VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1673478
Sex: U
Age:
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 09/04/2021
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: intense pain in all my teeth; This is a spontaneous report from a contactable healthcare professional (patient). This 31-year-old patient of unspecified gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number EK9231) via an unspecified route of administration in the left arm on 20Jan2021 at 10:00 (at 31-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) from an unknown date for an unknown indication. The patient previously received the first dose of BNT162B2 (lot number EH9899) in the left arm on 30Dec2020 at 08:00 (at 31-years-old) for COVID-19 immunisation. Prior to vaccination the patient did not receive any other vaccines in 4 weeks, had no allergies and was not diagnosed with COVID-19. On 21Jan2021 the patient reported waking up at midnight with intense pain in all their teeth as if chewing on raw sugar mixed with tin foil. No treatment was received for the events. The outcome of the event was recovered on an unspecified date in 2021. Since vaccination the patient had tested positive for COVID on 23Apr2021 via nasal swab.

Other Meds: ADDERALL

Current Illness:

ID: 1673479
Sex: F
Age:
State: VA

Vax Date: 01/24/2021
Onset Date: 01/01/2021
Rec V Date: 09/04/2021
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: Only a sore arm after the first dose; The initial case was missing the following minimum criteria: No adverse effect. Upon receipt of follow-up information on (12Feb2021), this case now contains all required information to be considered valid. This is a spontaneous report from a contactable consumer. A 37-year-old female consumer (patient) received bnt162b2, dose 1 via an unspecified route of administration, administered in arm left on 24Jan2021 at 12:00 (Batch/Lot Number: EL9262) as single for COVID-19 immunisation in hospital. The patient medical history and concomitant medications were not reported. The patient previously took MMR vaccine and experienced facial swelling and blotches on her face. The patient experienced only a sore arm after the first dose on Jan2021. The patient reported that she had bad reaction to an MMR vaccine in 1999 that resulted in facial swelling and blotches on her face. When she was admitted to the hospital, the MD told her to never receive a flu vaccine because she had "a bad reaction to eggs" in her history. Outcome of the event was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673480
Sex: F
Age:
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 09/04/2021
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: 20210209; Test Name: temperature; Result Unstructured Data: Test Result:101.5 Fahrenheit; Comments: temperature (38.6C (101.5F)

Allergies:

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

Symptoms: chills; temperature (38.6C (101.5F); headaches; This is a spontaneous report from contactable consumer. This 54-year-old female consumer (patient) reported that: A 54-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EL3247 and Expiry date was not reported), dose 2 via an unspecified route of administration in arm left on 09Feb2021 09:30 AM (age at vaccination was 54-year-old), as dose 2, single dose for covid-19 immunisation. The patient had no known allergies. The patient medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Other medications in two weeks were vitamins and food supplements. The patient had no other medical history. The patient concomitant medications were not reported. The patient historical vaccine includes received the BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EL3247 and Expiry date was not reported), dose 1 via an unspecified route of administration in arm left on 19Jan2021 11:15 AM, as dose 1, single dose for covid-19 immunisation. 12h after the second shot, on 09Feb2021 09:30 AM, patient experienced chills, temperature (38.6c (101.5f) and headaches. The patient underwent lab tests and procedures which included body temperature: 101.5 Fahrenheit on 09Feb2021 temperature (38.6C (101.5F). No treatment received for the events. Outcome of the events was not recovered. Information on the lot batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673481
Sex: F
Age:
State: NE

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 09/04/2021
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: weird smell and taste./ like a chemical bleach smell and taste that feels like it's poison; weird smell and taste./ like a chemical bleach smell and taste that feels like it's poison; soreness within a few hours after the vaccine; This is a spontaneous report from a contactable Nurse. A 34-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9262), dose 1 via an unspecified route of administration, administered in Arm Right on 27Jan2021 at 08:00 as a dose 1, single for covid-19 immunization. Medical history included High blood pressure and COVID positive in Nov2020. Concomitant medications included lisinopril (LISINOPRIL) taken for an unspecified indication, start and stop date were not reported. Facility where the most recent COVID-19 vaccine was administered was hospital; clinic set up in the hospital for workers. No prior vaccinations within 4 weeks. No aes follow prior vaccinations. No family Medical history reported It was reported that after receiving the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine, she experienced a weird smell and taste. It was Like a chemical bleach smell and taste that feels like it's poison on 29Jan2021. She said it was like a chemical bleach smell and taste that feels like it's poison. She said this has been going on for 2 weeks straight since receiving the 1st dose. HCP wants to know if it was still safe for her to receive the 2nd dose of the vaccine if she had this kind of reaction to the 1st dose. Had first COVID-19 Vaccine on 27Jan2021. Due for second dose on 17Feb2021. Two days after first dose, had a weird smell in her nose and a weird taste. Occurring even today. Went to taste soda and still has it. Started after the COVID-19 Vaccine and has been on and off. It is a chemical or bleach smell and taste she was experiencing. Her son is non-verbal and autistic. No further details provided. Scared to get second COVID-19 Vaccine. Known people to only have symptoms for a day or two. Feel like it is almost in her pores. Doesn't know if this is normal or if she needs to get blood work done. She had never known symptoms to last for two weeks straight. Weird smell and taste is off and on. Started with a strong chemical, bleach smell. She could smell other things, but it was a mixture with the chemical smell. It was overpowering. It was all she could smell if she was outside or took a deep breath. Hasn't really tasted food. Went to take a drink of Sierra Mist and had the same taste as what she is smelling. Would try to take a small sip and it felt like it was on her tongue. It threw her off. She could taste the Sierra Mist, but the chemical taste made the soda disgusting. This was all the symptoms she has had. The outcome of event weird smell and taste./ like a chemical bleach smell and taste that feels like it's poison was not recovered and recovered for soreness within a few hours after the vaccine on an unspecified date in 2021. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds: LISINOPRIL

Current Illness:

ID: 1673482
Sex: F
Age:
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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: uterine cramps; This is a spontaneous report from a contactable consumer or other non-health care professional (Patient). A 35-year-old Non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6201 and expiration date was not reported), first dose via an unspecified route of administration, administered in arm right on 11Feb2021 14:45 (at the age of 35 years) SINGLE for covid-19 immunization. Medical history included GERD, depression, anxiety, PTSD from 11Feb2021 to an unknown date, food allergy from an unknown date and unknown if ongoing Walnuts and cashews. The patient concomitant medications were not reported. Patient was not priorly did had covid vaccination and was not covid tested post vaccination. Patient took medication Mirena IUD in two weeks before vaccination and no other vaccine in four weeks. On 11Feb2021 14:45 the patient experienced sudden onset of uterine cramps within 10 minutes of receiving the shot. Might not be related but wanted to report anyway. Patient received Advil as Adverse event treatment. The outcome of the event was recovered on unspecified date of 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673483
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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: bumps on her tongue; bumps on her tongue which are not as painful today; This is a spontaneous report from a contactable consumer (Patient mother). A female patient of an unspecified age received first dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number and expiration date: was not reported), via an unspecified route of administration on 10Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced bumps on her tongue which are not as painful today on 11Feb2021.The outcome of the events was unknown at the time of this report. No follow-up attempts possible. No further information expected. Information on lot and batch numbers cannot be obtained.

Other Meds:

Current Illness:

ID: 1673484
Sex: F
Age:
State:

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 09/04/2021
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: Accident; This is a spontaneous report from a contactable consumer (reported for herself). A 58-years-old female patient 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 10Feb2021 (at the age of 58-years-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the consumer stated that she was in an accident and needed four stitches and was recommended to receive a tetanus shot. Consumer would like to know if it is okay to receive the tetanus shot after receiving the Pfizer COVID vaccine. The case assessed as serious (medically significant). The consumer stated the event result emergency room visit. Consumer states she is scheduled to receive the second dose of the vaccine on 03Mar2021. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673485
Sex: M
Age:
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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: vomiting; This is a spontaneous report from a contactable consumer via Medical Information Team. A 67-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 10Feb2021 14:00 (age at vaccination 67 years) as DOSE 1 SINGLE for covid-19 immunisation. Medical history included a little high blood pressure on an unspecified date. The concomitant medication included either Latranamine or Motropamine for blood pressure (Caller was not sure of the name or spelling). The Historical Vaccine included Flu vaccine on an unspecified date in Aug2020 (It was the super flu shot for seniors). On 11Feb2021 at 6 pm, the patient started vomiting and it lasted all night. The clinical outcome of the event was unknown. Information about lot/batch number has been requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673486
Sex: F
Age:
State: NH

Vax Date: 01/31/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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: dizziness; diarrhea; vomiting; I have hard time hearing; This is a spontaneous report from a contactable consumer (Patient). A 75-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EN5318) via unknown route of administration on 31Jan2021 as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history included pressure was a little high not much high but little high. Concomitant medications were not reported. Patient stated she had her first covid vaccine shot 12 days ago and experienced dizziness, diarrhea and vomiting on 11Feb2021. Patient was asking if this was a normal side effect people has experienced when they got the covid vaccine. Patient have hard time hearing on an unknown date in 2021. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673487
Sex: F
Age:
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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 Date: 20210212; Test Name: Temperature; Result Unstructured Data: Test Result:97 Fahrenheit

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: She felt aches and pain; She broke out in sweat; Also felt chills last night; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2, dose 2 via an unspecified route of administration on 10Feb2021 as single for COVID-19 immunisation. Medical history included pneumonia. The patient's concomitant medications were not reported. The patient experienced she felt aches and pain, she broke out in sweat and also felt chills last night on 11Feb2021. The patient reported that she got her second dose of the COVID vaccine on Wednesday 10Feb2021. She drank a lot of water and yesterday she felt aches and pain but last night she broke out in sweat. She took her temperature, and it was not really high. Last measure 45 min ago indicated 97 Fahrenheit. The patient underwent lab tests and procedures which included body temperature: 97 Fahrenheit on 12Feb2021. She used a steroid cream and also felt chills last night and she did not feel like that since she had pneumonia. Outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673488
Sex: F
Age:
State: OH

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 09/04/2021
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: headache; fatigue; This is a spontaneous report from a contactable other HCP (patient). A 35-year-old female consumer (patient) received bnt162b2 (BNT162B2), dose 1 intramuscular, administered in arm left on 19Jan2021 at 11:30 (Batch/Lot Number: EL3249) as single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. No known allergies. The patient experienced headache and fatigue on an unspecified date. First dose: headache and fatigue for approximately 3 days. No prior vaccination of COVID. Outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673489
Sex: F
Age:
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 09/04/2021
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: This is a spontaneous report from a contactable consumer. This 36-year-old non-pregnant female patient received bnt162b2 (COVID-19-VACCINE, Solution for injection, Lot number: EL9267), via an unknown route of administration on Left arm on 10Feb2021 13:45 (at the age of 36-year-old) at dose 1, single for COVID-19 immunisation. Medical history included Sjogrins. Concomitant medications were not reported. The patient did not receive any other vaccine in four weeks. The patient did not receive any other medications in two weeks. The patient had no covid prior vaccination. The patient was not covid tested post vaccination. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 10Feb2021 at 14:00, the patient experienced sore arm. The patient did not receive any treatment for the reported event. Outcome of the event was recovered in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673490
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: had the first dose of the pfizer covid 19 vaccine and both experienced arm pain; had the first dose of the pfizer covid 19 vaccine and both experienced arm pain; This is a spontaneous report from a contactable consumer (patient's husband). A female patient of unknown age (Age: 72; Unit: Unknown) female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via unknown route of administration on an unknown date as DOSE 1, SINGLE for covid-19 immunization. The patients medical history was not reported. Concomitant medications were not reported. It was reported that that the consumer and his wife had the first dose of the pfizer covid 19 vaccine and both experienced arm pain. Caller stated that his wife takes doxycyline daily. Stated that his wife was due to get a botox injection prior to her second dose of the pfizer covid 19 vaccine. The outcome of the 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: 1673491
Sex: F
Age:
State: GA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 09/04/2021
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: dizzy; She was nauseous and got very hot, like a hot flash; She was nauseous and got very hot, like a hot flash; Did throw up a little one time; Arm got just the least bit sore from injection; This is a spontaneous report from a contactable consumer. This 81-year-old female patient received bnt162b2, dose 1 parenteral, administered in deltoid left on 09Feb2021 10:00 (Batch/Lot Number: EN9581; Expiration Date: 31May2021) at 0.3 ML as single dose for vaccination in Career center nearby hosted by a public county health center. The patient medical history and concomitant medications. The patient experienced arm got just the least bit sore from injection on 09Feb2021, dizzy, she was nauseous and got very hot, like a hot flash and did throw up a little one time; all on 11Feb2021 19:00. The patient stated that she got her first Pfizer vaccine on 09Feb at 10 am and had no reaction until late yesterday around 7 pm, approx. 55 hours after vaccine. She was watching TV and all of a sudden, she felt dizzy. She got up and had to hold onto something. She was nauseous and got very hot, like a hot flash. It all lasted about 15 minutes and then she felt fine. She went to bed right away and got up at night to go to the bathroom and drink a lot of water. Dizzy: Onset time about 19:00. She was sitting her chair and all of a sudden felt dizzy. She tried to stand up and had to hold on to something. She recovered completely event, seemed fine after that duration of roughly about 15 minutes that this event was ongoing. Hot Flash: Onset time about 19:00. Had a hot flash where she could hardly stand her clothes on her. She recovered completely event, seemed fine after that duration of roughly about 15 minutes that this event was ongoing. Nauseous: Onset time about 19:00. She recovered completely event, seemed fine after that duration of roughly about 15 minutes that this event was ongoing. Did throw up a little one time: Onset time about 19:00. She recovered completely event, seemed fine after that duration of roughly about 15 minutes that this event was ongoing. Outcome of recovered of the event injection site pain on 10Feb2021 while rest of the events was recovered on 11Feb2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673492
Sex: M
Age:
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 09/04/2021
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: headache; dizzy; This is a spontaneous report from a contactable consumer (patient) or other non-healthcare professional. A 70-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in Arm Right on 12Feb2021 09:00 (Batch/Lot Number: EL8982) as dose 2, single (at age of 70-years old) for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2, solution for injection, via an unspecified route of administration on 22Jan2021 as single dose (at age of 70-years old) for covid-19 immunization. The patient experienced headache and dizzy on 12Feb2021. Therapeutic measures were taken as a result of headache. Caller stated that he got the second dose this morning at 9AM. Wanted to know if he could drink aspirin for a headache. Stated that his headache was bothering him. Stated that he was reading, and it does not say. Stated that he used take aspirin Excedrin sometimes for headache. Stated that he was dizzy. Stated that he has had the headache for one hour. Stated that he did not have a headache in observation. Stated that the headache and dizziness started when he got home. The outcome of the events was not resolved at time of reporting. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1673493
Sex: F
Age:
State: MA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 09/04/2021
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: Sore arm; pain at injection site; This is a spontaneous report from a non-contactable consumer. A 49-years-old non-pregnant female patient received first dose of bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in Arm Left on 11Feb2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not provided. Not known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not received any other medications within 2 weeks of vaccination. On 11Feb2021 patient experienced sore arm and pain at injection site. The patient did not receive treatment. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1673494
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 09/04/2021
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: asthmatictype cough; cough; metallic taste in her mouth; This is a spontaneous report from contactable consumer. This female Consumer (Patient) reported. A female patient with unspecified age received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on 04Feb2021 11:40am as dose 1, single for COVID-19 immunization. The patient medical history includes NSAID induced Drug hypersensitivity and concomitant medications were not reported. On 04Feb2021, after the vaccination, the patient experienced a metallic taste in her mouth afterward. The next day (Friday) she developed an "asthmatic-type cough", on Saturday she didn't cough as much. She wants to know if it is safe for her to receive the second dose and could it, she be reacting to an ingredient/are there any that are similar to NSAIDs. The events assessed as non-serious. The outcome of the event dysgeusia was unknown and asthmatic cough was resolved on 06Feb2021. No follow-up attempts possible. No further information expected. Follow-up (PRD/SRD (02Apr2021): 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: 1673495
Sex: M
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 09/04/2021
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: This is a spontaneous report from a contactable Consumer. A male patient of an unknown age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unknown route of administration on 05Feb2021 at dose 1, single for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient received the first dose of the Pfizer vaccine last Friday no symptoms until Thursday. He read he should not have symptoms that far out, so he wants to know if that's true. He is experiencing chills, body aches, muscle aches, not feeling well; all on an unknown date in Feb2021. Outcome of the 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: 1673496
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: sore arm; swollen neck glands; fatigue; This is a spontaneous report from a contactable Other HCP via Medical Information Team. A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 Immunization. The patient medical history and concomitant medications were not reported. After she received her first dose of the Pfizer Covid vaccine and reported that she had a sore arm, swollen neck glands the following day. She says it lasted for several days and also experienced fatigue on an unspecified date. The patient took Naproxen (ALEVE) after the first one as soon as they got in the car. She took Ibuprofen (ADVIL) the next day and diphenhydramine-ibuprofen (ADVIL PM) to go to bed that night. The clinical outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673497
Sex: F
Age:
State: VA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Date: 20210121; Test Name: fever; Result Unstructured Data: Test Result:101.; Comments: got up to 103.3

Allergies:

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

Symptoms: didn't check for fever until 12pm and fever was 101. Got up to 103.3; body aches; headache; gassy stomach; nausea; lethargy; I had chills; This is a spontaneous report received from a contactable other hcp. A 32-year-old non pregnant female patient received second dose of BNT162B2 (PFIZER-BIONECHC COVID-19 VACCINE, Batch/Lot Number: EH9899), Solution for injection, via an unspecified route of administration, administered in Arm Left on 20Jan2021 16:00 (at the age of 32-year-old) as single dose for covid-19 immunisation. Medical history included asthma and juvenile rheumatoid arthritis. There were no concomitant medications. The patient previously took cardec and experienced cardec allergy. Patient historic vaccine included first dose of bnt162b2 (PFIZER-BIONECHC COVID-19 VACCINE, Batch/Lot Number: EH9899) Solution for injection, via an unspecified route of administration, administered in Arm Left on 30Dec2020 01:45 PM as single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and she did not receive any other medication in two weeks. The patient was not diagnosed with COVID-19 Prior to vaccination. The patient had not been tested for COVID-19 Since the vac-cination. On 21Jan2021 03:00, the patient had chills, didn't check for fever until 12pm and fever was 101. got up to 103.3, body aches, headache, gassy stomach, nausea and lethargy. The patient underwent lab tests and procedures which included body temperature: 101 on 21Jan2021 got up to 103.3. Adverse event resulted in doctor or other healthcare professional office/clinic visit. No treatment was received due to adverse events. The events was recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673498
Sex: F
Age:
State: CA

Vax Date: 01/23/2021
Onset Date: 01/01/2021
Rec V Date: 09/04/2021
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: sick; felt so tired/chronic fatigue; coming down with the flu; This is a spontaneous report from a contactable Other HCP. This 27-year-old female Other HCP reported for herself that. A 27-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 23Jan2021 (at the age of 27-years) as Dose 1, single for COVID-19 immunization. Medical history included COVID-19 from Dec2020 to an unknown date. The patient's concomitant medications were not reported. It was reported that patient was tested positive for covid in December and got the first dose of the Pfizer covid vaccine on 23Jan2021. After that dose patient got really sick and felt so tired, like she was coming down with the flu. she had chronic fatigue. She had really concerned about getting the second dose of the vaccine and spoke with his doctor about it. From what she understands the side effects after the second dose are harder than after the first. She was asking question if they have any information about getting the second dose in this situation. The 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: 1673499
Sex: M
Age:
State: MI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 09/04/2021
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: nausea; Migraine; night sweats; achy; clammy; arm pain; weakness; could not sleep well at all; headache; This is a spontaneous report from a contactable consumer. A 29-year-old male patient received BNT162B2 (BNT162B2, Batch/Lot number and Expiration date: was not reported), via an unspecified route of administration, administered in Arm Left on 12Feb2021 16:00 (Age at vaccination 29-year-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history was none. The patient concomitant medications were none. No Known allergies. The patient historical vaccine includes received first dose BNT162B2 (BNT162B2, Batch/Lot number and Expiration date: was not reported), via an unspecified route of administration, administered in Arm Left on 22Jan2021 04:00 (Age at vaccination 29-year-old) as DOSE 2, SINGLE for covid-19 immunisation. No Other medications in two weeks and No other vaccine in four weeks. covid prior vaccination and covid tested post vaccination was No. On 12Feb2021 23:00 the patient experienced Migraine, nausea, night sweats, achy, clammy, arm pain, weakness. Woke up every hour, could not sleep well at all. Pounding headache around 7am. Nausea but not to the point of puking. No treatment was received for events. Outcome of the events was recovering. : No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1673500
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: Had a little headache afterwards/ Next day about 24 hours later had headache.; This is a spontaneous report from a contactable consumer or other non hcp (Patient) from a Pfizer-sponsored program. A male patient of an unspecified age received first dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunization. No medical history and no concomitant medications were not reported. It was reported that Received first dose of covid vaccine Wednesday. Had a little headache afterwards. Next day about 24 hours later had headache. Had taken 2 Advil and Benadryl. Then was reading you should not take anything before vaccine. Does not want to mess vaccine up. Wondering what we say about taking anything after vaccine. Therapeutic measures were taken as a result of event with 2 Advil and Benadryl. The outcome for the events was reported as unknown at the time of this report. Information on the lot/batch number has been requested. Follow-up (31Mar2021): 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: 1673501
Sex: F
Age:
State:

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: sore arm; redness; feverish; This is a spontaneous report from a non-contactable consumer or other non hcp. An 88-years-old female received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Not reported) via an unspecified route of administration, administered on 11Feb2021 as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZ-ER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Not reported) via an un-specified route of administration, administered on 21Jan2021 as a single dose for covid-19 immunisation. It was reported that patient received second shot of pfizer covid vaccine and patient was having a terrible reaction on arm. started hurting within hours, the puncture site Left Arm, started to turn red, and hard the size of an egg, patient arm started hurting within 15 minutes, that evening it started with redness and feverish feel to it was getting bigger and the redness is now working down the inside of arm. Patient was feeling out of it the day after patient got the vaccine, but only half a day, but it was the reaction that was now bothering. The outcome of the event was unknown at the time of report. No follow up attempts are possible. information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1673502
Sex: F
Age:
State: CT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: sore arm; tiredness required sleeping all weekend starting Friday night; chills; tiredness required sleeping all weekend starting Friday night; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 54-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 12Feb2021 11:45 (at the age of 54 years), (Batch/Lot Number: EL3247) as DOSE 2, SINGLE for covid-19 immunisation at workplace clinic. Medical history included yes from an unknown date and unknown if ongoing. The patient received other medication in two weeks. Patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 22Jan2021 11:45 AM (Batch/Lot Number: EL3249) for covid-19 immunisation. On 12Feb2021 18:00, the patient experienced sore arm, tiredness required sleeping all weekend starting Friday night, chills. The patient did not receive any treatment for the adverse events. The clinical outcome of the events was recovered in 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673503
Sex: M
Age:
State: CA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mild upset stomach; Mild fatigue; This is a spontaneous report from a contactable consumer (patient). A 73-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9262, Expiration date not reported), via an unspecified route of administration, administered in the left arm on 26Jan2021 17:45 (at the age of 73-years-old), as dose 1, single for COVID-19 immunisation. Patient has no relevant medical history. Concomitant medications included amlodipine besylate; hydrochlorothiazide, losartan potassium (LOSARTAN + HIDROCLOROTIAZIDA), both taken for an unspecified indication, start and stop date were not reported. Patient has no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19; and since the vaccination, has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced mild upset stomach and mild fatigue on 28Jan2021. Patient did not receive treatment as a result of the events and events did not result to emergency room or physician office visit. The outcome of events was recovered on an unspecified date.

Other Meds: AMLODIPINE BESYLATE; LOSARTAN + HIDROCLOROTIAZIDA

Current Illness:

ID: 1673504
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: fever; Result Unstructured Data: Test Result: 99 Fahrenheit.

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: low grade fever (99 F); nausea; headache; chills; This is a spontaneous report from a contactable consumer reported that a 86-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number was not reported, patient was 86-year-old at the time of vaccination), via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Historical vaccine included 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 an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. On an unspecified date, the patient experienced low grade fever (99 f), nausea, headache, chills. The patient underwent lab tests and procedures which included fever resulted as 99 Fahrenheit. Reported that she mentioned she gave them Tylenol before the vaccination and read online that it was not allowed. The outcomes of events were unknown. Information about Lot/Batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673505
Sex: F
Age:
State:

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 09/04/2021
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: her arm is aching; has on and off chills; This is a spontaneous report from a contactable consumer(patient) via pfizer-sponsored program. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), dose 1 via an unspecified route of administration on 11Feb2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced her arm is aching, has on and off chills. She wanted to know if she can take Tylenol or Advil for reported events. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673506
Sex: F
Age:
State:

Vax Date: 01/27/2021
Onset Date: 01/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: temperature; Result Unstructured Data: Test Result:100.5-101.5; Test Name: elevated liver function tests (6 times the upper limit); Result Unstructured Data: Test Result:6 times the upper limit; Test Name: very high lymphocytes; Result Unstructured Data: Test Result:Very high

Allergies:

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

Symptoms: elevated liver function tests; very high lymphocytes; nausea; vomiting; constitutionally ill; shaking chills; joint and muscle pain; headache; maintained her temperature at around 100.5-101.5; This is a spontaneous report from a contactable physician. A 67-years-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 27Jan2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient previously took first dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration (Batch/Lot Number was unknown) as single dose for covid-19 immunisation.It was Reported, Caller received the second Pfizer shot on 27JAN. A day after she experienced some nausea and vomiting which immediately resolved. Two days after, she was "very constitutionally ill" with shaking chills, joint and muscle pain, and headache centred behind the eye. This lasted severely for 12 days. She took 1 Advil or Tylenol every 6-8 hours and maintained her temperature at around 100.5-101.5. She consulted with her primary physician and she was given a number of tests. She came back with elevated liver function tests (6 times the upper limit) as well as very high lymphocytes. Her physician stated that it may be a reaction to the vaccine, and they are hoping that it will resolve within a month. The outcome of the events Nausea and vomiting on 28Jan2021 with outcome of recovered, constitutionally ill on Jan2021 with outcome of recovered, Rest all other events are on an unspecified date with outcome of unknown Information about Lot/Batch requested Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673507
Sex: M
Age:
State:

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Some little bit of dark brown spot little red places on his thigh; red spots in the face; her husband developed a deep cut in the tongue and it was painful./Tongue being painful; This is a spontaneous report from a contactable consumer. A male patient of unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration on 13Feb2021 as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 on an unspecified date as SINGLE for covid-19 immunization. Patient reported her husband developed a deep cut in the tongue and it was painful/tongue being painful on 14Feb2021 and some little bit of dark brown spot little red places on his thigh, red spots in the face on an unspecified date. Reporter also stated "I just have a question we got our second Covid shot (by Pfizer later clarified) on saturday, sunday night my husband started complaining his tongue being painful. I looked in it, it was like cut on the side of the tongue it was red and deep and I notice this morning that he had some little bit of dark brown spot little red places on his thigh and I didn't know if this was a symptom of possibly the shot that he got". "I think he is getting better but I did want to ask about it." The outcome of event tongue pain was recovering and for other events was unknown. Follow up (17Feb2021): Follow up information received from a contactable consumer. Information about the Lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673508
Sex: F
Age:
State: IL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Date: 20210217; Test Name: Fever; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptom List: Injection site pain

Symptoms: Sore arm; Fever; Fatigue; This is a spontaneous report from a contactable consumer or other non hcp. A 45-years-old female patient received bnt162b2 (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 16Feb2021 09:00 as dose 2, single dose for covid-19 immunisation. The patient medical history and concomitant was not reported. Patient previously took first dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration on 26Jan2021, 04:45 PM, (Batch/Lot Number was unknown) as single dose for covid-19 immunisation.The patient had not known allergies.The patient did not receive any other vaccine in four weeks. Prior to vaccination patient diagnosed with COVID. Post vaccination patient did not test for COVID. It was Reported that, the patient experienced sore arm,fever, fatigue on 17Feb2021 08:00 with outcome of recovering. The patient underwent lab tests and procedures which included pyrexia: unknown results on 17Feb2021. Information on the lot/batch number has been requested. Follow-up (12May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673509
Sex: F
Age:
State: FL

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 09/04/2021
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: very sore arm; felt really sick; started getting sick with like a cold or flu/felt like she was getting a bad cold; started getting sick with like a cold or flu; body aches/achy; joint pain/joints hurt; lost some taste; Cough; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), via an unspecified route of administration, administered in the right arm, on 29Jan2021 (Batch/lot number unknown), at age 78 years old, as dose 2, single, for COVID-19 immunisation. Relevant medical history included chronic obstructive pulmonary disease (COPD) from 2015 and ongoing (diagnosed about 6 years ago, been on oxygen for about 4 years). Concomitant medication oxygen taken for COPD, from 2017 and ongoing. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), administered in the left arm, received on 08Jan2021 (Batch/lot number unknown), at age 78 years old, as dose 1, single, for COVID-19 immunisation. On 28Jun2021, the patient received the second dose of BNT162B2. On an unspecified date, after the second dose, the patient had a very sore arm. The patient stated that the first dose did not hurt at all. On 10Feb2021 (reported as 8-10 days later), the patient felt really sick with body aches and joint pain, but no fever, she lost some taste and had a cough. She started getting sick like a cold or flu, her joints hurt, she was achy, but no fever and she never lost her appetite. She felt like she was getting a bad cold. At the time of the report, the patient was feeling better and the events were going away finally. The patient asked if these could be from the vaccine or if it was cold. She also asked if it was safe for her to go out to the grocery store or out to eat. The outcome of the event very sore arm was unknown. The patient was recovering from the remaining events. The reporter assessed this report as non-serious. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: OXYGEN

Current Illness: COPD (diagnosed about 6 years ago, been on oxygen for about 4 years)

ID: 1673510
Sex: M
Age:
State: TX

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Date: 202012; Test Name: other tests; Test Result: Negative ; Test Date: 202012; Test Name: Covid; Test Result: Positive

Allergies:

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

Symptoms: lip swelling; sore arm; This is a spontaneous report from a contactable consumer. A 38-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 04Feb2021 09:00 (Batch/Lot Number: EL9269) as SINGLE DOSE for covid-19 immunisation. Medical history included ongoing overweight, ongoing agoraphobia, ongoing Severe social anxiety disorder. Caller added that her son had a light case of Covid about 6 weeks prior to getting the shot. She said that he had tested positive and within 10 days he was negative on the other tests. She said that he had a low grade fever and a little cough. Caller said that her son got the shot at a motor speedway set up clinic in County name, (State name). Concomitant medication included olmesartan (OLMESARTAN) taken for hypertension from 05Feb2021 to an unspecified stop date; hydrochlorothiazide (HYDROCHLOROTHIAZIDE) taken for hypertension, start and stop date were not reported; buspirone (BUSPIRONE) taken for anxiety from an unspecified start date and ongoing; levothyroxine (LEVOTHYROXINE) taken for hypothyroidism from an unspecified start date and ongoing; escitalopram (ESCITALOPRAM) taken for anxiety from an unspecified start date and ongoing; gabapentin (GABAPENTIN) taken for hypoaesthesia from an unspecified start date and ongoing. The caller stated her son received the first dose of the vaccine on 04Feb2021 and is scheduled for his second dose 25Feb2021. About 14 hours after the vaccine he developed lip swelling and was treated with Benadryl. The next day his lip was swelling again and he had to go to the emergency room and get Benadryl and a Solumedrol injection and the lip swelling went down. At first the thought it was his losartan because 2 and half hours after he took it his lips started swelling. They took him off of his Olmesartan 20mg. They gave him amlodipine instead, because they thought that the Olmesartan could have caused it, but the ER staff also thought it could be because of the shot and the blood pressure medication, or just the shot. The ER said it was his blood pressure medication but he has taken it for 3 years with no issues. The caller said that her son has been on the Olmesartan 20mg for 3 years though. She said that he takes it with Hydrochlorothiazide 25mg. She said that he has never had an allergic reaction to anything before. He did not eat anything that could have caused it. The caller said that her son did not have any wheezing, breathing, or swallowing issues. It was just the lips that were swollen and he had it no place else on his body. She stated he has never had any reaction to anything except when he was tiny and young he has a swollen foot when he stepped on honey bees. He has severe social anxiety and agoraphobia so he is basically a hypochondriac. She stated he ended up getting a slight case of covid (did not state when) and she doesn't want him to get it more, especially since they have the variant there in (State name). She said it would be an act of God that this happens though because no one can go anywhere right now because of the snow and it will probably be another week before they can go anywhere. The healthcare provider said they probably wouldn't give him the second dose, but not that he shouldn't have it. On an unspecified date in Feb2021, the patient experienced sore arm. The patient underwent lab tests and procedures which included sars-cov-2 antibody test: positive on Dec2020, investigation: negative on Dec2020. Therapeutic measures were taken as a result of the events. The outcome of the event sore arm was unknown, while recovered on 05Feb2021 for the event lip swelling. No follow-up attempts are possible. No further information is expected.

Other Meds: OLMESARTAN; HYDROCHLOROTHIAZIDE; BUSPIRONE; LEVOTHYROXINE; ESCITALOPRAM; GABAPENTIN

Current Illness: Agoraphobia; Anxiety disorder; Overweight

ID: 1673511
Sex: F
Age:
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: her inner thighs were so beet red and rashed; bad reaction of a rash all over her body/her inner thighs were so beet red and rashed; Itchy rash; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 15Feb2021 at 16:30 (Batch/Lot Number: E19162) (at the age of 72-years-old) as dose 1, single for COVID-19 immunisation. Medical history included hysterectomy, ongoing lactose intolerance (can't eat dairy, onset Date: unknown, years ago, over 15 years ago), ongoing gluten sensitivity (can't eat wheat or gluten, onset Date: unknown, maybe 6 years ago) and dysphonia. Concomitant medications included levothyroxine sodium (SYNTHROID) taken for an unspecified indication from an unspecified start date and ongoing; botulinum toxin type a (BOTOX) taken for dysphonia, start and stop date were not reported. On 15Feb2021, while driving home after vaccination, she had a bad reaction of a rash all over her body and itchy rash. She was itchy while driving home in the car but did not think anything of it. When she got home around 17:30, her inner thighs were so beet red and rashed. Then she started getting itchy all over. She looked later on that night and saw that her whole body was so beet red and rashed all over. She thought she would have to go to the emergency room that night because she was so itchy and covered with a rash. She called the emergency room and they told her to take Benadryl. She took Benadryl and the itchy rash went away. After the Benadryl wore off the itchy rash would come back. She took a Benadryl around 07:00 on 17Feb2021 and the itchy rash is better. She still has the itchy rash here and there. The week prior, she received medicinal Botox in neck for dysphonia. She stated the Benadryl did help and she is still taking it. The rash is not half as bad as it was. She didn't know if the reaction was from the Botox or not. Outcome of events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: SYNTHROID; BOTOX

Current Illness: Gluten sensitivity (Onset Date: Unknown, maybe 6 years ago.); Lactose intolerant (Can't eat dairy Onset Date: Unknown, years ago, over 15 years ago.)

ID: 1673512
Sex: F
Age:
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: If I sit, it stiffens up and gets sore/soreness; there is that pain behind my left knee and sometimes my hamstrings; I felt like a kick on the back on my knee and the muscle was very tight; there is that pain behind my left knee; At the back of my knees was like a cramp like I can feel the muscle sprain; At the back of my knees was like a cramp like I can feel the muscle sprain; This is a spontaneous report from a contactable consumer (patient). A 66-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 04Feb2021 at 66-years-old (Batch/Lot number: E19265) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included Blood pressure (abnormal), Cholesterol, vaginal disorder ('Bheanin pluronic' (not clarified) and that's a vaginal pill, not in last 2 weeks but had one in Dec). Concomitant medications included olmesartan medoxomil; hydrochlorothiazide, triamterene (TRIAMTERENE & HCTZ); fenofibrate; nebivolol hydrochloride (BYSTOLIC). It was asked if it can cause muscle pain. The patient had her 1st Pfizer COVID shot on 04Feb2021 and she had some problems. She had a catch in the back of her left knee. It got better, she put some Aspercreme on it. It was fine, but it got worse. It moved to her hamstring, then to the back of her knee. If she sits, it stiffens up and gets sore. When she got home (04Feb2021) she felt like a kick on the back on her knee and the muscle was very tight and then it slightly eased up and so it went. And then she would say she would do that (sentence incomplete) and so Sunday, she have been asked, it was still there but nothing threatening. And so after Sunday, it started getting bad again at the back of her knees and it happened, when she sat on floor and when she got up she felt it in her muscle in her hamstring and back of her knees and the soreness and it will be there until she got up and walk a little while. And so, when she sat down and got up it will be happening until she walks, once she walk it's fine but once she sat down again there is that pain behind her left knee and sometimes her hamstrings and it is very difficult when she got up until she started walking. And she didn't know what to do. And her next shot is on 02Mar. the patient is a retired teacher. They were on the same side on the left side, not on the right but the left side, past her knee (not clarified). The first thing started the same day (04Feb2021). The kick in her knees, at the back of her knees was like a cramp like she can feel the muscle sprain. She wasn't bad, it was fine. She did apply some 'Aspercreme'. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: OLMESARTAN MEDOXOMIL; TRIAMTERENE & HCTZ; FENOFIBRATE; BYSTOLIC

Current Illness:

ID: 1673513
Sex: M
Age:
State: MI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 09/04/2021
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: muscle pain; joint pain; feeling unwell; low blood pressure; tiredness; This is a spontaneous report from a contactable consumer (patient). A 83-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: el9265), dose 2 via an unspecified route of administration, administered in Arm Left on 09Feb2021 at 11:15 AM as a single dose for covid-19 immunization (at the age of 83-years-old). Medical history included high blood diabetes. The patient's concomitant medications were not reported. Patient had not known allergies. Patient did not receive other vaccine within 4 weeks prior to the COVID vaccine. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. Patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: el3249), dose 1 via an unspecified route of administration, administered in Arm Left on 19Jan2021 at 11:15 AM as a single dose for covid-19 immunization (at the age of 83-years-old). Patient visited to doctor or other healthcare professional office/clinic visit for reported events. Patient had not taken any treatment for reported events. On 10Feb2021 (at 12: 00 AM), the patient experienced muscle pain, joint pain, feeling unwell, low blood pressure, and tiredness. The outcome of all the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673514
Sex: F
Age:
State: MO

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: Lab test; Result Unstructured Data: Test Result:Unknown result

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: swelling or edema in her arms and legs; swelling or edema in her arms and legs; itchiness in my hand; This is a spontaneous report from a contactable other health professional (patient). A 37-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number was not reported; Expiration Date: May2021) via an unspecified route of administration, administered in left arm on 27Jan2021 (at the age of 37-year-old) as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. There were no concomitant medications. The patient experienced swelling or edema in her arms and legs and itchiness in her hand on 28Jan2021. Patient did not receive treatment for the events reported. The patient underwent lab tests and procedures which included laboratory test: unknown result on an unspecified date. Outcome of event recovered on an unspecified date in 2021. Follow-up attempts completed; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1673515
Sex: F
Age:
State: WA

Vax Date: 01/21/2021
Onset Date: 01/01/2021
Rec V Date: 09/04/2021
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: having wrist pain/not much of the pain is in her elbow anymore/pain extends into the lower arm and up into the shoulder/pain and aches in her wrist, lower arm, the elbow, upper arm and shoulder; left wrist and went up the inside of her hand/shooting pain up to her fingers; first shot on her left arm/pain extends into the lower arm and up into the shoulder/all of this was occurring in her left arm only; itches and hurts like crazy; Inside the palm area it was very tender; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine) on 21Jan2021 at 10:30 (Lot Number: EL3302) as dose 1, single and on 10Feb2021 12:45 (Lot Number: EL9265) as dose 2, single both intramuscular, administered in the left arm for COVID-19 immunization. Medical history included ongoing atrial fibrillation from an unknown date diagnosed 7 years ago. Concomitant medications included apixaban (ELIQUIS) taken as a blood thinner, start and stop date were not reported. The patient stated that on an unspecified date in Jan2021, 10 days after getting the first shot on her left arm, she started experiencing some symptoms and after getting the second shot, these symptoms haven't stopped. She started having wrist pain. It started in her left wrist and went up the inside of her hand. Inside the palm area it was very tender, it itches and hurts like crazy if she tries to scratch it. If she scratches at all and if she scratches in her sleep or something, it is very painful. The pain extends into the lower arm and up into the shoulder. From there, it went down to the top part of her hand and she experienced shooting pain up to her fingers. She hasn't had the pain shooting from her fingers recently. She has this pain and aches in her wrist, lower arm, the elbow, upper arm and shoulder. The patient explained the elbow hasn't been bothering her as much. It does if she is sleeping on it wrong or something but it is not just aching or throbbing. The patient has not contacted her doctor yet. She was wanting to know if these were signs or symptoms of the vaccine before she called her doctor. The patient clarified that all of this was occurring in her left arm only. The patient explained that it did improve some because not much of the pain is in her elbow anymore, just a little bit, but the pain is still there when it hits. She does take a couple of Tylenol Arthritis. It gets very painful if she doesn't take something. The patient stated that she will call her doctor and see if the doctor can prescribe some kind of medication to get her through. The outcome of the events itches and hurts like crazy and itches and hurts like crazy was unknown while the outcome of the other events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ELIQUIS

Current Illness: Atrial fibrillation (Diagnosed 7 years ago.)

ID: 1673516
Sex: M
Age:
State: CA

Vax Date: 01/28/2021
Onset Date: 02/15/2021
Rec V Date: 09/04/2021
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: felt really bad/ in general he still has a feeling like he has never had before. It is like things are off; tiredness; headache; muscle aches; chills; nausea; feverish; felt warm; feeling unwell; This is a spontaneous report from a contactable consumer (patient). An 81-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9262), via an unspecified route of administration in left arm (also reported as left shoulder) on 28Jan2021 at 10:40 (at the age of 81-years-old) at dose 1, single for COVID-19 immunisation. Medical history included having a pacemaker (three-wire pacemaker), different issues with his eyes such as glaucoma, and he had a seizure once a while back and was now on KEPPRA for seizures; all of which were ongoing. He also had prostate cancer, but he was free of it now. Concomitant medication included levetiracetam (KEPPRA) tablet for seizures. There were no additional vaccines administered on the same date as BNT162B2. Prior vaccinations within 4 weeks was reported as none. He has never had a vaccination before this one. Vaccination facility type was reported as hospital. The patient received first dose of the vaccine on 28Jan2021 and is scheduled for second dose on 18Feb2021. When he first received the vaccine, everything was fine. He had no issues at all until last Monday, 15Feb2021 at 06:00. He felt really bad and started to experience tiredness, headache, muscle aches, chills, nausea, and he was feverish. The patient felt like he had a fever, but he did not have it. He felt warm but did not actually check his temperature. He had an overall feeling of being unwell. The chills come and go. He had some first thing in the morning, but then they went away. An hour ago (at the time of reporting), he also had chills, but now they're gone. The feverish feeling, feeling warm, like he had a fever stopped on Tuesday, 16Feb2021. When probed if the events recovered completely or recovered with lasting effects, he stated that in general, he still has a feeling like he has never had before, it was like things were off. He would like to know if he should get the second dose if he was experiencing these symptoms. The outcome of the events "feverish" and "felt warm" was recovered on 16Feb2021 and not recovered for all other events. No follow-up attempts are possible. No further information is expected.

Other Meds: KEPPRA

Current Illness: Eye disorder; Glaucoma; Pacemaker insertion (cardiac) (three-wire pacemaker); Seizures (he had a seizure once a while back and now on KEPPRA for seizures)

ID: 1673517
Sex: F
Age:
State: CT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Date: 20210217; Test Name: low grade fever; Result Unstructured Data: Test Result:99.0 degrees

Allergies:

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

Symptoms: Normal, expected injection site soreness; Aches; chills; low grade fever (99.0 degrees, which is high for me); This is a spontaneous report from a contactable consumer (patient). A 27-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL3247), dose 2 via an unspecified route of administration, administered in arm left on 16Feb2021 at 12:45 PM (at the age of 27-years-old) as DOSE 2, SINGLE for covid-19 immunization. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in arm left on 26Jan2021 at 12:45 PM (at the age of 27-years-old) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history was not reported. Concomitant medications included ibuprofen, clindamycin phosphate pledgets, adapalene and levonorgestrel (MIRENA) taken for an unspecified indication and unknown start, stop date. Patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 17Feb2021 at 07:00 AM, the patient experienced normal, expected injection site soreness, aches, chills and low grade fever (99.0 degrees, which is high for me). Patient had not taken any treatment for reported events. The patient underwent lab tests and procedures which included body temperature: 99.0 degrees (low grade fever) on 17Feb2021. The outcome of all the events was recovering. Follow-up attempts completed. No further information expected.

Other Meds: IBUPROFEN; CLINDAMYCIN PHOSPHATE; ADAPALENE; MIRENA

Current Illness:

ID: 1673518
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 09/04/2021
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: shoulder pain; This is a spontaneous report from a Pfizer-sponsored program COVAX US SUPPORT. A contactable male consumer (patient) of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, SINGLE, dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient received second dose of Pfizer COVID vaccine this morning. He has shoulder pain and he had shoulder pain and issues with his shoulder prior to receiving the vaccine. Patient would like to know if he can use Aspercreme with Lidocaine on his shoulder. He had shoulder pain before taking the 2nd dose this morning, asked if he can rub a cream on his shoulder. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds:

Current Illness:

ID: 1673519
Sex: F
Age:
State: MO

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 09/04/2021
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: had a pain on her left side lung that "hit her like a knife."/sharp pain in left lung where histoplasmosis is; head cold and sneezing; head cold and sneezing; arm a little sore; This is a spontaneous report from a contactable nurse (patient). An 80-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EM9809), via an unspecified route of administration, administered in left arm on 12Feb2021 10:30 as single dose for COVID-19 immunisation. The patient's medical history included histoplasmosis in left lung, diagnosed 15-20 years ago, asthma in the past and has taken before Advair or Ventolin but has not had to take that in over a year. The patient's concomitant medications were not reported. The patient previously took articaine and had a reaction. The patient also previously received a Tetanus shot in the past, got a hot arm and a little fever. She got the Pfizer vaccine on 12Feb2021, and stated that day her arm was a little bit sore. On Sunday morning (14Feb2021) when she woke up, she had a head cold and sneezing lots of tickling in her nose. She stated that she had no sore throat, no fever, and stated that lasted until this morning. The patient reported that last night she went to bed and had a pain on her left side lung that hit her like a knife on 16Feb2021. The pain continued throughout the night and it really hurt, really shocked her. She couldn't lay on that side. She had a sharp pain in left lung where histoplasmosis is. The vaccination facility type was clinic. Vaccine was not administered in military facility. The patient is scheduled to receive the second dose on 06Mar2021. The outcome of the event had a pain on her left side lung that "hit her like a knife"/sharp pain in left lung where histoplasmosis is was recovering; the outcome of the events head cold and sneezing was recovered on 17Feb2021; and the outcome of the event arm a little sore was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673520
Sex: F
Age:
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot number: EL9265), via an unspecified route of administration on 11Feb2021 13:30 (at the age of 65-years-old) at dose 1, single in the left arm for COVID-19 immunisation. Medical history includes sickle cell disease and diabetic. The patient's concomitant medications were reported as none. The patient had no prior vaccinations within 4 weeks. On 12Feb2021 16:00, the day after receiving the Pfizer COVID-19 vaccine, the patient experienced shortness of breath and a rapid heart rate for 5 minutes. The patient wanted more information about these symptoms experienced after the first dose and how will those affect in getting the second dose. The patient asked if she should get the second dose in March. The patient stated that her healthcare professional (HCP) will determine if she had a severe allergic reaction and if she should get the second dose of the vaccine. It was further reported that the rapid heart rate and the shortness of breath went away after 5 minutes. It was reported that the events did not require emergency room and physician office visits. Outcome of the events was recovered on 12Feb2021 16:05. No follow up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1673521
Sex: M
Age:
State: ID

Vax Date: 02/14/2021
Onset Date:
Rec V Date: 09/04/2021
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: Migraine; headache; flu symptoms; vomiting; feverish; tired; he was really sick for about 6 hours; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. A male patient of an unspecified age (Age: 69, unit: unknown) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 14Feb2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included went through Chemo in 2005 and 2006 for Hepatitis C (liver was at a stage 3). The patient's concomitant medications were not reported. The patient reported that that he received first dose of vaccine on Monday. The patient has since experienced the following symptoms: Headache, flu symptoms, vomiting, feverish, tired from unspecified dates. The patient further reported he felt just about everything except the rash. The patient reports that he was really sick for about 6 hours on an unspecified date. The patient reported that he gets severe migraines and takes shots for his migraines and would like to know if he can take his sumatriptan injection prescribed for his migraines. The outcome of the events was unknown. No follow-up attempts are possible. Information about Lot/Batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1673522
Sex: M
Age:
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:102 Fahrenheit

Allergies:

Symptom List: Vomiting

Symptoms: chills; fever; joint ache; injection site soreness; sweating; This is a spontaneous report from a contactable physician. This 31-year-old male physician (patient) reported for himself that he received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: ER7231) via an unspecified route of administration on 11Jan2021 at 11:30 AM on left arm (at 31-year-old), as dose 1, single for COVID-19 immunization. The patient's medical history included scoliosis and anxiety. Concomitant medications included vitamin D3, emtricitabine, tenofovir disoproxil fumarate (Truvada); fish oil (Omega 3 Fish Oil, all were taken for an unspecified indication, start and stop date were not reported. It was mentioned that no other vaccine was received in four weeks. The patient did not have COVID prior vaccination and was not tested for covid post vaccination. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EH9899) via an unspecified route of administration on 21Dec2021 at 11:30 AM on left arm (at 31-year-old), as dose 1, single for COVID-19 immunization. On 11Jan2021 at 11:00 PM approximately 12 hours after vaccine administration the patient experienced fever 102 F, chills, sweats, joint aches and injection site soreness. Naproxen alleviated the symptoms and the symptoms resolved approximately 10 hours after onset. The patient received treatment with Naproxen. On an unknown date in Jan2021 the patient recovered Follow-up (14May2021): Follow-up attempts were completed. No further information was expected.

Other Meds: VITAMIN D3; TRUVADA; OMEGA 3 FISH OIL [FISH OIL]

Current Illness:

ID: 1673523
Sex: F
Age:
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/01/2021
Rec V Date: 09/04/2021
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: dizziness; extreme itchy skin; headache; fatigue; This is a spontaneous report from a contactable other-healthcare professional reported for herself. A 48-year-old non-pregnant female patient received first dose of bnt162b2 (Pfizer covid-19 vaccine, Solution for injection, Lot number: EL9262), via an unspecified route in the left arm on 19Jan2021 at 14:30 (age at vaccination: 48-year-old), as a single dose for covid-19 immunization. Medical history included asthma and Known allergies: Sulfa Drugs. The patient concomitant medications were not reported. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. On 19Jan2021 at 15:30, after first shot patient experienced dizziness and extreme itchy skin 1 hour after shot for approx. 2 hours before it ended, then headache and fatigue for 1-2 days. However, after 48 hours all effects from the 1st shot were gone. Patient did not receive any treatment for the events. The clinical outcome of the events was recovered in Jan2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673524
Sex: F
Age:
State: NC

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 09/04/2021
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: rosacea; This is a spontaneous report from a Pfizer-sponsored program via Regulatory Authority Support. This is a spontaneous report from a contactable other HCP (patient)/nurse. A 85-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported and expiry date: unknown), dose 1 via an unspecified route of administration on 10Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced rosacea on an unspecified date. Therapeutic measures were taken as a result of rosacea and doxycyline was used as a treatment drug. Outcome of the event was unknown. Follow-up (12Feb2021): The initial case was missing the following minimum criteria: No adverse effect. Upon receipt of follow-up information on 12Feb2021, this case now contains all required information to be considered valid. Follow-up (23Feb2021): This is a follow-up spontaneous report received in response to the mail trail sent regarding the confirmation of below mentioned query. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673525
Sex: F
Age:
State: IL

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: experiencing back ache; sore 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 bnt162b2 (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 10Feb2021 as dose 1, single dose for covid-19 immunisation. The patient medical history and concomitant was not reported. It was Reported that, both of them took the 1st dose last 10Feb2021. The wife called in and would like to know if she can take Tylenol or Naproxen. Both of them experienced sore at the injection site, the patient experienced back ache, sore at the injection site on Feb2021 with outcome of unknown. Follow-up (11Feb2021): This is a Follow-up spontaneous report from a Pfizer-sponsored program. Information on the lot/batch number has been requested. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673526
Sex: M
Age:
State: IL

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a Pfizer-sponsored program COVAX US SUPPORT. A contactable consumer (patient's wife) reported for a male patient (husband). A male patient of an unspecified age received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: UNKNOWN), via an unspecified route of administration on 10Feb2021 as dose 1, single for COVID-19 immunisation. The medical history and concomitant medications of the patient were not reported. The patient experienced sore at the injection site on an unspecified date. The reporter would like to know if she can take Tylenol or Naproxen. The outcome of the events was reported as unknown. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1673528
Sex: F
Age:
State: MA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 09/04/2021
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: This is a spontaneous report from a contactable consumer (patient). A 38-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: EL3247) via an unspecified route of administration (age at the time of vaccination was 38 years and non-pregnant at the time of vaccination) on 17Feb2021 09: 15 AM in left arm as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history was none. Concomitant medication was not reported. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: EL3247), via an unspecified route of administration (age at the time of vaccination was 38 years and non-pregnant at the time of vaccination) on 27Jan2021 09: 00 AM in left arm as DOSE 1, SINGLE for COVID-19 immunisation. There were no other vaccine in four weeks. There were no other medications in two weeks. There was no covid prior vaccination. Not tested for COVID post vaccination. There were no known allergies. On 17Feb2021 at 08:00 PM, the patient had chills, fever, body aches, headaches and soreness of arm. The patient did not receive any treatment for the events. The outcome of the events was reported as recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am