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: 1652977
Sex: U
Age:
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: sore arm x1 day; swelling and redness x2 days; swelling and redness x2 days; This is a spontaneous report from a non-contactable healthcare professional. A 36-year-old patient with unknown gender received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the left arm on 20Apr2021 at 11:00 (at the age of 37-year-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On 20Apr2021, the patient experienced sore arm for one day and swelling and redness for two days. 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 sore arm was recovered on 21Apr2021 and that of swelling and redness was recovered on 22Apr2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1652978
Sex: F
Age:
State: VA

Vax Date: 06/17/2021
Onset Date: 06/21/2021
Rec V Date: 08/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Rash on right forearm; 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: unknown) via an unspecified route of administration on the left arm on 17Jun2021 at 15:30 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. Medical history was reported as none. It was reported that the patient received other medications within 2 weeks of vaccination but the medication was not specified. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient reported allergies which was unspecified. Prior to the vaccination, the patient had not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. On 21Jun2021 the patient experienced rash on the right forearm. The patient did not receive any treatment for the adverse event. 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 rash was recovering at the time of this report. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1652979
Sex: F
Age:
State:

Vax Date: 04/21/2021
Onset Date:
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: sore L arm for a few hours; This is a spontaneous report from a non-contactable healthcare professional. A 59-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EK8729) in the arm left on 21Apr2021 at 09:00 (at the age of 59-year-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On an unknown date the patient experienced sore L arm for a few hours. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The clinical outcome of the event sore L arm for a few hours was unknown 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:

ID: 1652980
Sex: F
Age:
State: MA

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: lymph node in left armpit swollen and very tender; lymph node in left armpit very tender; very bad body aches; felt really cold; slightly nauseous; headache; fast heartbeat; This is a spontaneous report from a contactable consumer, the patient. A 34-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0178) via an unspecified route of administration in the left arm on 22Jun2021 at 14:45 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. 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. Concomitant medications were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0178) via an unspecified route of administration in the left arm on 01Jun2021 at 15:45 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. On 23Jun2021, at 06:45 the patient experienced very bad body aches and felt really cold. The patient tried to get warm to herself and also felt slightly nauseous and had a headache, as well as a fast heartbeat. On 25Jun2021, the patient noticed the lymph node in left armpit was swollen and very tender. 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 of very bad body ache, felt cold, slightly nauseous, headache and fast heartbeat was recovered on 23Jun2021, after the duration of 14Hours and that of swollen and tender lymph nodes in left armpit was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1652981
Sex: F
Age:
State:

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm x1 day at injection site; This is a spontaneous report from a non-contactable healthcare professional. A 31-year-old female patient received unknown dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the left arm on 22Jun2021 at 10:00 (at the age of 31-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications taken within two weeks of vaccination were not reported. It was unknown whether the patient was pregnant. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. Since the vaccination, it was unknown whether the patient had been tested for COVID-19. It was unknown if the patient received any other vaccines within four weeks prior to the vaccination. On 22Jun2021, the patient experienced sore arm for one day at injection site. The event 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 event. The clinical outcome of the event sore arm for one day at injection site was resolved on 23Jun2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1652982
Sex: M
Age:
State:

Vax Date: 04/20/2021
Onset Date:
Rec V Date: 08/29/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: sore arm; This is a spontaneous report from a non-contactable healthcare professional. A 27-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the arm left on 20Apr2021 at 09:00 (at the age of 27-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On an unknown date in 2021, the patient experienced sore arm. 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 sore arm was unknown at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1652983
Sex: F
Age:
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore arm x2 days; This is a spontaneous report from a non-contactable other healthcare professional. A 25-year-old (unknown if pregnant) female patient received an unknown dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the left arm on 22Apr2021 at 10:00 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. It was unknown whether the patient received any other vaccines within four weeks prior to the COVID vaccine. On 22Apr2021, the patient experienced sore arm for 2 days. The event 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. The clinical outcome of the event sore arm was recovered on 24Apr2021 after duration of 2 days. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1652984
Sex: M
Age:
State:

Vax Date: 04/20/2021
Onset Date: 04/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Sore arm for 24 hours; This is a spontaneous report from a non-contactable other healthcare professional. A 50-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 20Apr2021 at 09:30 (at the age of 50-year-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On an unknown date in 2021 the patient experienced sore arm for 24 hours. 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 sore arm for 24 hours was recovered on an unknown date in April2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1652985
Sex: F
Age:
State: CA

Vax Date: 05/13/2021
Onset Date: 05/16/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: stiffness of muscle; Neck pain same side as shot from Jaw to Collar bone every time I eat or drink anything; Uncomfortable feeling in neck; This is a spontaneous report from a contactable consumer or other non hcp(patient). A 45-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection) via an unspecified route of administration, administered in left arm on 13May2021 (at the age of 45-years-old) as single dose for covid-19 immunization. The patient's medical history included penicillin allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 16May2021, the patient experienced neck pain same side as shot from jaw to collar bone every time she eats or drink anything, uncomfortable feeling in neck and stiffness of muscle. The adverse events resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for the adverse events. The outcome of the events was not recovered, still continues after 5 weeks passed the last vaccine. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1652986
Sex: F
Age:
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: This is a spontaneous report from a noncontactable healthcare professional. A 25-year-old female patient (unknown if pregnant) received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; batch/lot# ER8729), at the age of 25, via an unspecified route of administration, left arm, on Apr 22, 2021, at 12:30, single dose, for COVID-19 immunisation. Medical history and concomitant medications not reported. It was unknown if the patient received any other vaccines within four weeks prior to the vaccination. On Apr 22, 2021, patient experienced soreness in left arm and swelling for two days. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. It was unknown whether therapeutic measures were taken as a result of the events. The outcome of the soreness in left arm and swelling recovered on Apr 24, 2021 after duration of two days. No follow-up attempts needed. No further information expected.

Other Meds:

Current Illness:

ID: 1652987
Sex: M
Age:
State: IL

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Date: 20210624; Test Name: Body temperature; Result Unstructured Data: Test Result:102.1 (unspecified units); Comments: Fever 102.1 at 30 hours post injection at 17:30

Allergies:

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

Symptoms: Fever 102.1 at 30 hours post injection; This is a spontaneous report from a contactable consumer, the patient. A 19-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0178) via an unspecified route of administration in the left arm on 23Jun2021 at 11:15 (at the age of 19-years-old) as a single dose for COVID-19 immunisation. Medical history included ADHD. The patient previously took augmentin (MANUFACTURER UNKNOWN) and experienced drug allergy on an unknown date. 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 amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), sertraline (MANUFACTURER UNKNOWN) and melatonin (MANUFACTURER UNKNOWN); all since unknown dates for unspecified indications. On 24Jun2021 at 17:30, 30 hours post vaccination, the patient experienced fever of 102.1 unspecified units. On 24Jun2021 at 17:30, the patient's body temperature was measured and the result was 102.1 (unspecified units). Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the reported events. The clinical outcome of the event fever 102.1 (unspecified units) at 30 hours post injection was unknown at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: ADDERALL; SERTRALINE; MELATONIN

Current Illness:

ID: 1652988
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 04/15/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: After I received my second dose. I couldn't ovulate on my own and was having unexplained spotting for a month. Then it happened again the next cycle; After I received my second dose. I couldn't ovulate on my own and was having unexplained spotting for a month. Then it happened again the next cycle; This is a spontaneous report from a contactable consumer or other non hcp. A 27-year-old (non-pregnant) female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 2 via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. No medical history was included. Patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number: EN6198), dose 1 administered at arm left on 03Mar2021 at 14:30 as DOSE 1 for covid-19 immunisation. The patient's concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient stated that, "after I received my second dose. I couldn't ovulate on my own and was having unexplained spotting for a month. then it happened again the next cycle on 15Apr2021. Checked with my doctor and he couldn't fond anything wrong with my body". Outcome of the event was not recovered. No additional details provided. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1652989
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Full body rash; This is a spontaneous report from a contactable consumer. This consumer reported for a female patient (reporter's mother) that: A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for Covid-19 immunisation. The patient medical history and patient's concomitant medications were not reported. The patient experienced full body rash on an unspecified date and has been experiencing this from last couple of months. Reporter was provided with the number of Pfizer Medical Information Department. Product details (LOT#, Expiration Date, NDC# and UPC#) and other details could not be probed over the call as the reporter hung up abruptly. Hence, Limited information was available over the call. The outcome of event was unknown. Information about lot/batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1652990
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:103.5

Allergies:

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

Symptoms: A little bit of nausea, disturbance.; back pain; neck pain; Fever of 103.5.; Headache; A little bit of nausea, disturbance.; Chill; I started having abdominal muscle pain; Dry cough; I have kind of like a virus on my lip, kind of Herpes Zoster.; This is a spontaneous report from contactable consumer (patient). This female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/batch number: unknown) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for COVID-19 immunisation. Patient also received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot/batch number: unknown) via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated that she got the side effect or symptoms few months after getting both vaccines. She had started having abdominal muscle pain and back pain and neck pain, then she got fever of 103.5. She was experiencing all of that. She had headache and chill, a little bit of nausea, disturbance, dry cough and she had kind of like a virus on her lip kind of herpes zoster on the time of reporting this report. The patient underwent lab tests and procedure of body temperature and resulted as fever 103.5. The outcome of events was not recovered. Information about lot/batch number had been requested.

Other Meds:

Current Illness:

ID: 1652991
Sex: F
Age:
State:

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm; Feeling really achy and shaky; Feeling really achy and shaky; This is a spontaneous report from a non-contactable consumer, the patient. A 17-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 24Jun2021 at 09:15 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient reported to have gotten drunk the night before. 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 03Jun2021 at 09:15 (at the age of 17-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 COVID vaccine. On 24Jun2021 at 22:00 the patient experienced sore arm and feeling really achy and shaky. 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 events. The clinical outcomes of the events sore arm and feeling really achy and shaky were not recovered at the time of this report. No follow-up attempts are possible; information about lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1652992
Sex: F
Age:
State: OH

Vax Date: 04/13/2021
Onset Date: 04/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Name: chest X ray; Result Unstructured Data: Test Result:Normal; Comments: At hospital; Test Name: EKG; Result Unstructured Data: Test Result:OK; Comments: At hospital; Test Name: Covid-19 test; Result Unstructured Data: Test Result:Negative; Comments: At hospital

Allergies:

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

Symptoms: patient Still had slight heart flutter before palpitations all the time; heart palputations; loss of appetite for over two months; Hand shaking; This is a spontaneous report from a contactable consumer (patient). A 73-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0151), via an unspecified route of administration on 13Apr2021 at 17:45 (at the age of 73-year-old), as dose 2, single in left arm; and received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER2413), via an unspecified route of administration on 19Mar2021 at 03:15 (at the age of 73-year-old), as dose 1, single in left arm for COVID-19 immunization at Pharmacy or Drug Store. The patient's medical history included ongoing arthritis with back issues, ongoing hypertension, and ongoing blood cholesterol. Concomitant medications received within 2 weeks of vaccination included simvastatin, losartan potassium (LOSARTIN), meloxicam, calcium and multi vitamins all were taken for an unspecified indication, start and stop date were not reported. The patient previously experienced allergy to root beer and zest soao. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and after the vaccination, the patient had tested for COVID-19. Prior vaccinations were reported as none. On 03Apr2021, after vaccination, the patient experienced heart palpitations and loss of appetite for over two months. On an unspecified date in Apr2021, the patient experienced hand shaking. On an unspecified date, the patient still had slight heart flutter before palpitations all the time. 3 trips to emergency room for Electrocardiogram (EKG), chest X-rays were done and referred to cardiologist; and stress test were done. Numerous primary care visit was required. Event was reported as, hands shaking and still have slight tremor. Therapeutic measures were taken as a result of heart palpitations. For Loss appetite and hand shaking the treatment was not received. The events resulted in the, Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care (Emergency room and Physician office). Seriousness criteria for the event was reported as, Important medical event. The patient underwent lab tests and procedures which included chest X-ray: normal on an unspecified date at hospital, electrocardiogram: normal and ok on an unspecified date at hospital, and SARS-CoV-2 test: negative on an unspecified date at hospital. The clinical outcome of the heart palpitations and hand shaking were resolving and clinical outcome of the event loss of appetite for over two months was resolved in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: SIMVASTATIN; LOSARTIN; MELOXICAM; CALCIUM

Current Illness: Arthritis (back issues); Blood pressure high; Cholesterol

ID: 1652993
Sex: F
Age:
State: AR

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
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: Tiredness; not feeling well; diarrhea; arm sorbess; This is a spontaneous report from a contactable consumer or other non HCP (Patient). A 43-year-old non pregnant female patient received bnt162b2 (BNT162B2, formulation; Solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 24Jun2021 17:45 (Batch/Lot number was not reported) as DOSE 1, SINGLE (at the age of 43-year-old) for covid-19 immunisation. The patient was not pregnant at the time of vaccination. Medical history included Seasonal asthma from an unknown date and unknown if ongoing and no known allergies. Concomitant medication included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient not diagnosed with COVID-19. The patient experienced Tiredness, not feeling well, diarrhea and arm sorbess on 24Jun2021 at 19:00. Since the vaccination, the patient had not been tested for COVID-19. No treatment was received for the events. The outcome of the events reported as recovering. The batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds: TYLENOL

Current Illness:

ID: 1652994
Sex: F
Age:
State: FL

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 08/29/2021
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: started noticing her ears and tongue were feeling swollen; started noticing her ears and tongue were feeling swollen; This is a spontaneous report from a contactable physician. A 39-years-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0167) via an unspecified route of administration in the left arm on 24Jun2021 at 11:30 (at the age of 39-years-old), as a single dose for COVID-19 immunisation. Medical history included allergy to sulfa drugs. Concomitant medications included bcp (MANUFACTURER UNKNOWN) taken from unknown date for unknown indication, and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not tested for COVID-19. On 25Jun2021 at 02:00, the patient noticed her ears and tongue were feeling swollen. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of events which included treatment with DECADRON 10 mg, methyl prednisone 4mg, hydroxyzine hydrochloride 25mg pack 4mg. The clinical outcome of the events ears and tongue were feeling swollen was recovering at the time of this report.

Other Meds:

Current Illness:

ID: 1652995
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: Ringing in the ears /there is a another male patient (age not provided) who experianced it as well; This is a spontaneous report from a contactable consumer. This consumer reported similar events for two patients. This is one of two reports. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The reporter stated there was another male patient (age not provided) who experienced it as well. The patient experienced ringing in the ears on an unspecified date with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021783245 Same reporter/product/event, different patient

Other Meds:

Current Illness:

ID: 1652996
Sex: M
Age:
State:

Vax Date:
Onset Date: 02/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Name: had every test; Result Unstructured Data: Test Result:normal; Comments: has had every test known to man and have all come back normal

Allergies:

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

Symptoms: he cant get out of bed and he is going crazy; fatigue and joint pain; fatigue and joint pain; he cant get out of bed and he is going crazy; This is a spontaneous report from a contactable consumer (patient wife). A male patient of an unspecified age received first dose and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), both via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. In Feb2021 patient experienced fatigue and joint pain, he could not get out of bed and he was going crazy. It was reported that the patient had received both vaccines and has had side effects starting in February. The patient had fatigue and joint pain and they were 99.9 percent sure they would rather have that then death. She states that he is a strong hardworking man and he could not get out of bed and he was going crazy. They had been to the doctors and he has had every test known to man and have all come back normal. The caller wanted to know if there is any information on how to help get rid of the side effects. Caller wanted to know how she can get her husband involved with the clinical trials. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1652997
Sex: F
Age:
State:

Vax Date: 06/17/2021
Onset Date:
Rec V Date: 08/29/2021
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: Arm has swollen up; Rash that is on my arm; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: unknown), dose number unknown via an unspecified route of administration, on 17Jun2021 as dose number unknown, single for covid-19 immunisation. The medical history and concomitant medications were not reported. The patient reported, She was at work. Her arm has swollen up. It has swollen up bad. She was concerned about the rash that is on her arm on an unspecified date. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1652998
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: Callers sister had taken the first dose of the covid vaccine, and her inner ear has inflammation; experiencing vomiting; dizziness; This is a spontaneous report from a contactable consumer or other non-healthcare professional via a Pfizer sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date, as single dose for covid-19 immunization. Medical history included face paralysis. The patient's concomitant medications were not reported. It was reported that patient had taken the first dose of the covid vaccine, and on an unknown date her inner ear has inflammation, and she also experienced vomiting and dizziness and scared to take the second dose because she might go back to having face paralysis and wanted to know what to do. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1652999
Sex: F
Age:
State: MA

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Date: 20210624; Test Name: body temperature; Result Unstructured Data: Test Result:101.3; Comments: Fever of 101.3

Allergies:

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

Symptoms: Fever of 101.3 on the second day after receiving the vaccine.; Facial swelling on the second and third day of receiving the vaccine.; This is a spontaneous report from a contactable consumer, the patient. A 22-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 arm left on 23Jun2021 at 14:00(at the age of 22-years-old) as a single dose for COVID-19 immunisation. Medical history included allergy to pineapple and penicillin. Concomitant medications included ethinylestradiol, norgestimate (SPRINTEC) from an unknown date for birth control. 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 arm left on 02Jun2021 at 16:00(at the age of 22-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 24Jun2021 the second day after receiving the vaccine, the patient experienced fever of 101.3 and facial swelling on the second and third day of receiving the vaccine. The patient reported that she did not have any dental fillers that would cause the events. The patient did not receive any treatment for the reported events. 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. On 24Jun2021, the patient underwent body temperature test and tested with 101.3(unspecified units). The clinical outcome of the event fever of 101.3 and facial swelling was recovering at the time of this report. The batch/lot numbers for, BNT162b2, were not provided and will be requested during follow up.

Other Meds: SPRINTEC

Current Illness:

ID: 1653000
Sex: F
Age:
State: MO

Vax Date: 06/24/2021
Onset Date: 06/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: experiencing severe soreness and aching on the entire right side of her body; This is a spontaneous report from a Pfizer-sponsored program. This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 24Jun2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient's historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 via an unspecified route of administration, administered on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient on an unspecified date in Jun2021, experienced severe soreness and aching on the entire right side of her body. The patient would like to know whether she could take ADVIL for pain. The clinical outcome for the event was unknown. Information about Lot/Batch number requested.

Other Meds:

Current Illness:

ID: 1653001
Sex: F
Age:
State: WA

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 08/29/2021
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: This is a spontaneous report from a contactable consumer (patient). A 44-year-old (non-pregnant) female patient received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; batch/lot# EW0180), at the age of 44, via an unspecified route of administration, left arm, on Jun 22, 2021, at 11:30, single dose, for COVID-19 immunisation. The patient has no known allergies. Concomitant medications not reported. The patient previously received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; batch/lot# unknown), at the age of 44, via an unspecified route of administration, left arm, on Jun 1, 2021, at 11:30, single dose, for COVID-19 immunisation. Prior to the vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On Jun 23, 2021, patient felt tightness under armpit and sore all around arm as patient lifted. On Jun 24, 2021, patient developed a swollen lymph. No therapeutic measures taken as a result of the events. The outcome of tightness under armpit, sore all around arm and swollen lymph: not resolved (at the time of this report).

Other Meds:

Current Illness:

ID: 1653002
Sex: F
Age:
State:

Vax Date: 06/24/2021
Onset Date: 06/01/2021
Rec V Date: 08/29/2021
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: arm pain; This is a spontaneous report from a contactable consumer or other non healthcare professional reporting for herself. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on 24Jun2021 (Batch/Lot number was not reported) as single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that, receiving the first injection of the Pfizer covid-19 vaccine yesterday (24Jun2021) and then experiencing arm pain, approximately on Jun2021 which she treated with ibuprofen. Reporter wanted to know was it ok to take ibuprofen after getting the Pfizer covid-19 vaccine. Therapeutic measures were taken as a result of arm pain; treatment included Ibuprofen. The outcome of 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: 1653003
Sex: U
Age:
State: MI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 08/29/2021
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: developed sore left and right shoulders; knee started hurting; Shoulders had rotator cuff tendinitis; Knee had bad inflammation; Can not sleep; Limping; This is a spontaneous report from a contactable consumer, the patient. A 58-year-old unknown gender patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 22Mar2021 at 13:15 (at the age of 58-years-old) as a single dose for COVID-19 immunisation. Medical history included prior arthroscopic surgeries on right shoulder and knee. The patient was allergic to penicillin. The patient did not receive any other medications within 2 weeks of vaccination. The patient previously took erythromycin and experienced drug allergy. 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 23Mar2021, at 16:00, within one day of first vaccination, the patient developed soreness in left and right shoulders. On an unknown date in 2021, within 2 weeks, the patient's knee started hurting. On an unknown date in 2021, at 4 weeks, the patient went to the doctor who informed that both the shoulders had rotator cuff tendinitis and knees had bad inflammation. On an unknown date in 2021, the patient also experienced lots of pain, could not sleep and was limping. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of all reported events and included treatment with prednisone. The clinical outcome of the events sore shoulders, rotator cuff tendinitis, knee inflammation, lots of pain, could not sleep and limping were not resolved at the time of this report. The lot number for BNT162b2 was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1653004
Sex: F
Age:
State: NJ

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 08/29/2021
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: woke up with rapid heart rate; This is a spontaneous report from a contactable consumer, the patient. A 21-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 left arm on 29Apr2021 at 11:00 (at the age of 21-year-old) as a single dose for COVID-19 immunisation. Medical history included anxiety and post-traumatic stress disorder (PTSD). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had no allergies to medications, food and other products. Concomitant medications included escitalopram oxalate (LEXAPRO) for unknown indication, from an unknown date. Prior to the vaccination, it was unknown whether the patient had received any other vaccines within four weeks. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0167) via an unspecified route of administration in the left arm on 08Apr2021 at 11:00 (at the age of 21-year-old) as a single dose for COVID-19 immunisation. On 30Apr2021 at 10:00 the patient woke up with rapid heart rate every morning and it picks up the patient at random times of the day, the patient also got a weird sensation at random times that her heart is beating harder than usual. The event resulted in doctor or other healthcare professional office/clinic visit. No therapeutic measures were taken as a result of the adverse event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event woke up with rapid heart rate was not recovered at the time of this report.

Other Meds: LEXAPRO

Current Illness:

ID: 1653005
Sex: F
Age:
State: KY

Vax Date: 06/23/2021
Onset Date: 06/23/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Really sore arm; This is a spontaneous report from a contactable consumer, the patient. A 33-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FA6780) via an unspecified route of administration in the left arm on 23Jun2021 at 15:00 (at the age of 33-years-old) as a single dose for COVID-19 immunisation. Medical history included hypothyroidism for which patient hadn't taken any medicines for a while. 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 were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 23Jun2021 at 19:45, the patient experienced really sore arm, especially on the first day. The patient stated that the vaccine was magnetic, a friend came up to the patient with a magnet and said they heard from somewhere that it was magnetic. To the patient's surprise the magnet stuck to the injection site, she quickly jerked it off because it felt really funny like it was pulling something out and it hurt a little. The event 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 event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event really sore arm was unknown at the time of this report.

Other Meds:

Current Illness:

ID: 1653006
Sex: M
Age:
State: VA

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Date: 20210624; Test Name: Body temperature; Result Unstructured Data: Test Result:102.8; Comments: Fever 102.8

Allergies:

Symptom List: Nausea

Symptoms: Headache; Feeling unwell; Fever 102.8,; Extreme Chills; Muscle pain; joint pain; weakness; Nausea; Tiredness; This is a spontaneous report from a contactable consumer, the patient. A 59-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0153) via an unspecified route of administration in the right arm on 23Jun2021 at 18:30 (at the age of 59-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19 in Aug2020. Patient had no known allergies. Concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161) via an unspecified route of administration in the left arm on an unspecified date in Jun2021 at 10:00 (at the age of 59-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was 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 24Jun2021 at 07:00, the patient experienced fever 102.8, extreme chills, muscle and joint pain, weakness, headache, nausea, tiredness. Patient stated that previously he had COVID- 19 in Aug2020 for a period of 3-4 hours the following day after dose 2 of the COVID vaccine his symptoms were worse than when he had COVID. He continued to experience a headache and feeling unwell. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were taken as a result of the events and included treatment with TYLENOL, ibuprofen, and bed rest. On 24Jun2021, the patient underwent Body temperature and the result was 102.8 (UNSPECIFIED UNITS). The clinical outcome of the events fever 102.8, extreme chills, muscle and joint pain, weakness, headache, nausea, tiredness, and feeling unwell was recovering.

Other Meds:

Current Illness:

ID: 1653007
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient) reported she received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection, batch/lot# not reported), via an unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. The patient had an ear infection on unspecified date in 2021; with outcome of unknown. Information on the batch/lot number requested.

Other Meds:

Current Illness:

ID: 1653008
Sex: F
Age:
State: SD

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 08/29/2021
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: a heavy metal taste in mouth; Just tip over and would have to stop and plant both feet so I wouldn't fall.; This is a spontaneous report from a contactable consumer, the patient. A 62-total-old non-pregnant female patient 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 02Apr2021 at 08:45 as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had known allergies. Concomitant medications included dietary supplements and camellia sinensis (GREEN TEA) from an unknown date, for unknown indication and unknown if ongoing. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 02Apr2021 at 10:45 the patient experienced a heavy metal taste in mouth, just a tip over and would have to stop and plant both feet so wouldn't fall. No therapeutic measures were taken as a result of reported event. 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 a heavy metal taste in mouth, just a tip over and would have to stop and plant both feet so wouldn't fall was not recovered at the time of report.

Other Meds: GREEN TEA [CAMELLIA SINENSIS]

Current Illness:

ID: 1653009
Sex: F
Age:
State: SC

Vax Date: 06/03/2021
Onset Date: 06/18/2021
Rec V Date: 08/29/2021
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: Entire body pain (muscle ache); This is a spontaneous report from a contactable consumer, the patient. A 42-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0187) via an unspecified route of administration in the left arm on 03Jun2021 at 16:00 (at the age of 42-years-old) as a single dose for COVID-19 immunisation. Medical history included asthma and hypertension. Patient had no known allergies. Concomitant medications included sertraline hydrochloride (ZOLOFT), montelukast sodium (SINGULAIR), amlodipine besilate (AMLODIPINE), ibuprofen (MOTRIN) and glycopyrronium bromide, formoterol fumarate, budesonide (BREZTRI) on an unknown dates for unknown indications and unknown if ongoing. 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 COVID vaccine. On 18Jun2021 at 18:00, the patient experienced entire body pain (muscle ache). No therapeutics were taken as a result of the reported event. The clinical outcome of the event entire body pain (muscle ache) was not resolved at the time of reporting. The patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0196) via an unspecified route of administration in the left arm on 24Jun2021 at 16:30 (at the age of 42-years-old) as a single dose for COVID-19 immunisation.

Other Meds: ZOLOFT; SINGULAIR; AMLODIPINE; MOTRIN [IBUPROFEN]; BREZTRI AEROSPHERE

Current Illness:

ID: 1653010
Sex: F
Age:
State: TX

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 08/29/2021
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: Had sever cough that the patient couldnt really sleep; Itchy throat; Coughing; Pain; Sore throat; Nasal discharge (yellow mucus); Tiredness; Chills; Fever; This is a spontaneous report from a contactable consumer, the patient. A 45-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 22Jun2021 at 10:00 (at the age of 45-year-old) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS) on an unknown date and unknown if ongoing. The patient was not allergic to medications, food, or other products. Concomitant medications included vitamin d nos (MANUFACTURER UNKNOWN) for an unknown indication from an unknown date and unknown if ongoing. 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 took BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 01Jun2021 at 17:00 (at the age of 45-year-old) as a single dose for COVID-19 immunisation. On 23Jun2021 at 23:00, the patient had common symptoms like pain, tiredness, chills and fever for 1 day. The patient also had some sore throat and nasal discharge (yellow mucus). On 24Jun2021, most symptoms disappeared except for sore throat, nasal discharge and instead the patient had new symptoms including itchy throat and coughing. On 25Jun2021 night, the patient had sever cough that the patient could not really sleep. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events pain, tiredness, chills and fever was recovered on 24Jun2021 after the duration of 1 day. The clinical outcome of the events sore throat, nasal discharge (yellow mucus), coughing, itchy throat and had sever cough that the patient could not really sleep was not recovered at the time of this report. The lot/batch numbers for BNT162b2, were not provided and will be requested during follow up.

Other Meds: VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1653011
Sex: F
Age:
State: TN

Vax Date: 06/13/2021
Onset Date: 06/14/2021
Rec V Date: 08/29/2021
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: Became sick; Sick with overnight cold lots of mucus and chills; Chills; Coughing; Headache; Body pain; Shallow breathing; No energy; Lots of mucus; Sinus ran on; Felt like I was sweating but when I touched the skin it was dry.; Slept for long periods if time.; This is a spontaneous report from a contactable consumer, the patient. A 56-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 on 13Jun2021 at 10:30 (at the age of 56-years-old), as a single dose for COVID-19 immunisation. Medical history included type 2 diabetes mellitus, neuropathy and acute migraine. The patient had known allergies to Xray dye. Concomitant medications included metformin (MANUFACTURER UNKNOWN), sertraline (MANUFACTURER UNKNOWN) and acetylsalicylic acid (BAYER ASPIRIN); all from unknown dates for unspecified indications. 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 23May2021 at 10:30 (at the age of 56-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 14Jun2021 at 08:00, the patient experienced sick with overnight cold, lots of mucus and chills, coughing, headache for 4 days then some of mucus cleared up but headache and sinus ran on, body pain, shallow breathing, felt like she was sweating but when touched the skin it was dry, no energy, slept for long periods of time. 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. The clinical outcome of the events sick with overnight cold, lots of mucus, chills, coughing, headache, sinus ran on, body pain, shallow breathing, no energy and slept for long periods of time were resolving at the time of this report. The batch/lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds: METFORMIN; SERTRALINE; BAYER ASPIRIN

Current Illness:

ID: 1653012
Sex: F
Age:
State: SC

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/29/2021
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: Approximately 4-6 weeks after last vaccination, began to have constant salty taste in my mouth which continues to this day. It's more pronounced when I eat anything containing lemon juice.; This is a spontaneous report from a non-contactable consumer, the patient. A non-pregnant female patient of unknown age received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0150) via an unspecified route of administration in the left arm on an unknown date in Apr2021 as a single dose for COVID-19 immunisation. Medical history was not reported. The patient did not have any allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included calcium (MANUFACTURER UNKNOWN) and melatonin (MANUFACTURER UNKNOWN) and OTC sleep aid (MANUFACTURER UNKNOWN), all medications taken 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: ENG207) via an unspecified route of administration in the left arm on an unknown date in Mar2021 as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in May2021, approximately 4-6 weeks after last vaccination the patient experienced to have constant salty taste in the mouth which continued to the date of this report. It was more pronounced when the patient ate anything containing lemon juice. No therapeutic measures were taken as a result of the event. 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 salty taste in the mouth was not resolved at the time of this report. No follow-up attempts are possible. No further information is expected

Other Meds: CALCIUM; MELATONIN

Current Illness:

ID: 1653013
Sex: U
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: two patients complain of nose bleeds after receiving the Pfizer vaccine; This is a spontaneous report received from a contactable Pharmacist via Pfizer sales representative. This Pharmacist reported similar events for two patients. This is 2nd of two reports. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. It was stated that two patients complain of nose bleeds after receiving the pfizer vaccine on an unspecified date. Outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021786333 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1653014
Sex: F
Age:
State: VA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 08/29/2021
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: This is a spontaneous report from a contactable consumer, the patient. A 30-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0171) via an unspecified route of administration in the right arm on 11May2021(at the age of 30-year-old) and second dose of of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0171) via an unspecified route of administration in the right arm on 01Jun2021(at the age of 30-year-old) as a single dose for COVID-19 immunization. Medical history was not reported. The patient previously received amoxicillin on an unknown date and for unknown indication and experienced drug 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. On 11May2021 the patient experienced severe muscle weakness, joint pain ever since receiving the first vaccine and also had sweat heavily when sleeping. No therapeutic measures were taken as a result of adverse event. 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 severe muscle weakness, joint pain and also sweat heavily when sleeping were not resolved.

Other Meds:

Current Illness:

ID: 1653015
Sex: F
Age:
State: NY

Vax Date: 04/22/2021
Onset Date: 05/15/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Test Name: Nasal Swab; Test Result: Negative.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer, the patient. A 52-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0169) via an unspecified route of administration in the left arm on 22Apr2021 at 14:00 (at the age of 52-year-old) as a single dose for COVID-19 immunisation. Medical history included ulcer, hypertension and pollen allergy. Concomitant medications included ADVIL, herbal enzyme supplements, and famotidine. The patient previously received fluorescein dye on an unknown date and experienced allergy. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 01Apr2021 at 14:00 (at the age of 52-year-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 been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 15May2021 at 12:00, the patient experienced arthritis-like pain in several joints, bilateral. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were not taken as a result of these adverse events. On an unknown date, the patient underwent Nasal Swab test and the result was negative. The clinical outcome of the events arthritis-like pain in several joints, bilateral was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: ADVIL; FAMOTIDINE

Current Illness:

ID: 1653016
Sex: M
Age:
State:

Vax Date: 05/02/2021
Onset Date: 05/03/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Moderate to severe Headache; This is a spontaneous report from a non-contactable consumer, the patient. A 50-year-old male 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 02May2021 at 12:00 (at the age of 50-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications of the patient was not reported. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8737) via an unspecified route of administration in the left arm on 05Apr2021 at 12:00 (at the age of 50-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 03May2021 at 12:00, after the second shot, the patient experienced moderate to severe headache, which lasted longer than a month. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event moderate to severe headache was recovered on an unknown date in Jun2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1653017
Sex: F
Age:
State: NY

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 08/29/2021
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: Running a mid to high fever and pain in the left arm and body pain as well.; Running a mid to high fever and pain in the left arm and body pain as well.; Running a mid to high fever and pain in the left arm and body pain as well.; This is a spontaneous report from a contactable consumer, the patient. A 13-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0198) via an unspecified route of administration in the left arm on 26Jun2021 at 11:30(at the age of 13-years-old) as a single dose for COVID-19 immunisation. Medical history included allergy to sulfa. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0217) via an unspecified route of administration in the right arm on 05Jun2021 at 18:00(at the age of 13-years-old) as a single dose for COVID-19 immunisation. On 17Jun2021, patient received unspecified allergy shot on both arms within four weeks prior to COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 27Jun2021 at 03:30, the patient experienced running a mid to high fever and pain in the left arm and body pain as well. Therapeutic measures were not taken as a result of the events. 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. The clinical outcome of the events running a mid to high fever and pain in the left arm and body pain as well was not recovered, at the time of this report.

Other Meds:

Current Illness:

ID: 1653018
Sex: F
Age:
State:

Vax Date: 05/13/2021
Onset Date: 05/01/2021
Rec V Date: 08/29/2021
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: My periods have been extremely heavy and extremely clotty and I'm on my 3rd cycle now and no improvement; I'm on my 3rd cycle now and no improvements/ I'm also experiencing more cramping; This is a spontaneous report from a non-contactable consumer (patient). The 38-year-old female consumer reported that. The 38-years-old female patient received dose 2 of bnt162b2 (BNT162B2, solution for injection) (Batch/Lot number: Unknown) via unspecified route of admnistrtaion on 13May2021 at 08:00 AM as single for COVID-19 immunisation. The medical history and concomitant medication were not reported. The historical vaccine included dose 1 of bnt162b2 (BNT162B2, solution for injection) (Batch/Lot number: Unknown) via unspecified route of admnistrtaion on 22Apr2021 at 08:00 AM as single for COVID-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. Patient was not diagnosed with COVID-19 Prior to vaccination. Patient had not been tested for COVID-19 since the vaccination. On 28Apr2021 patient reported that since her first dose her periods had been extremely heavy and extremely clotty. She was on her 3rd cycle now and no improvements. She was also experiencing more cramping. She had to change a supersized tampon every 2 hours for the first 2-3 days of her period. Her period was never like this before. Prior to being vaccinated she had change a super tampon every 6-8 hours for the first 2-3 days and had maybe one or two clots. The outcome of the event was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1653019
Sex: U
Age:
State: IN

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 08/29/2021
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: after the vaccine when I felt unwell; This is a spontaneous report from a contactable consumer (patient) reported. A patient of an unspecified age and gender received first dose of BNT162B2 (COMIRNATY, Solution for injection, lot number and Expiration date was not reported), via an unspecified route of administration, on an unspecified date in Mar2021, as a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient reported that I got your Covid 19 vaccine in Mar2021. I had been exercising an hour a day prior to the vaccine for the past several years. However, after the vaccine when I felt unwell, I stopped exercising. After the second vaccine I tried to start exercising again and had shortness of breath while doing so. I went to the doctor who sent me for a nuclear stress test. The results are that I have a "fixed defect" in my heart! I never had any heart problems with my heart prior to the vaccine. Outcome of the event malaise was reported as unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1653020
Sex: F
Age:
State: CA

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 08/29/2021
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: Both of my knees and both of my hips have really bad painful inflammation after the 2nd dose of the Pfizer vaccine.; This is a spontaneous report from a contactable consumer, the patient. A 35-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0177) via an unspecified route of administration in the left arm on 26Jun2021 at 13:00 as a single dose for COVID-19 immunisation. The patient medical history was unknown. The patient did not have any allergies to food, medications or other products. The patient did not receive any other concomitant medications. 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 medications or vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0186) via an unspecified route of administration in the left arm on 05Jun2021 at 13:00 as a single dose for COVID-19 immunisation. On 27Jun2021, the day after second dose the patient both knees and both hips had bad painful inflammation. The events did not result in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. No therapeutic measures were taken as a result of the events. The clinical outcome of the event both knees and both hips had bad painful inflammation was not recovered at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1653021
Sex: U
Age:
State: IN

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: 2021; Test Name: Nuclear stress test; Result Unstructured Data: Test Result:fixed defect in heart

Allergies:

Symptom List: Vomiting

Symptoms: shortness of breath; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported. A patient of an unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and Expiration date was not reported), via an unspecified route of administration, on an unknown date, as a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (COMIRNATY, Solution for injection, lot number and Expiration date was not reported), via an unspecified route of administration, on an unspecified date in Mar2021, as a single dose for covid-19 immunization and felt unwell. The patient reported that I got your Covid 19 vaccine in Mar2021. I had been exercising an hour a day prior to the vaccine for the past several years. However, after the vaccine when I felt unwell I stopped exercising. After the second vaccine I tried to start exercising again and had shortness of breath while doing so. I went to the doctor who sent me for a nuclear stress test. The results are that I have a "fixed defect" in my heart! I never had any heart problems with my heart prior to the vaccine. Outcome of the event was reported as unknown. Follow-up attempts are possible. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1653022
Sex: F
Age:
State: VA

Vax Date: 06/23/2021
Onset Date: 06/01/2021
Rec V Date: 08/29/2021
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: Both of us feel pretty bad for 3days; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EW0217, NDC number and Expiration date: Unknown), via an unspecified route of administration, administered on Arm left on 23Jun2021 as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunisation. Medical history and concomitant medication were not reported. The patient reported as both of us feel pretty bad for 3 days on an unspecified date in Jun2021. Treatment medication included Tylenol. Outcome of the event was recovered on an unspecified date in Jun2021.

Other Meds:

Current Illness:

ID: 1653023
Sex: U
Age:
State:

Vax Date: 06/25/2021
Onset Date: 06/01/2021
Rec V Date: 08/29/2021
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: a little bit difficulty on breathing; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number, Expiration date, NDC and UPC number was unknown), via an unspecified route of administration on 25Jun2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number, Expiration date, NDC and UPC number was unknown), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation and had no reaction. On Jun2021, patient experienced a little bit difficulty on breathing. Patient asked should he/she go to the hospital right now. The outcome of the event was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1653024
Sex: F
Age:
State: FL

Vax Date: 03/06/2021
Onset Date: 03/01/2021
Rec V Date: 08/29/2021
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: Has been miserable for 4 months being sick with the shot; For the first three weeks all the caller did was asleep; This is a spontaneous report from a contactable other healthcare professional (patient). A 83-years-old female patient received bnt162b2 (PFIZER COVID 19, Solution for injection, Lot number was not reported), dose 1 via an unspecified route of administration, administered in arm left on 06Mar2021 (at the age of 83-years-old) as dose 1, single for covid-19 immunisation. Medical history included osteoporosis (caller has osteoporosis. Caller states her mother had osteoporosis too) from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Investigation Assessment was no. The caller was a retired Advanced Nurse Practitioner who states she has been miserable for 4 months being sick with this Pfizer Covid 19 shot. For the first three weeks all, the caller did was asleep. The caller could not hold eyes open. She received the first shot on 06Mar2021, and the caller was sleepy for the whole three weeks before getting the second dose Pfizer Covid 19 shot. The caller states she shrunk to 5 feet. The caller has osteoporosis. The caller clarifies this occurred prior to receiving the Pfizer Covid 19 shot. The caller had osteoporosis prior to receiving the Pfizer Covid 19 shot. The caller states her mother had osteoporosis too. The caller was still sleepy now. The caller states the sleepiness was getting better now. The caller gave her vaccine card to her daughter and the caller's daughter was at work. The outcome of event has been miserable for 4 months being sick with the shot was unknown and for the first three weeks all the caller did was asleep was resolving. The batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1653025
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 08/29/2021
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: all the caller's muscles didn't want to work; After receiving the second dose Pifzer Covid 19 shot a pain hit the caller's muscles./ muscles all sore and tightened up.; The caller could hardly walk.; muscles all sore and tightened up; This is a spontaneous report from a contactable consumer (patient). An 83-year-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported, Expiry date: Unknown), dose 2 via an unspecified route of administration, administered in Left arm on an unspecified date in 2021 (at the age of 83-year-old) as single for covid-19 immunisation. Patient's medical history included osteoporosis from an unknown date and unknown if ongoing, she had osteoporosis prior to receiving the Pfizer Covid 19 shot. Patient's mother had osteoporosis. Historical vaccine included bnt162b2 (BNT162B2, solution for injection), dose 1, administered in Left arm on 06Mar2021 as single for COVID-19 immunisation, was being sick and all the first three weeks patient did was asleep. The patient's concomitant medications were not reported. The patient stated that after receiving the second dose Pfizer Covid 19 shot, a week after on an unspecified date in 2021, all the caller's muscles didn't want to work: The second shot did not effect the caller until a week after the caller received the second dose Pfizer Covid 19 shot. After receiving the second dose Pifzer Covid 19 shot a pain hit the caller's muscles. The caller couldn't straighten her arm out, nothing worked. The caller could hardly walk. Everything muscles all sore and tightened up. The muscle relaxer was the only thing that helped the caller move, because the caller lives alone. After receiving the second dose Pfizer Covid 19 shot, a week after, all the caller's muscles didn't want to work: The caller's right arm didn't want to work at all. The caller stated this has improved because it wasn't all over, it was just the caller's one extremity The caller reported that taking Tylenol because the caller was hurting an awful lot after receiving the Pfizer Covid 19 Shot. The caller states she started taking the Tylenol a few weeks after receiving the Pfizer Covid 19 Shot thinking the hurting would go away. Outcome of the events was reported as resolving. Information on Lot/Batch information has been requested.

Other Meds:

Current Illness:

ID: 1653026
Sex: M
Age:
State: AZ

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 08/29/2021
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: Pain at injection site; Swelling at injection site; Rash around injection site; This is a spontaneous report from a contactable consumer, the patient. A 12-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0217) via an unspecified route of administration in the left arm on 26Jun2021 at 16:45 (at the age of 12-years-old) as a single dose for COVID-19 immunisation. Medical history included anxiety disorder. The patient was not allergic to medications, food, or other products. 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 medication within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 27Jun2021 at 00:00, the patient experienced pain at injection site, swelling at injection site and rash around injection site. Therapeutic measures were taken as a result of the events which included treatment with BENADRYL and ibuprofen. 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 events of pain at injection site, swelling at injection site and rash around injection site was not resolved at the time of this report.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am