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: 1684176
Sex: M
Age:
State: IL

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 09/09/2021
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: bilateral Facial swelling; eyes looked pretty swollen; This is a spontaneous report from a contactable pharmacist (patient's son). A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported), via an unspecified route of administration on 23Feb2021 at 13:40 (at the age of 78 years old) as dose 1, single for COVID-19 immunisation. Medical history included COVID-19 (positive by a COVID-19 Virus nasal swab test) from Nov2020 to an unknown date; coronary artery bypass and coronary arterial stent placement, MI (myocardial infarction) and stroke - all from an unknown date. The reporter clarified he was younger when the patient had either the MI (myocardial infarction) or stroke in the past, so he does not have any further information. The patient's concomitant medications were not reported. The patient has no history of all previous immunization with the Pfizer vaccine considered as suspect and did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 26Feb2021, the patient had facial swelling. The reporter clarified that the patient had bilateral facial swelling. The reporter had "face-timed" with the patient on the morning of the report and the patient's eyes looked pretty swollen, too. The reporter said that the patient had no itching nor shortness of breath. The events did not require visit to emergency room nor a physician office visit. The reporter believed that the patient may have self-medicated with a paracetamol (TYLENOL 500mg tablet) in response to the events. The patient did not recover from both events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684177
Sex: F
Age:
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Test Date: 20210224; Test Name: heart beat; Result Unstructured Data: Test Result:rapid

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: weakness; headache; chest pain; rapid heart beat; Chills; fever; swollen throat; body ache; This is a spontaneous report from a contactable other hcp. A 28-years-old female Non-Pregnant 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 24Feb2021 11:45 as dose 2, single dose for covid-19 immunisation.The patient medical history was not reported. Concomitant medication(s) included phentermine (PHENTERMINE).The patient was not pregnant at the time of vaccination. The patient had not known allergies. The patient did not receive any other vaccine in four weeks. Prior to vaccination patient was not diagnosed with COVID. Post vaccination patient did not test for COVID. Patient previously took first dose of bnt162b2 (BNT162B2, solution for injection), via an unspecified route of administration,(Batch/Lot Number was Not Reported) as single dose for covid-19 immunisationIt was Reported that, the patient experienced chills, fever, swollen throat, body ache, weakness, headache, chest pain on 24Feb2021, rapid heartbeat on 24Feb2021 23:00 with outcome of recovered with sequelae.The patient underwent lab tests and procedures which included heart rate: rapid on 24Feb2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: PHENTERMINE

Current Illness:

ID: 1684178
Sex: F
Age:
State: CT

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 09/09/2021
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: has a rash from her elbow to her wrist with little bumps that are itchy, also on her left arm; having trouble lifting left arm; This is a spontaneous report from a contactable consumer (patient) received from a Call Center. A 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in left arm on 24Feb2021 at 14:00 (Batch/Lot number was not reported) (at the age of 71-years-old) as dose 1, single for COVID-19 immunisation. The patient had no medical history. The patient had no concomitant medications. The patient experienced having trouble lifting left arm on 24Feb2021 and had a rash from her elbow to her wrist with little bumps that are itchy, also on her left arm on 26Feb2021. The outcome of events was recovering. No follow-up attempts are possible; information about batch/ lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684179
Sex: F
Age:
State: WI

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 09/09/2021
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: itching was worse; This is a spontaneous report from a contactable consumer (patient). A 70-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 23Feb2021 (Lot Number: EN6202) as dose 2, single for COVID-19 immunisation. Medical history included type 2 diabetes, hypertension, and osteoarthritis. The patient was not pregnant at the time of the events. Concomitant medications included topiramate, losartan, ibuprofen, propranolol, and vita. The patient previously took the first dose of BNT162B2 (Lot Number: EL0264) administered in the right arm on 01Feb2021 at 16:00 for COVID-19 immunisation and experienced systemic itching. On an unspecified date, the patient experienced itching was worse second time, but tolerable. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: TOPIRAMATE; LOSARTAN; IBUPROFEN; PROPRANOLOL

Current Illness:

ID: 1684180
Sex: F
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: Tongue swelling; flushed with rash right after vaccine; flushed with rash right after vaccine; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number and Expiration date were not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced tongue swelling and flushed with rash right after vaccine. It was reported that the patient took PREGNAZON after the vaccine and everything calmed but the ER physician that she saw told her to take the it again in the morning and the swelling returned. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684181
Sex: F
Age:
State: AL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/09/2021
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: hurting on her arm/ the hurting in her arm was the same arm she got her COVID vaccine, which was the left arm; tickle in her throat; cough; This is a spontaneous report from a Pfizer sponsored program, Support. A contactable consumer (patient) reported that a 76-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 25Feb2021, at 14:30 or 15:00 (as reported) (Lot Number: EN6205; at the age of 76 years old) as dose 2, single for COVID-19 immunisation. The patient stated that she knew she had some kind of heart problem but it did not bother her and an eye condition and she was not a very sickly person; she also had two blood clots that were found in the latter part of Nov2020. The patient also took three of the COVID tests over the past 2-3 months and those were negative. Concomitant medication included apixaban (ELIQUIS) taken for blood clots from Nov2020 and ongoing. She did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient previously received first dose of BNT162B2, via an unspecified route of administration, administered in the left arm on 04Feb2021 (Lot Number: EL9264; at the age of 76 years old) for COVID-19 immunisation and she felt absolutely nothing. On 25Feb2021, the patient experienced hurting on her arm, tickle in her throat, and cough after the shot. She stated that all of this started on 25Feb2021, about two hours after she took the injection. Once she took the shot, she waited 15 minutes to make sure she did not have a reaction and the reported events did not start until about two hours after she took the shot. She reported that she was up all night with her arm hurting and it still was hurting; the hurting in her arm was the same arm she got her COVID vaccine, which was the left arm, and it began hurting the same day she received her shot. She reported that the pain was just a thumping type of hurt when she moved her arm. On 25Feb2021, she also got a tickle in her throat after she got the shot. The tickle in her throat started and she coughed all night and in the morning. It was just something that tickled in her throat and made her cough and she did not know what was going on. She reported that the tickle in her throat was just irritating. The events did not result to a physician office or an emergency room visit. She did not have any treatment because the events just happened, but she stated that she would see a doctor if it were to continue for a few more days or weeks. The patient stated that apixaban did not do anything in terms of side effects while she took the COVID vaccine. At the time of report, the patient has not recovered form the events. No follow-up attempts are possible. No further information is expected.

Other Meds: ELIQUIS

Current Illness:

ID: 1684182
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: extremely fast heartbeat; Result Unstructured Data: Test Result:increased

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: slight swelling of throat; dizziness; extremely fast heartbeat; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date were not reported), via an unspecified route of administration on an unspecified date, as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced slight swelling of throat , dizziness, shortly after getting vaccine and extremely fast heartbeat, 15 hrs after receiving the vaccine, on an unspecified date. The patient underwent lab tests and procedures which included heart rate: increased on an unspecified date. The outcome of 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: 1684183
Sex: F
Age:
State: NY

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 09/09/2021
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: Mild fever and some fatigue; Mild fever and some fatigue; This is a spontaneous report from a contactable consumer (patient). A 28-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; lot number: EL3248), via an unspecified route of administration on 02Mar2021 at 11:00 (at the age of 28-years-old) at dose 1, single in the left arm for COVID-19 immunization. Medical history included asthma. Concomitant medications included sertraline hydrochloride (ZOLOFT) film-coated tablet and budesonide, formoterol fumarate (SYMBICORT) for asthma. The patient previously took cefaclor (CECLORE) and experienced drug allergy. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19, and since the vaccination, the patient has not been tested for COVID-19. The patient was vaccinated in a workplace clinic. On 02Mar2021, the patient experienced mild fever and some fatigue. No treatment was received for the events. Outcome of the events was recovered on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: ZOLOFT; SYMBICORT

Current Illness:

ID: 1684184
Sex: F
Age:
State: FL

Vax Date: 02/22/2021
Onset Date: 02/28/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:100; Comments: temp will go up to 100 and normally she runs 97.8; Test Date: 20210303; Test Name: Fever; Result Unstructured Data: Test Result:99.8; Comments: a fever of 99.8

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Coughing; Chills; Body aches; Muscle aches; Aches are in the shoulders and where the shot was; Feels a hard knot underneath her skin at the injection site; Fatigue; Losing her taste; Losing her smell; Congestion; Runny nose; Has so much phlegm; Eyes itch; Aching in between her eyes; She does not feel like she used to feel; Ears are a little clogged up; Arms also started hurting; Lower back started hurting; Fever; Nauseous; Headache; This is a spontaneous report from a contactable consumer. A 85-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot Number: EN6198), dose 1 via an unspecified route of administration, administered in Arm Left on 22Feb2021 13:00 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included allergy/ had a reaction with the Shingles vaccine five years ago. She took the first one from an unknown date and unknown if ongoing. She took the first one and her arm got really sore and she didn't feel good. Patient had Sinus headache with the allergies, she Said that it might be allergies, but she does not know from an unknown date and unknown if ongoing. There were no concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Consumer wants to know whether to take her 2nd dose of the vaccine or not since she experienced side effects after her 1st dose of the vaccine. The last three days she has been a little nauseous; with a headache; and there is the red tide, but it isn't bothering her; and a fever of 99.8. Mentions she ate cereal for breakfast and lunch, and she doesn't know what she will eat for supper. She gets the nausea with eating. She is wondering if her symptoms are normal and should she get the second dose. Clarified patient received the first dose of the Pfizer COVID 19 vaccine 22FEB2021 at 1300 in the left arm. She noticed the last three days she is a little nauseous and has a headache and a fever of 99.8. Clarified she is allergic to the red tide, but it isn't bother her right now. Last night when she got up from watching TV her back hurt and she thought she had pulled it. She thought she should do some exercises but then today she laid on the couch a while and it is fine. She is just wondering if she should just get over it or if she should get the second dose? Mentions she had a reaction with the Shingles vaccine five years ago. She took the first one and her arm got sore, and she didn't feel good. They thought she would be covered with just one shot so they told her not to get the next dose. She has no product or information to provide NDC, lot or expiration date for the Shingles vaccine she received. Adds she called her primary care physician to ask if she should get the shot and was told they are recommending it to all their patients. She is currently scheduled to receive the second dose on 15MAR2021. Caller said that she had coughing, fever, and chills. She said that just 2 nights ago she woke up and she was shaking she was so cold. This happens frequently every now and then and she gets a fever and chills. Her temp will go up to 100 and normally she runs 97.8. She said that she has body aches and muscle aches, and this has continued. Caller said that the aches are in the shoulders and where the shot was. She feels a hard knot underneath her skin at the injection site. She said that her knees and back will ache and then it will go away. Caller said that she also has fatigue, she is so fatigued. She said that she just feels like laying on the couch. Caller said that she also had a headache in the back of her head. She is not used to having headaches. She said that she will occasionally get a sinus headache with the allergies. Caller said that she has aching in between her eyes. She said that she keeps losing her taste. She typically eats all her dinner and she said that she is losing her taste and it really does not matter what she eats now. She said that she is also losing her smell. She said that she had chicken soup cooking the other day and she tried to smell it, but she could not smell it. Caller said that she has congestion and runny nose, and it is currently running to her mouth. She has a lot of phlegm in her eyes. Said that it might be allergies, but she does not know. She said that she does not feel like she used to feel. She has so much phlegm coming down from somewhere. Caller said that her eyes itch and sometimes after dinner she gets nauseous and feels like throwing up, but she is not throwing up. It is strong sometimes. Caller also said that her ears are a little clogged up. She has talked to a couple of people that have had the same side effects and they last for 6-8 weeks. She said that she has a son in law that works in the operating room and he had the Moderna vaccines and was fine with the first one, but with the second shot, he came down with a 104 fever for 4 weeks. He was extremely sick with the Moderna vaccine. He is fine now as far as they know. Caller said that she some people near her that had symptoms for 8 weeks. Caller declined safety report on the other people mentioned above. She said that a lot of people had stuff that bothered them. She said that there were 72 people that were vaccinated. The patient underwent lab tests and procedures which included pyrexia: temp will go up to 100 and normally she runs 97.8 on an unspecified date, pyrexia: 99.8 on 03Mar2021. The outcome of the events nauseous, headache, fever, muscle aches was not recovered, outcome of the event lower back started hurting was recovered and outcome for other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684185
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 09/09/2021
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: feels so sore today; This is a spontaneous report from a non-contactable consumer (patient) via Pfizer sales representative. A 39-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and expiration date were not reported), via an unspecified route of administration on 25Feb2021 as dose number unknown, single for COVID-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced felt "so sore" on 26Feb2021 (reported as today). The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684186
Sex: M
Age:
State: DE

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
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: Rash; Body aches; This is a spontaneous report from a non-contactable other healthcare professional (patient). A 62-year-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 25Feb2021 13:15, at the age of 62-years-old, (Batch/Lot number was not reported) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included rash (patient states that he gets a rash whenever he contracts a VIRUS), covid-19 from an unknown date (prior vaccination: yes). The patient's concomitant medications were not reported. On 27Feb2021 07:00, the patient experienced rash and body aches. The outcome of the events was recovered on 01Mar2021. The patient was not tested for COVID-19 post vaccination. No treatment was received for the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1684187
Sex: F
Age:
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
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: feeling swelling; pain in her neck at the right side of her body; This is a spontaneous report from a Pfizer sponsored program Support. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number, and Expiration date were not reported), via an unspecified route of administration on 26Feb2021, as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced feeling swelling and pain in her neck at the right side of her body on 27Feb2021. Patient wanted to know what she can do about it and if she should be concerned about the symptoms. The outcome of 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: 1684188
Sex: F
Age:
State:

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 09/09/2021
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: joint pain in left index finger; muscle stiffness in left shoulder; This is a spontaneous report from a non-contactable consumer (patient). A 46-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 09Feb2021 (at the age of 46-years-old) as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. The patient previously took amoxycillin and had known allergies. The patient experienced joint pain in left index finger and muscle stiffness in left shoulder on 22Feb2021. There was no treatment received for the events. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684189
Sex: M
Age:
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
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: swollen face; skin turning red; This is a spontaneous report from a Pfizer-sponsored Program. A contactable consumer reported that a male patient of an unspecified age received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration on 27Feb2021 (lot number was not reported) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced swollen face and the patient's skin was turning red after the first dose on 27Feb2021. 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: 1684190
Sex: M
Age:
State: PA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 09/09/2021
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: itching to both legs and back; This is a spontaneous report from a contactable physician via Self-Reporting. A 69-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular, administered in Arm Left on 16Feb2021 at 11:45 (lot number: EM9810; expiry date: unknown) at the age of 69-years-old, as dose 2, single for Covid-19 immunisation. Medical history included congestive heart failure (CHF), prostate cancer, and hypertension (HTN). The patient had no known allergies. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), for Covid-19 immunisation. The patient did not receive other vaccines within four weeks prior to COVID vaccination. The patient was not diagnosed with COVID prior vaccination. The patient has not been tested for COVID-19 since vaccination. On 16Feb2021, the patient experienced itching to both legs and back. The patient did not receive treatment for the event. Outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684191
Sex: F
Age:
State: CA

Vax Date: 02/08/2021
Onset Date:
Rec V Date: 09/09/2021
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: swelling in upper and low lips and right hand after second dose; swelling in upper and low lips and right hand after second dose; This is the spontaneous report from a contactable consumer (patient). A 39-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), via an unspecified route of administration, administered in the left arm, on 08Feb2021 (Batch/lot number: EL3302), at age 38 years old, as dose 2, single, for COVID-19 immunisation, at a workplace clinic. The patient was not pregnant at the time of vaccination. Relevant medical history included gastroesophageal reflux disease (GERD), obesity, temporomandibular joint (TMJ), cameron ulcers, hiatal hernia, and known allergies to sulfa, dust, and some roots, all from unknown dates, not reported if ongoing or not. The patient did not have COVID-19 prior to vaccination and was not tested for COVID-19 post vaccination. Concomitant medication included omeprazole taken for an unknown indication, start and stop dates not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), received via an unspecified route of administration, administered in the left arm, on 18Jan2021 08:30 (Batch/lot number: EL3302), at age 38 years old, as dose 1, single for COVID-19 immunisation after which the patient experienced swelling in lower lip. The patient did not receive any other vaccine in four weeks. On an unspecified date, the patient experienced swelling in upper and low lips and right hand after the second dose. The events resulted to physician's office visit. Treatment included BENADRYL which did not help and prednisone which helped. The patient recovered from the events on an unspecified date. No follow-up attempts are needed. No further information is expected.

Other Meds: OMEPRAZOLE

Current Illness:

ID: 1684192
Sex: M
Age:
State: AL

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

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

Lab Data: Test Name: sugar; Result Unstructured Data: Test Result:went up and down

Allergies:

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

Symptoms: fever; sugar went up and down; This is a spontaneous report from a contactable consumer (patient's wife) received via a Pfizer-sponsored program, Pfizer Patient Assistance and Savings Program. A 68-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on an unspecified date (Batch/Lot number was not reported) (at the age of 68 years old) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced fever and his sugar went up and down. The patient underwent lab tests and procedures which included sugar (blood glucose): went up and down, on an unspecified date. The outcome of 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: 1684193
Sex: M
Age:
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/09/2021
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: underarm swelled; felt pain in the arm; This is a spontaneous report from a contactable consumer (patient's wife) via a Pfizer-sponsored program. A male patient (husband) of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 25Feb2021 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient received the first dose of the vaccine on 25Feb2021 (Thursday). After receiving the vaccine on 25Feb2021, the patient felt pain in the arm. The following day on 26Feb2021, the patient's underarm swelled. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1684194
Sex: U
Age:
State: FL

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 09/09/2021
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: Itchy; It is really turned red; I got irritated and itchy; really turned red; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration on 14Feb2021 (Batch/Lot number was not reported) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 14Feb2021, from CDC or an organization, patient got the shot and it was done by Pfizer. Patient was fine all week and the following Sunday, the 23Feb2021, patient stated that it was getting really itchy and it really turned red. So, patient called the primary doctor and went there and the nurse practitioner took a magic marker and circled it and said, let us see if it gets any bigger and that did. So, patient still have the red mark and doesn't know what to use on it, it is not a exactly mark, it is a little saucer like a small circle like the size of cantaloupe and while the doctor chose to give Benadryl but it didn't work. So, then he gave me a hydro cream, it got the hydrocortisone in it (treatment). Patient tried the Benadryl first but couldn't mix the Benadryl with the allergy tablet that physician gave the patient. So, patient still got it and wanted to know if it was normal. Following that, patient got irritated and itchy. The outcome of the event 'really turned red' was not recovered; while for the other events, it 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: 1684195
Sex: M
Age:
State: NV

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

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

Lab Data:

Allergies:

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

Symptoms: rashes on the armpit; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a male patient of an unspecified age received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration on an unspecified date (lot number was not reported) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had some reactions like rashes on the armpit after the 1st dose of the vaccine on an unknown date. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684196
Sex: M
Age:
State: OH

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 09/09/2021
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: Loss of taste; This is a spontaneous report from a contactable consumer (patient) through a -sponsored program, SUPPORT. A male patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Feb2021 as dose 2, single, with route of administration unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on an unspecified date for COVID-19 immunization. On 28Feb2021, the patient had loss of taste. The outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684197
Sex: F
Age:
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Test Date: 20210228; Test Name: Fever; Result Unstructured Data: Test Result:pretty high fever of 101

Allergies:

Symptom List: Unevaluable event

Symptoms: swollen shoulder part; Pretty high fever of 101; Feeling bad; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on 27Feb2021 (Batch/Lot number was not reported) as dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On Saturday night of 27Feb2021, the patient started feeling bad. On Sunday morning of 28Feb2021, the patient woke up with a pretty high fever of 101. She felt bad all day. The patient woke up the morning of 01Mar2021, and the fever was gone. The patient's shoulder part below the neck and closer to the base, between her neck and arm was now swollen (on the same side where she received the COVID vaccine). The patient wanted to make sure this was normal. The patient underwent lab tests and procedures on 28Feb2021, which included fever: pretty high fever of 101. The patient recovered from pretty high fever of 101 on 01Mar2021. The outcome for the rest 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: 1684198
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 09/09/2021
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: Coughing up blood; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection), via an unspecified route of administration, on 25Feb2021 (Batch/lot number not reported), as dose number unknown, single, for COVID-19 immunisation. Relevant medical history was not reported. There were no concomitant medications (the reporter was refraining from giving the patient some of the patient's medications). On 25Feb2021 (Thursday), the patient received Pfizer COVID-19 Vaccine and did not have any problems. On 28Feb2021, the patient was coughing up blood. This only happened twice. The reporter was wondering if there was something the patient should do. The reporter looked up the fact sheet and didn't see coughing up blood as one of the side effects. The reporter was a little confused. The reporter was not looking for a treatment plan. The reporter was refraining from giving the patient some of the patient's medications because the reporter does not know how it will interact or if it was related to the vaccine. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684199
Sex: F
Age:
State: WA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Test Date: 20200626; Test Name: Platelet count; Result Unstructured Data: Test Result:143; Comments: Low

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Nasal drainage; coughing; tight chest; nose bleed from left side of nose; chest pain; This is a spontaneous report from a contactable Consumer (patient). A 61-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN6198), via an unspecified route of administration, administrated in Left arm on 04Mar2021 10:45 (age at the time of vaccination 61-years-old), as a single dose for COVID-19 immunization. The patient's medical history included blood platelets tend to be low, when last tested 26Jun2020 it was 143 (x10E3/uL); and on 11Feb2021, patient took Hepatitis A, and hepatitis B vaccine, dose number 3, on Left arm. The patient's concomitant medications were not reported. Patient had no known allergies. On 05Mar2021 10:15, the patient experienced Nasal drainage, coughing, tight chest, nose bleed from left side of nose, and chest pain. On 26Jun2020, the patient underwent lab tests and procedures which included Platelet count: 143, low. No treatment was received. No covid prior vaccination. No covid tested post vaccination. The outcome for all the events was recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684200
Sex: F
Age:
State: IL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/09/2021
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: knee pain; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration on 01Mar2021 (lot number was not reported) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient needs to take Tylenol for knee pain on 01Mar2021. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684201
Sex: F
Age:
State: TN

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 09/09/2021
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: Sore throat; Swelling; This is a spontaneous report from a contactable consumer patient via the Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection), via an unspecified route of administration on 27Feb2021 (lot number was not reported) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 01Mar2021, the patient experienced sore throat and swelling. 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: 1684202
Sex: F
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: extreme skin rashes; This is a spontaneous report from a Pfizer-sponsored program via a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose on 05Feb2021 (lot number and expiry date not reported), then second dose on an unspecified date (lot number and expiry date not reported), both via unspecified routes of administration at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that she already had the first and second dose. She developed extreme skin rashes after the first dose on an unspecified date and until the time of reporting. She said the rashes started on her arm even now on her back and thigh. Patient was asking what medication will be able to recommend to her. Outcome of extreme skin rashes was not recovered at the time of the report. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds:

Current Illness:

ID: 1684203
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: severe pain in her upper stomach/stomach cramp and was puking; stomach cramp and was puking; diarrhea every 15 minutes; This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient) reported for herself that. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On unknown date patient received 1st shot of the vaccine and 2nd shot is due on Saturday. She experienced a stomach cramp and was puking. She added that she had severe pain in her upper stomach. She is also experiencing diarrhea every 15 minutes. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1684204
Sex: F
Age:
State: CT

Vax Date: 02/26/2021
Onset Date:
Rec V Date: 09/09/2021
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: severe pain on her right side of her shoulder; This is a spontaneous report received from the Pfizer-sponsored program COVAX US Support. A contactable consumer (patient) reported that a female patient of an unspecified age received bnt162b2 (Pfizer COVID-19 Vaccine, Lot number was not reported), via an unspecified route of administration on 26Feb2021 as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced severe pain on her right side of her shoulder on an unspecified date in 2021. The outcome of the event was unknown. No follow-up attempts are possible. Information on lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684205
Sex: F
Age:
State: MI

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 09/09/2021
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: face is swollen; This is a spontaneous report from a Pfizer-sponsored program,Support from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on 23Feb2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient had the shot on 23Feb2021, then her face was swollen on an unspecified date. Her 2nd dose is on 15Mar2021 and wanted to know how to make her swollen face go down. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684206
Sex: F
Age:
State: TX

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 09/09/2021
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: Sneezing; runny nose; sore throat; This is a spontaneous report from a Contactable consumer (patient). A 36-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 27Feb2021 12:15 (Batch/Lot number was not reported) (at the age of 36 years) as dose 1, single for covid-19 immunisation. Medical history included obesity from an unknown date and unknown if ongoing. No known allergies. There were no concomitant medications. No other vaccines in 4 weeks. No other medications in two weeks. No COVID prior vaccination. Patient was not tested for COVID post vaccination. The patient experienced sneezing, runny nose, sore throat, all on 28Feb2021 with outcome of not recovered, without treatments. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684207
Sex: F
Age:
State: NY

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 09/09/2021
Hospital:

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

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

Allergies:

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

Symptoms: I do have arthritis. But since the injections I am experiencing it in my shoulders and very severely in my elbows.; This is a spontaneous report from a contactable consumer or other non hcp. A 78-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9262), dose 1 via an unspecified route of administration, administered in Arm Left on 26Jan2021 at 09:00 (at the age of 78-years-old) as dose 1, single, dose 2 via an unspecified route of administration, administered in Arm Right on 16Feb2021 08:45 (Batch/Lot Number: EL9266) as dose 2, single for covid-19 immunisation. Medical history included hypertension, ongoing arthritis. Patient had no Known allergies. Patient received no other vaccine in four weeks. Concomitant medication included valsartan; spironolactone. The patient experienced "i do have arthritis. but since the injections i am experiencing it in my shoulders and very severely in my elbows" on 29Jan2021. The patient thought shoulder pain was injection site pain but lingering. The patient underwent lab tests and procedures which included sars-cov-2 antibody test: negative. Treatment was given for the event. Patient received Tylenol for arthritis. Prior to vaccination, the patient was not diagnosed with COVID. Patient tested for COVID post vaccination. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: VALSARTAN; SPIRONOLACTONE

Current Illness: Arthritis (I do have arthritis)

ID: 1684208
Sex: M
Age:
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; chills; This is a spontaneous report from a contactable other healthcare professional (patient). A 39-year-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 01Mar2021 12:00 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient did not have COVID-19 prior the vaccination. Concomitant medication included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. On 01Mar2021 21:00, the patient experienced chills and fever. The outcome of the events was not recovered. No treatment was received for the events. The patient was not tested for COVID-19 post vaccination. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: TYLENOL

Current Illness:

ID: 1684209
Sex: M
Age:
State: IN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
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: Nose bleed; This is a spontaneous report from a contactable consumer (patient). A 61-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration, administered in the left arm on 26Feb2021 at 15:15 (Lot Number: PAA165969) as dose 1, single for COVID-19 immunization. Medical history included ongoing high blood pressure. The patient did not have COVID prior to vaccination. Concomitant medications include unspecified blood pressure medication and cholesterol medication. The patient did not receive other vaccines in four weeks from the COVID vaccine. On 27Feb2021 at 02:00, the patient experienced nose bleed. The patient did not receive treatment for the event. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Blood pressure high

ID: 1684210
Sex: M
Age:
State: NC

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/09/2021
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: Tender around his nose area on one side; Swelling around nose and eyes; Swelling around nose and eyes; This is a spontaneous report from a contactable consumer (patient). A 59-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was not reported), via an unspecified route of administration, on 01Mar2021 (at the age of 59 years), as dose 1, single, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient took his first COVID-19 shot yesterday (01Mar2021) and had swelling around nose and eyes. The patient was reading the pamphlet and it said that it could be swelling. It was tender around his nose area this morning (02Mar2021). The patient wanted to know if it should be tender around his nose area on one side like that. The patient was just trying to be cautious. The outcome of the events was unknown. No follow-up attempts are possible; information about lot or batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684211
Sex: M
Age:
State: KY

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 09/09/2021
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: Test Name: laboratory test/for respiratory relief, my chest, lungs; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: Rash; still red; it has increased in size slightly and it's progressing down the shoulder, down towards the elbow; This is a spontaneous report from a contactable consumer (patient). A 74-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EN6198, expiry date not reported) via an unspecified route of administration, administered in right arm on 22Feb2021 (at the age of 74 years old) as dose 2, single for covid-19 immunisation (for prevention of Covid-19 as reported). Medical history included thyroid (disorder) from an unknown date and unknown if ongoing. Concomitant medications included levothyroxine sodium (THYROXINE) taken for thyroid (disorder) at 25 ug, start and stop date were not reported; and tiotropium bromide (SPIRIVA) via respiratory inhalation at 2.5 ug, twice a day taken for an unspecified indication, start and stop date were not reported. The patient had the first dose of bnt162b2 as covid-19 immunization (lot EL9269) on 01Feb2021 and had zero reaction, "no pain, no swelling, nothing". On 26Feb2021, patient had rash; still red; it has increased in size slightly and it's progressing down the shoulder, down towards the elbow. This was further reported as approximately four days later, patient did not know the exact time because patient did not noticed it, patient developed a rash, not around the injection site itself but below it, it started sort of a regular, squarish, rectangular, pattern. It was the still red and spread somewhat; does not itch, has no blisters, no pain for med site. Patient could not really tell if patient have any other symptoms at all. Patient was seeing family physician at the time of the report as he wanted to have a look at that. The rash, it was on the arm, but it has spread slightly since patient first discovered it and the rash was a small area about the size of 3 fingers wide and about 4 inches long and it has increased in size slightly and its progressing down the shoulder, down towards the elbow. Patient had laboratory tests for respiratory relief, chest, and lungs on an unknown date with unknown results. Patient stated that it was spreading, persisting and patient was going to see family doctor. At the time of the report, patient was not taking any medication for it. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: THYROXINE; SPIRIVA

Current Illness:

ID: 1684212
Sex: F
Age:
State: MI

Vax Date: 02/02/2021
Onset Date:
Rec V Date: 09/09/2021
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: Rash on inside of left elbow.; This is a spontaneous report from a non-contactable consumer. A female patient of an unspecified age received bnt162b2 (BNT162B2), via an unspecified route of administration, administered in left arm at the age of 51 years old on 02Feb2021 12:00 (Batch/Lot Number: EN5318) as dose 1, single for covid-19 immunisation. Medical history included allergy to penicillin. Concomitant medications were not reported. On an unspecified date, the patient experienced rash on inside of left elbow. No treatment was received. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684213
Sex: M
Age:
State: SC

Vax Date: 12/01/2020
Onset Date:
Rec V Date: 09/09/2021
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: just some bruise; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported), via an unspecified route of administration on an unspecified date in Dec2020 as dose 1, single; second dose (Batch/Lot number and Expiration Date: not reported), via an unspecified route of administration on an unspecified date in Jan2021 as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient reported to experience just some bruise. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684214
Sex: M
Age:
State: VA

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: aches and pains; fever; This is a spontaneous report from a contactable consumer (patient) received via a Pfizer Sponsored Program, Support. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on an unspecified date (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced aches and pains and fever on an unspecified date (reported as a week ago, last Thursday). The patient's doctor told him that he would be fine in 72 hours and he was. The patient wanted to know how to schedule his second shot. The patient recovered from the events on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684215
Sex: F
Age:
State: CA

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 09/09/2021
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: she is having dental surgery a week after that and she will be on antibiotics; This is a spontaneous report from a contactable consumer (patient herself). A 87-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: F.L.9266), via an unspecified route of administration on 17Feb2021 (age at vaccination: 87 years) as DOSE 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient was having dental surgery a week after that and she will be on antibiotics (amoxicillin). She did not have a sore arm. The second dose was scheduled on 10Mar2021 (reported as this month). The outcome of the event was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684216
Sex: M
Age:
State: NY

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 09/09/2021
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: feel chest tightness/pressure/pain intermittently, worse on evening of 4th day post vaccine; feel chest tightness/pressure/pain intermittently, worse on evening of 4th day post vaccine; This is a spontaneous report from a contactable consumer (patient himself). A 58-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EN6203), dose 1 via an unspecified route of administration, administered in Arm Left on 03Mar2021 at 17:30 (at the age of 58-years-old) as a DOSE 1, SINGLE for covid-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Other vaccine received in four weeks was none. Patient did not have covid prior vaccination and was not tested for covid post vaccination. The patient reported that, 2 days post vaccine started to feel chest tightness/pressure/pain intermittently, worse on evening of 4th day post vaccine on 05Mar2021 at 19:00 (as reported). Patient did not receive any treatment for the event. Outcome of all the events were recovering. No follow-up attempts are possible no further information expected.

Other Meds:

Current Illness:

ID: 1684217
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: experienced itching on her upper torso after 2nd dose; This is a spontaneous report from a Pfizer-sponsored program Support. A contactable consumer (patient herself) reported that a female patient of an unspecified age received bnt162b2 (BNT162B2), 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 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 on an unspecified date as single dose for COVID-19 immunization. The patient experienced itching on her upper torso after 2nd dose on an unspecified date and wanted to know if she can take Benadryl. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684218
Sex: F
Age:
State: NY

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

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

Lab Data: Test Name: low-grade fever; Result Unstructured Data: Test Result:99.9 Fahrenheit; Test Name: Rapid COVID-19; Test Result: Negative

Allergies:

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

Symptoms: muscle ache; pain; low-grade fever (99.9 ?F); This is a spontaneous report from a contactable consumer (patient) Pfizer sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 10Feb2021 (lot number and expiry date: unknown) as dose 1, single, for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received her first dose last February 10th and scheduled for her second dose tomorrow (March 3rd). She tested negative for the Rapid COVID-10 test and no symptoms anymore. On unspecified date, last week, she had muscle ache, pain and low-grade fever (99.9 ?F). She was still waiting for the result of her second COVID-19 test. She wanted to know if she can get the second dose tomorrow. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684219
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: the patient began to experience lightheadedness; hypoglycemia; hypotension; generalized rash; This is a spontaneous report from a non-contactable other hcp. An elderly male (Age: 97, Unit: unknown) patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot Number: EN6205) as dose 1, single for covid-19 immunisation. Medical history included his electric wheelchair from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced the patient began to experience lightheadedness, hypoglycemia, hypotension, generalized rash on an unspecified date. Adverse event: During his 15-minute waiting period after the injection, the patient began to experience lightheadedness. He denied rash, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, facial swelling, lip swelling and tongue swelling. Great response to eating and drinking. Symptoms resolved. Patient monitored for total of 30 minutes. He feels well to go home. Wife with him. He was able to operate his electric wheelchair out accompanied by his wife. Treatment included: water and snacks. The outcome for all events was recovered on an unknown date. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1684220
Sex: F
Age:
State: MO

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: pain in shoulder; This is a spontaneous report from a contactable consumer (patient) from a Pfizer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIOTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced pain in shoulder. The patient also wanted to know if she can take ibuprofen after receiving the first dose. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684221
Sex: M
Age:
State: CA

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 09/09/2021
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: sore muscles; fever; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a male patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number was not reported), via an unspecified route of administration on 12Feb2021 as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced sore muscles and fever on an unspecified date. The patient called to cancel and reschedule his second dose of Covid-19 vaccine scheduled on 05Mar2021, his first dose was given on 12Feb2021. Patient wants to reschedule to a date starting 15Mar2021 onwards after he comes back from his travel since he doesn't want to feel any of the reactions caused by the vaccine while he travels. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1684222
Sex: F
Age:
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/27/2021
Rec V Date: 09/09/2021
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: administration date: 05Feb2021/administration date:12Feb2021; administration date: 05Feb2021/administration date:12Feb2021; Severe headache; nausea; dizziness; Debilitating; I'm unable to work or care for my family; vestibular migraine; This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient (not pregnant) received the second dose of BNT162B2 (PFIZER COVID 19) via an unspecified route of administration on the left arm on 12Feb2021 at 14:15 at the age of 41-year-old as single dose for COVID-19 immunization. Medical history included known allergy to sulfa medications. The patient didn't received other vaccine in four weeks. No known history of migraine or vestibular issues. The patient was not COVID prior vaccination. The patient was not test post vaccination. Concomitant medication included citalopram. The patient previously received the first dose of BNT162B2 via an unspecified route of administration on the left arm on 05Feb2021 at 02:15 PM at the age of 41-year-old as single dose for COVID-19 immunization. On 27Feb2021 at 12:00, the patient experienced severe headache accompanied by nausea and dizziness, debilitating, Ent said it's vestibular migraine. It's been ongoing for 10 days. Debilitating and patient was unable to work or care for my family. The events resulted in doctor or other healthcare professional office/clinic visit. Treatment included prednisone and eye exercises. The outcome of inappropriate schedule of vaccine administered and off label use was unknown. The outcome of other events was not recovered. The lot number for BNT162B2, was not provided and will be requested during follow up.

Other Meds: CITALOPRAM

Current Illness:

ID: 1684223
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 09/09/2021
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: rash on her arm; This is a spontaneous report from a contactable consumer (patient) through the Pfizer-sponsored program regulatory authority Support. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced rash on her arm on an unspecified date after the second dose. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1684224
Sex: F
Age:
State: CO

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 09/09/2021
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: Sore arm; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; lot number: EL9264), via an unspecified route of administration, administered in left arm on 05Feb2021 10:15 (at the age of 75-years-old) as dose 2, single for COVID-19 immunization. Medical history included back fusion in Jul2020 and Aug2020. Concomitant medications included estradiol, triamterene, vitamin D, and melatonin, all taken for an unspecified indication from an unspecified start date and ongoing. Historical vaccine included first dose of BNT162B2 (lot number: EL 8982), administered in left arm on 15Jan2021 10:15 and experienced muscle and joint very sore, fever, and arm shoulder swollen. The patient experienced only a sore arm with the second shot on an unspecified date. Outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: ESTRADIOL; TRIAMTERENE; VITAMIN D [VITAMIN D NOS]; MELATONIN

Current Illness:

ID: 1684225
Sex: F
Age:
State: VI

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 09/09/2021
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: difficulty breathing; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A female patient of an unspecified age received bnt162b2 (BNT162B2), via an unspecified route of administration on 02Mar2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 02Mar2021, the patient's oxygen came out of her mouth and she experienced difficulty breathing. The outcome of event was unknown. No follow-up attempts are possible; 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