VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1661429
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 09/01/2021
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: wanted to know if she can take Benadryl to prevent her allergies; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient wanted to know if she can take Benadryl to prevent her allergies before she goes to the facility where she can get the second dose. The outcome of the event was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661430
Sex: F
Age:
State: CT

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 09/01/2021
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: lethargy; Joint pain/aches; muscle pain; headache/migraine; nausea; headache/migraine; persistent thirst; This is a spontaneous report from a contactable consumer (patient). A 31 years old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EL3247), via an unspecified route of administration in Left Arm on 24Feb2021 at 13:15 as a Dose 2, single for COVID-19 immunization. The patient's medical history included Heart murmur, history of lyme disease, kenyan tick typhus, known allergies to Sulfa drugs, red dye. The patient's concomitant medication(s) included biotin supplement, melatonin, Multivitamin (unspecified) within two weeks after vaccination. Facility type vaccine was reported as Other. The patient had no Covid infection prior vaccination. The patient was not tested to Covid post vaccination. The patient had not received any other vaccine four weeks prior to Covid-19 vaccination. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL3247) via an unspecified route of administration in Left arm on 04Feb2021 at 09:00 AM, as a Dose 1, Single for COVID-19 immunization. On 25Feb2021 at 11:00, the patient had experienced lethargy, joint pain/aches, muscle pain, headache/migraine, nausea, persistent thirst. No treatment received for resulted events. The outcome of the events was recovered on an unknown date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: BIOTIN; MELATONIN

Current Illness:

ID: 1661431
Sex: F
Age:
State: TX

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
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: Test Date: 20210220; Test Name: fever; Result Unstructured Data: Test Result:101; Comments: fever greater than 101 degrees; Test Date: 20210220; Test Name: fever; Result Unstructured Data: Test Result:greater; Comments: fever greater than 101 degrees; Test Date: 20210220; Test Name: heartbeat; Result Unstructured Data: Test Result:fast; Comments: fast heart beat.

Allergies:

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

Symptoms: Chills; fever greater than 101 degrees; tired; fast heart beat; nausea; shortness of breath; This is a spontaneous report from a contactable consumer (patient). This 59-year-old non pregnant female consumer received bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number EL9266), dose 2 via an unspecified route of administration, administered in Arm Left on 19Feb2021 12:00 as DOSE 2, SINGLE for covid-19 immunisation (Age at vaccination 59 Years). The patient medical history was not reported. Concomitant medication(s) included celecoxib (CELEXA [CELECOXIB]). Historical vaccine includes dose 1 bnt162b2 (BNT162B2, Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number EN5318) on 25Jan2021 10:30 AM on Right arm. No other vaccine in four weeks. No Covid prior vaccination. No Covid tested post vaccination. No known allergies. On 20Feb2021 02:30 patient experienced chills, fever greater than 101 degrees, tired, fast heartbeat, nausea, shortness of breath. The patient underwent lab tests and procedures which included body temperature: 101 on 20Feb2021 fever greater than 101 degrees, body temperature: greater on 20Feb2021 fever greater than 101 degrees, heart rate: fast on 20Feb2021 fast heartbeat. The outcome for all events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: CELEXA [CELECOXIB]

Current Illness:

ID: 1661432
Sex: F
Age:
State: MA

Vax Date:
Onset Date:
Rec V Date: 09/01/2021
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: pain on both shoulders, the back of her neck; pain on both shoulders, the back of her neck; extremely tired; This is a spontaneous report from a contactable consumer (patient herself) via Pfizer sponsored program. A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration on an unspecified date as dose 1, single for Covid-19 immunisation. Patients medical history and concomitant medications were not reported. The patient was done with the first dose 11 days ago and up until now she was experiencing pain on both shoulders, the back of her neck and feeling extremely tired, on an unspecified date. The outcome of events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661433
Sex: M
Age:
State:

Vax Date: 02/20/2021
Onset Date:
Rec V Date: 09/01/2021
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: Maybe a wet cough; This is a spontaneous report from a contactable consumer. A 88-year-old male patient (consumer's father) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration on 20Feb2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that reporter's father was 88 years old and he had the first dose of the Pfizer vaccine "yesterday", so he had a cough already and (distorted voice) it appear that the cough now was kind of more of a 'loop' cough maybe a wet cough it was not a constant cough and regular but it was about 30 minutes in between maybe longer but reporter was wondering was that something you should to be concerned with and should we have him with that. Reporter stated, Okay reporter have provided that twice already. So, the number that you just gave me these are the people that probably can answer reporter's question that if we should be concerned about his cough. They are answering reporter's question about the COVID vaccine or they are answering reporter's question that should we be concerned, was this a possible side effect or something. Reporter stated, "the number of the vaccine?" Okay so reporter's sister took him, she has that, and reporter do not have that. The reporter stayed with him last night just to make sure you know that he did not have any side effect. The reporter's other sister took him, and she has that card. The outcome of the event was unknown. Information for Batch/lot number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661434
Sex: F
Age:
State: NC

Vax Date: 02/20/2021
Onset Date:
Rec V Date: 09/01/2021
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: tiredness; fever; headache; muscle pain; injection site swelling; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support via a contactable Other-HCP (Patient). A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: unknown) via an unspecified route of administration on 20Feb2021 as single dose for COVID-19 immunization. Medical history, concomitant medications or past drug history were not reported. On an unspecified date in 2021, patient experienced tiredness, fever, headache, muscle pain, and injection site swelling. Outcome of the events were unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661435
Sex: U
Age:
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
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: Injection site pain; tiredness; muscle pain; chills; joint pain; feeling unwell; This is a spontaneous report from a non-contactable consumer or other non hcp (patient). A patient (Age: 73; Unit: unknown) of an unspecified gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm right on 20Feb2021 at 14:30 (02:30 PM) as dose 1, single for COVID-19 immunization. The patient medical history included COVID-19 (If COVID prior vaccination: Yes) from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient did not receive any other vaccine within four weeks. Patient was diagnosed with COVID prior vaccination. Patient had not COVID tested post vaccination. On 20Feb2021 at 12:00 AM, the patient experienced injection site pain, tiredness, muscle pain, chills, joint pain, feeling unwell. The patient did not receive treatment for the events. Outcome of the events was recovering. No follow-up attempts are possible. Information about lot/batch number could not be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1661436
Sex: M
Age:
State: MO

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 09/01/2021
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: With both doses soreness in the left arm.; mild fever; general achiness; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration at arm left (at the age of 43-year-old) on 20Feb2021 10:00 (Lot Number: EL9264) as single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient did not have COVID prior vaccination. The patient had not tested COVID post vaccination. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration at arm left (at the age of 43-year-old) on 30Jan2021 15:00 (Lot Number: EN9581) as single dose for COVID-19 immunisation and experienced soreness in left arm. The patient with both doses had soreness in the left arm and after the second dose had mild fever and general achiness on 21Feb2021 02:00 (AM). The patient did not received treatment for events. The outcome of events was recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661437
Sex: M
Age:
State: WA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 09/01/2021
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: nose bleeding; This is a spontaneous report received from a contactable consumer (patient) via Pfizer-sponsored program. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 17Feb2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient reported that he got the 1st dose of Covid 19 Vaccine last 17Feb and the day after that, he got nose bleeding (18Feb2021). The clinical outcome of event was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661438
Sex: F
Age:
State: MI

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 09/01/2021
Hospital:

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

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

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: severe diarrhea; fever; Chills; Achy; This is a spontaneous report from a contactable other hcp. A 65-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EL3248), dose 2 via an unspecified route of administration, administered in Arm Right on 24Jan2021 08:20 as DOSE 2, SINGLE for covid-19 immunisation (at the age of 65 years). The patient medical history and concomitant medications were not provided. The patient previously received first dose of bnt162b2 on 02Jan2021 for covid-19 immunisation and experienced severe diarrhea. On 25Jan2021 patient experienced achy, 100.5 fever, chills. On 27Jan2021 at 08:00 experienced Severe diarrhea. Patient did not required visit to Emergency room/Physician office. Patient did not receive treatment medication. The patient underwent lab tests and procedures which included pyrexia: 100.5 on 25Jan2021. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661439
Sex: F
Age:
State: TX

Vax Date: 02/20/2021
Onset Date:
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: had blood on the urine; This is a spontaneous report from a Pfizer-sponsored program COVAX US Support. A contactable consumer reported that a 92-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported), via an unspecified route of administration on 20Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Onan unspecified date, the patient experienced had blood on the urine. It was reported that reporter got the first dose yesterday together with elderly couple. She helped them to get the vaccine since they were of old age. The wife had blood on the urine, after the same dose. The outcome of event was unknown. Information of lot and batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661440
Sex: F
Age:
State: OH

Vax Date: 01/26/2021
Onset Date: 02/19/2021
Rec V Date: 09/01/2021
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: Hives; Itching; This is a spontaneous report received from a contactable consumer (Patient). A 75-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EL9265), Solution for injection, via an unspecified route of administration on 26Jan2021 11:10 (at the age of 75-years-old) as single dose for covid-19 immunisation. Medical History (including any illness at time of vaccination) was reported as none. There were no concomitant medications. Patient previously received flu shot in Sep2020. No additional vaccines administered on same date of the Pfizer suspect. Patient did not receive any vaccine within four weeks of Pfizer vaccine. On 19Feb2021, the patient experienced hives and itching. Patient received the first dose of the Covid-19 vaccine 2 Jan2021. She was scheduled to get the second dose last Tuesday 16Feb2021. It was canceled due to bad weather. She was rescheduled for today. She was having a reaction to something. She cant imagine it would take that long. She had hives and itching. It started on her right arm and is not on her left arm. The itching was not as bad. It was controlled with Benadryl. No relevant test was performed. Patient did not visit emergency Room or physician office. Therapeutic measures were taken as a result of itching. The outcome of event hives was not recovered and itching was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661441
Sex: F
Age:
State: CO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Date: 20210203; Test Name: Nasal swab; Test Result: Negative

Allergies:

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

Symptoms: Dizzy; diarrhea; headache; vomiting; fatigue; fever; chills; body aches; muscle aches; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 42-years-old female non-pregnant patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EL3249), via an unspecified route of administration (at the age of 42-years), administered in arm left on 30Jan2021 at 08:30 as dose 1, single for COVID-19 immunization. Medical history included seizures, asthma, ptsd from an unknown date and unknown if ongoing. There were no concomitant medications. Patient did not have covid prior vaccination. The patient have known allergies. The patient did not received any other vaccine in four weeks. On 30Jan2021 at 10:00, the patient experienced dizzy, diarrhea, headache, vomiting, fatigue, fever, chills, body aches and muscle aches. The treatment was received for all the adverse events. The adverse events resulted in physician office visit. The patient underwent lab tests and procedures which included Covid-19 test: negative Nasal Swab on 03Feb2021. The clinical outcome for the events was reported as recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661442
Sex: F
Age:
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swelling of lower eyelids, cheeks and nose; This is a spontaneous report from a contactable physician. A 55-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via intramuscular route of administration, administered in Arm Left on 20Feb2021 at 15:45 pm (Batch/Lot Number: EL9266) as dose number unknown, single dose for covid-19 immunization (at the age of 55-years-old). Medical history included asthma from an unknown date and unknown if ongoing and had known allergies from an unknown date and unknown if ongoing. Patient had not taken any other vaccine in four weeks and not received other medications in two weeks. The patient's concomitant medications were not reported. Patient had no covid prior vaccination. Patient had not tested for covid post vaccination. It was reported that on 21Feb2021 the patient experienced swelling of lower eyelids, cheeks and nose. Therapeutic measures were taken as a result of swelling of lower eyelids, cheeks and nose with steroids, famotidine and Zyrtec. The adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient was not recovered from the events. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661443
Sex: F
Age:
State: IA

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 09/01/2021
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: Delayed body rash on left shoulder, right neck, stomach,waistline; Delayed body rash on left and right arms; This is a spontaneous report from a Non-contactable consumer (patient herself). A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration, in left arm on 14Feb2021 15:00 as dose number unknown, single for Covid-19 immunisation. Facility type vaccine was pharmacy or drug store. Patients medical history included thyroid disease from an unspecified date and unknown if ongoing. Concomitant medication included Np Thyroid, taken for unspecified indication, start and stop date not reported (taken in two weeks). Patient was not pregnant at the time of vaccination. No other vaccine in four weeks was administered. On 17Feb2021, patient experienced delayed body rash on left shoulder, left and right arms, right neck, stomach, waistline onset 2 - 3 days after vaccination until present (lasting 5 days at present). No treatment was given as a result of the adverse events. Doctor or other healthcare professional office/clinic visit took pace due to the adverse events. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The outcome of event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: NP THYROID

Current Illness:

ID: 1661444
Sex: U
Age:
State: FL

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: "Covid Arm". Swollen, red itchy rash; "Covid Arm". Swollen, red itchy rash; "Covid Arm". Swollen, red itchy rash; This is a spontaneous report from a Non-contactable Consumer or other non-HCP. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 14Feb2021 at 17:45 (Lot Number: EL9269), as DOSE 2, SINGLE for covid-19 immunisation. The patient had no other medical history. The patient had no covid prior vaccination. The patient had no known allergies. Concomitant medication(s) included Simvastatin and Levothyroxine sodium (LEVOTHYROXINE), all taken for an unspecified indication, start and stop date were not reported. No other vaccine in four weeks. The patient had not been covid tested post vaccination. The patient previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection), via an unspecified route of administration, administered in Arm Left on 26Jan2021 at 08:30 AM (Lot Number: EL9262), as single for covid-19 immunisation. On 17Feb2021 at 07:00 AM, the patient experienced "covid arm", swollen, red itchy rash. No treatment was received to treat the events. The patient outcome of the events was resolving at the time of this report. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: SIMVASTATIN; LEVOTHYROXINE

Current Illness:

ID: 1661445
Sex: F
Age:
State: HI

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 09/01/2021
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: joint ache; Vomiting; nausea; headache; fatigue; dizziness; fever; muscle ache; quick change in temperature; This is a spontaneous report from a contactable other healthcare professional (patient). A 30-years-old non-pregnant female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6201 and Expiration date was not reported), via an unspecified route of administration, administered in left arm on 16Feb2021 at 13:00 hours as dose 2, single (at the age of 30-years-old) for COVID-19 immunisation. Medical history included asthma and depression (both from an unknown date and unknown if ongoing). Historical vaccine included patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9261 and Expiration date was not reported), via an unspecified route of administration, administered in left arm on 26Jan2021 at 13:00 hours as dose 1, single (at the age of 30-years-old) for COVID-19 immunisation and HPV vaccine for immunisation and had allergy to HPV vaccine. Patient had no other vaccine in four weeks. Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for COVID-19, post vaccination. The patient previously took codein and experienced allergy to codein. Concomitant medication(s) included ethinylestradiol, ferrous fumarate, norethisterone acetate (Microgestin FE) taken for an unspecified indication, start and stop date were not reported. On 17Feb2021, at 00:00 hours, patient experienced vomiting, nausea, headache, fatigue, dizziness, muscle ache, joint ache, fever and quick change in temperature. Patient had doctor or other healthcare professional office/clinic visit for all the events. Therapeutic measures were taken as a result of all the events treatment included unspecified medication (IV). The outcome of all the events was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: MICROGESTIN FE

Current Illness:

ID: 1661446
Sex: F
Age:
State: FL

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 09/01/2021
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: arm is still swollen and red; arm is still swollen and red; This is a spontaneous report from a contactable consumer. A 69-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: EL9267), dose 1 via an unspecified route of administration, administered in right arm on 10Feb2021 (at the age of 69-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included diabetes mellitus from 1999 to an unknown date. Concomitant medication, not had any other recent vaccinations or started any new medications. Patient said it has been years since patient had any other vaccinations. Patient got first dose on 10Feb and patient was supposed to go back 03Mar. Additional information for other conditions: patient diabetes was under control, it was under 7, it was diagnosed when she got sick because patient son went into the military and they couldn't find him and patient was emotional, patient diabetes was emotional. Investigation assessment: no. The patient experienced arm still swollen and red. Patient would like to know, should patient put ice on it. The outcome of the events were unknown. Follow-up attempts completed. No further information expected

Other Meds:

Current Illness:

ID: 1661447
Sex: M
Age:
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 09/01/2021
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: Swollen Left Armpit; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 30-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: unknown, Expiration date: not reported), via an unspecified route of administration in arm left on 19Feb2021 at 17:30 (at the age of 30-year-old) as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/ Lot number: unknown, Expiration date: not reported), via an unspecified route of administration in arm left on 29Jan2021 at 16:00 (at the age of 30-year-old) as a dose 1, single for COVID-19 immunization. It was reported that, the patient had no known allergies. Other vaccines in four weeks were reported as no. No covid prior vaccination and no covid tested post vaccination. On 22Feb2021 at 07:00 AM, the patient experienced swollen left armpit. Treatment was not received for the event. The outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661448
Sex: F
Age:
State: VA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pain medicine made her nauseous and dizzy; pain medicine made her nauseous and dizzy; back pain under ribs on left side; hard to breath; This is a spontaneous report from a contactable consumer. A 60-year-old female patient received a dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: EN6200, Expiration date: unknown), via unspecified route, administered in left arm on 19Feb2021 (at the age of 60-year-old) as dose 1, single for COVID-19 immunization. The patient medical history includes Foot surgery on 17Feb2021, and concomitant medications were not reported. On 20 feb2021, after the vaccination, the patient States her back has been hurting prior to vaccine because of her foot, but states that was usually her lower back, mid back. States she was not paying much attention to symptoms for aftereffects of the vaccine, states she experienced back pain under her ribs on the left side, same side she received the vaccine. Patient also stated that the pain made it hard to breathe, pain in the ribs is what takes her breath away. Caller states she did not take any pain medicine after her foot surgery on Wednesday, except for the first day. States the pain medicine made her sick, so she just took Ibuprofen. She States she cannot handle pain medication. This medication was taken prior to the vaccine. States she took it Wednesday night, Thursday morning and Thursday night and then stopped taking it. States she was told not to take Ibuprofen the morning of the shot, she did not take any Friday morning prior to the vaccine. Patient also mentioned pain medicine made her nauseous and dizzy on an unspecified date. The events assessed as non-serious. The outcome of the events backpain and dyspnoea was not recovered and the outcome of nausea and dizziness was unknown. No follow-up attempts possible. No further information expected. Follow-up (PRD/SRD (17May2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1661449
Sex: F
Age:
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
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: This is a spontaneous report from a contactable consumer or other non-health care professional (patient) reporting for herself. A 68-year-old female consumer received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6201, expiration date: unknown), via intramuscularly administered in left upper arm on 19Feb2021 07:30 AM (at the age of 68-years-old) as DOSE 1, SINGLE for covid-19 immunization. Patient medical history included thyroid condition and blood pressure high. Patient declined to report concomitant medications saying she takes a bunch of medicine, is still taking her medications now and sees no change and that here are so many. The patient did not take prior Vaccinations within 4 weeks. No additional vaccines administered on same date of the Pfizer suspect. On 20Feb2021, patient experienced soreness in shoulder, very sore, Itchy throat, and Sore throat. Patient reported soreness in shoulder, very sore, not the first day but the second day, 20Feb2021, and on the second day she had some kind of itchy throat and sore throat. It went away by the evening of 20Feb2021. She woke up with it on the 20Feb2021, used cough drops to soothe her throat. Patient used Ricola herb cough drops with expiration date 16Mar2023 and applied heat to her arm which helped. The outcome of all the events was recovered on 20Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661450
Sex: F
Age:
State: PA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 09/01/2021
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: left periorbital and eyeball swelling; left periorbital and eyeball swelling; left side facial swelling; This is a spontaneous report from a contactable nurse (patient herself). A 40-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: en9581), via intramuscular route, administered in left arm on 17Feb2021 13:00 (Age at vaccination: 40 years) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history included asthma, Wilms tumor and anxiety. The patient was allergic to clindamycin and adhesive. Concomitant medication(s) included salbutamol (ALBUTEROL) inhaler. The patient's historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: en5318) via intramuscular route in left arm on an unknown date as DOSE 1, SINGLE. The patient did not have any other vaccine in four weeks. On 18Feb2021 08:00, the patient experienced left side facial swelling. On 22Feb2021 08:00, the patient experienced left periorbital and eyeball swelling. The patient did not receive any treatment for the adverse event. The patient did not have covid before vaccination nor was tested since vaccination. The outcome of all the events was recovered on an unknown date in 2021. Follow-up attempts completed. No further information expected.

Other Meds: ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 1661451
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date: 02/22/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: soreness in shoulder and upper arm, only on left side.; soreness in shoulder and upper arm, only on left side.; This is a spontaneous report from a non-contactable consumer or other non-Health Care Professional. A 31-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL3247 and Expiry date: Unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 10Feb2021 14:00 at the age of 31-years-old as DOSE 2, SINGLE for Covid-19 immunization. Medical history included asthma from an unknown date and unknown if ongoing. Known allergies included Ciprofloxacin. Concomitant medication(s) included bupropion hydrochloride (WELLBUTRIN),amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL); budesonide, formoterol fumarate (SYMBICORT); salbutamol (VENTOLIN [SALBUTAMOL]) 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. The patient received other medications of vaccination. The patient was not diagnosed with Covid 19 and has not been tested for Covid-19 Since the vaccination. The patient previously took ciprofloxacin and experienced drug hypersensitivity. On 22Feb2021 04:30 the patient experienced soreness in shoulder and upper arm, only on left side. The outcome of event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: WELLBUTRIN; ADDERALL; SYMBICORT; VENTOLIN [SALBUTAMOL]

Current Illness:

ID: 1661452
Sex: F
Age:
State: TN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Name: immune system; Result Unstructured Data: Test Result:active Lyme's disease/2 bands that are not active.

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: breathing is not as good since getting the vaccine; eyes itching; face turned red and was hot; Facial swelling; This is a spontaneous report from a contactable consumer (patient). An 80-year-old female patient received first dose of bnt162b2 (Pfizer Covid-19 vaccine, Solution for injection, Batch/lot number: EN9581, Expiration date: Unknown), via an unspecified route in the left arm on 06Feb2021 at 09:00 (age at vaccination: 80-year-old), as a single dose for covid-19 immunization. Medical history included hiatal hernia (ongoing), acid reflux (esophageal), blood pressure high, asthma and from 2016 Lyme's disease (ongoing). She went from Aug until Mar before it was discovered. She had to take repeated doses of Doxycycline. She had 5 bands. She still has 2 bands that are not positive. Her immune system shows that she has positive active Lyme's disease. She has 2 bands that are not active. She goes every 6 months and has the bands checked. She has an upcoming appointment scheduled. Patient was allergic to trees, grass, dirt and mold. Concomitant medications included losartan 25mg twice daily started taking in 2010 or 2011, ongoing for Blood pressure high, fluticasone furoate, vilanterol trifenatate (BREO ELLIPTA) 200mcg 1 puff daily started taking 3-4 years ago ongoing for asthma, fluticasone propionate (PROAIR) 1-2 puffs 4 times daily as needed ongoing from 2020 for asthma, allergy shots 3 injections monthly for allergy has been receiving for over 5 years, ongoing and omeprazole (PRILOSEC) 3 20mg daily for Acid reflux (esophageal) has been using for 10 years or more. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 06Feb2021 (day 804), patient experienced a lot of allergies. After receiving the vaccine her eyes were itching, face turned red and was hot. She also had swelling in her face. Her breathing was ok but she was told to go home and take Benadryl. She took it for 3 days. She has asthma. Her face was red, puffy and hot within 15 minutes after getting the vaccine. She had an appointment already scheduled to get an allergy shot the following week. On 07Feb2021 breathing is not as good since getting the vaccine. She uses nasal sprays and other medications for when her breathing is not good. She is scheduled to get the second dose on 01Mar2021. Her daughter doesn't want her to get it. The patient underwent lab test and procedure which included immune system shows that she has positive active Lyme's disease. The clinical outcome of eyes itching was recovered on 06Feb2021, face turned red and was hot was recovered on 07Feb2021, facial swelling was recovered on 08Feb2021, breathing is not as good since getting the vaccine was not recovered Follow-up attempts completed. No further information expected.

Other Meds: LOSARTAN; BREO ELLIPTA; PROAIR [FLUTICASONE PROPIONATE]; PRILOSEC [OMEPRAZOLE]

Current Illness: Hiatal hernia (Verbatim: Hiatal hernia); Lyme's disease (She had to take repeated doses of Doxycycline.)

ID: 1661453
Sex: F
Age:
State: KS

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 09/01/2021
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: tenderness at the injection site; head to toe full body rash; This is a spontaneous report from a contactable consumer (reported for herself). A 60-years-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6200/Batch number was not reported), dose 1 via an unspecified route of administration on 16Feb2021 (at the age of 60-years-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines on the same day of vaccine vaccination. The patient experienced tenderness at the injection site on 17Feb2021 and head to toe full body rash on an unspecified date in 2021. The outcome of the event tenderness at the injection site was resolved on an unspecified date in 2021 and head to toe full body rash was not resolved. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661454
Sex: M
Age:
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Name: Covid 19; Result Unstructured Data: Test Result:Unknown results; Comments: tested for Covid 19 twice before

Allergies:

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

Symptoms: it became a real irritation; Dates for Rash on arms, hands, neck, and some spottiness on his inner thighs; itching; This is a spontaneous report from a contactable consumer (patient). A 73-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: KN6201, patient was 73-year-old at the time of vaccination), via intramuscular route of administration, administered in Arm Right on 19Feb2021 at 07:30 AM as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing cholesterol diagnosed a year and a half ago, ongoing blood pressure diagnosed about 20 years ago, ongoing asthma diagnosed in his 40s. Concomitant medication(s) included montelukast (MONTELUKAST) taken for serious case of asthma from an unspecified start date and ongoing, reported about Montelukast, he went to Veterans Administration and a person there had the same problem as him. They told him about Singulair, person told caller, if he tried it, it might work. He tried it and it worked. Caller clarifies Montelukast is generic for Singulair. He was treated in hospital for asthma, he had to be rescued by fire rescue because he couldn't breathe at all. Once he started the Singulair he hasn't had many problems, and hasn't needed the nebulizer much at all; lisinopril (LISINOPRIL) taken for blood pressure from an unspecified start date and ongoing, started taking about 20 years ago; atorvastatin (ATORVASTATIN) taken for cholesterol from an unspecified start date and ongoing, starting taking a year and a half ago; beclometasone dipropionate (QVAR), rarely takes it anymore unless there is a lot of pollen, has been taking since he was in his 40s; salbutamol sulfate (PROAIR HFA) taken for asthma as uses it if he has a lot of mucus, hasn't used it in over a year and half, using since he was in his 40s; ascorbic acid, betacarotene, biotin, calcium, chlorine, chromium, copper, cyanocobalamin, dl-alpha tocopheryl acetate, folic acid, iodine, magnesium, manganese, molybdenum, nickel, nicotinamide, pantothenic acid, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, silicon, thiamine, vanadium, vitamin d nos, xantofyl, zinc (CENTRUM SILVER +50); cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]); calcium (CALCIUM); zinc (ZINC); magnesium (MAGNESIUM); reported that patient also takes turmeric, ginger root, cayenne pepper, saw palmetto and a joint medication, he forgot the name of it the joint medication. Doesn't take all the supplements in one day he splits his supplements, takes a handful one day and a handful the next. He hasn't been sick in forever. Has been doing this regiment for so long it works for him, this is unusual, for him, that he may have gotten the rash from the vaccine. Prior vaccinations patient had a pneumonia vaccine, needed booster after a year, pneumonia 13, first one no reaction, second one he actually had to go to bed for a day, His arm was very sore after that, red and the whole left side of his body was bad. He just had to go to bed for the whole day. It was reported that on the day that he got the Covid 19 vaccine, he had no reaction, no arm pain, nothing, but on the following day, Saturday 20Feb2021, in the evening, he developed a rash on his hands, arms, neck; and also has some spottiness on his inner thighs. He has never had a rash before, so he just thought it would go away; then he realized that it may be connected to the vaccine and decided to call. It was real spotty at first, and became a little more prevalent on 21Feb2021, then on the 22Feb2021 it became a real irritation. Itching is under control now because he found some medication that was preventing it, but he still has visual spots. He states he was normally a very healthy person. Caller reports his appointment for the second Covid 19 vaccine is scheduled for 20Mar2021 but it is 4 weeks after the first dose. He thought he had heard that you can get the vaccine later. He has nebulizer but hardly has to use it because of the Singulair, the asthma was something he developed late in life. No history of previous immunization with the Pfizer vaccine considered as suspect. No additional Administered Vaccines administered on same date with the Pfizer vaccine considered as suspect. On 20Feb2021, the patient experienced dates for rash on arms, hands, neck, and some spottiness on his inner thighs, itching, on 22Feb2021, the ptient experienced it became a real irritation. AE(s) not require visiting emergency Room and Physician Office, no prior Vaccinations within 4 weeks. The patient underwent lab tests and procedures which included Covid 19 with unknown results as tested for Covid 19 twice before. Patient received treatments for events with Goldbond Medicated Anti-Itch lotion, steroid free, over the counter. The outcome of event (Dates for Rash on arms, hands, neck, and some spottiness on his inner thighs) was not recovered, the outcome of event (itching) was recovering and the outcomes of event (it became a real irritation) was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: MONTELUKAST; LISINOPRIL; ATORVASTATIN; QVAR; PROAIR HFA; CENTRUM SILVER +50; VITAMIN B12 [CYANOCOBALAMIN]; CALCIUM; ZINC; MAGNESIUM

Current Illness: Asthma (Diagnosed in his 40s); Blood cholesterol abnormal (A year and a half ago); Blood pressure (About 20 years ago)

ID: 1661455
Sex: F
Age:
State: FL

Vax Date: 02/13/2021
Onset Date: 02/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Name: Covid tests; Result Unstructured Data: Test Result:negative; Comments: 3 Covid tests all came back negative

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: feels like she is having a anxiety attack; belching after she eats; chest is heavy; Nausea; Rapid heart beat; chest is heavy was reported as worsened; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 69-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EL9262), via an unspecified route of administration, administered in arm left on 13Feb2021 at 13:13 (at the age of 69-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Concomitant Medications: Patient is on medication but has never had this before. Patient is used to getting vaccines and has never had a problem with a vaccine. The patient did not receive any other vaccines within 4 weeks prior vaccinations. The patient experienced chest is heavy was reported as worsened on an unspecified date in Feb2021; nausea, rapid heartbeat on 14Feb2021; chest is heavy on 17Feb2021; feels like she is having an anxiety attack, belching after she eats on 20Feb2021. The patient did not result in emergency room and physician office visit, but she did call the office. The patient is a consumer that was calling about the Covid-19 vaccine and she reported that she had the first shot on 13Feb2021. Patient said felt fine the whole day, but the next day she a lot of nausea and rapid heartbeat. Patient said that it is like 8 days in, and she still has rapid heartbeat. Patient said that her chest is heavy and she feels like she is having a anxiety attack. Patient called the doctor's office and thought she needed an EKG, she is afraid she is going to have a heart attack. They told her to call Pfizer and then to follow up with them on Wednesday 24Feb2021. Patient said that she wanted to know if she is safe to get the second shot or is it contraindicated. Patient thinks she had Covid in Dec2020, but 3 Covid tests all came back negative. Patient had 3 family members that tested positive when she was sick. Nausea: Patient said that her appetite is kind of screwed up, but has belching after she eats, but is not really nauseous now. Rapid Heartbeat: Patient noticed the rapid heartbeat when she laid down at night, but does not notice that as much now, but she has it all day long and said that it is like a heavy heart. Chest Heaviness: Patient said that she noticed the chest heaviness on Wednesday 17Feb2021. Patient thought at first it was just shallow breathing. Patient 2nd shot is scheduled for 06Mar2021. The patient underwent lab tests and procedures which included COVID tests was negative (3 Covid tests all came back negative). Outcome of the events rapid heartbeat, chest is heavy, feels like she is having a anxiety attack, belching after she eats was not recovered; chest is heavy was reported as worsened was unknown; nausea was recovered on 20Feb2021. Follow-Up (PRD/SRD 03Apr2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661456
Sex: U
Age:
State:

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 09/01/2021
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: My arm muscle just started, like I tore something, and it hurt and it's sore; My right hip is so hurt so bad and is so sore; Don't feel good; This is a Spontaneous Report from a contactable consumer (patient). A patient of an unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration on 18Feb2021 as single dose for COVID-19 immunisation. Patient medical history and concomitant medications were not reported. Patient historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) for COVID-19 immunization. On an unspecified date in 2021 patient stated that "I had my second vaccine last Thursday on the 18Feb2021. 2 days ago Sunday, I had a reaction. I guess, I didn't think it was a reaction, I was doing something and suddenly my arm muscle just started, like I tore something, and it hurt and it's sore but I didn't take anything about it. Today I got up and my right hip is so hurt so bad and is so sore that I have to use support to walk. Then I also just don't feel good. Outcome of events was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661457
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 09/01/2021
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: rash all on her trunk/rash going down her arms/ rash going into her groin area; This is a spontaneous report from a contactable consumer or other non hcp. A 54-year-old female patient received second dose of bnt162b2 (COMIRNATY, Formulation: Solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot Number: was not provided) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient previously received first dose of bnt162b2 (COMIRNATY, Formulation: Solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot Number: was not provided) as single dose for COVID-19 immunisation. On an unspecified date, the patient experienced rash all on her trunk/rash going down her arms/her groin area. Caller stated that she had her second Pfizer dose yesterday and has a rash all on her trunk going down arms into her groin area. She wanted to know if she could take Benadryl or what was suggested. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661458
Sex: F
Age:
State: MO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 09/01/2021
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: 20210219; Test Name: Body temperature; Result Unstructured Data: Test Result:102; Comments: 102 oral temperature.

Allergies:

Symptom List: Nausea

Symptoms: dizzy; felt warm; my arm became very sore and red; severe chills; muscle aches; headache; fatigued; my arm became very sore; 102 oral temperature; This is a spontaneous report from a contactable consumer (patient). A 68-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EN9581) via an unspecified route of administration on 19Feb2021 at 11:15 (at the age of 68-years-old) in right arm as a single dose for covid-19 immunization. Medical history included known allergies from penicillin, sulfa and azithromycin all from an unknown date and unknown if ongoing. No other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with covid-19. Post vaccination, the patient had not been tested for covid-19. Concomitant medications included losartan (LOSARTAN); fish oil (FISH OIL) and vitamin d3 (VITAMIN D3) all taken for an unspecified indication, start and stop date were not reported. The patient's historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; Lot number: EL3247) on 29Jan2021 at 11:30 in left arm for covid-19 immunization. On 19Feb2021 at 21:30, ten hours after receiving the vaccine her arm became very sore and red. She also developed severe chills, muscle aches and headache. She felt warm but did not check her temperature. She was also dizzy and fatigued. Over the next 24 hours the symptoms continued with lessening chills and headache. That evening she ran 102 oral temperature. The events were reported as non-serious. By the next morning all symptoms were mostly gone with lingering fatigue for 8 more hours. Her arm stayed sore to touch for 3 more days. The patient underwent lab tests and procedures which included body temperature: 102 on 19Feb2021. The patient did not receive any treatment. By day 3 after vaccine all symptoms were completely resolved in Feb2021. Follow-up attempts completed. No further information expected.

Other Meds: LOSARTAN; FISH OIL; VITAMIN D3

Current Illness:

ID: 1661459
Sex: F
Age:
State: IA

Vax Date: 02/08/2021
Onset Date: 02/01/2021
Rec V Date: 09/01/2021
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: Inflammation in the knuckle/inflammation in the knuckle especially little finger; Redness throughout fingers; Diarrhea; Quesy stomach; Headache; Sore arm; Face had blisters between nose and lips; Blisters on right two fingers; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9266, Expiration date: Unknown), dose 1 via an unspecified route of administration, administered in Arm Left (upper arm) on 08Feb2021 14:35 (at the age of 70-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient history of all previous immunization with the Pfizer vaccine and any additional vaccines administered on same date of the Pfizer suspect was none reported. Facility where COVID-19 vaccine was administered at clinic. Vaccine was not administered at military facility. Patient prior vaccinations within 4 weeks and adverse events prior vaccinations were none reported. Patient mentioned that she had diarrhea, queasy stomach, headache, sore arm. She also had face blisters between her nose and lips (09Feb2021). She had blisters on her right two fingers (Feb2021). Her pink and ring finger. Her knuckles were inflamed. She had redness throughout her fingers. She was still dealing with the redness throughout fingers. Some of the blisters had popped and she was dealing with the after effect with the open blisters. Face had blisters between nose and lips took ten days for these to heal. They had totally gone away, and she had no effects from these anymore. The blisters on the right two fingers were still there. She started to notice these two days after the shot. At first the area turned red and then it took about three days or so before she started to see a blister on it. It took another couple of days for it to pop. The inflammation in the knuckle especially little finger she was still dealing with. Stated had been staying home the whole year and was thinking would have to get it so everyone could start getting back to a normal life. Did not think it would end without taking the shot. She also mentioned she knows people who had passed away from COVID and thought it was necessary to get the vaccine. Patient did not visit emergency room and physician's office for adverse events. There was no investigation assessment. The clinical outcome of events diarrhea, blisters on right two fingers and inflammation in the knuckle/inflammation in the knuckle especially little finger was not recovered, event quesy stomach, headache was recovered on 12Feb2021, event sore arm recovered on 11Feb2021, event face had blisters between nose and lips was recovered on an unspecified date in Feb2021 and another event outcome was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661460
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/01/2021
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: Hands started swelling and it will go up some and then down; Elbow started swelling and now my knee is hurting; Sore throat; I want to sleep a lot; I have to take nap during the day and this is unusual for me; Elbow started swelling and now my knee is hurting; This is a spontaneous report received from a contactable consumer or other non hcp. 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 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced hands started swelling and it will go up some and then down, elbow started swelling and now my knee is hurting, sore throat, i want to sleep a lot; i have to take nap during the day and this is unusual for me, elbow started swelling and now my knee is hurting on an unspecified date. Clinical course was re-ported as I got the injection 2 weeks ago and about 4 days later my hands started swelling and it will go up some and then down and I have been putting Voltaren lotion (Treatment) on it and about 5 days ago my elbow started swelling and now my knee is hurting but it isn't started swelling yet and I wondered if this is a side effect of the things, I checked on it. I have a sore throat and tiredness. I want to sleep a lot. It makes me (incomplete sentence), during the day I run down, and I have to take nap during the day, and this is unusual for me. We are scheduled to get our next one in one week from today and I wonder if this a side effect or is it going to continue, get worse or not. The clinical outcome of the event was unknown. Therapeutic measures were taken as a result of hands started swelling and it will go up some and then down. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1661461
Sex: F
Age:
State: TX

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 09/01/2021
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: Rashes all over, especially on my face; Scar; I had it on my right leg; arm got sore; Feeling the tingling all over my body; Itchy; Scratching; Just thinking I got the flea bites; Very upset; This is a spontaneous report from a contactable nurse. This female nurse reported for herself. A 76-year-old female patient received bnt162b2 (PFIZER BIONTECH COVID-19 MRNA VACCINE Solution for injection Lot number was not reported) via an unspecified route of administration in leg right on 13Jan2021 as dose 1, single for COVID-19 immunisation. Medical history included diabetic, immune system was not that strong and not right, all from an unknown date and unknown if ongoing. Concomitant medications were not reported. On an unspecified date, it was reported that the patient had rashes all over, especially on my face. I had it on my right leg and was feeling the tingling all over my body, like thousands of needles poking me but they were very mini, was making it itchy, so I was scratching. So, I was just thinking I got the flea bites. I started putting Neosporin all over my leg. So, that went well because if I get a cut or anything, it was always the Neosporin. My husband went to the doctor and he came home and said that he got shingles. His was all red, mine was kind of drying up but still not as red as his and then I said to him look at my leg. I thought it was flea bites. I was really upset and was feeling really bad. I put Neosporin on my own. I put a new set on and put a bandage and things like that on the scar and called doctor regarding this and I'm dang sure that it was not shingles. And if it was, I am putting Neosporin on it and taking care of it and it's drying up. It was reported that you did not take any CBC, you should have taken a CBC to confirm if it was that or rashes and asked how dare you diagnosed something without asking any type of medicine. I said not only the CBC you could have done other tests to confirm it, you did not do that and I don't appreciate that. I didn't tell that to the doctor, he had another doctor. She was a female, and she diagnosed me wrong two years ago. Since then, I went to the regular doctor and I told them, if you want me as a patient you need to take care of me. So, I was very upset. Anyhow what I wanted to tell was I could not take the medicine 3 weeks later like normally would do because I had rashes and I didn't want to had that flare up. Now, I understand the immune system when it happens. I'm diabetic and my husband was anemic he had that before he had the shot. And being 76, I realize our immune system was not that strong and not right, but I know other people that are 70 years old, took the medicine and didn't get rashes and they were about 70-72 and they were okay but they had other symptoms that you guys noted in your system. You don't put some rashes. Let me tell you something, my daughter she was in the nursing home and one week and a half after my husband was diagnosed, not having that and he stopped taking it. She said mom guess what, we had two patients in our home, they are 80 something years old and the doctor said they had shingles. I said they don't have shingles. I said just put Neosporin all over them. She said that mom, I'm not the doctor and that's not my sample and I cant do anything. I said, you go into their room to take care of them, make sure they put Neosporin on them, it will dry up, and I hope they get well and she said okay. Then just yesterday I found out from a friend, her mother got it. They were happy when I told them about ours, she started putting Neosporin right away. Well we didn't do that and now my husband was all dried up just like me. So we went in just the other day, we went in, we had the date before but we had to cancel it when came the storm, right. So, we went yesterday 21Feb, we just kind of made it. They gave us the shot now and I didn't get no reaction yet, usually about now I get tingling. I didn't get anything so far he was doing all right. And I just witnessed our arm got sore. They need to look up and mine was all dried up. I was worried that if I took it too soon the immune system will flare it up again and I didn't want any more scars all over my leg and got scars. The clinical outcome of the events feeling the tingling all over my body was not resolved, and the event itchy was resolving and rest of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661462
Sex: F
Age:
State: CA

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Name: blood tests; Result Unstructured Data: Test Result:Really high on the B6

Allergies:

Symptom List: Tremor

Symptoms: headache; congestion; Tightness in chest; This is a spontaneous report from a contactable consumer (Patient). A 66-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EL9261), Solution for injection, via an unspecified route of administration on 01Feb2021 as single dose for covid-19 immunisation. Medical history included diabetes mellitus.Concomitant medications included Vitamin B6 and Glipizide. On an unspecified date, the patient experienced headache, congestion and tightness in chest. The outcome of event was unknown. Patient got the First vaccine which she got 3 weeks ago today and she was due to get the second of the Pfizer vaccine. She confirmed it was the Pfizer COVID 19 vaccine. She said everything was going really well up until the middle of last week and then for about 4 days she had headaches that wouldn't go away. She had cold symptoms like congestion, she had tightness in the chest and finally they started going away yesterday except the headache and it is a different kind of headache almost like a migraine it was sharp. She wanted to know, should she go ahead and get the second dose as scheduled today at 3:40 PM even though she has possibly been exposed. She did have blood tests done and it was really high on the B6 her levels. So she stopped her over the counter vitamin on B6. Her diabetic numbers according to one doctor are not on a good level. Her 3 months numbers had been really good. The other doctor said it was fine, the doctor she has been with said it was fine, but her primary was on vacation and someone else read her fasting blood sugar. She is borderline diabetic, but she doesn't take Glipizide anymore because she eats a vegan no sugar, little fruit, and very little carb diet. The outcome of headache was not recovered and all other events were recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661463
Sex: U
Age:
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 09/01/2021
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: body temperature; Result Unstructured Data: Test Result:fever

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: The site where the injection is was really swollen and it hurts; It was rash were the vaccine is; Fever; Chills; Body ache; Headache; Not feeling well; Tired; The site where the injection is was really swollen and it hurts; This is a spontaneous report from a contactable consumer. This consumer (patient) reported that: A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: FL9266), via an unspecified route of administration on 21Feb2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient's historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: not provided), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. Patient stated I wanted to know, I took my first vaccine 3 weeks ago, nothing happened I was okay but yesterday on 21Feb2021, I took the second vaccine and the site where the injection was really swollen, and it hurts, and it was rash where the vaccine is and then at night, I had a fever, chills, my body ache and I had headache. Patient stated, I couldn't take the second one in time, like Saturday because we had a winter, winter snow weather so, I took it yesterday. Patient further stated, the rash where the injection is, only in my arm this reaction was not there until, not when they gave it to me, later like 6 hours later I still have it. I am not feeling well, and I am just tired and my body aches, so I don't know I need to know what I need to do. Patient stated, not sure, I can't talk 8 minutes. I am not feeling well. Maybe another time. Patient was not willing to provide further information, hence limited information available over the call. The patient underwent lab tests and procedures which included body temperature: fever on an unspecified date. The outcome of the events injection is really swollen, and it hurts, Body ache, Not feeling well and Tired was not recovered and Fever, Chills, Headache and rash where the injection was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661464
Sex: F
Age:
State: IL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 09/01/2021
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: Loss of taste about 1.5 hours after. I couldn't taste the chocolate in my ice cream; This is a spontaneous report from a contactable consumer or other non hcp. A 27-years-old non pregnancy female patient 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 in Arm Left on 22Feb2021 18:45 (age at vaccination 27years old, Pregnant at Time of Vaccination: No) as single dose for covid-19 immunisation. Medical history included multiple sclerosis from an unknown date and unknown if ongoing. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no concomitant medications. Since the vaccination, the patient had not been tested positive for COVID-19. On 22Feb2021 20:30 the patient experienced loss of taste about 1.5 hours after. I couldn't taste the chocolate in my ice cream. The patient did not receive any treatment for the adverse events. The clinical outcome of the event was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1661465
Sex: F
Age:
State: OH

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 09/01/2021
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: Metal taste; Metallic smell; swollen lymph nodes in armpit; Chills; Fever; This is a spontaneous report from a contactable consumer (patient). A 73-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number: unknown) via an unspecified route of administration on 09Feb2021 at 13:30 (at the age of 73-years-old) in left arm as a single dose for covid-19 immunization. Medical history included peripheral arterial occlusive disease and prior to vaccination, the patient was not diagnosed with covid-19 from an unknown date and unknown if ongoing. The patient previously took codeine and experienced allergy. No other vaccine in four weeks. Post vaccination, the patient had not been tested for covid-19. Concomitant medications received in two weeks included rivaroxaban (XARELTO); atorvastatin (ATORVASTATIN); estradiol (ESTRADIOL) and aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]) all taken for an unspecified indication, start and stop date were not reported. The patient's historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine) on an unspecified date for covid-19 immunization. It was reported that within 24 hours of vaccination the patient experienced chills and fever lasting 24 hours, swollen lymph nodes in armpit which dissipated after 10 days, metal taste and smell which lingered on 10Feb2021 at 13:00. The patient did not receive any treatment. The outcome of all the events was resolved in Feb2021 with sequelae (lasting effects). Follow-up attempts are completed. No further information is expected.

Other Meds: XARELTO; ATORVASTATIN; ESTRADIOL; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1661466
Sex: F
Age:
State: FL

Vax Date: 02/02/2021
Onset Date: 02/21/2021
Rec V Date: 09/01/2021
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: Headaches; Fevers; Chills; Injection site pain; Swelling; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 65-years-old non-pregnant female patient 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 (at the age of 65-years), administered in arm right on 02Feb2021 as dose 1, single for COVID-19 immunization. Medical history included diabetes, asthma and high blood pressure from an unknown date and unknown if ongoing. There were no concomitant medications. The patient did not receive any other medications in two weeks. The vaccination facility type was reported as other. The patient did not receive any other vaccine in four weeks. Patient does not have covid prior vaccination and has not been tested for covid post vaccination. On 21Feb2021, the patient experienced headaches, fevers, chills, injection site pain and swelling. The treatment was not received for all the events. The clinical outcome of the events was reported as recovered on unspecified date in Feb2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661467
Sex: F
Age:
State:

Vax Date: 02/01/2021
Onset Date: 02/19/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: soreness of arm; Fever; Chills; Body ache; Nausea; Vomiting; Throat pain; Ear pain; Headache; This is a spontaneous report from a non-contactable consumer (reported for herself). A 32-years-old female non-pregnant patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration, administered in arm left on an unspecified date in Feb2021 at 09:15 (at the age of 32-years-old) as dose 2, single for covid-19 immunisation at Workplace clinic. Medical history included hypothyroidism from an unknown date and unknown if ongoing. Concomitant medication included levothyroxine (LEVOTHYROXINE) at a dose of 75 mg taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient has no reported allergies. The patient previously received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in arm left on an unspecified date in Jan2021 at 13:00 as dose 1, single for covid-19 immunisation at Workplace clinic. On 19Feb2021 at 18:00, the patient experienced soreness of arm, fever, chills, body ache, nausea, vomiting, throat pain, ear pain and headache. No treatment was given for the events. The outcome of the events was resolved on an unspecified date in 2021. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1661468
Sex: F
Age:
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 09/01/2021
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: horrible itching; raised rash on lower back; small bumps in various places of body, none on legs or arms; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 69-year-old non-pregnant female patient received unknown dose of bnt162b2 (Pfizer covid-19 vaccine, Solution for injection, Lot number: Unknown), via an unspecified route on 12Feb2021 at 10:45 (age at vaccination: 69-year-old), as a single dose for covid-19 immunization. Medical history included diabetic, both herpes virus and known allergies with Rocephin, Biaxin, Sulfa, Demerol, Morphine, Stadol, Hydrocodone, Mycitracin Ointment, Neosporin Ointment, Mycins, Percodan, Tramadol and Augmentin Toothpaste. Concomitant medications included metformin, iron, omeprazole (PRILOSEC), cyanocobalamin (B12-VITAMIIN) and vitamin D 5000iu. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. On 12Feb2021 at 19:30, patient experienced raised rash on lower back and small bumps in various places of body, none on legs or arms, horrible itching. Patient did not receive any treatment for the events. The clinical outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: METFORMIN; IRON; PRILOSEC [OMEPRAZOLE]; B12-VITAMIIN; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1661469
Sex: F
Age:
State: NC

Vax Date: 02/15/2021
Onset Date: 02/01/2021
Rec V Date: 09/01/2021
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: Fatigue; Itchiness all over her body was reported as worsened; Itchiness all over her body; Redness around her neck and right breast; This is a spontaneous report from a contactable consumer or other non-hcp. A 75-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot Number: EN6200) via intramuscular route of administration (age at vaccination 75-year) in Left Arm on 15Feb2021 at 03:30 PM as dose 1, single for COVID-19 immunization. Medical history included acid reflux, depression, high cholesterol, allergies and sinuses, from an unknown date and unknown if ongoing; it was reported that "she has allergies and sinuses. She has acid reflux and stomach issues. She also has depression. She used to take medication for her high cholesterol, but it affected other things and she stopped it. She clarifies further her mother stopped the medication she was taking for high cholesterol and she had a lot of side effects from it. She stopped it over a year ago and the caller doesn't have any name, NDC, Lot number or expiry date for it." Concomitant medications included cetirizine hydrochloride (ZYRTEC ALLERGY); diphenhydramine hydrochloride (BENADRYL); both taken for an unspecified indication, start and stop date were not reported. Historical vaccine includes flu vaccine administered on an unspecified date in Nov2020; It was reported that she had her flu vaccine in Nov 2020 within 4 weeks of COVID vaccine. On an unspecified date in Feb2021 the patient experienced redness around her neck and right breast, on 17Feb the patient experienced itchiness all over her body, on an unspecified date itchiness all over her body was reported as worsened and the patient also experienced fatigue. AE's doesn't require to visit Emergency Room/Physician Office. The caller reported that "her mother received her first dose of Pfizer's COVID-19 vaccine on Monday, 15Feb2021. Two days after, her mother started itching and turned red. Now, its spots. She started giving her Benadryl yesterday. Her mother does have some pre-existing conditions. She has allergies and sinuses, and she takes Zyrtec all the time. She is not sure if this is from the Zyrtec or what. She does not where it came from. She has been giving her mother Benadryl and the redness started to away, but she is still itching. She has itching all over her body. The caller verifies the itchiness started on Wednesday, 17Feb2021. The redness started showing Thursday or Friday. Her mother has dry skin, so she put some regular cream on it. However, she just started to put coconut oil on it since this is more mild to soothe the pain and itching. Caller confirms the redness has improved. The itchiness has not. Her mother says it's very bad. When she takes a shower, the water makes it worse. The caller explains when she did start applying the coconut oil to her mother's skin, her mother says it still hurts. When she applied it to her mother's skin, her mother said it was like a burning sensation at first, but it does make it feel better afterwards. The caller has a picture of the redness. She explains the redness is around her neck and under one of her breasts, clarified as her right breast. The itching is really bad and is all over the place. Her mother is also fatigued. The caller clarifies she has been giving her mother a 25mg capsule of Benadryl every 6 hours. However, she doesn't have it with her to provide any NDC/UPC, Lot number or expiry date. The caller verifies she told her mother to stop taking the Zyrtec. She usually takes 10mg every night for her allergies and sinuses, but she stopped it. Caller confirms she doesnt have that product to provide NDC/UPC, Lot number or expiry date from. Her mother takes other medications for her stomach. She has acid reflux and takes medications for that and takes medication for depression." The clinical outcome of the 'itchiness all over her body' was not recovered, outcome of 'redness around her neck and right breast' was recovering, while the outcome of other events was unknown. Description of Product Complaint: Caller's mother received her first dose of Pfizer's COVID-19 vaccine on Monday, 15Feb2021. Two days after, her mother started itching and turned red. Now, its spots. Caller explains she spoke with her mother's doctor. She was told to do Benadryl. Caller confirms the redness has improved. The itchiness has not. Her mother says it's very bad. When she takes a shower, the water makes it worse. The caller clarifies she has been giving her mother a 25mg capsule of Benadryl every 6 hours. However, she doesn't have it with her to provide any NDC/UPC, Lot number or expiry date. The caller verifies she told her mother to stop taking the Zyrtec. She usually takes 10mg every night for her allergies and sinuses, but she stopped it. Caller confirms she doesn't have that product to provide NDC/UPC, Lot number or expiry date. Ethnicity information is available. Vaccination facility information is available. Follow-up attempts are completed. No further information is expected.

Other Meds: ZYRTEC ALLERGY; BENADRYL

Current Illness:

ID: 1661470
Sex: F
Age:
State: TX

Vax Date: 02/21/2021
Onset Date:
Rec V Date: 09/01/2021
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: Sneezing; Runny nose; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received first dose of bnt162b2 (Pfizer COVID-19 vaccine, Solution for injection, Batch/lot number: Not Provided, Expiration date: Not Provided), via an unspecified route on 21Feb2021 (age at vaccination: 65-year-old) as a single dose for covid-19 immunization. Medical history included overweight, weighs a little over 200, probably a lot over. The patient concomitant medications were not reported. Patient got her first dose 21Feb2021 and they told her don't take anything but Tylenol for pain, but she needs some decongestant for sneezing and her nose running, she would like to know if she can take Claritin or something for it. She says she was told that some things may counteract the vaccine, so she doesn't want to take something if it might do that. The clinical outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1661471
Sex: F
Age:
State: TX

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:94 Fahrenheit

Allergies:

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

Symptoms: bumps on her arm like a rash; her arm is killing her; has to use her cane more; Light headedness; Incoherent; Dizziness; Stumbling; This is a spontaneous report from a contactable consumer. This 68-year-old female consumer (patient) reported for herself. A 68-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EM9810; Expiration Date: Jun2021), dose 1 via an unspecified route of administration, administered in Arm Right on 06Feb2021 09:15 (at the age of 68-years-old) as a single dose for covid-19 immunization. Medical history included biopsy adrenal gland: right adrenal gland removed, keloid scar: keloid in right side of stomach, diabetes mellitus, renal cancer- laser surgery on cancer lesions in her kidneys. The artery grew near it and they are unable to move it and laser therapy. Concomitant medication(s) included clopidogrel taken for blood thinner from 2016 to an unspecified stop date; furosemide taken for kidneys; pantoprazole; solifenacin; baclofen from 26Jan2021 to an unspecified stop date; colecalciferol (VITAMIN D 3) from 2019 to an unspecified stop date; ranolazine; ranolazine (RANEXA) from 2019 to an unspecified stop date; infliximab (REMICADE) taken for prophylaxis; naloxone; alendronate sodium (ALENDRONATE) taken for bone disorder; hydrocodone (HYDROCODONE) taken for pain; aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]) from 2019 to an unspecified stop date; salbutamol sulfate (ALBUTEROL [SALBUTAMOL SULFATE]); fluticasone propionate, salmeterol xinafoate (ADVAIR) taken for lung disorder; insulin human (HUMULIN R) taken for diabetes mellitus. Since getting the vaccine she has been lightheaded, incoherent and dizzy. She has not been able to get out because of the weather. When asked outcome of event for light headedness, it is the same or maybe worse. She was incoherent when she wakes up and when she takes her insulin. She has been checking her temperature. It has been 94 degrees Fahrenheit. She started getting dizzy 4-5 days after getting the vaccine. On 07Feb2021, her arm has been killing her like it going to fall off. She woke up every hour last night because her arm was hurting. She put heat on it. Prior to getting the vaccine she had to use a cane at times. She normally does not have to use it inside her house. She is now having to use it more. On 18Feb2021, she had bumps on her arm like a rash. It was under the skin. She do not have any knots. It looked like it was painted on. She has been stumbling more. She was supposed to go this month and have a test where they go in the groin to see if she has a blood clot. She has an infusion every 8 weeks to keep from getting an infection in her glands. Provides name as Remicade. She takes strong medications that do not do anything. This has her going crazy. She is unsure if she needs to take the second dose. She is scheduled the second dose on 27Feb2021. The patient received treatment for the adverse events. Outcome of the event light headedness, dizziness, incoherent was unknown; pain in extremity, muscular weakness, was not recovered; stumbling was recovering; bumps on her arm like a rash was recovered on 20Feb2021. Product Complaint: Description of complaint: strong medications do not do anything for her. Product strength and count size dispensed: Unable to provide names. Additional lot numbers: Unable to provide NDC, Lot and Expiry. Is a sample of the product available to be returned, if requested (Y/N): No longer has Packaging sealed and intact: N/A Follow-up attempts completed. No further information expected.

Other Meds: CLOPIDOGREL; FUROSEMIDE; PANTOPRAZOLE; SOLIFENACIN; BACLOFEN; VITAMIN D 3; RANOLAZINE; RANEXA; REMICADE; NALOXONE; ALENDRONATE; HYDROCODONE; ASPIRIN [ACETYLSALICYLIC ACID]; ALBUTEROL [SALBUTAMOL SULFATE]; ADVAIR; HUMULIN R

Current Illness:

ID: 1661472
Sex: M
Age:
State: MI

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 09/01/2021
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: has a puncture mark and rough circle around the injection site; Shoulder soreness; This is a spontaneous report from a contactable consumer reported for himself. A 71-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: EL3249; Expiration date was not reported), via intramuscular administered in left arm (left shoulder) on 05Feb2021 15:00 (at the age of 71-years-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications included none. Stated he was a healthy as a horse. The patient previously took first dose of BNT162B2 (Lot Number: EK4176; Expiration date: Unknown) via intramuscular (injection) in left shoulder as dose 1, single for covid-19 immunisation. Additional vaccines administered on same date of the Pfizer suspect; prior Vaccinations (within 4 weeks); AE(s) following prior vaccinations included none. The patient experienced had a puncture mark and rough circle around the injection site, shoulder soreness on an unspecified date. The caller explained onsite where the injection was, there was a round circle around it. Probably a week later vaccination, he noticed it was still something there. He checked in the mirror and it showed he still had the puncture mark and the rough circle around the injection site. Caller explained tit had pretty much stayed the same. Time of vaccination was given around 3pm. His next appointment at the (hospital name) was 10Mar2021 and the doctor told him to stop in and show him what the injection site looked like. Stated that he had absolutely nothing happen to him with either of the COVID-19 vaccines. He had a sore shoulder for 24 hours and then he has been feeling absolutely fine, his shoulder was fine. Investigation assessment and relevant tests included none. AE did not require visit to Emergency Room or Physician Office. Clinical outcome of event puncture mark and rough circle around the injection site was not recovered and shoulder Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661473
Sex: F
Age:
State: OH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
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: 20210220; Test Name: Temperature; Result Unstructured Data: Test Result:Fever

Allergies:

Symptom List: Vomiting

Symptoms: Cough; Chills; Fever; Headache; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 79-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6201, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 20Feb2021 (age at vaccination was 79 years) as dose 2, single for COVID-19 immunization. The patient did not have any medical history. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9265, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 30Jan2021 (age at vaccination was 79 years) as dose 1, single for COVID-19 immunization. The caller stated that she wanted to report that she had a reaction to the second dose of the Pfizer COVID vaccine received on Saturday, 20Feb2021. On 20Feb2021, the patient experienced cough, chills, fever and headache. The caller stated she was in an out of the place in less than half an hour, they were very organized, stated she went home and started having a cough later on in the day, also experienced chills, temperature and headache, stated it was like the flu. Stated she took Tylenol and went to bed. Was able to get up the next day and got on couch. Chills progressed during the day, by 6 pm she was underneath blankets. The caller stated the symptoms were gone by Monday, 22Feb2021. The outcome of the events was resolved on 22Feb2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661474
Sex: M
Age:
State: ME

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 09/01/2021
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: Chest pain focused in the middle of chest, sharp and feels like increased pressure. Pain comes and goes; best way to describe it is severe heartburn; This is a spontaneous report from a non-contactable Pharmacist. A 28-years-old male patient received second dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number EN6200), via an unspecified route of administration on 22Feb2021 at 09:30 AM (at the age of 28-years-old) administered in Arm Left as a single dose for COVID-19 immunisation at Public Health Clinic/Veterans Administration facility. The patient had received first dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number EN5318), via an unspecified route of administration on 01Feb2021 at 08:00 AM (at the age of 28-years-old) administered in Arm Left as a single dose for COVID-19 immunisation at Public Health Clinic/Veterans Administration facility. Medical history included ADHD, seasonal depression (all from an unknown date and unknown if ongoing). Concomitant medication(s) included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL); caffeine; bupropion; colecalciferol (VITAMIN D) (all taken for an unspecified indication, start and stop date were not reported). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 22Feb2021 at 18:00PM, the patient experienced Chest pain focused in the middle of chest, sharp and feels like increased pressure. Pain comes and goes, best way to describe it is severe heartburn (although never had heartburn prior to this). Therapeutic measures were taken as a result of chest pain focused in the middle of chest, sharp and feels like increased pressure. pain comes and goes (chest pain), best way to describe it is severe heartburn (dyspepsia) and Took tums with no improvement. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ADDERALL; CAFFEINE; BUPROPION; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1661475
Sex: F
Age:
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/01/2021
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: Ears are clogged and congestion; Ears are clogged and congestion; Chills; Fever; Aches, pains; Fatigue; This is a spontaneous report from a contactable consumer reported for herself. A 58-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: GN 6200; Expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 19Feb2021 10:30 (at the age of 58-years-old) as DOSE 2, SINGLE for covid-19 immunisation at clinic/facility. Patient was not pregnant at the time of vaccination. Medical history included back pain from an unknown date and unknown if ongoing. Concomitant medications included gatifloxacin, loteprednol etabonate (LOTREL G) taken for HBP, start and stop date were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot Number: Pfizer EL9263) via unspecified route in left arm on 29Jan2021 10:00 as dose 1, single for covid-19 immunisation. Other vaccine on the same date, other vaccine in four weeks, covid prior vaccination, covid tested post vaccination, known allergies included none. The patient experienced ears are clogged and congestion, chills, fever, aches, pains, fatigue on 20Feb2021 06:00. Reported events occurred after second dose. AE resulted in none of the above (unspecified). No treatment was received. Clinical outcome of events was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: LOTREL G

Current Illness:

ID: 1661476
Sex: U
Age:
State:

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

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:37.5 C; Comments: mild fever (37.5 C)

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: chills; injection site pain; myalgia; fever; fatigue; headache; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date: Unknown), dose 1 via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for Covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported.On an unspecified date the patient experienced chills , injection site pain, myalgia, fever, fatigue, headache. The patient underwent lab tests and procedures which included body temperature: 37.5 c on mild fever (37.5 C). The outcome of events was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1661477
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/01/2021
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: bruise at the injection site; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced bruise at the injection site on an unspecified date. The outcome of the event injection site bruising was unknown. Information on the lot/ batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1661478
Sex: F
Age:
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 09/01/2021
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: 12 hours after 2nd dose had flu like symptoms (fever, aches in joints that I currently have problems in) which lasted around 24 hours.; Following day had very low grade fever for a couple of hours; headache that lasted most of the day; This is a spontaneous report from a contactable consumer or other non hcp. A 48-years-old non-pregnant female patient received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: Unknown) via an unspecified route of administration, administered in Arm Right on 16Feb2021 13:15 as DOSE 2, SINGLE for covid-19 immunisation. Patient didn't receive other vaccines within 4weeks prior to vaccination, patient received other medications Atenolol 25mg, Vitamin D within 2 weeks of vaccination. Patient didn't had COVID-19 prior to vaccination. Medical history included asthma from an unknown date and unknown if ongoing, blood pressure increased from an unknown date and unknown if ongoing, autoimmune thyroiditis from an unknown date and unknown if ongoing. Concomitant medications included Atenolol (ATENOLOL) taken for an unspecified indication, start and stop date were not reported; ergocalciferol (VIT D) taken for an unspecified indication, start and stop date were not reported. Patient had no allergies. Patient previously received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: unknown) via unspecified route of administration in Arm left on 26Jan2021 13:00 as DOSE 1, SINGLE for covid-19 immunisation. On 17Feb2021 the patient experienced 12 hours after 2nd dose had flu like symptoms (fever, aches in joints that I currently have problems in) which lasted around 24 hours, following day had very low-grade fever for a couple of hours, headache that lasted most of the day. Therapeutic measures were taken as a result of 12 hours after 2nd dose had flu like symptoms which lasted around 24 hours following day had very low-grade fever for a couple of hours, headache that lasted most of the day was 1 Advil every 8 hrs-first dose 8 hrs after onset. Patient was not tested for covid-19 to post vaccination. The outcome of the events influenza like illness, pyrexia, headache was recovered. Follow-up attempts completed. No further information expected.

Other Meds: ATENOLOL; VIT D

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am