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: 1674280
Sex: M
Age:
State: FL

Vax Date: 04/26/2021
Onset Date: 05/01/2021
Rec V Date: 09/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Shingles rash; This is a spontaneous report from a contactable other healthcare professional, the patient. A 46-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8731) via an unspecified route of administration in the left arm on 26Apr2021 at 13:15 (at the age of 46-year-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to vaccination. Concomitant medications were not reported. On 01May2021 at 11:00, 5 days post vaccine, the patient had experienced shingles rash. The event had resulted in doctors or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were taken as a result of event which included treatment with valacyclovir (MANUFACTURER UNKNOWN). The clinical outcome of the event shingles rash was recovering at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674281
Sex: M
Age:
State: OR

Vax Date: 05/10/2021
Onset Date: 05/11/2021
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: Feeling of fluid in left ear; This is a spontaneous report from a contactable consumer, the patient. A 38-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0182) via an unspecified route of administration in the right arm on 10May2021 at 08:45 (at the age of 38-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient previously received tetracycline (MANUFACTURER UNKNOWN) on an unspecified date for an unknown indication and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient received unspecified medications within two weeks of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0158) via an unspecified route of administration in the left arm on 12Apr2021 at 08:45 (at the age of 38-year-old) as a single dose for COVID-19 immunisation. On 11May2021 at 07:00, morning after receiving the second vaccine, the patient felt fluid in left ear which had continued to persist for a second day, even though the patient tried sleeping on left ear to help it to drain. The patient did not have the feeling of fluid in his ears for as long as he could remember. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the event. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the event felt fluid in left ear which was continued to persist for a second day was not recovered at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1674282
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: His wife and him were not feeling so good, due to allergies; This is a spontaneous report from a contactable consumer or other non hcp. A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch Number/Lot Number: Not reported), via an unspecified route of administration on an unspecified date (at the age of 49-Year-old) as dose 1, single for COVID-19 immunization. The second dose was rescheduled to be given after 5 weeks instead of 3. The patient medical history and concomitant medications were not reported. The patient experienced not feeling so good, due to allergies on an unspecified date. Patient husband would like to know if the vaccine would be as effective if it was not given at 3 weeks. The outcome of the event was reported as unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021535334 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1674283
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 05/12/2021
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: Fever; Chills; Joint pain; Muscle aches; tiredness; This is a spontaneous report from a contactable nurse. A 21-year-old female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0193) via an unspecified route of administration in the left arm on an unknown date (at the age of 21-years-old) as a single dose for COVID-19 immunisation. The patient was allergic to penicillin. It was unknown whether the patient was pregnant at the time of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161) via an unspecified route of administration in the left arm on an 20Apr2021 at 16:30 (at the age of 21-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 12May2021 at 00:00, the patient experienced fever, chills, joint pain, muscle aches and tiredness with the second dose. The patient reported to have experienced no symptoms with the first dose. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the reported events. The clinical outcomes of the events ever, chills, joint pain, muscle aches and tiredness were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674284
Sex: F
Age:
State: ID

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: itching on torso for 3 weeks now; This is a spontaneous report from a contactable consumer, the patient. A 66-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0164) via an unspecified route of administration in the right arm on 14Apr2021 at 09:30 (at the age of 66-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient received other medications within two weeks of COVID-19 vaccine, names were unspecified. The patient previously took acetylsalicylic acid (ASPIRIN) from an unknown date for an unspecified indication and experienced drug allergy. On 14Apr2021, the patient experienced "itching on torso for 3 weeks now". The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event "itching on torso for 3 weeks now" was not recovered at the time of this report. The patient also received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0175) via an unspecified route of administration in the right arm on 05May2021 at 09:30 (at the age of 66-years-old) as a single dose for COVID-19 immunisation. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674285
Sex: F
Age:
State: SC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
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: Enlarged lymph glands under left arm; This is a spontaneous report from a contactable consumer, the patient. A 69-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN2600) via an unspecified route of administration in the left arm on 16Feb2021 at 15:00 (at the age of 69-year-old) as a single dose for COVID-19 immunisation. Medical history included breast cancer, hypothyroidism, cardiovascular disease and asthma. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included fluticasone propionate (FLOVENT HFA), levothyroxine (MANUFACTURER UNKNOWN), hydrochlorothiazide (THIAZIDE) and me (MANUFACTURER UNKNOWN), all from unknown dates for unknown indications and unknown if ongoing. The patient previously took amoxicillin; clavulanic acid (AUGMENTIN) on an unknown date for unknown indication and experienced drug allergy and received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3249) via an unspecified route of administration in the left arm on 26Jan2021 at 12:15 (at the age of 69-year-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 17Feb2021, the patient experienced enlarged lymph glands under left arm. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for enlarged lymph glands under left arm. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event enlarged lymph glands under left arm was recovered on an unknown date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: FLOVENT HFA; LEVOTHYROXINE; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1674286
Sex: F
Age:
State: SC

Vax Date: 05/10/2021
Onset Date: 05/11/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Low fever; Swollen lymph nodes under left arm and left clavicle; This is a spontaneous report from a contactable consumer, the patient. A 43-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0170) via an unspecified route of administration in the left arm on 10May2021 at 12:00 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. The patient had no relevant medical history. It was unknown whether the patient had any known allergies to medications, food or other products. Concomitant medications included hydroxyzine (MANUFACTURER UNKNOWN), unspecified medication for birth control (MANUFACTURER UNKNOWN), vitamins (MANUFACTURER UNKNOWN) and probiotics (MANUFACTURER UNKNOWN). The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0161) via an unspecified route of administration in the left arm on 19Apr2021 at 12:00 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 11May2021 at 20:00, the patient experienced low fever and swollen lymph nodes under left arm and left clavicle. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events low fever and swollen lymph nodes under left arm and left clavicle were not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: HYDROXYZINE

Current Illness:

ID: 1674287
Sex: M
Age:
State: NY

Vax Date: 05/11/2021
Onset Date: 05/12/2021
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: Body aches; Fever; Chills; Pain at injection site; This is a spontaneous report from a contactable consumer, the patient. A 39-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 11May2021 at 17:15 (at the age of 39-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19 on an unknown date. The patient had unspecified allergies. Concomitant medications included acetylsalicylic acid (BABY ASPIRIN) and omeprazole (MANUFACTURER UNKNOWN), both taken for unspecified indications from unknown dates. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 12May2021 at 11:30, the patient experienced body aches, fever, chills and pain at injection site. The events did not result in doctor or other healthcare professional office or clinic visit, and emergency room or department or urgent care. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events body aches, fever, chills and pain at injection site were not resolved at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: BABY ASPIRIN; OMEPRAZOLE

Current Illness:

ID: 1674288
Sex: M
Age:
State: CT

Vax Date: 05/11/2021
Onset Date: 05/12/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Congestion; Flush; Low grade fever; Headache; Upset stomach; Dizzy - comes and goes; Fatigue; This is a spontaneous report from a contactable consumer, the patient. A 37-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 11May2021 at 13:15 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no allergy to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included sertraline (MANUFACTURER UNKNOWN) on an unknown date, for an unknown indication and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 16Apr2021 at 09:30 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 12May2021 at 00:00, the patient experienced congestion, flush, low grade fever, headache, upset stomach, dizzy that comes and goes and fatigue. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the reported events. The clinical outcome of the events congestion, flush, low grade fever, headache, upset stomach, dizzy - comes and goes and fatigue were not resolved at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: SERTRALINE

Current Illness:

ID: 1674289
Sex: M
Age:
State: HI

Vax Date: 05/05/2021
Onset Date: 05/05/2021
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:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Intense aching in left testicle that began within an hour of receiving dose 2 of the vaccine; body aches; lethargy; headache; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0179) via an unspecified route of administration in the left arm on 05May2021 at 15:15 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. The patient had no past medical history. The patient had no known allergies to medications, food or other products. Concomitant medications included Calcium/magnesium/zinc supplements and cannabis sativa (CANNABIS); all taken for unknown indication from an unknown date and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0164) via an unspecified route of administration in the left arm on 14Apr2021 at 15:15 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 05May2021 at 16:30, the patient experienced intense aching in left testicle that began within an hour of receiving dose 2 of the vaccine and lasted for roughly three days, The intensity of the pain fluctuated from 3/10 to 7/10, coming and going throughout the day, decreasing in frequency until it all but ceased on day 4. Since then he has had reoccurrences of the pain; however, they were momentary and few and far between maybe once or twice a day. His other side effects were normal headache, body aches and lethargy. The occurrences of testicular pain decreased alongside his other symptoms. The patient did not seek care because the experience seemed to correlate with the vaccine, and he thought it wise to wait it out. He did not or was not aware of having a pre-existing condition or testicular illness. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events reported. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events intense aching in left testicle that began within an hour of receiving dose 2 of the vaccine, body aches, lethargy and headache was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: CANNABIS

Current Illness:

ID: 1674290
Sex: F
Age:
State: WA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: The lymph nodes in left armpit and surrounding areas became swollen, achy, and tender to the touch; The lymph nodes in left armpit and surrounding areas became swollen, achy, and tender to the touch; This is a spontaneous report from a contactable consumer, the patient. A 37-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0173) via an unspecified route of administration in the left arm on 05May2021 at 12:00 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. Medical history included obesity (body mass index (BMI) was 35). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medication included spironolactone (MANUFACTURER UNKNOWN) for an unknown indication from an unknown date. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EW0164) via an unspecified route of administration in the left arm on 14Apr2021 at 11:00 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. On 06May2021 at 23:45, roughly 36 hours after the second dose of vaccination (roughly midnight on Thursday, 06May2021), the patient's lymph nodes in her left armpit and surrounding areas became swollen, achy and tender to the touch. The swollen area included the entire armpit and upper portion of the bicep. It was reported that the swelling did not began to decrease for over 48 hours after it began (until Sunday, 09May2021). It was reported that even once swelling reduced, the area was tender to the touch for several more days. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the reported events. The clinical outcome of the events the lymph nodes in left armpit and surrounding areas became swollen, achy, and tender to the touch was resolved on an unknown date in May2021. No follow-up attempts are needed. No further information is expected.

Other Meds: SPIRONOLACTONE

Current Illness:

ID: 1674291
Sex: M
Age:
State: NY

Vax Date: 03/20/2021
Onset Date: 05/10/2021
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: Test Date: 20210401; Test Name: Rapid test pcr; Test Result: Negative ; Comments: Nasal Swab

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Developed shingles; This is a spontaneous report from a contactable consumer, the patient. A 43-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8730; EP7533) via an unspecified route of administration in the left arm on 20Mar2021 at 13:15 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. Medical history included celiac disease. The patient was allergic to gluten. The patient did not receive any concomitant medications. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: Unknown) via an unspecified route of administration in the left arm on an unknown date as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 10May2021 at 14:30, the patient developed shingles. The event resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had been tested for COVID-19. On 01Apr2021, the patient underwent rapid PCR test (nasal swab) for COVID-19 and the result was negative. Therapeutic measures were taken as a result of shingles and included treatment with unspecified medication. The clinical outcome of the event developed shingles was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674292
Sex: M
Age:
State: AL

Vax Date: 04/16/2021
Onset Date: 04/17/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Cold like symptoms; Small welts show up; Very itching; This is a spontaneous report from a contactable consumer, the patient. A 43-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8737) via an unspecified route of administration in the right arm on 16Apr2021 at 10:30 (at the age of 43-years-old) and received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6204) via an unspecified route of administration in the left arm on 07May2021 at 10:30 (at the age of 43-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 17Apr2021, the next day, after the first shot, the patient had cold like symptoms showed up, lasted 2 days and after that on an unknown date in 2021, small welts showed up and felt very itching. The same thing happened after the second shot. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of reported events. The clinical outcome of the events cold like symptoms, small welts show up and very itching were unknown at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674293
Sex: M
Age:
State: MN

Vax Date: 05/09/2021
Onset Date: 05/10/2021
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: Iritis right eye; right eye very red; Irititus - right eye very red, swollen; Blurred vision; Irititus - right eye very red, swollen, blurred vision, painful; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0182) via an unspecified route of administration in the left arm on 09May2021 at 14:30 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19. The patient had no known allergies. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient previously took first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0169) via an unspecified route of administration in the right arm on 16Apr2021 at 10:00 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. On 10May2021 at 07:30, the patient experienced iritis - right eye very red, swollen, blurred vision, painful. The events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of the events and included treatment with medications (Names unspecified). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events iritis - right eye very red, swollen, blurred vision, painful was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674294
Sex: F
Age:
State: IA

Vax Date:
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Skin peeling; Rash all on chest, back and face; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on an unknown date in 2021 as a single dose for COVID-19 immunisation and the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) in the left arm on 27Apr2021 at 14:45 (at the age of 20-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications included lisdexamfetamine mesilate (VYVANSE) and ibuprofen (MANUFACTURER UNKNOWN) for an unknown indication received within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19.Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in 2021 the patient had rash all on chest, back and face, following with skin peeling. The events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures were taken as a result of rash and skin peeling. The clinical outcome of the events rash all on chest, back and face and skin peeling were recovering at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: VYVANSE; IBUPROFEN

Current Illness:

ID: 1674295
Sex: F
Age:
State: TN

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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: Mild fever; Body aches; Lethargic; This is a spontaneous report from a non-contactable consumer, the patient. A 37-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ew0175) via an unspecified route of administration in the right arm on 01May2021 at 12:30 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. The patient previously had walnuts and experienced allergy to nuts and also grapes and experienced fruit allergy. The patient previously had penicillin for unknown indication on unknown date and experienced penicillin allergy. The patient previously took codeine (MANUFACTURER UNKNOWN) on unknown date for unknown indication and experienced drug allergy. Concomitant medications taken within two weeks of vaccination included atenolol (MANUFACTURER UNKNOWN), famotidine (PEPCID), loratadine (CLARITIN) and iron (MANUFACTURER UNKNOWN); all from unknown date for unknown indication. The patient previously took the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ewo151) via an unspecified route of administration in the right arm on 10Apr2021 at 12:00 (at the age of 37-years-old) as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01May2021 at 18:30, the patient experienced mild fever, body aches, lethargic. Therapeutic measures were not taken as a result of the events. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The clinical outcome of the events mild fever, body aches, lethargic was resolved on an unknown date in May2021. No follow-up attempts are possible. No further information is expected.

Other Meds: ATENOLOL; PEPCID [FAMOTIDINE]; CLARITIN [LORATADINE]; IRON

Current Illness:

ID: 1674296
Sex: F
Age: 74
State: CA

Vax Date: 09/01/2021
Onset Date: 09/03/2021
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: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1674297
Sex: M
Age:
State: OH

Vax Date: 04/26/2021
Onset Date: 04/27/2021
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: Nausea; Vomiting; Headache; Body ache; Exhaustion; Mood swing; This is a spontaneous report from a contactable consumer, the patient. A 29-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 26Apr2021 at 20:00 (at the age of 29-years-old), as a single dose for COVID-19 immunisation. Medical history included chronic sinus infection. The patient had unspecified known allergies to medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not take any concomitant medications. On 27Apr2021 at 00:00, the patient experienced nausea, vomiting, headache, body ache, exhaustion and mood swing that just keep going two weeks later (at the time of report). The event resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the event nausea, vomiting, headache, body ache, exhaustion and mood swing was resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1674298
Sex: F
Age: 33
State: NH

Vax Date: 07/06/2021
Onset Date: 07/07/2021
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: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Nausea-Medium

Other Meds:

Current Illness:

ID: 1674299
Sex: F
Age: 50
State: ID

Vax Date: 03/15/2021
Onset Date: 08/19/2021
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: Positive covid 8/26/2021

Allergies: Codeine, latex tape, penicillin,

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

Symptoms: I am immune compromised and contracted delta. I have been off work at home isolated. Fever, cough, headache, diarrhea, vomiting

Other Meds: Ocrevus infusion for Multiple sclerosis. Nebulizer, pro air inhalers. STEROID IN HALER.

Current Illness: Secondary progressive MS. CARDIAC, COPD

ID: 1674300
Sex: F
Age: 38
State: IL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Confusion-Medium, Systemic: Hyperventilation-Medium

Other Meds:

Current Illness:

ID: 1674302
Sex: M
Age: 41
State: TX

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: Site: Pain at Injection Site-Medium, Additional Details: pt has had arm soreness that started at injection site, but has now travelled to elbow area for four weeks following first dose. Describes it as "bone pain"

Other Meds:

Current Illness:

ID: 1674303
Sex: M
Age: 63
State: MD

Vax Date: 08/30/2021
Onset Date: 08/30/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: Systemic: Lymph Node Swelling-Medium

Other Meds:

Current Illness:

ID: 1674304
Sex: F
Age: 13
State: CT

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Pt reported her upper arm was numb and unable to move it. She was able to move her fingers. She reported numbness as well as pins and needle feelings around the injection site / upper arm area.

Other Meds:

Current Illness:

ID: 1674305
Sex: F
Age: 25
State: AL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Additional Details: throat became red. redness dissipated after epi pen given

Other Meds:

Current Illness:

ID: 1674306
Sex: M
Age: 57
State: CA

Vax Date: 06/08/2021
Onset Date: 07/31/2021
Rec V Date: 09/04/2021
Hospital: Y

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: Systemic: Cardiac Disorder (diagnosed by MD)-Severe

Other Meds:

Current Illness:

ID: 1674307
Sex: M
Age:
State: MD

Vax Date: 04/24/2021
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash in the entire arm where the injection was given; Itching/Also had itching on legs; This is a spontaneous report from a non-contactable consumer, the patient. A 17-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 24Apr2021 at 13:15 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient previously took ibuprofen(MOTRIN) and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medications within two weeks of the vaccination. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On an unknown date in 2021, the patient experienced itching and rash in the entire arm where the injection was given. This lasted 5 days, very itchy, itching on legs but no rash there. Since the vaccination, the patient had not been tested for COVID-19. The events did not result in doctor or other healthcare professional office/clinic, emergency room/department or urgent care. No therapeutic measures were taken as a result of the reported events. The clinical outcome of the event rash was recovered on an unknown date in 2021 and the clinical outcome of the event itching was resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds:

Current Illness:

ID: 1674308
Sex: F
Age: 15
State: FL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient fainted at observation area

Other Meds:

Current Illness:

ID: 1674309
Sex: F
Age: 72
State: FL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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:

Allergies:

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

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1674310
Sex: F
Age: 50
State: MA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Systemic: Numbness (specify: facial area, extremities)-Mild, Additional Details: Patient stated she was having numbness (pins and needles sensation) through arm and fingers during the 15 minute observation period. No other symptoms or presentation of allergy. No shortness of breath or anaphylactic like reaction.

Other Meds:

Current Illness:

ID: 1674311
Sex: F
Age: 39
State: PA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Injection site pain

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium

Other Meds:

Current Illness:

ID: 1674312
Sex: F
Age: 60
State: RI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1674313
Sex: F
Age: 57
State: MA

Vax Date: 09/02/2021
Onset Date: 09/03/2021
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:

Allergies: Pro-Banthine

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

Symptoms: Beginning 27 hours after vaccination, Chills and fever of 101* even while taking acetaminophen . Headache and sore neck. Golf ball sized welt at vaccination site

Other Meds: Wellbutrin, transdermal estradiol

Current Illness: None

ID: 1674314
Sex: U
Age: 47
State: PA

Vax Date: 08/26/2021
Onset Date: 08/27/2021
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: check for clots

Allergies: zero

Symptom List: Tremor

Symptoms: like sizure and a heart attack with numbnes and tingling as the first symptom then sick for following 2 days. 3rd day barely walk short of breath dizziness pain in back of neck lathargic ,major sweats followed by cold.5th daythrough7th major back pain lathergic realy weak still short of breath not as bad. 8th day weak cold sweats still dripping

Other Meds: zero

Current Illness: zero

ID: 1674315
Sex: F
Age: 17
State: TX

Vax Date: 09/02/2021
Onset Date: 09/02/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1674316
Sex: M
Age: 33
State: VA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: Error: Booster Given Too Early-

Other Meds:

Current Illness:

ID: 1674317
Sex: M
Age: 17
State: GA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Systemic: Seizure-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: HE SEIZED WHILE WAITING. HE FELL DOWN THE CHAIR AND HIT HIS HEAD. THERE WAS A LACERATION ABOVE HIS RIGHT EYEBROW. HE SAT DOWN ON A CHAIR ABOUT 15 MIN AFTER SEIZING AND PROCEEDED TO VOMIT IN A BAG. CONCERNED, HIS PARENTS DECIDED TO TAKE HIM TO ER.

Other Meds:

Current Illness:

ID: 1674318
Sex: F
Age:
State: FL

Vax Date: 05/11/2021
Onset Date: 05/11/2021
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: Dizziness/ light-headed; Confusion; Numbness in hands; Muscle spasms in right leg calf/ almost cramping muscle pain in arms, shoulders, neck and legs; Very scary; Chills; Continued muscle pain full body through night; Red injection site; Sore injection site; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EWO171) via an unspecified route of administration in the left arm on 11May2021 at 16:00 (at the age of 49-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient had no known allergies to medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any medications within two weeks prior to the COVID-19 vaccination. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccination. On 11May2021 at 16:15, about 25 minutes after the injection (as reported), the patient experienced dizziness, lightheaded, confusion, numbness in hands, muscle spasms in right leg calf, almost cramping muscle pain in arms, shoulders, neck and legs. The patient reported that it was very scary and she had chills and continued muscle pain in full body through the night. She also experienced a red sore injection site. The patient was not sure if she should receive second dose. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events dizziness, light-headed, confusion, numbness in hands, muscle spasms in right leg calf, almost cramping muscle pain in arms, shoulders, neck and legs, very scary, chills, muscle pain in full body and red sore injection site were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674319
Sex: F
Age: 23
State: VA

Vax Date: 09/03/2021
Onset Date: 09/04/2021
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: N/a

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

Symptoms: Woke up around 12:30 am feeling body aches, couldn?t go back to sleep, started rigoring, took temp of 100.2 . Took Tylenol before I went to sleep around 9:00 pm and then again at 3:00 am - started sweating and got a couple more hours of sleep. Woke up freezing again with a headache

Other Meds: N/a

Current Illness: N/a

ID: 1674320
Sex: M
Age: 19
State: MA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
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:

Allergies:

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

Symptoms: Error: Booster Given Too Early-

Other Meds:

Current Illness:

ID: 1674321
Sex: F
Age: 28
State: UT

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Pain in extremity

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: she was very anxious and got dizzy after the vaccine. she said it almost felt like a panic attack. had her sit on the floor, she had water and granola bar and started feeling better pretty quickly. after about 30 minutes she was a lot better and felt fine and then left with her friend.

Other Meds:

Current Illness:

ID: 1674322
Sex: F
Age: 17
State: IL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Called paramedics Patient taken to hospital--was told it was vagal response to vaccination

Other Meds:

Current Illness:

ID: 1674323
Sex: M
Age: 24
State: MA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Site: Pain at Injection Site-Medium, Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium

Other Meds:

Current Illness:

ID: 1674324
Sex: F
Age: 17
State: NJ

Vax Date: 08/02/2021
Onset Date: 08/02/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1674325
Sex: M
Age: 61
State: NY

Vax Date: 04/14/2021
Onset Date: 04/20/2021
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: ENT earing teat-Hearing is good-Audiologist has me listening to pink noise-Saw ENT May and Audiologist in June-Was told it was from inflammation from. shot

Allergies: Gluten

Symptom List: Vomiting

Symptoms: Ringing in both ears.Supplements-Acupuncture-Chiropractor-have ringing in both ears now for 5 months after 2nd shot which was 4/14/21-Audiologist

Other Meds: Crestor-Clonazepam-Vitamin D-B-CBD

Current Illness: None

ID: 1674326
Sex: M
Age: 17
State: FL

Vax Date: 09/01/2021
Onset Date: 09/03/2021
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: PCN as a baby

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: He developed severe headache and fatigue on day 1 then by day 2 he was reporting stabling chest pain but no SOB. I have been treating him with ibuprofen 800mg q 4-6 hours, vitamins and fluids. At the time of this report I have not taken him in for any tests.

Other Meds: Vit C Zinc Vit D

Current Illness: None

ID: 1674327
Sex: F
Age:
State: CT

Vax Date: 05/01/2021
Onset Date: 05/10/2021
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:

Allergies:

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

Symptoms: Began experiencing chills; Began experiencing fever; Muscle pain in back; Joint pain in back; Very weak; Tired; This is a spontaneous report from a contactable consumer. An 18-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an intramuscular route of administration in the left arm on an unknown date in May2021 (at the age of 18-years-old) as a single dose for COVID-19 immunisation. The patients' medical history included unspecified allergies to medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient received unspecified medications which were unknown within two weeks prior to the COVID-19 vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an intramuscular route of administration in the right arm on an unknown date in Apr2021 (at the age of 18-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccination. On 10May2021, roughly 12 hours after the second dose, the patient experienced chills, fever, muscle joint pain in the back and felt very weak and tired. The patient took a hot bath and ibuprofen (ADVIL) and fell asleep. The patient reported that the symptoms resolved within four hours of onset. The adverse events did not result in a visit to the doctors or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of events and included treatment with hot bath and ibuprofen (ADVIL). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome for the events fever, chills, muscle pain in back, joint pain in back, very weak and tired were resolved on an unspecified date in May2021. No follow-up attempts are possible; information about lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1674328
Sex: F
Age:
State: FL

Vax Date: 04/02/2021
Onset Date: 04/01/2021
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: Cold sore; Tinnitus-bilateral; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7533) via an unspecified route of administration in the left arm on 02Apr2021 at 18:00 (at the age of 40-years-old) and the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8735) via an unspecified route of administration in the left arm on 23Apr2021 at 11:00 (at the age of 40-years-old) as a single dose for COVID-19 immunisation. Medical history included sarcoidosis and Premature Ventricular Contractions (PVCs). Concomitant medications included verapamil (MANUFACTURER UNKNOWN). The patient previously took atenolol (MANUFACTURER UNKNOWN) and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in Apr2021, after first dose of vaccination, the patient had bilateral tinnitus and cold sore broke out. On 28Apr2021 at 04:00, after second dose of vaccination, the patient had bilateral tinnitus and cold sore broke out. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of bilateral tinnitus and cold sore which included treatment with prednisone and a hearing test. The clinical outcome of the event bilateral tinnitus and cold sore was not resolved at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds: VERAPAMIL

Current Illness:

ID: 1674329
Sex: M
Age:
State: IL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Tiredness; Chills; Headache; Feeling unwell; This is a spontaneous report from a contactable consumer, the patient. A 63-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0179) via an unspecified route of administration in the left arm on 08May2021 at 09:45 (at the age of 63-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0169) via an unspecified route of administration in the left arm on 20Apr2021 at 15:30, as a single dose for COVID-19 immunisation. On 08May2021 at 23:00, the patient experienced tiredness, chills, headache and felt unwell. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events tiredness, chills, headache and felt unwell was recovered on an unknown date in May2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1674330
Sex: F
Age:
State: IL

Vax Date: 04/30/2021
Onset Date: 05/09/2021
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: Shingles on R side of back/side; This is a spontaneous report from a contactable consumer, the patient. A 44-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 30Apr2021 at 13:45 (at the age of 44-year-old) as a single dose for COVID-19 immunisation. The medical history included obesity. The patient's known allergies was reported as not applicable. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any medication within two weeks of vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 11Apr2021 at 15:00 (at the age of 44-year-old) as a single dose for COVID-19 immunisation. On 09May2021, the patient experienced shingles on R side of back/side. The adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient received antiviral medicine (unspecified) as treatment for the reported event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event shingles on R side of back/side was recovering at the time of this report. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am