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: 1707610
Sex: M
Age: 34
State: KS

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/17/2021
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: Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: patient reported mouth and throat feel like they are burning and localized muscle pain at shoulder (trapezoid)-Medium, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1707611
Sex: F
Age: 31
State: CO

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1707612
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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 neighbor was tired after the second shot; This is a spontaneous report from a contactable nurse reported for a patient (neighbor). This is report 2 of 2. This report is in regards to the caller's neighbor. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on an unspecified date as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on an unspecified date as a dose 1, single for COVID-19 immunization. It was reported that, the caller was a registered nurse called on behalf of himself in regards to the COVID vaccine. While reporting on himself, caller stated that, he had a neighbor that had the vaccine and he was tired from it. When caller was asked, whether he would provide information about his neighbor, he said his neighbor would not like it and he would prefer not to do report. The caller stated that, his neighbor was tired after the second shot. He was better after a couple of days. Stated that, he was fine after that. He got better right away. Stated that, he had no fever, chills, headache or nothing. He was just tired. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707613
Sex: F
Age: 20
State: TX

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1707614
Sex: F
Age: 36
State: CT

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/17/2021
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: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1707615
Sex: M
Age: 27
State: CA

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 09/17/2021
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: I've since seen my primary care physician and a cardiologist, the tests performed with my PCP are 1 EKG, 1 ultrasound of my heart and 1 x-ray of my chest. With my cardiologist (who I still have ongoing appointments with), I've so far only gotten an EKG. I do not remember the dates of the tests.

Allergies: Only allergic to bee stings as far as I'm aware

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

Symptoms: I was falling asleep when suddenly my heart became "erratic". My heart would suddenly race and just as suddenly stop, with severe palpitations. This feeling that my heart was beating out of time, or would race, or would then be practically undetectable (I would check my pulse sometimes and it was very weak-feeling) was very scary. It kept me up most of the night, I called an ambulance who decided not to take me to the emergency room, as I thought I was having a heart attack at the time and they said I wasn't.. Severe symptoms like this continued for about 2 more days, while more subtle symptoms such as chest tightness persisted for 3 weeks to a month at least. Palpitations continue(d) to occur but less severely and more rarely. Even now, months out, occasional palpitations and chest tightness seems to occur. During the first week(s), on top of the tightness and palpitations, there were a number of other symptoms, some or many of which are hard to describe. One such symptom was that I was looking at my phone and something of thump, almost like a heartbeat, occurred but it was felt throughout my whole body. Very difficult to describe. I would "visually dissociate". Again, very difficult to describe this symptom. A sudden tightness of my neck and jaw would occur and sometimes persist for up to an hour. All of these symptoms other than the chest tightness and palpitations seem for the most part to have gone away. But there is now an anxiety-inducing awareness of my heart that I seem to bear nearly constantly.

Other Meds: None

Current Illness: None

ID: 1707616
Sex: F
Age: 41
State: FL

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1707617
Sex: F
Age: 38
State: CA

Vax Date: 08/16/2021
Onset Date: 08/27/2021
Rec V Date: 09/17/2021
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: Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: pt felt like she had a heart attack, went to urgent care / ER, they did EKG but result was negative.

Other Meds:

Current Illness:

ID: 1707618
Sex: M
Age: 17
State: MO

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Systemic: Seizure-Medium

Other Meds:

Current Illness:

ID: 1707619
Sex: F
Age: 12
State: TX

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 09/17/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1707620
Sex: M
Age: 39
State: CA

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/17/2021
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: Site: Pain at Injection Site-Severe, Additional Details: Patient consulted with physician after experiencing shoulder pain following 2nd covid shot. Physician diagnosed patient with SIRVA (shoulder injury related to vaccine administration)

Other Meds:

Current Illness:

ID: 1707621
Sex: F
Age: 47
State: NY

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufacture. initial and booster)-

Other Meds:

Current Illness:

ID: 1707622
Sex: F
Age: 54
State: CA

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1707623
Sex: F
Age: 53
State: MD

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1707624
Sex: M
Age: 62
State: HI

Vax Date: 08/23/2021
Onset Date: 08/26/2021
Rec V Date: 09/17/2021
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: Systemic: Chest Tightness / Heaviness / Pain-Medium

Other Meds:

Current Illness:

ID: 1707625
Sex: F
Age: 30
State: CA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/17/2021
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: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: covid arm-Medium, Additional Details: COVID-ARM.

Other Meds:

Current Illness:

ID: 1707626
Sex: F
Age: 65
State: TX

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/17/2021
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-Severe, Additional Details: Pt said she have been experiencing a throbbing pain on her arm after receiving the vaccine that doesn't go away. It's has been more than 3 weeks and she is experiencing the pain and would like to be contacted.

Other Meds:

Current Illness:

ID: 1707627
Sex: M
Age: 13
State: CA

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/17/2021
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: Systemic: Dizziness / Lightheadness-Mild, Systemic: Headache-Mild

Other Meds:

Current Illness:

ID: 1707628
Sex: M
Age: 30
State: NC

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt pass out out. Was sitting down for about 8 minutes after vaccine and got up to walk and passed out. HR went to 44, bp 90/60 and 02 sat was 93. Later recovered within 30 minutes.

Other Meds:

Current Illness:

ID: 1707629
Sex: F
Age: 35
State: GA

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 09/17/2021
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: Systemic: Fever-Severe, Systemic: neck and back pain; fever over 102.4-Medium, Additional Details: patient has complained of fever over 102.4 even after alternating Motrin and Tylenol around the clock. Also moderate to severe neck and back pain

Other Meds:

Current Illness:

ID: 1707630
Sex: M
Age: 26
State: NY

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Fainting / Unresponsive-Severe, Additional Details: Patient fainted and regained consciousness. EMS was called

Other Meds:

Current Illness:

ID: 1707631
Sex: F
Age: 52
State:

Vax Date: 09/01/2021
Onset Date: 09/14/2021
Rec V Date: 09/17/2021
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: Nauseous with severe headaches which don?t go away with pain killers. Can not sleep. I?m the headaches wake me up from my sleep. I take 1 Advil and 1 Tylenol but it doesn't go away. I also have nausea with it.

Other Meds:

Current Illness:

ID: 1707632
Sex: F
Age: 20
State: NY

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/17/2021
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: Site: Pain at Injection Site-Mild, Systemic: Body Aches Generalized-Severe, Systemic: Chest Tightness / Heaviness / Pain-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Joint Pain-Severe, Systemic: Seizure-Medium, Additional Details: patient took tylenol every 4 hours afterwards. was completely fine after first shot and this shot she passed out twice and eyes rolled back, severe neck pain and unresponsive. following up with cardiac for EKG and further testing.

Other Meds:

Current Illness:

ID: 1707633
Sex: F
Age:
State: MA

Vax Date: 07/20/2021
Onset Date: 07/21/2021
Rec V Date: 09/17/2021
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: Difficulty breathing; Dizzy; Weak; Headache; Clogged ears; Just not feeling well but not sick; Tired; Some chest pain left side; Injection site pain; Muscle pain; Joint pain; Swelling; Nausea; Diarrhea; Arm pain; Awful smell; Awful smell and taste in nose/mouth; This is a spontaneous report from a contactable Other HCP (patient). A non-pregnant 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; formulation: solution for injection; Lot Number: not reported, expiration date: not reported, Age at vaccination: 59-year-old), via an unspecified route of administration in arm left on 20Jul2021 17:00 as dose number unknown, single for COVID-19 immunization. Medical history included allergies from Pan, erythro, tetra, Prozac, and 150 foods/elements/airborne and 3x cancer survivor, complex partial seizures, vocal cords not functioning properly, migraines, broken bones, myofascial spasms, Hpylori, IBS, spondylitis, sciatica, osteoarthritis, hyperthyroidism, gerd. Concomitant medications were not reported. On 21Jul2021 06:00 AM, patient experienced difficulty breathing, dizzy, weak, headache, clogged ears, spacey, tired, some chest pain left side, injection site pain, muscle pain, joint pain, swelling, nausea, diarrhea, arm pain, just not feeling well but not sick, awful smell and taste in nose/mouth. Facility type vaccine was pharmacy or Drug Store. No other vaccine in four weeks. 11 prescriptions in two weeks were. No treatment present for adverse event. Covid was not present prior vaccination. Covid was not tested post vaccination. The outcome of events was not recovered. The lot number for [BNT162B2], was not provided and will be requested during follow up' Vs ''information on batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1707634
Sex: F
Age:
State: NJ

Vax Date: 07/17/2021
Onset Date: 07/18/2021
Rec V Date: 09/17/2021
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: Very sore / swollen right arm; Very sore / swollen right arm; high fever; severe joint pain; serious shortness of breath; serious fatigue; This is a spontaneous report from a contactable consumer. A 76-years-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Not reported), via an unspecified route of administration, administered in arm right on 17Jul2021 12:00 pm (age at vaccination 76 years) as dose 1, single for covid-19 immunization. The patient medical history Breast cancer, uterine cancer, COVID twice, pneumonia twice and allergies to mold and pollen. The patient known allergies included Bee / wasp stings, some shellfish and mushrooms. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The concomitant medications were not reported. The patient received other medications within 2 weeks of vaccination. On 18Jul2021, the patient had experienced Very sore / swollen right arm, high fever, severe joint pain, serious shortness of breath and serious fatigue- all were worse than when I actually had COVID the second time, when I was hospitalized and on oxygen. No treatment was received in response to the adverse events. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. At the time of reporting, the outcome of the events were recovering. Information about the Lot/batch number has been requested

Other Meds:

Current Illness:

ID: 1707635
Sex: M
Age:
State: NC

Vax Date: 01/27/2021
Onset Date: 01/01/2021
Rec V Date: 09/17/2021
Hospital:

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

Lab Data: Test Name: Creatinine level testing; Result Unstructured Data: Test Result:between 0.8 and 0.95; Test Date: 20210720; Test Name: Creatinine level testing; Result Unstructured Data: Test Result:0.87; Test Name: blood pressure; Result Unstructured Data: Test Result:Unknown; Test Date: 20210617; Test Name: Covid Antibody test; Result Unstructured Data: Test Result:Negative; Comments: Covid Antibody test showed no detectable SARS-CoV-2 IgG antibodies.; Test Date: 20210707; Test Name: Covid Antibody test; Result Unstructured Data: Test Result:negative; Comments: This was confirmed with a second test

Allergies:

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

Symptoms: sore arm; feeling internally cold; This is a spontaneous report from a contactable consumer. This 76- year-old male Consumer(patient) that: A 76-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration on 27Jan2021 as dose 2, single and also received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) via an unspecified route of administration on 06Jan2021 as dose 1, single for COVID-19 immunization. Medical history included renal transplant from Nov2013 to an unknown date (anti-rejection drugs for kidney transplant), rheumatoid arthritis from an unknown date and unknown if ongoing (immunosuppressant drug for arthritis), blood pressure measurement from an unknown date and unknown if ongoing. Patient had,. Patient had living donor kidney transplant in NOV2013 (Donor: Son). Concomitant medications included tacrolimus (PROGRAF) taken 1mg twice daily /0.5mg daily for an unspecified indication, start and stop date were not reported; prednisone (PREDNISONE) taken 5 mg daily for an unspecified indication, start and stop date were not reported; sulfamethoxazole, trimethoprim (BACTRIM) taken 400/89 daily for an unspecified indication, start and stop date were not reported; doxazosin (DOXAZOSIN) taken 2 mg twice daily for an unspecified indication, start and stop date were not reported; irbesartan (IRBESARTAN) taken 150mg daily for an unspecified indication, start and stop date were not reported; metoprolol (METOPROLOL) taken 199mg daily for an unspecified indication, start and stop date were not reported; leflunomide (LEFLUNOMIDE) taken 20mg daily for an unspecified indication, start and stop date were not reported; rituximab (RITUXAN) infusion taken 2 time every 6 months for an unspecified indication from 06Apr2021 to an unspecified stop date (first pair and recent : 06Apr2021 and 21Apr2021, 3 months after first Pfizer dose). On Jan2021 patient had very minor reactions to both shots- sore arm and feeling internally cold, although did not have a temperature after either. The patient underwent lab tests and procedures which included blood creatinine: between 0.8 and 0.95 on unspecified date, blood creatinine: 0.87 on 20Jul2021, blood pressure measurement: unknown on unspecified date, sars-cov-2 antibody test: negative. On 17Jun2021 Covid Antibody test showed no detectable SARS-CoV-2 IgG antibodies, sars-cov-2 antibody test: negative on 07Jul2021 This was confirmed with a second test. The clinical outcome of the events was unknown. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds: PROGRAF; PROGRAF; PREDNISONE; BACTRIM; DOXAZOSIN; IRBESARTAN; METOPROLOL; LEFLUNOMIDE; RITUXAN

Current Illness:

ID: 1707636
Sex: F
Age:
State:

Vax Date: 08/23/2021
Onset Date: 08/01/2021
Rec V Date: 09/17/2021
Hospital:

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

Lab Data: Test Date: 2021; Test Name: CAT; Result Unstructured Data: Test Result:Unknown results; Test Date: 2021; Test Name: MRI; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: can't think, digital devices bother my eyes, I cant answer emails; violently dizzy; slept for 2 days after that, not feeling good; head hurts a little, brain is sore, vax fog; brain fog; tension in the jaw; the banner that runs across the bottom on the CNN channel hurts my eyes; painful diarrhea/loose stools; feverish; chills; feels hot; fell into a wall/ get on the floor and crawl; Nauseous; This is a spontaneous report received from contactable consumer (patient), from a Pfizer sponsored program. A 54-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown), via an unspecified route of administration on 23Aug2021 at 11:00 (at the age of 53-years-old) as dose 1, single for COVID-19 immunization. Medical history included kidney infection, intervertebral disc protrusion (Caller states she has disc herniations and they want to fuse her neck C5-C6 and C2-C3 from the 2004 car rear end accident), nephrolithiasis, weight decreased, cystitis interstitial, craniocerebral injury, concussion. The patient's concomitant medications were not reported. Patient stated "I have some possible undiagnosed kidney issues, may have interstitial cystitis and had 3 bouts of kidney stones over the last 2-3 years. We were in the process of trying to diagnose everything when the pandemic hit. My biological dad had kidney cancer I think, but I come from a fractured family and my paternal grandmother is dead now and I have no way of getting that information. I am high risk I feel so I am very careful, I wear a mask, I stay inside most of the time. Now with this delta variant I have to get vaccine. I read that all vaccines are going to expire at the end of July, beginning of August. I just feel bad not getting it now when the people in Africa would kill for it, but I kind of thought I should wait and see since I am high risk". Caller states "I do not want to have a booster and get sick again either. I have been sick for years. I am scared of having side effects. I guess that is better than getting Covid. But I heard of people having nausea and chills, just feeling like they get covid even though it was only for a couple days." Caller states it is not kidney disease, she has undiagnosed kidney issues, she had kidney stones the last 2ish years before the pandemic and her doctor thinks she has some bladder thing and that she is thinking it was not always kidney. States she feels like she has to go all the time and has back pain. Caller states she used pain patches, she was using the new pain patches and she thinks they did something to her kidneys, she is had kidney stones 3 times now since and it was not from Pfizer, she thinks it is through Lifewave or something like that. States it worked and took the pain away but she was having times where she was crying on the floor and could not move and she took the patches away and the pain went away. She would have residual pain and issues from it. States that if she does not have it she can get off the floor and ever since her bladder is not the same. Caller states it said to drink water with it and she does not think she drank enough water. Caller states the pain patch was X39 by Lifewave and it was in Mar2019. Caller provides this happened in 2019 and she had some kidney problems before that but this exacerbated it. Patient stated that she received the injection at around 11 am and felt fine. Patient has 7up and crackers ready because she had read that she might be nauseous or have flu like symptoms. Patient relays that at 8 pm that night she got out of bed to go to the bathroom and she became violently dizzy. Patient stated, "I almost ran into the wall, I was thrown into the wall because I was severely dizzy. Patient had to hold on to the wall to go to the bathroom because she was scared, that was going to fall." Other symptoms mentioned: slept for 2 days after that, not feeling good, bad dizziness that went on and on and on, head hurts a little, brain was sore, vax fog, brain fog, tension in the jaw, CNN channel hurts my eyes, tiny headaches, painful diarrhea for the first day and thinking she was going to thrown up at the same time, loose stools but not really diarrhea for the rest of the time, feverish, chills, face was fine in the morning then from 11 to mid afternoon it feels hot tcan not think, digital devices bother my eyes, she could not answer emails, the banner that runs across the bottom on the hen its fine at night. Patient took a Flexeril because of the jaw tension. Patient have taken Benadryl to try to help with the symptoms as well and it did not help. Patient's doctors did not know what to do. One doctor prescribed prednisone but patient have not filled it yet because she did not know if she should take it and other doctor wants her to come in so that they can do a neurological exam but she was scared to go in because that will put her at risk and also her car was not working now. Patient was on a form on the internet and all these people are having the same symptoms and its called Vax Fog. On the form there are Neurologist who say that they have seen these patients a lot and that their offices are full of patients with these symptoms after the vaccine. They are saying that for people that had had TBIs or other neurological conditions they should not be taking this vaccine. One girl has MS and she took the vaccine and is now having the same problems. If Patient would have known this Patient would not have taken the vaccine. Patient had 3 TBIs two concussions as a child and 1 in 2018 or 2019. Patient had kidney problems too. No one told that you should not have the vaccine with these issues. Upon follow up it was reported that, patient was violently dizzy, had to get on the floor and crawl. This has continued for two weeks and it was not going away. The dizziness has gotten a little better but she still has the vax fog. Patient was still not feeling well. Patient tried to sign up for VAERS thing but it was difficult because she only has a tablet. Patient called in last weekend on Saturday and it went to India. Patient told them she wanted to talk to an actual Pfizer employee and they told her to call back on Monday. No reference number provided. Patient was worried about kidneys- Patient had no gd idea that if she had a TBI should not get the gd mf vaccine I mf a. Patient was being told by the pharmacist where she got the shot, she wont be able to get the 2 dose. Patient's brain could be permanently damaged and not only has that happened but still will not be protected from covid because cant take the rest of the shots i would have been better off not getting the vaccine and using the regeneration treatment if i did get covid who the fuck is responsible for this. It was 25 weeks after first Pfizer vaccine and still dealing with disabling Vertigo Saw a neurologist, had MRI, CAT scan, ENT, doctor exam, bloodwork and am still taking meclicine & diazepam just to stop the nausea and vomiting. Neurologist told me that anyone that has any brain problems or autoimmune disease of the brain (have MS), and any brain injury history should not be vaccinated and that he keeps seeing patients with this dizziness problem. The outcome of the events was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1707637
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: Tired after vaccine; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer reported for a male patient that: A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot Number: unknown), via an unspecified route of administration on an un-specified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history was not reported. There were no concomitant medications. The patient experienced tired after vaccine on an unspecified date. The outcome of event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707638
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: Tired, after vaccine; This is a spontaneous report from a contactable consumer (patient's daughter from a Pfizer sponsored program. A female patient (mother) of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: unknown), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced tired, after vaccine on an unspecified date. Caller reported that her parents, were tired, after the vaccine for Covid. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021431971 Same reporter/diff patient

Other Meds:

Current Illness:

ID: 1707639
Sex: F
Age:
State: NJ

Vax Date: 04/01/2021
Onset Date: 06/01/2021
Rec V Date: 09/17/2021
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: stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger; they remove fat from the chin/I am having an opposite effect where before I was showing a positive outcome and then along came the Pfizer vaccine; This is a spontaneous report from a contactable pharmacist (parent). A 24-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Batch/Lot number was not reported) via intramuscular route of administration, administered in arm left on an unspecified date in Apr2021 (at the age of 24-year-old) at dose 2, single for covid-19 immunisation. Medical history was reported as none. Concomitant medication included deoxycholic acid (KYBELLA) taken for an unspecified indication, start and stop date were not reported. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Batch/Lot number was not reported) on an unspecified date in Apr2021 at dose 1, single for covid-19 immunisation. On an unspecified date in Jun2021 the patient experienced stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger. She is calling to see if there are reports of problems with Kybella treatment, where they remove fat from the chin. Any reports or information in receiving product and Kybella and reporting opposite effect of what it is supposed to be doing. Unfortunately, I am having an opposite effect where before I was showing a positive outcome and then along came the Pfizer vaccine and I was administered that, wondering and concerned if this has been reported and if it goes away. Reporter has received both doses. During the first dose nurse asked if had cosmetic fillers in the past week, indicated had not had a Kybella in a few weeks. Has studied the regulatory authority of product and Kybella regulatory authority. Do you have reports or questions, or events on this post vaccine of this happening. Do the negative effects go away. Has an appointment on Tuesday with HCP, well refuted plastic surgeon. Daughter and her have the same report. Both having negative outcomes and believes it is related to product. Reporter stated that they should have had chin reduction and is experiencing the direct opposite. Stated that her daughter received only three Kybella shots and stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger. Stated that it is reversing Kybella. Stated that she noticed it six weeks ago at the beginning of June. Stated that it is not getting any bigger but not getting any smaller. Stated that it is not esthetically what they are looking for. Patient details: Stated that she is 120 something pounds. Product details: Stated that she got the first shot the first week in April. Stated that she got first shot and the second one three weeks from that date. Does not have NDC, lot or expiration date. Unknown dose intramuscular in left arm. Anatomical Location of Administration of Pfizer vaccine considered as suspect: Arm Left Upper. Time the Vaccination Was Given: 15:00. Adverse Event: stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger. Time of Onset: (24-hour clock): 0900 on 24 May 2021. Reporter seriousness for stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger: Medically significant. Verbatim event relatedness: Covid vaccine: stated that she was getting positive results from Kybella treatment but then noticed that her skin is getting bigger- Related. Patient did not require a visit to emergency room, physician office. Outcome of the events were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: As per available information, the causal association between the event skin disorder and the suspect drug BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate. Linked Report(s) : US-PFIZER INC-202100942400 Same reporter/drug/event, different patient

Other Meds: Pfizer, Inc. EUA 027034; KYBELLA

Current Illness:

ID: 1707640
Sex: F
Age:
State:

Vax Date: 07/21/2021
Onset Date:
Rec V Date: 09/17/2021
Hospital:

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

Lab Data: Test Name: has a fever 100F; Result Unstructured Data: Test Result:100F Fahrenheit

Allergies:

Symptom List: Injection site pain

Symptoms: has a fever 100F; This is a spontaneous report received from a contactable consumer. This consumer reported for a 50-year-old female patient (reporters' friend) that: Received bnt162b2 (BNT162B2;solution for injection;Lot number was not reported), dose 1 via an unspecified route of administration on 21Jul2021 as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced has a fever 100f. The patient underwent lab tests and procedures which included body temperature: 100f Fahrenheit on an unspecified date. Outcome of the event was unknown. Lot/batch number is not available. Follow-up attempts have been completed and no further information is expected

Other Meds:

Current Illness:

ID: 1707641
Sex: F
Age:
State: IN

Vax Date: 05/14/2021
Onset Date:
Rec V Date: 09/17/2021
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: several hormone and pregnancy tests; Result Unstructured Data: Test Result:Everything came back fine; Test Name: several hormone and pregnancy tests; Result Unstructured Data: Test Result:Everything came back fine

Allergies:

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

Symptoms: Period was 4 days shorter in may, 6 days late in June, lasted 7 days and then continued to spot days after, July 12 days late, and period finally came. It is light, no cramps hardly.. took several ho; Period was 4 days shorter in may, 6 days late in June, lasted 7 days and then continued to spot days after, July 12 days late, and period finally came. It is light, no cramps hardly.. took several ho; This is a spontaneous report from a contactable consumer or other non hcp. A 36-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot number: UNKNOWN), via unspecified route of administration, administered in Arm Left on 14May2021 15:00 (age at vaccination: 36-years-old), as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient received first dose of of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot number: UNKNOWN), via unspecified route of administration, administered in Arm Left on 15Apr2021 15:00 (age at vaccination: 36-years-old), as dose 1, single for covid-19 immunisation. It was reported that the patient's period was 4 days shorter in May2021, 6 days late in Jun2021, lasted 7 days and then continued to spot days after. In Jul2021, it was 12 days late, and period finally came. It was light, no cramps hardly. These events required physician office Visit The patient took several hormone and pregnancy tests, and everything came back fine. The patient reported that her period was just missing which made her think that she was V pregnant (sic) and was not. The doctor suggested that it was an immune reaction to the vaccine. The outcome of events was not recovered. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707642
Sex: F
Age:
State: NJ

Vax Date: 06/23/2021
Onset Date: 06/01/2021
Rec V Date: 09/17/2021
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: It looks like somebody burned the bottom of my leg with an iron, Looks like it could be cellulitis, looks like it could be lymphedema, It kind of looks like cellulitis; It looks like somebody burned the bottom of my leg with an iron, Looks like it could be cellulitis, looks like it could be lymphedema, It kind of looks like cellulitis / Looks like I have been burned; It looks like somebody burned the bottom of my leg with an iron, Looks like it could be cellulitis, looks like it could be lymphedema, It kind of looks like cellulitis; Something is going in my leg; Little tender to touch; Developed hot red rash on her leg; Developed hot red rash on her leg / He felt it and it was hot to touch; It's turning from purply to red in color / It was hot red when it started, now it's kind of a purple red; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient) reported for herself. A 64-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration, administered in Arm Left on Friday 23Jun2021 15:00 (at the age of 64-years-old) as dose 1, single for COVID-19 immunisation. Medical history included asthma, allergy from an unknown date and unknown if ongoing. Concomitant medications included montelukast sodium (SINGULAIR) taken for asthma, hypersensitivity, cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for asthma, hypersensitivity, start and stop date were not reported, losartan (LOSARTAN) taken for an unspecified indication, start and stop date were not reported. Patient received vaccine facility at a pharmacy. Patient stated, she had her 1st dose of the Pfizer Covid19 Vaccine last Friday 23Jun2021 at 3pm and at around 6 or 7 PM and she developed hot red rash on her leg. She was advised by her friend doctor to take 50 mg of Benadryl, but the rash was still very present and it's turning from purply to red in colour. Caller was concerned on who was going to pay her bills if her side effects gets worst. Consumer stated, So she just got the first dose of Pfizer vaccine at 3 O'clock on Friday, at 7 O'clock in the evening I developed this hot red, I want to call it a rash but it was not itchy thing, On unknown date it looks like somebody burned the bottom of my leg with an iron. I was absolutely frantic and hysterical, and people were telling me to go to the emergency room but I did not go to the emergency room because I just did not want to incur the cost of the emergency room. So, a doctor friend of my sisters saw the picture that I had sent and said tell her to take some 50 mg of Benadryl, and just because there was an allergic reaction we would be kind of short circuiting the histamine reaction that was going to occur. Although, I take Zyrtec and Singulair every day of my life so I already had antihistamine in me. Okay so this thing with this hot like red burn like thing going on my leg, I tried to relax and get through the have like, there are friends of mine that were looking at this pictures a night because like I said I could not bring myself to go to the emergency room. Nothing else was happening I was not short of breath, I was not experiencing any anaphylaxis or anything like that, this was the only thing that was happening to me. well looks like it could be cellulitis, looks like it could be lymphedema, it just had a lot of looks to it. So in the morning at 8 o'clock, I went to my doctor and he said well you know it kind of looks like cellulitis, I do not know if it came from the vaccine and I am like I have taken a vaccine 4 hours later, I have something going in my leg and the conclusion, that the doctors say it was, whatever it was since we do not know how it arose it was almost like he did not want to say it was happening because of that, okay but, whatever it was we were going to treat it okay, which made that made sense okay so he felt it and it was hot to the touch and everything and he said it looks has cellulitis like, asked me if I was near anything whatever. I guess there is bacteria in the skin all the time there was no reason why you could not develop cellulitis first no reason or if your body was going through an immune response maybe this can happen and by the way I had COVID about 3 months ago. I had a recollection of seeing a rash I can not remember if it was during the time I had COVID, but I have a recollection of it (not clarified further). So that's why this could be a thing like that popping up again, so he said what we all do was we all give you like an antibiotic that will completely cure the skin because if it was cellulitis the first thing we want to do was make sure it does not go any further. So he gave me Keflex (treatment) and by the second pill I would say that the heat came out of the rash, it became as cool to the touch as the rest of my body. However, it was hot red when it started as far as the colour that I am describing to you and I have pictures if that would help you. And now it's kind of a purple red, like it looks like it would like to go away but it's purple red, there's always some edema to my legs, so if I cannot tell if it was creating any more swelling, it was a little tender to touch, it's not itchy, it does not really look rash like. It looks like I has been burned, looks like somebody put an iron on me. So (voice breaking) the side effect, I do not know like was this going to go away. The event cellulitis assessed as serious (medically significant). Patient received treatment as a Benadryl before actually seeing the physician, so at the onset of the event a medical professional not my own doctor, but a medical professional advised a Benadryl would be in order. Actually, he advised 50 mg of Benadryl. I only took 25 and then later that evening I took another 25 because I did not want to have an event where I fell down or something (further clarification unknown). The outcome of the events was reported as unknown. Information on the lot/ batch number has been requested.

Other Meds: SINGULAIR; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; LOSARTAN

Current Illness:

ID: 1707644
Sex: F
Age:
State: AZ

Vax Date: 04/01/2021
Onset Date:
Rec V Date: 09/17/2021
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: nodule; This is a spontaneous report from a contactable physician. A 44-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unknown date Apr2021 as a single dose for COVID-19 immunization. The patient had received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unknown date Mar2021 as a single dose for COVID-19 immunization and experienced Hard spiderweb, Nodules. The patient medical history and concomitant medications were not reported. The patient took 7 months post Sculptra Aesthetic injection to temples, jawlines, cheeks, and chin. On an unknown date, the patient experienced hard spiderweb, nodule. The outcome of the event was unknown. Information about the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707645
Sex: F
Age:
State: TX

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/17/2021
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: She got really sick and started throwing up; She got really sick and started throwing up; Rash; This is a spontaneous report from a Pfizer-sponsored program. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown) via an unspecified route of administration on 24Jul2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On 24Jul2021, the patient got a rash right away and then, patient got really sick and started throwing up. The outcome of events was unknown. Information on lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1707646
Sex: F
Age:
State:

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 09/17/2021
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: vaccine be authorized for use in children < 12 years of age; vaccine be authorized for use in children < 12 years of age; her arm was sore for 2 hours; This is a spontaneous report from a contactable consumer. A 10-years-old female patient received bnt162b2 (Formulation: Solution for injection; Solution for injection; Batch/Lot number was not reported), dose 1 intramuscular, administered in Arm Left on 14Jul2021 18:00 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included asthma from 2011 to an unknown date (Asthma at one year old), vertigo from 2013 to an unknown date (Vertigo diagnosed at age 3), migraine from 2016 to an unknown date (Childhood Migraines diagnosed at age 6). She mentioned that patient sees a neurologist for her migraines. She was in an accident and had a concussion and then developed migraines after that. Peanut allergy and no other allergies. Got into peanut butter as a baby under 3 months old. She just got swollen and did not have to go to the hospital. They ended up taking her because they did not know, and it was gone by the time she was there. They advised to stay away from peanuts because she had that small reaction. She did not stop breathing or anything. For a 10-year-old she has already started her puberty and menstrual cycle. So, she is like a 12-year-old. She did not know how they based their clinical trials for children 12 and older receiving the vaccine. She said they may have decided to base it on 12-year-olds because of puberty. She is an early developer and she linked her with the 12 years old group because of this. She is due to have her 11 years old vaccine in Sep and cannot have them until after 24th when her actual birthday is. That would include Meningitis, Meningococcal and it is 3 different ones that she is supposed to get once she turns 11. It will be over 6 weeks apart and that is what she wanted to get 2nd shot since those other vaccines are coming up 8 weeks later. If she does it now before school starts, it will be better, so she won't be so close together. She wanted to know regarding second shot, of the 11-year-old age group, did they have more or the same side effects as normal adult's side effects. She then stated previous agent kind of tried to answer, but he was not able to answer. He was asking question from someone else. The patient's concomitant medications were not reported. Caller asked further on the safety of the vaccine for children. Caller mentioned her daughter (Patient) had the first Pfizer-BioNTech COVID-19 Vaccine dose. Patient did not experience any side effect except that her arm was sore for 2 hours. It went away afterwards. Patient did not get her second dose yet, because Caller wanted to make sure that it will be safe for her age. Patient is 10 years old. Caller stated that Patient already started her puberty similar to that of a 12-year-old. Caller wanted to know the possible side effects for her daughter's age group (5-11 years old), particularly for the second dose. Reporter confirmed information above. She did not wish to provide her mailing address or email. She wants her daughter to get second dose and does not want anybody coming after her. She did not wish to provide her daughter's primary care provider's contact details. She said patient's arm was not sore at first, it was just a little pain. It occurred a little later and then lasted 2 hours and went away. When the pharmacist gave her the injection, he looked for a spot very carefully on her arm. He was trying to get the meatiest part of her arm. She said kids age 12 or whatever, they have less standing tissue. He was very careful. She believes it was given in the muscle because he was careful to get it in the right spot and he is a professional that gave it. She is due for second shot 04 Aug 2021. She has underlying health conditions such as Asthma, Vertigo and childhood migraines. She spoke with a physician and wanted to know if it would be good for her to get it because of this. There was a pass for 12 years old and the child would be safer without it because if you have COVID, you could end up in the hospital or dead. She has already gone to school. She was online school for 2 years and wants her to get back to normal. She mentioned that patient sees a neurologist for her migraines. She does take other medication but did not think it was relevant to report since she was only sore for a couple of hours. She was in an accident and had a concussion and then developed migraines after that. Left arm sore couple hours after she got the vaccination, and she does not remember the time. It was not hurting but was just sore like anyone else would have. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707647
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: throbbing and pain in left arm; This is a spontaneous report from a contactable consumer. This consumer re-ported for 79-Year-old female patient (friend) received a dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, in Arm Left, on an unspecified date (age at vaccination: 79 years), as unknown, single dose for COVID-19 immunization. The patient's medical history included ongoing diabetes. Concomitant medications were not reported. The patient experienced throbbing and pain in left arm on an unspecified date which she got her COVID 19 vaccine in. The patient thought she was still having arm pain because she has diabetes and with diabetic patient's it takes things longer to heal. She thought that was why her arm still hurts like she just got the vaccine. The caller was pretty sure the patient got the vaccines in her left arm because she was right-handed. Outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Diabetes

ID: 1707648
Sex: F
Age:
State: MS

Vax Date: 07/15/2021
Onset Date: 07/26/2021
Rec V Date: 09/17/2021
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: woke up with her eye a little bit swollen was reported as worsened/swelling of left eye; This is a spontaneous report from a contactable consumer or other non hcp (patient's mother). A 17-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration, administered in Arm Left on 15Jul2021 at 15:03 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunization (at the age of 17-years-old). Medical history included had tonsils out (maybe a month ago) on an unknown date outside of that no other health issues. There were no concomitant medications. It was reported that patient received a first dose of vaccine 10 days ago and on 26Jul2021 woke up with her eye a little bit swollen was reported as worsened and had swelling of left eye. The reporter further mentioned that eye was a bit swollen, it was a little more puffy since yesterday, it's worsened, but it was not like its huge. She was hesitant about taking the vaccine so she wanted to call to make sure. The reporter also stated that she did a little research and saw that there's a potential for eye swelling and she just wanted to find out if they needed to see a doctor about it, put a little ice on it and or give some Benadryl. The patient was not recovered from the event. Information on lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1707649
Sex: F
Age:
State: UT

Vax Date: 07/26/2021
Onset Date: 07/01/2021
Rec V Date: 09/17/2021
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: hurting; headache; This is a spontaneous report from a contactable consumer or other non hcp. A 13-years-old female patient received BNT162b2 (Pfizer-Biontech Covid-19 Vaccine, Solution for injection, Lot No, NDC number, Expiry date was not reported), via an unspecified route of administration on 26Jul2021 as 2nddose, single for covid-19 immunisation. Historical vaccine was A 13-years-old female patient received BNT162b2 (Pfizer-Biontech Covid-19 Vaccine, Solution for injection, Lot No, NDC number, Expiry date was not reported), via an unspecified route of administration on unspecified date as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced hurting, headache on Jul2021. Upon follow-up on 27Jul2021 is a follow-up spontaneous report from a contactable consumer. This consumer reported for a patient characteristic (age at time of onset of reaction was 13 years female), reaction reported by primary source was headache, Drug information (Pfizer Covid 19 Vaccine, Lot number was unknown, action taken with drug was unknown). Narrative case summary and further information. Patient is not a reporter, reporter type is consumer or other non-health professional, specify Consumer or other non-health professional is mother. Dates for headache is unspecified. Yes, it is a Pfizer Covid 19 Vaccine a Pfizer product. Pfizer Covid 19 Vaccine manufacturer was unspecified, Dates for Pfizer Covid 19 Vaccine Start and Stop were unspecified. NDC number and Expiry date of Pfizer Covid 19 Vaccine was not reported. Reason for no lot number of Pfizer Covid 19 Vaccine was patient was unwilling to complete the report. Other products details not provided. Patient history was not provided, investigation assessment was not provided. Outcome of the events was unknown. Follow-up (27Jul2021): This is a follow-up spontaneous report from a contactable consumer. This consumer reported for a patient characteristic (age at time of onset of reaction was 13 years female), reaction reported by primary source was headache, Drug information (Pfizer Covid 19 Vaccine, Lot number was unknown, action taken with drug was unknown). Narrative case summary and further information. Patient is not a reporter, reporter type is consumer or other non-health professional, specify Consumer or other non-health professional is mother. Dates for headache is unspecified. Yes, it is a Pfizer Covid 19 Vaccine a Pfizer product. Pfizer Covid 19 Vaccine manufacturer was unspecified, Dates for Pfizer Covid 19 Vaccine Start and Stop were unspecified. NDC number and Expiry date of Pfizer Covid 19 Vaccine was not reported. Reason for no lot number of Pfizer Covid 19 Vaccine was patient was unwilling to complete the report. Other products details not provided. Patient history was not provided, investigation assessment was not provided. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1707650
Sex: M
Age:
State: WA

Vax Date: 07/16/2021
Onset Date: 07/16/2021
Rec V Date: 09/17/2021
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: fever; headache; could not walk due to the pain and swelling; swollen and non-responsive left leg; could not walk due to the pain and swelling; could not walk due to the pain and swelling; left leg was unresponsive and numb; severe allergic reaction; This is a spontaneous report from a contactable consumer reported for a 33-year-old male (patient). A 33-year-old male patient received second dose of bnt162b2 (Pfizer-biotech COVID-19 vaccine, Solution for injection, Batch/lot number: Unknown, Expiry date: Unknown), via an unspecified route in left arm on 16Jul2021 (age at vaccination: 33-year-old) as a single dose for covid-19 immunization. The patient was a perfectly healthy person and has no medical conditions. No pre-existing condition was reported before getting the bnt162b2 Vaccine. The patient concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 (Pfizer-biotech COVID-19 vaccine, Solution for injection) on 25Jun2021, as a single dose for covid-19 immunization. On 25Jul2021, patient was taken to the ER (from last Sunday afternoon, 25Jul2021, to almost midnight) due to swollen and numb, non-responsive left leg. He could not walk due to the pain and swelling and wanted to know if this is something that has been previously reported before. Patient also experienced a fever, headache and other issues after receiving the second dose Pfizer Covid 19 Vaccine and was taken to the emergency room on 25Jul2021. The patient was discharged from the emergency room close to midnight and was taken to the emergency room mid-afternoon. On 16Jul2021, patient had severe allergic reaction. Reporter wanted to know how long AEs usually last after receiving a dose of the Pfizer BioNTech covid-19 Vaccine. The patient was perfectly healthy person and normal person and now the patient can't walk. The patient can't touch the ground with his foot. How is the patient going to work? What is causing this? What is going to happen now? How long will it take the patient to recover from this? Reporter is mostly concerned about his leg that is unresponsive and numb and the patient can't walk. No information was reported on treatment recommendation for AE. The clinical outcome of numb, non-responsive left leg was ongoing, the leg was also extremely painful, it has not improved and was persisting; could not walk on foot because it was swollen and in a lot of pain was not improved; fever, severe allergic reaction, headache was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1707651
Sex: M
Age:
State: TX

Vax Date: 07/21/2021
Onset Date: 07/22/2021
Rec V Date: 09/17/2021
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: 20210727; Test Name: fever; Result Unstructured Data: Test Result:101

Allergies:

Symptom List: Pain in extremity

Symptoms: hasn't been able to hold anything down, just sips of water; Has been running a fever consistently since 22Jul2021 until now, 27Jul2021 of 101; This is a spontaneous report from a contactable nurse. This nurse reported similar event for two patient. This is the 2nd of 2 reports. This nurse reported for a male patient (husband). A male patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, batch/Lot number and expiry date was not provided) via an unspecified route of administration, on 21Jul2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The caller reported that both the patient and the patient's husband received the first dose Pfizer Covid Vaccine on the same day. Since 22Jul2021, the patient had been running a fever consistently until now, 27Jul2021 of 101. The fever has been consistent for many days for the husband. The patient underwent lab tests and procedures which included body temperature resulted as 101 on 27Jul2021. On an unspecified date, the patient experienced had not been able to hold anything down, just sips of water. The outcome of the event pyrexia was not recovered, and dysphagia 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: 1707652
Sex: F
Age:
State: KY

Vax Date: 03/20/2021
Onset Date:
Rec V Date: 09/17/2021
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: Hurting her foot so bad; This is a spontaneous report from a contactable consumer or other non hcp reported. A 74-years-old female patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 20Mar2021 (age at vaccination: 74 years old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient received her 1st dose of the Pfizer Covid vaccine on 20Mar2021 and was scheduled for her 2nd dose on 14Apr2021 but she missed the 2nd dose due to her hurting her foot so bad. there was stated that patient couldn't walk or drive at that time. Agent relays she advised to contact the facility to reschedule. there was reported when patient got the 1st dose she couldn't tell she got it, she went home and her arm didn't get sore and she had no side effects, it went smooth. it was reported that patient weight was probably 170 and she is not sure, she lost some since she hurt her foot. It was stated patient had a problem sometimes breathing and she knew with her breathing problem that she didn't think she could take Covid 19 so she decided to take a chance on the shot. patient had been in contact with her drug store, they are usually really good and had an answer for everything, she asked the young lady to reschedule and was told to call a certain number and she gave it to her real fast and she didn't get it written down correctly. Stated she got on the computer to reschedule and it lets her put in everything but the date she took the 1st dose. The outcome of the event was reported as unknown. Information about Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1707653
Sex: F
Age:
State: TX

Vax Date: 07/21/2021
Onset Date: 07/22/2021
Rec V Date: 09/17/2021
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: fever; Result Unstructured Data: Test Result:Ratio of 101-103; Comments: Since 22Jul2021; Test Date: 20210727; Test Name: fever; Result Unstructured Data: Test Result:101; Test Date: 20210727; Test Name: fever; Result Unstructured Data: Test Result:103.6; Comments: Today, 27Jul2021 at 1500; Test Date: 20210727; Test Name: fever; Result Unstructured Data: Test Result:101.1; Comments: This morning, 27Jul2021 at 1000 the fever was 101.1 with Tylenol in the patient's system.

Allergies:

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

Symptoms: Nausea; Fever; This is a spontaneous report from a contactable nurse. A 60 year old female patient started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: Unspecified) via an unspecified route of administration, administered in the arm. On 21Jul2021 as DOSE 1, SINGLE for COVID-19 immunization (at the age of 56 Years). Medical history includes Colon cancer on 08Jan2021 stage 2. The caller stated the patient is now in remission and is not on any medication for the colon cancer right now. And allergies on unknown date (The caller stated the patient does see an allergist and is on other medications, inhaler, albuterol and another allergy medicine.). Concomitant medication(s) included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE(Advair Diskus) 250mcg-50mcg twice a day). Albuterol Inhaler 90mcg, 2 inhalations as directed for allergies. On 22Jul2021 the patient experienced fever, until 27Jul2021 of 101. On an unspecified date patient experienced Nausea. The caller stated the fever has been persistent since 22Jul2021. Ratio of 101-103, today, 27Jul2021 at 1500 the fever was 103.6. This morning,27Jul2021 at 1000 the fever was 101.1 with Tylenol in the patient's system. The caller told the patient to take another dose of Tylenol and recheck temperature in 30 minutes. Product strength and count size dispensed: 650mg. The patient saw her primary care physician and was given Zofran 4mg for nausea. Outcome for fever was not resolved and the outcome for nausea was unknown. Information on lot/batch number has been requested. Follow Up (10Sep2021): Follow-up attempts are completed. No further information is expected.

Other Meds: ADVAIR; ALBUTEROL [SALBUTAMOL]

Current Illness:

ID: 1707654
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: One of my cousin explain that her thyroid is rushed out now from vaccine; This is a spontaneous report from a contactable consumer reported for a patient (cousin). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for COVID-19 immunisation. The patient's medical history was not reported. The patient's concomitant medications were not reported. Reporter stated that his/her friend wants to take the Pfizer vaccine (Unspecified Vaccine) and reporters friend has 8 goiter's (History) and she has been researching and reporter told her that Pfizer has less reactions than Moderna and she wants to take the Pfizer but she was very concerned about the 8 goiter's, so she was been working with doctor, she just said that, she was not comfortable taking it unfortunately they live in and delta virus was rapid, so she was afraid not to take it. Reporter asked, regarding any adverse reaction to thyroid because one of his/her cousin explain that her thyroid was rushed out now from vaccine. Further reporter informed friend regarding same, she said oh my gosh, reporter did not know if he/she should take it and should definitely research it. Reporter stated, he/she really need to, he/she got children, need to go. Outcome of the event was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1707655
Sex: F
Age:
State: TX

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 09/17/2021
Hospital:

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

Lab Data: Test Date: 202101; Test Name: tested positive for Corona virus; Test Result: Positive

Allergies:

Symptom List: Vomiting

Symptoms: felt tired; weak; This is a spontaneous report from a contactable consumer or other non hcp. A contactable consumer (Patient's husband) reported for 77-Year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, (Batch/Lot Number: unknown, expiry date: unknown) dose 1 via an unspecified route of administration, administered in Arm Left on 23Jul2021 17:00 as DOSE 1 SINGLE for covid-19 immunization (age at vaccination:77Yearold). Medical history included coronavirus infection from Jan2021 to an unknown date. She stayed in quarantine for 14 days. There were no concomitant medications reported. On 24Jul2021 SATURDAY, the patient experienced felt tired (fatigue) and weak (asthenia). The patient underwent lab tests and procedures which included sars-cov-2 test: positive on Jan2021.The outcome of all the events was recovered on an unspecified date of 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1707656
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: Chills; Fever; doesn't feel comfortable reporting his details; felt like crap; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown) 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, patient had fever and chills too and felt like crap after getting the vaccination. Reporter stated she was not with patient or anything and has no further information to provide; did not feel comfortable for reporting patient's details. The outcome of the events was unknown. Information about the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707657
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: doesn't really feel good; This is a spontaneous report from a contactable consumer (daughter) reported for a female patient (mother) that: A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via unspecified route of administration on an unspecified date, as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date, the patient experienced doesn't really feel good. It was reported that Consumer calling to report an AE for the Pfizer COVID 19 vaccine mentions her mother had the same vaccine; she was supposed to get the second dose in 21 days, but she missed it. When ask to provide details for her mother, she states she prefers not to report on her mother; states she doesn't have much to say. Adds she just got back from the doctor and doesn't really feel good. Full report details for mother were unable to be obtained. This was a clone report was created for the mother's experience. The clinical outcome of the event was unknown. Information on the lot/batch number has been requested. ; Sender's Comments: Linked Report(s) : US-PFIZER INC-202100957762 same reporter/drug, different event/ patient

Other Meds:

Current Illness:

ID: 1707658
Sex: F
Age:
State: NY

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 09/17/2021
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: sore arm for 2-3 days; This is a spontaneous report from a contactable consumer (Patient's mother). A 12-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 01Jul2021 (at the age of 12-years-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient did not report any medical history and concomitant medications were not reported. The patient had no prior vaccination within 4 weeks and no AE(s) following prior vaccination. The patient did not had relevant family medical history. On 01Jul2021, the reporter stated that with the first vaccine her daughter had a sore arm for 2-3 days. Patient did not have any AE(s) require a visit to emergency room and physician office. The outcome of sore arm was recovered on 03Jul2021. Follow-up attempts are completed. No further information is expected. Batch/lot number not available for BNT162B2.

Other Meds:

Current Illness:

ID: 1707659
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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 reported for her mother. A 80-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection and batch no/lot number: not reported) via an unspecified route of administration as single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient experienced very sore arm on an unspecified date. It was reported that It was reported that My mother (80 years) had a very sore arm; other than that, she was ok. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1707660
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/17/2021
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: she was very sick; This is a spontaneous report from a contactable consumer. A 47-years-old female patient (reporter's sister) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient was very sick for the first shot. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected. Batch/lot number not available for BNT162B2

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am