 48-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: Ew0161), via an unspecified route of administration, administered in arm left on an unspecified date (age at vaccination was 48-year-old) as dose 2, single for covid-19 immunisation. Facility where the most recent COVID-19 vaccine was administered was other. Medical history included high blood pressure from an unknown date and unknown if ongoing. Concomitant medications included ergocalciferol (VITAMIN D [ERGOCALCIFEROL]) and lisinopril for an unspecified indication, start and stop date were not reported received within two weeks of vaccination. Previously, the patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: Ep7533), via an unspecified route of administration, administered in arm left on an unspecified date as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient stated that she had been in menapause for 18 months and 3 days after her 2nd dose (5-3) she had started her cycle again and she still having it, on 03May2021 01:00. The patient was not hospitalised. Since the vaccination, the patient had not tested for COVID-19. The patient not received treatment for the event. The outcome of the event was not resolved. Follow-up attempts are completed. No further information is expected.

Other Meds: VITAMIN D [ERGOCALCIFEROL]; LISINOPRIL

Current Illness:

ID: 1651661
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Numbness in his right foot on the same side he received the injection; burning sensation to his foot; This is a spontaneous report from a contactable consumer (provider). A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Lot number and expiry date was unknown), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. The reason for no lot number was because complainant hung up abruptly. Medical history and concomitant medications were not reported. It was stated that, the patient who received the first Pfizer vaccine about 2 weeks ago has got some numbness in his right foot on the same side he received the injection and he thought that this was a side effect, it was a kind of burning sensation to his foot, his one foot. The patient was concerned about next vaccine. The outcome for the events was unknown at the time of report. Limited information was available over the call. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651662
Sex: F
Age:
State: OR

Vax Date: 05/04/2021
Onset Date: 05/06/2021
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: woke up with irregular spotting. I am not supposed to have my monthly period for another 7-8 days but I have experienced irregular; heavier menstrual spotting; This is a spontaneous report from a contactable consumer or other non-healthcare professional. This 23-years old female consumer (patient) reported for herself that: A 23-years-old female (non-pregnant) patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection), dose 2 via an unspecified route of administration, administered in Arm Left on 04May2021 12:15 (at the age of 23-years-old) (Lot Number: ER8734) as DOSE 2, SINGLE for covid-19 immunization at workplace clinic. The patient was not pregnant at the time of vaccination. Medical history was reported as no. There were no known allergies reported. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection) dose 1 via an unspecified route of administration, administered in Arm Left on 13Apr2021 12:15 (Lot Number: EN6208) as DOSE 1, SINGLE for covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no other medications were received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since vaccination, the patient had not been tested for COVID-19. On 06May2021, 12:00 AM the patient experienced woke up with irregular spotting. I am not supposed to have my monthly period for another 7-8 days but I have experienced irregular and heavier menstrual spotting. The clinical course as follows, it was reported that 1 full day after the second dose of the Pfizer vaccine, I woke up with irregular spotting. I am not supposed to have my monthly period for another 7-8 days, but I have experienced irregular and heavier menstrual spotting when I am not supposed to be. I was not stressed, so I cannot correlate between the two. It's odd that this was not considered a side effect to the vaccine and women have not been fore warned that they could possibly experience early-on spotting before their period until it happens, and women worry about this abnormality. There was no treatment received for the events. Device date was reported as 06May2021. The clinical outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651663
Sex: F
Age:
State:

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling on right side (face, arm, hand, leg, foot); Numbness on right side (face, arm, hand, leg, foot); Sensitivity to noise; weakness on right side (face, arm, hand, leg, foot; Head fuzzy; Head pressure; headaches; Ears ringing; Pain (face, arm, hand, leg, foot); This is a spontaneous report from a contactable consumer, the patient. A 46-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the right arm on 21Apr2021 at 09:00 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient did not receive any medication within two weeks of vaccination. The patient did not have any relevant medical history. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21Apr2021 at 19:00, the patient experienced head fuzzy, head pressure, headaches, ears ringing, pain, then numbness/weakness/tingling on right side (face, arm, hand, leg, foot) and sensitivity to noise. The events resulted in doctor or other healthcare professional office/clinic visit. No therapeutic measures were taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events was head fuzzy, head pressure, headaches, ears ringing, pain, then numbness/weakness/tingling on right side (face, arm, hand, leg, foot) and sensitivity to noise was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651664
Sex: F
Age:
State: PA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Terrible migraines; Vomitting; This is a spontaneous report from a contactable consumer, the patient. A 57-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 10Mar2021 at 11:45 (at the age of 57-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medication within two weeks of vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on an unknown date in 2021, (also reported with the start date as 10Mar2021) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 11Mar2021 at 13:00, the patient experienced terrible migraines and vomiting. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of vomiting and included treatment with unspecified pills (reported as pills for nausua). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events terrible migraines and vomiting was not recovered at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651665
Sex: F
Age:
State: VA

Vax Date: 04/07/2021
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: Erythema, Pruritus

Symptoms: I was very fatigued; Had Chills; Migraine; Arm Pain; The worst reaction was the lymph node in my left armpit was incredibly swollen, about the size of an orange.; The worst reaction was the lymph node in my left armpit was incredibly swollen, about the size of an orange. It was very painful.; This is a spontaneous report from a contactable consumer, the patient. A 32-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the left arm on 07Apr2021 (at the age of 32-year-old) as a single dose for COVID-19 immunisation. Medical history included asthma. The patient did not receive any other medicines within two weeks prior to the COVID-19 vaccine. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6208) via an unspecified route of administration in the left arm on 12Mar2021 (at the age of 32-year-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in 2021, the patient was very fatigued, had chills, a migraine and arm pain. The worst reaction was the lymph node in the left armpit was incredibly swollen, about the size of an orange. It was very painful. The other symptoms lasted about 2-3 days, but the swollen lymph node lasted about a week. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fatigued, had chills, a migraine, arm pain, lymph node in the left armpit was incredibly swollen, about the size of an orange and it was very painful were resolved on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1651666
Sex: F
Age:
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Big hard bump where shot was administered; This is a spontaneous report from a contactable consumer, the patient. A 27-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 29Apr2021 at 15:00 (at the age of 27-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not receive any medication within two weeks of vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 08Apr2021 at 15:00 (at the age of 27-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 29Apr2021 at 15:00, the patient experienced big hard bump where shot was administered, 4 days in and had not gone at all. The event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. The clinical outcome of the event big hard bump where shot was administered was not resolved at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1651667
Sex: F
Age:
State: MD

Vax Date: 04/16/2021
Onset Date: 04/22/2021
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: shingles; This is a spontaneous report from a contactable consumer, the patient. A 36-years-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 16Apr2021 at 10:15 (at the age of 35-years-old) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS), endometriosis, anxiety, depression, and chickenpox. The patient previously received codeine (MANUFACTURER UNKNOWN) on an unspecified date for an unknown indication and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included bupropion hydrochloride (WELLBUTRIN), trazodone hydrochloride (DEPRAX), cetirizine hydrochloride (ZYRTEC), lorazepam (MANUFACTURER UNKNOWN) and dicycloverine hydrochloride (BENTYL). The patient did not receive any other vaccines within four weeks prior to the vaccination. On 22Apr2021 at 08:00 the patient was diagnosed with a small case of shingles, was wrapped around her right rib cage. The patient did have chicken pox as a child so the vaccine did not gave her shingles but it may have triggered the outbreak. Therapeutic measures were taken as a result of the event which included Valtrex 3 times for 7 days. Since the vaccination, the patient had not been tested for COVID-19. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care The clinical outcome of the event shingles was recovering at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: WELLBUTRIN; DEPRAX [TRAZODONE HYDROCHLORIDE]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; LORAZEPAM; BENTYL

Current Illness:

ID: 1651668
Sex: F
Age:
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
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: Had first meal following the vaccine, had non-stop acid reflux, at the point of not wanting to eat.; This is a spontaneous report from a contactable consumer, the patient. A 51-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0164) via an unspecified route of administration in the left arm on 26Apr2021 at 16:15 (at the age of 51-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not have allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any medication within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 26Apr2021 at 18:00 the patient reported that after taking the first meal, followed by vaccination, had non-stop acid reflux and at the point not wanting to eat. Therapeutic measures were taken as a result of reported events which included treatment with acid medication. Since the vaccination, the patient had not been tested for COVID-19. The adverse event did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event had non-stop acid reflux was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651669
Sex: F
Age:
State: VA

Vax Date: 04/27/2021
Onset Date: 04/29/2021
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: I have a pain at the back left side maybe at the back of hip; I have a pain at the back left side maybe at the back of hip; My left calf is prepared to be numb; it would go away and come back.; This is a spontaneous report from a contactable consumer (patient). A 35-year-old female patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number: EW0173, expiration date: Aug2021, age at vaccination: 35-year-old), via an unspecified route of administration, administered in arm left on 27Apr2021 as DOSE 2, SINGLE for COVID-19 immunisation. No medical history was reported. Concomitant medications included ascorbic acid, betacarotene, calcium sulfate, colecalciferol, cyanocobalamin, ferrous fumarate, folic acid, nicotinamide, pyridoxine hydrochloride, retinol acetate, riboflavin, thiamine mononitrate, tocopheryl acetate, zinc oxide (PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE, CALCIUM SULFATE, COLECALCIFEROL, CYANOCOBALAMIN, FERROUS FUMARATE, FOLIC ACID, NICOTINAMIDE, PYRIDOXINE HYDROCHLORIDE, RETINOL ACETATE, RIBOFLAVIN, THIAMINE MONONITRATE, TOCOPHERYL ACETATE, ZINC OXIDE]) taken for an unspecified indication, start and stop date were not reported, cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for allergic, start and stop date were not reported. Previously the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: ER8737, age at vaccination: 35-year-old), in arm left on 06Apr2021 for COVID-19 immunization. No investigation assessment. The patient reported that she was calling and was not sure if it was related to the vaccine. She got the vaccine on Tuesday that was 27Apr2021 and then two days after Thursday (29Apr2021) she started having like her left calf was prepared to be numb, it would go away and come back. It started happening Thursday afternoon and then Friday too and then it went away but since yesterday (02May2021) afternoon she have like a pain at the back left side maybe at the back of her hip. There was no numbness right now but pain on the left side I think back of my hip. No treatment was received for the events. She was not like that and was not sure if those related or just going to the answer related to the vaccine. So, she was calling hopefully to find some answers. Consumer was informed about Pfizer Medical Information Department. The outcome of event my left calf was prepared to be numb, it would go away and come back was recovered on an unknown date in 2021 and outcome of other events was not recovered. No follow-up attempts are needed. No further information was expected.

Other Meds: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS ; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1651670
Sex: F
Age:
State: DE

Vax Date: 04/05/2021
Onset Date: 04/06/2021
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 Name: Electrocardiography; Result Unstructured Data: Test Result:anxiety

Allergies:

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

Symptoms: Heart/pulse racing; This is a spontaneous report from a Contactable consumer. This 58-years-old female consumer (patient) reported for herself that who received first dose of BNT162B2 (BNT162B2, solution for injection), via an unspecified route of administration, administered in Arm Right on 05Apr2021 (Batch/Lot Number: ER8734) as SINGLE for covid-19 immunization and was administered in Pharmacy/Drug Store. Medical history included obesity from an unknown date and unknown if ongoing and ongoing anxiety has been taking it off and on for years. Concomitant medication included acetylsalicylic acid (ASPIRIN) 81 mg, as needed taken for anxiety from an unspecified start date and ongoing. She has had an EKG (electrocardiogram) years ago for anxiety. Prior Vaccinations (within 4 weeks) was reported as none. Family medical history relevant to AE(s) was reported as none. Relevant tests as none. Caller has received the first dose of the Covid-19 vaccine. 12 hours later after receiving the vaccine and the next day on 06Apr2021, her heart/pulse was racing on and off. She was due to get the second dose today. She was a little nervous about getting it. She understood the side effects that may happen. She does not know if this was a normal side effect. The patient underwent lab tests and procedures which included electrocardiogram anxiety. The outcome of event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: ASPIRIN

Current Illness: Anxiety

ID: 1651671
Sex: F
Age:
State: TN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: 24 hours after 2nd vaccine intermittent numbness to right arm; Swelling, redness, pain and warmth at injection site; Swelling, redness, pain and warmth at injection site.; Swelling, redness, pain and warmth at injection site.; Swelling, redness, pain and warmth at injection site.; This is a spontaneous report from a contactable nurse, the patient. A 33-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0170) via an unspecified route of administration in the right arm on 30Apr2021 at 19:45 (at the age of 33-years-old) as a single dose for COVID-19 immunisation. Medical history included attention deficit-hyperactivity disorder (ADHD) and anxiety. The patient had no known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included lisdexamfetamine mesilate (VYVANSE), sertraline hydrochloride (ZOLOFT), hydroxyzine (MANUFACTURER UNKNOWN) and vitamin d nos (VITAMIN D); all from unknown dates for unknown indications and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7533) via an unspecified route of administration in the right arm on 04Apr2021 at 10:30 (at the age of 33-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01May2021 at 22:00, 24 hours after second vaccine, the patient experienced intermittent numbness to right arm, swelling, redness, pain and warmth at injection site. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the events which included treatment with ibuprofen and ice. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events numbness to right arm, swelling, redness, pain and warmth at injection site was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: VYVANSE; ZOLOFT; HYDROXYZINE; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1651672
Sex: F
Age:
State: WA

Vax Date: 04/25/2021
Onset Date: 04/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Unexplained bruising; petechiae on torso/chest/left arm; muscle spasms; nerve pain; This is a spontaneous report from a contactable consumer, the patient. A 36-years-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 25Apr2021 at 12:00 (at the age of 36-years-old) as a single dose for COVID-19 immunisation. Medical history included migraine, GERD and allergy to kiwi. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications included ibuprofen (MANUFACTURER UNKNOWN) and paracetamol (ACETAMINOPHEN); both from an unknown date, for unknown indication and unknown if ongoing. On 30Apr2021 at 17:00, the patient experienced unexplained bruising, petechiae on torso/chest/left arm, muscle spasms and nerve pain. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events unexplained bruising, petechiae on torso/chest/left arm, muscle spasms and nerve pain was not recovered at the time of this report. No follow-up attempts are required; information about lot number cannot be obtained. No further information is expected.

Other Meds: IBUPROFEN; ACETAMINOPHEN

Current Illness:

ID: 1651673
Sex: M
Age:
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Developed shingles on the 3rd week after getting the first shot; This is a spontaneous report from a contactable consumer, the patient. A 54-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0158) via an unspecified route of administration in the arm left on an unknown date in Apr2021 at 14:00 (at the age of 54-year-old) as a single dose for COVID-19 immunisation. Medical history of the patient was not reported. The patient did not have allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had other unspecified medication within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in Apr2021, the patient developed shingles on the 3rd week after getting the first shot. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The event resulted in doctor or other healthcare professional office/clinic visit. The clinical outcome of the event developed shingles on the 3rd week after getting the first shot was resolving at the time of reporting.

Other Meds:

Current Illness:

ID: 1651674
Sex: F
Age:
State: TX

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Hard pounding heartbeat that is not irregular or fast; dizziness; exhaustion; This is a spontaneous report from a contactable consumer, the patient. A 42-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8731) via an unspecified route of administration in the right arm on 28Apr2021 at 12:45 (at the age of 42-years-old) as a single dose for COVID-19 immunisation. Medical history included Graves' disease, but the patient was in remission since 2018. The patient had no known allergies. Concomitant medications included daily supplemental vitamins (MANUFACTURER UNKNOWN), taken for an unspecified indication for an unknown date. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the right arm on 01Apr2021 at 10:00 (at the age of 42-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 30Apr2021 at 22:00, the patient experienced hard pounding heartbeat that was not irregular or fast, which seemed to be causing dizziness and exhaustion. The events did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events hard pounding heartbeat, dizziness and exhaustion were not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1651675
Sex: F
Age:
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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 Date: 20210501; Test Name: Body temperature; Result Unstructured Data: Test Result:102

Allergies:

Symptom List: Vomiting

Symptoms: nausea (actually vomited); nausea (actually vomited); couldn't eat; fever of 102; extreme fatigue; dizziness; headache; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 40-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EW0182) via unknown route of administration on 01May2021 at 4 pm dose 2, single on left arm (age at vaccination: 40 years) for Covid-19 immunisation. The patient's medical history was none. Patent did not have covid-prior vaccination and did not tested covid post vaccination. Patient had no known allergies. The concomitant medications included "multivitamin", colecalciferol (VITAMIN D) and zinc. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EW0153) via unknown route of administration on 10Apr2021 at 4 pm dose 1, single on left arm for Covid-19 immunisation and experienced slight arm pain and fatigue for 24 hrs. The patient reported that the second dose gave me nausea (actually vomited), couldn't eat, fever of 102, extreme fatigue, dizziness, headache; all from 01May2021 at 9 pm for about a day and a half. It was extreme- no it didn't last long but I felt a little misled, it has been two days and the headache is still strong, but the other effects have diminished. Patient did not receive treatment for the events. The outcome of the events headache was not resolved, and all other events was resolving. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMIN D [COLECALCIFEROL]; ZINC.

Current Illness:

ID: 1651676
Sex: F
Age:
State: CA

Vax Date: 04/27/2021
Onset Date: 05/05/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fingers lost feeling on a 50 degree day; Diagnosed with Raynaud's disease; This is a spontaneous report from a contactable consumer (patient). A 46-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 27Apr2021 09:15 (at the age of 46-year-old) as dose 2, single for COVID-19 immunization. Medical history included known allergy: penicillin, cortisone class b from an unknown date and unknown if ongoing and other medical history was none reported. Concomitant medication(s) included spironolactone taken for an unspecified indication, start and stop date were not reported (other medications in two weeks). The patient previously received first dose of BNT162B2 (Lot number: unknown), via an unspecified route of administration, administered in Arm Left on 30Mar2021 9:30 AM (at the age of 46-year-old) for COVID-19 immunization. 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 05May2021 17:00, patient experienced fingers lost feeling on a 50 degree day, diagnosed with raynaud's disease. Patient visited doctor or other healthcare professional office/clinic for adverse events. There was no treatment for the events. The outcome of events was recovered with sequelae on an unspecified date in 2021. No follow up attempts are possible. Information on lot/batch number cannot be obtained.

Other Meds: SPIRONOLACTONE

Current Illness:

ID: 1651677
Sex: F
Age:
State:

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness; Nausea; Headache; Fever; Chills; Fatigue; This is a spontaneous report from a non-contactable consumer, the patient. A 37-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ew0170) via an unspecified route of administration in the left arm on 02May2021 at 11:15 (at the age of 37-year-old) as a single dose for COVID-19 immunisation. Medical history included systemic lupus erythematosus (SLE). The patient has allergy to penicillin and blueberries. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 03May2021 at 02:00 the patient experienced nausea, headache, dizziness, fever, chills and fatigue. Therapeutic measures were not taken as a result of the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events nausea, headache, dizziness, fever, chills and fatigue were not recovered at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1651678
Sex: F
Age:
State: IL

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Experienced head about 12 hoursafter shot that lasted 24hour; Currently Left arm is red swollenpainful and itching around the injection; Currently Left arm is red swollenpainful and itching around the injection; Currently Left arm is red swollenpainful and itching around the injection; Currently Left arm is red swollenpainful and itching around the injection; Neck and arm pain on the left side; This is a spontaneous report from a contactable healthcare professional, the patient. A 48-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0172) via an unspecified route of administration in the left arm on 30Apr2021 at 12:00 as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0158) via an unspecified route of administration in the left arm on 12Apr2021 at 12:00 as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19.. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01May2021 at 00:00, the patient experienced currently left arm is red swollen, painful and itching around the injection site nearly 72 hours after the shot, neck and arm pain on the left side experienced head about 12 hours after shot, that lasted 24hours. The event resulted in doctor or other healthcare professional office/clinic visit. It was unknown whether any therapeutic measures were taken as a result of the events. The clinical outcome of the events redness, painful and itching around the injection site, neck , arm pain on the left side and headache were recovering at the time of this report. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1651679
Sex: F
Age:
State: GA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 08/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Feverish; hot flashes; arm and leg pain; period started the next day (though it wasnt due for a week); This is a spontaneous report from a contactable consumer, the patient. A 32-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EC6818) via an unspecified route of administration in the left arm on 29Apr2021 at 12:00 (at the age of 32-years-old) as a single dose for COVID-19 immunisation. The patient did not have any relevant medical history. The patient had no known allergies to medications, food or other products. The patient did not receive any concomitant medications. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8731) via an unspecified route of administration in the left arm on 01Apr2021 at 12:15 (at the age of 32-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 30Apr2021 at 02:00, the patient felt feverish, hot flashes, arm and leg pain and period started the next day (though it wasn't due for a week). The events did not result in doctor or other healthcare professional office/clinic, emergency room/department or urgent care. No therapeutic measures were taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events feverish, hot flashes, arm and leg pain and period started the next day (though it wasn't due for a week) were unknown at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1651680
Sex: F
Age:
State: MA

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

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

Lab Data:

Allergies:

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

Symptoms: axillary lymph node swollen to about the size of tennis ball in right arm; This is a spontaneous report from a contactable healthcare professional, the patient. A 58-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0172) via an unspecified route of administration in the right arm on 01May2021 at 13:00 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. The patient had no other medical history. The patient had no known allergies to medications, food, or other products. It was not reported if the patient received any medication within two weeks of vaccination. The patient previously took first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the right arm on 10Apr2021 at 14:00 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 02May2021 at 09:00, the patient experienced axillary lymph node swollen to about the size of tennis ball in right arm. Therapeutic measures were not taken as a result of the event. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The clinical outcome of the event axillary lymph node swollen to about the size of tennis ball in right arm was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am