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: 1711362
Sex: F
Age:
State: FL

Vax Date: 08/03/2021
Onset Date: 08/07/2021
Rec V Date: 09/18/2021
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: This is a spontaneous report from a contactable consumer (mother). This is a clone reports are created to document the first daughter's experience. This is report two of three. A 22-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 03Aug2021 for COVID-19 immunization. The patient age at the vaccination is 22-years-old. The patient medical history were not reported. The patient concomitant medications were not reported. No Prior Vaccinations within 4 weeks. History of all previous immunization with the Pfizer vaccine considered as suspect was not provided. Additional Vaccines Administered on Same Date of the Pfizer Suspect was not provided. Second dose was Tuesday 24Aug2021. On 07Aug2021, It was reported that weekend after 03Aug2021 her daughter went to emergency room the following weekend for abdominal pain, but she had no fever, no chills. They didn't treat her but released her. On unknown date in 2021 outcome of event was recovered. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1711363
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: pain; standing up with my arm straight, someone had taken the magnet that you put on the refrigerator and it sticks to my arm; Magnet stick to my arm; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age received second dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient took first dose of bnt162b2 previously and experienced pain. The patient experienced pain, standing up with my arm straight, someone had taken the magnet that you put on the refrigerator and it sticks to my arm; magnet stick to my arm on an unspecified date. Consumer stated that, I had got the Pfizer shot and I was unaware that it was not fully FDA approved until I heard today and if would have known, I would have never got the shot. I recently had, when I had first got it, I was experiencing the pain. So then when I got the second shot I was having the same pain. So, now after the pain had gone, I was aware and showing when somebody had taken the magnet as I was standing up with my arm straight, someone had taken the magnet that you put on the refrigerator and it stuck to my arm. So, I want to know what is in that vaccine to make the magnet stick to my arm and I am not the only person who was experiencing this. 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: 1711364
Sex: F
Age:
State: FL

Vax Date: 07/26/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: Abdominal pain; This is a spontaneous report from a contactable consumer. Caller mentions both daughters had abdominal pain as well and they had the Pfizer COVID 19 vaccine too; they went first. This is a clone reports are created to document the second daughter's experience. This is report three of three. This consumer (patient's mother) reported for a 19-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 26Jul2021 (at the age of 19-year-old)(Batch/Lot number was not reported) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 05Jul2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. Caller reported that her daughter complained of abdominal pain, a week after the second dose (on an unspecified date in Aug2021); added she could not go to class. The patient had not visited to Emergency Room and Physician Office due to the event. The clinical outcome of the event was recovered on an unspecified date in Aug2021 (now she was completely recovered). The lot number for the vaccine [BNT162B2] was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711365
Sex: M
Age:
State: CO

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: i urinated blood for 2 times; This is a spontaneous report from a contactable consumer (patient himself). A 60-years-old male patient received second dose of bnt162b2 (Solution injection; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. Patient previously received first dose of bnt162b2 (Solution injection; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient reported that he got the second dose of vaccine for covid last friday and 48 hrs after that he urinated blood for 2 times in in 4hrs and once again on tuesday morning. The 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: 1711366
Sex: U
Age:
State:

Vax Date: 08/24/2021
Onset Date:
Rec V Date: 09/18/2021
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: I have been having like severe migraine since then; This is a spontaneous report from a contactable consumer. The consumer (patient) reported that,a patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) dose 2 via an unspecified route of administration on 24Aug2021 (Batch/Lot Number: FC3182) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine details included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) dose 1 via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. Patient stated that "I got my COVID Vaccine of my second dose of Pfizer yesterday and I have been having like severe migraine since then for the treatment patient have been taking Excedrin; nothing has stopped the migraine .The patient has experienced severe migraine on unspecified date. Outcome of the event was unknown. The lot number for the Excedrin, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711367
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: fatigue; felt like a semi hit her; This is a spontaneous report from a contactable other hcp. A female patient of an unspecified age received BNT162B2 (PFIZER BIONTECH COVID VACCINE, 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 medical history and concomitant medications were not reported. It was reported that after receiving the vaccine, nurse told her that she got symptoms seven days after getting the vaccine and she felt like a semi hit her. She stated that she didn't have a fever and neither did the caller. They just had fatigue. At the time of this report, the outcome of events was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during fol-low up. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1711368
Sex: U
Age:
State:

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/18/2021
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: suffered from gout; I am in considerable pain; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: unknown) dose 2 via an unspecified route of administration on 23Aug2021 as dose 2, single for covid-19 immunization. The patient medical history was not reported. Concomitant medication(s) included acetylsalicylic acid (ASPIRIN (E.C.). The patient stated, just got the second vaccine (Covid-19 Vaccine) two days ago and the second one Pfizer and suffered from gout and was in considerable pain on 23Aug2021. Wanted to know if the patient can take an Aspirin. Outcome of events was unknown. The lot number for the vaccine, [BNT162B2] was not provided and will be requested during follow-up.

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1711369
Sex: F
Age:
State:

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/18/2021
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: Fingers were tingling; This is a spontaneous report from a contactable pharmacist via Regulatory Authority. A 60-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 26Aug2021 as dose 1, single (at the age of 60-years-old) for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Patient experienced events after receiving the Pfizer-BioNTech Covid19 vaccine, today. After administration, a couple minutes later she said her fingers were tingling on 26Aug2021. He reported that she did leave the pharmacy and he intended to follow-up with her later today. He also noted he did not observe anything out of the ordinary with administration. The outcome of the event was unknown. The lot number for [BNT162B2], was not provided and will be requested during follow up. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1711370
Sex: F
Age:
State: WI

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/18/2021
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: off label use; Extra dose administered; very tired; she slept all day; This is a spontaneous report from a contactable consumer. This 63-year-old female consumer reported for herself that. A 63-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: FC3180), dose 3 via an unspecified route of administration on 24Aug2021 16:15 as (At the age of 63-years-old) dose 3, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. No Other Products, Patient History and no Investigation Assessment ware reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: unknown) on 13May2021 and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: unknown) on13May2021. It was reported that patient received extra dose administered (off label use) on an unspecified date. It was reported that Consumer calling regarding the Pfizer booster for COVID 19. Mentions she got the first and second dose and the booster. They wanted her to call in so Pfizer can keep up with what people are having. She is not at home and does not have her other vaccination card but does have information for the booster. When ask to report caller states if she had known it was this big a deal she would not have called. It was reported that patient first dose 13May2021; second dose 03Jun2021. Caller states she doesn't have the card and cannot provide lot number. No NDC, expiration date or dose known to caller. Booster 24Aug2021 at 16:15PM in the left arm; lot FC3180. Caller states there is no other writing on the card for the booster; no NDC, expiration or dose. Administered at doctor's office. Caller reports she was very tired on 25Aug2021; she slept all day. She didn't have that with the first ones. The outcome of events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1711371
Sex: F
Age:
State: CA

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 09/18/2021
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: had the Covid arm issue; whole upper shoulder got red and swollen; getting red; spasm in left side of neck and jaw area; Breathing issues; Slight headache, what she describes as a pre-migraine on the left side; cognitive issues; slow speech; hypoglycemic; head was itching/started itching internally; tired; surges of energy, with euphoric and high feeling; surges of energy, with euphoric and high feeling; surges of energy, with euphoric and high feeling; major left elbow pain; her left palm got numb including her little finger and ring finger on her left hand; her left palm got numb including her little finger and ring finger on her left hand; shoulder starting hurting really bad, left top side of her shoulder; had an immediate pain on the right side of the breast bone straight through to the scapula; pain, to the middle suture and to the right side of the head all the way to the right jaw resulting in what she calls a classic migraine; swollen lymph nodes; sore throat; This is a spontaneous report from a contactable consumer (patient herself). A 58-years-old female patient received first dose of bnt162b2 (Solution injection; Batch/Lot Number: EW0186), via an unspecified route of administration, administered in Arm Left on 26Jul2021 at 09:00 (at the age of 58-years-old) as single dose for covid-19 immunisation. Medical history included reactivated Epstein Barr, chemical sensitivity, migraine, very low b12 and methylenetetrahydrofolate reductase gene mutation from 2012 and ongoing, this is a genetic mutation, she is C677T as there are different ones, she is the double mutation. The patient's concomitant medications were not reported. Caller reported that she got the first shot in 26Jul2021 and had lots of side effects after the first dose. After the first dose and within the first 5-10 minutes of receiving the first shot she had spasm in left side of neck and jaw area, this lasted several days, and it has resolved. Breathing issues that lasted 15-20 minutes and resolved. Slight headache, what she describes as a pre-migraine on the left side. She has a history of migraines. It then moved, the pain, to the middle suture and to the right side of the head all the way to the right jaw resulting in what she calls a classic migraine. This lasted about an hour and a half. She started having cognitive issues which was like a disconnect for her to get out what she is trying to get say, described as slow speech. Caller remarks she is hypoglycemic and has had before. This lasted about 5 minutes, she did better when drank something. She waited for 15 minutes the moved to waiting in the hall. At this time gradually her head was itching, this lasted about 10-15 minutes. She was at the facility she got the shot at for about an hour and a half just to make sure she was ok. In the evening she was tired, this lasted for a few days. It was explained during this time she also had surges of energy, with euphoric and high feeling and then she would get really tired. This lasted a couple days and went back and forth. Within 1 hour of getting the shot she started getting major left elbow pain and her left palm got numb including her little finger and ring finger on her left hand. This last 2-3 days. Her shoulder starting hurting really bad, left top side of her shoulder, not where the injection site was though. The next day her shoulder hurt more and that evening it started getting red. At the 2.5 day mark it started itching internally and the whole upper shoulder got red and swollen. She used ice and took a Tylenol. She would say at 2 days after getting the shot this got worse and was itching but she tried not to scratch. She called urgent care and on the 29th she went to the walking to make sure it was ok, confirmed she had the Covid arm issue, a mild case. even now she will get a twinge of itchiness but went away from the top but moved to the injection site. This lasted until at least 12Aug2021, so for 2.5 weeks or maybe 3 weeks. She remarks she also had swollen lymph nodes for brief time, this lasted 1.5 to 2 days. She had a sore throat at the same as swollen lymph nodes. Within the first 10 minutes, she had an immediate pain on the right side of the breastbone straight through to the scapula. This lasted awhile; it lasted about week. The events breathing issues, slight headache, what she describes as a pre-migraine on the left side, cognitive issues, hypoglycemic and head was itching/started itching internally was resolved on 26Jul2021. The outcome of the events spasm in left side of neck and jaw area, pain, to the middle suture and to the right side of the head all the way to the right jaw resulting in what she calls a classic migraine, tired, surges of energy, with euphoric and high feeling, shoulder starting hurting really bad, left top side of her shoulder, swollen lymph nodes and sore throat was resolved on unspecified date in 2021 while the outcome of major left elbow pain and her left palm got numb including her little finger and ring finger on her left hand was resolved on Jul2021. The outcome of the events had an immediate pain on the right side of the breast bone straight through to the scapula, had the Covid arm issue, getting red and whole upper shoulder got red and swollen was resolved in Aug2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: B12 deficiency anaemia (Verbatim: very low b12); Chemical sensitivity (Verbatim: Chemical sensitivity); Epstein-Barr virus infection reactivation (Verbatim: reactivated Epstein Barr); Migraine (Verbatim: Migraine); MTHFR gene mutation (this is a genetic mutation, she is C677T as there are different ones, she is the double mutation)

ID: 1711372
Sex: M
Age:
State: NC

Vax Date: 08/09/2021
Onset Date:
Rec V Date: 09/18/2021
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: muscle and joint pain; joint pain/Shoulder pain/pain in that finger; right hand has started hurting bad; symptoms are going to get worsened; Had a lot of reaction to medications (Unspecified Medications); This is a spontaneous report from a contactable consumer. This 69-year-old male consumer(patient) reported that: A 69-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 09Aug2021 (at the age of 69-year-old) as single dose for covid-19 immunisation. Medical history included broken finger and surgery. Patient previously took Codeine and Morphine as pain shot and experienced allergy. Caller is a 69-year-old male who received the first dose of the vaccine on 09Aug2021 and is scheduled to get the second dose on 30Aug2021 next Monday. He stated I've had muscle and joint pain ever since, including today one night hand hurt so bad it woke me up. I'm allergic to morphine and codeine, that's why I held off. I have a broken finger that has had surgery 2 times I have joint pain there. My left hand with finger broken, I get the pins out next Friday after the second shot on Monday. It has hurt really bad in the joints. My right hand has started hurting bad and there's nothing wrong with it. 30 minutes after the shot my shoulder started hurting behind my back. Maybe I was tense and then I had joint pain. It's been two weeks and I'm still having that and then I knew I was getting the next shot Monday and I'm not sure if it was going to compound the side effects. Pharmacist says it shouldn't be longer than a week. He gave me a printout with a number to call. He referred me to my doctor. I have been allergic to so much medication I was scared of it. I've had a lot of reaction from other shots, pain shots, that gives me adverse effects. He is experiencing joint pain in that finger, in that joint, In the finger that is broken. He said that He has hurt really bad in his joint, In that left hand. He said that His right hand also started hurting really bad. But it has nothing wrong with it, there is no injuries to that hand. He received the shot, The first dose. He said, his shoulder started hurting behind his back and then he started having the joint pain and he said, it has been 2 weeks and he still having the joint and muscle pain and he was not sure, if he should get his next dose on Monday because, He is not certain, if it is going to compound the side effect so, he is concerned that, his symptoms are going to get worsened than they are right now. That is the reason, He is asking, if he can delay getting out the 2nd dose, Like by a week. He says, He has allergic reactions to Morphine and Codeine pain shots, but he did not specify what products those were. He said he has had a lot of reaction to medications (Unspecified Medications) But he did not specify what the reactions are. The outcome of the events was reported as not recovered. The lot number for the vaccine (BNT162B2) was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1711373
Sex: U
Age:
State:

Vax Date: 08/24/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: I got sore in my arm, I got the second shot so it was little bit at the injection site; I got sore in my arm, I got the second shot so it was little bit at the injection site; Little bit of nausea; Headache; I don't wanna eat anything thing because I don't have a good stomach; I don't wanna eat anything thing because I don't have a good stomach; I don't feel good; This is a spontaneous report from a contactable consumer (patient). A 77-years-old patient of an unspecified gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Batch/Lot number was not reported, Expiry date: not reported), via an unspecified route of administration, administered in Arm on 24Aug2021 as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Batch/Lot number was not reported, Expiry date: not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. In Aug 2021, the patient had experienced sore in arm and got the second shot so, it was little bit at the injection site but then started getting headache and if the patient took some Aspirin (Further clarification Unknown), it doesn't really doing any and now the patient still had the headache but the patient also have like a little bit of nausea like and didn't wanted to eat anything thing because the patient don't have a good stomach. The patient just wondered how long something like that would last and the patient inquired if the symptoms the patient had are common. The patient needed somebody right now that could tell a simple answer, yes the patient was going to have it for couple days, it should go away, it won't go away.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: 1711374
Sex: M
Age:
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
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: does not feel well and is tired; does not feel well and is tired; This is a spontaneous report from a Pfizer Sponsored Program COVAX US Support. A contactable male consumer or other non hcp reported. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number was not reported) dose number unknown via an unspecified route of administration on Mar2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced does not feel well and is tired on unspecified date in Mar2021. Clinical course was reported as Swap from IBCC-he saw on the news yesterday that the Pfizer vaccine has been approved by the FDA and wants to know why now. Also inquired on a list of ingredients in the vaccine, relayed website per FAQ. Also relayed to maybe check FDA website for information. he received the covid- 19 vaccine back in March and at times does not feel well and is tired. He declined to share last name and declined transfer to PSCC. The clinical outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711375
Sex: M
Age:
State: DC

Vax Date: 07/21/2021
Onset Date:
Rec V Date: 09/18/2021
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: Shingles; Heat rash; hives.; This is a spontaneous report from a contactable consumer or other non hcp. A 53-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 21Jul2021 13:00 (Age at vaccination 53 years old) (Batch/Lot Number: Ew0128) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included herpes virus infection from an unknown date and unknown if ongoing. There were no concomitant medications. Treatment with Valacyclovir, covid prior vaccination and covid tested post vaccination was no. On an unspecified date the patient experienced Shingles Heat rash/hives. Therapeutic measures were taken as a result of shingles (herpes zoster), heat rash (miliaria), hives. (urticaria). Outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711376
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: experienced was a little of a sore arm.; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 Vaccine, mRNA, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 2021 as DOSE 1, SINGLE, received second dose via an unspecified route of administration on 2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced was a little of a sore arm on unspecified date 2021. 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:

ID: 1711377
Sex: F
Age:
State:

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/18/2021
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: bad headache; muscle pain in her jaw; Jaw pain; he went to withheld and got the 3rd pfizer vaccine; This is a spontaneous report from a contactable consumer. A 68-years-old female patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection), dose 3 via an unspecified route of administration on 23Aug2021 (at the age of 68-years-old) (Batch/Lot Number: FD8448) as dose 3, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient previously took first dose of BNT162B2 (at the age of 68-years-old) (lot number: EL3246, vaccine location: Right arm) on 07Jan2021 and second dose of BNT162B2 (at the age of 68-years-old) (lot number: EL3246) on 26Jan2021 for covid-19 immunisation. Patient previously took Flu Shot 25 years ago reported to CDC. The patient experienced bad headache and muscle pain in her jaw on 24Aug2021. The patient was administered with 3rd dose of covid-19 vaccine and exposed to off label scenario. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received treatment for the event bad headache. The outcome of the event bad headache and muscle pain in her jaw and jaw pain was not recovered. The outcome of all the other events was unknown.

Other Meds:

Current Illness:

ID: 1711378
Sex: F
Age:
State: CA

Vax Date: 04/15/2021
Onset Date: 04/26/2021
Rec V Date: 09/18/2021
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 Date: 20210426; Test Name: fever; Result Unstructured Data: Test Result:99 degrees; Test Date: 20210426; Test Name: tests; Result Unstructured Data: Test Result:normal; Test Date: 20210507; Test Name: RTPCR; Test Result: Negative ; Comments: covid test type post vaccination=Nasal Swab, covid test name post vaccination=RTPCR,

Allergies:

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

Symptoms: Hot Waves comes out of my ear; body burns throughout the day/whole body was burning from morning to night; get a red rash several times during the day and night; low-grade fever (99 degrees); I feel extremely warm throughout the; hot flashes is an understatment; Lot of times my ears, arms, neck, and cheecks become blood red/her face, jaw, and arms, turned blood red; Lot of times my ears, arms, neck, and cheecks become blood red; sleepless nights; This is a spontaneous report from a contactable consumer (patient). A 37-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8735), via an unspecified route of administration on 15Apr2021 (at the age of 37-year-old) as dose 1, single for covid-19 immunisation. Medical history was reported as none. The concomitant medications were not reported. Patient did not receive any other vaccine in four weeks. Other medications in two weeks were reported as yes (details not provided). Patient reported that life has changed after getting covid 1st shot. Caller stated she had taken the first dose on 15Apr2021, and from 10-15 days after, she started having reactions. On 26Apr2021, hot waves came out of her ear, body burns throughout the day, got a red rash several times during the day and night, followed by low-grade fever (99 degrees). She felt extremely warm throughout the day and night almost feeling of burns, hot flashes are an understatement. These are burns occurring throughout the day and night and sometimes feel like almost smoke coming out of the ear. Lot of times her ears, arms, neck, and cheeks become blood red and she had done a series of tests to find out. All her tests were normal, and they did not explain symptoms. She had sleepless nights because she was extremely warm. She switched on the AC throughout the day and night but still very warm. Caller reported that she had heat inside her body. Caller stated her whole body was burning from morning to night, and it was difficult to sleep. Caller stated, reclarified several times, her face, jaw, and arms, turned blood red and were burning a lot. Caller stated she felt like smoke was coming out of her ears. Caller stated it would happen every day or every other day. Caller states she felt heat in her body, for 24/7, throughout the day, and it has lasted 4 months. Caller stated she believes these are all from the Covid vaccine. Caller states she filed a complaint with Pfizer. Caller stated she had already been to doctors and wanted Pfizer to help her. Caller stated everyday she was sleeping, and it was a challenge. She slept all day and all night. Caller stated she would appreciate it if she can get help from Pfizer. Caller stated since she has already been to doctors, she would appreciate a detoxifying treatment to remove the vaccine from her body. The patient underwent lab tests and procedures which included body temperature: 99 degrees on 26Ap2021, sars-cov-2 test: negative on 07May2021 covid test type post vaccination=Nasal Swab, covid test name post vaccination=RTPCR, laboratory test: normal on an unspecified date. Patient did not have covid prior vaccination and covid was tested post vaccination. Adverse event resulted in doctor or other healthcare professional office/clinic visit. Patient did not receive treatment for events. The outcome of events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711379
Sex: M
Age:
State: AZ

Vax Date: 08/25/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: This is a spontaneous report from a contactable consumer. This consumer (Patient's wife) reported for a 60-year-old male patient (Reporter's husband) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EW0183; Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 25Aug2021 12:30 (at the age of 60-years-old) as DOSE 2, SINGLE for COVID-19 immunization. Patient's medical history was none. There were no concomitant medications were reported. Patient had not other relevant medical history, other products and Illness/AE. Patient's family medical history relevant to AE(s) was none. Patient had not AE(s) following prior vaccinations. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Additional vaccines administered on same date of the Pfizer suspect if applicable, list all vaccines administered on same date with the Pfizer vaccine considered as suspect was none. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: FA7484; Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 04Aug2021 (at the age of 60-years-old) as DOSE 1, SINGLE for COVID-19 immunization. On an unspecified date in Aug2021 patient experienced I have a magnetic reaction in both arms, it also happened to her husband too, after the second dose, but for him only in one arm the left arm on injection side and states it should not be doing that, it's not normal. AE(s) did not require a visit emergency room or physician office. Relevant tests was none. The outcome of events was not recovered. Follow-Up (07Sep2021): Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101110375 Same reporter, different patient, same drug/event (split);US-PFIZER INC-202101110878 Same reporter, different patient, same drug/event (split).

Other Meds:

Current Illness:

ID: 1711380
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: my niece got a shot, a spoon stuck to her arm; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received unspecified dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot number and expiration dates were not reported), via an unspecified route of administration on an unknown dose as dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The reporter stated that on an unknown date after shot her niece experienced a spoon stuck to her arm. The outcome of the event was unknown at the time of report. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up. Follow-up#1 (8Sep2021): This follow-up is being submitted to notify that the batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101110877 Same reporter, different patient, same drug/event (split);US-PFIZER INC-202101110375 Same reporter, different patient, same drug/event (split)

Other Meds:

Current Illness:

ID: 1711381
Sex: U
Age:
State:

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/18/2021
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: Sore arm; Have lot of discomfort in my chest and it's getting really hard to breath; Have lot of discomfort in my chest and it's getting really hard to breath; This is a spontaneous report from a contactable consumer (patient). A patient of an unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection), via an unspecified route of administration on 24Aug2021 (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. Patient got the Pfizer vaccine on 24Aug2021 (yesterday, as reported) and on 25Aug2021 (today, as reported) patient had like you know the normal side effects like sore arm or whatever, but as the day go on patient had lot of discomfort in chest and it's getting really hard to breath. So patient was wondering if patient could see a doctor or just wait and see. The outcome of the event(s) was unknown. Information on batch/lot number was requested.

Other Meds:

Current Illness:

ID: 1711382
Sex: U
Age:
State:

Vax Date: 08/25/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: Test Date: 202108; Test Name: Fever; Result Unstructured Data: Test Result:101.3

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Experiencing arm pain; Fever of 101.3; I feel tired; 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, Formulation: solution for injection, Lot number: unknown, Expiration date were not provided), dose 1 via an unspecified route of administration on 25Aug2021 (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 experiencing arm pain, fever of 101.3 and i feel tired on Aug2021. Reporter stated, I am calling regarding a side effect to see if it is normal, I had the (first dose) vaccine yesterday. When paraphrased the concern, Reporter stated, I am experiencing arm pain and that's subsiding, but I have a fever of 101.3 and patient asked I feel tired, so is that normal, I feel tired is that normal, I am going to take Tylenol or should I go to the ER (Emergency Room), answer the question, 4th all day should I go to the Emergency Room or just take Tylenol (treatment). I will just over again, this is just "ridiculous" (further not clarified). The patient underwent lab tests and procedures which included fever of 101.3 (body temperature) on Aug2021. The outcome of the events was unknown. The lot number for the vaccine, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1711383
Sex: M
Age:
State: NY

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 09/18/2021
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: Shingles; rash; Product use for unapproved combination; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 48-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Lot Number: EW0198) via an unspecified route of administration (Age at vaccination 48-year) in left arm on 07Aug2021 as dose 1, single for COVID-19 immunization; patient received influenza vaccine (FLU SHOT) via an unspecified route of administration on 07Aug2021 as dose number unknown, single for an unspecified indication. The patient medical history and concomitant medications were not reported. The patient previously took Keflex, donatol, codeine, and experienced allergies. No Covid prior vaccination was reported. The patient did not tested Covid post vaccination. Ptient received no other vaccine in four weeks. Reported facility type Vaccine was Pharmacy or Drug Store. On 21Aug2021 the patient experienced shingles, rash. It was reported that patient received Flu vaccine same date of COVID-19 vaccine. AE resulted in Doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of shingles, rash; the patient was treated with Valycyclovir and Mupirocin. The clinical outcome of the events shingles, rash was resolving; while the outcome of another event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711384
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: Chills; Headache; Fatigue like stiffing congested; I am not feeling well; Fatigue like stiffing congested; This is a spontaneous report from a contactable consumer (Patient reported for self). A patient of unspecified age and gender received unspecified dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, LOT#:Not reported/ Expiry Date: Unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. On an unspecified date the patient experienced Chills, Headache, Fatigue like stiffing congested, patient stated "I am not feeling well". Reason for no lot number: of Covid Vaccine: Other: Patient stated, "I don't have it. I have to call back with because I am not feeling well." As Patient was not willing to proceed the call. Limited information available over the call. The outcome of the events was unknown. Batch/lot number not available for vaccine [BNT162B2]. Follow-up attempts are completed and no further information is expected

Other Meds:

Current Illness:

ID: 1711385
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: arm is going to be sore; This is a spontaneous report from a Pfizer-sponsored program 159558. A contactable consumer (patient) reported for self. Unspecified age and sex patient received second dose of bnt162b2 (Pfizer BioNTech COVID-19 vaccine, solution for injection, Batch/Lot number: EN0169, expiry date: unknown), dose 2 via an unspecified route of administration on 19Feb2021 as dose 2, single for covid-19 immunisation. Patient historical vaccine included patient received first dose of bnt162b2 (Pfizer BioNTech COVID-19 vaccine, solution for injection, Batch/Lot number: unknown, expiry date: unknown), dose 1 via an unspecified route of administration on 19Feb2021 as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On unspecified date patient experienced arm was going to be sore and he would like to know if he can rub it with an alcohol. The outcome of the vent was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1711386
Sex: F
Age:
State: NC

Vax Date: 08/11/2021
Onset Date:
Rec V Date: 09/18/2021
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: Experiencing ulcers in my mouth. Yes. I have two bump on my right cheek, Inside and inside my right, It one only inside of my lip on the left side.; It was the very painful.; This is a spontaneous report from a contactable consumer (Patient). A 31-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), intramuscular, administered in Arm Left on 11Aug2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced ulcers in her mouth. yes. She have two bumps on her right cheek, inside and inside her right, it one only inside of her lip on the left side, it was very painful on an unspecified date. Outcome of events was not resolved. The lot number for the vaccine, (BNT162B2), was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1711387
Sex: M
Age:
State: TN

Vax Date: 08/19/2021
Onset Date: 08/27/2021
Rec V Date: 09/18/2021
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: He's developed a rash on his left foot and leg; Its like raised blistered bumps; Itches really bad; His left foot and ankle was hurting really bad like he twisted it; This is a spontaneous report from a contactable consumer. This consumer (patient's mother) reported for a 12-year-old male patient (reporter's son) .A male patient of 12 years had received bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot number FA7485 was reported), dose 1 via an unspecified route of administration on 13 Aug2021 in left arm as DOSE 1, SINGLE for covid-19 immunization (at the age of 12-Years-old).The patient medical history had included ADHD and concomitant medications were not reported. The patient did not take any vaccination within 4 weeks of Covid vaccine. On an 27Aug2021 the patient had experienced a rash on his left foot and leg. Its like raised blistered bumps and itches really bad. .The rash was on the left leg around his ankle and shin, really itchy raised blistered bumps. Patient's left foot and ankle was hurting really bad like he twisted it and then he got the rash. It was reported that patient did not remember doing anything to twist it but it feels like he had. The patient had been hobbling on it for the last two days. It was also reported that reporter didn't know if it was a side effect of the injection, if she should be concerned or what it is. The reporter had a question should his soon took second dose which would be scheduled on 09Sep2021.It was reported that the patient took Covid Vaccine so that he Back in school and its going around like crazy in school system age group and wanted him protected. but stated would like to wait until he is 16 or 20, but it was up to them. Caller states they decided to get him vaccinated since he is back in school and Covid is running withheld through the school. Caller states there are 2-3 spots on the top of his foot and a line of them across the shin area and they kind of look like blisters. Caller states she sent him on to school and he is still in school now so she doesn't know what it looks like right now and told that she knows rash is common in the arm he gets it in, but this is on the same side but not the arm.Caller states her first thought was hand foot and mouth but the rash is no where near his mouth or hands. The patient had received anti -itching cream as an treatment . The outcome of the event was unknown. Indication Continued: Caller states they wear their masks adamantly, she has had Covid twice and her mother and her both have compromised immune systems and he was the only one in the household not protected or vaccinated Follow-up (27Aug2021): This is a Follow-up spontaneous report from a contactable consumer. This consumer (patient's mother) reported for a 12-year-old male patient (reporter's son) .Clinical information has been amended. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: ADHD (Had for Years)

ID: 1711388
Sex: F
Age:
State: CA

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/18/2021
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: two bumps in her armpit/and they are really swollen; her breast and they are really swollen; burning sensations there; has a really strong pain if she breathes really deep; has a little pain in her arm; She states that she feels like she cannot breath; she feels like she has tachycardia; This is a spontaneous report from a contactable consumer (Patient). A 44-years-old female patient received bnt162b2 (COMIRNATY, Formulation:Solution for injection, Batch/Lot Number: FD8448) dose 2 via an unspecified route of administration on 26Aug2021 10:00 as dose 2, single (At the age of 44-years) for covid-19 immunisation. Medical history included blood cholesterol and hypersensitivity from an unknown date and unknown if ongoing. The patient concomitant medications was not reported. The patient previously took bnt162b2 (COMIRNATY, solution for injection, Batch/Lot Number: EC3100) dose 1 via an unspecified route of administration on 05Aug2021 (At the age of 44-years) for covid-19 immunisation. Patient has not taking any medications and has a lot of allergy but all of that she has and maybe some or a bit of cholesterol and triglycerides but that was already under control and states she had no other diseases; states the allergy, cholesterol and triglycerides began prior to the Pfizer Covid vaccine. On 26Aug2021 16:00 the patient experienced two bumps in her armpit/and they are really swollen, her breast and they are really swollen, burning sensations there, has a really strong pain if she breathes really deep, has a little pain in her arm, she states that she feels like she cannot breath, she feels like she has tachycardia. After 2nd dose Symptoms started at 4:00 pm and her symptoms are worse. Therapeutic measures were taken as a result of two bumps in her armpit/and they are really swollen, her breast and they are really swollen, burning sensations there, has a little pain in her arm, she states that she feels like she cannot breath. She states that someone told her to take 800 mg of Tylenol after getting the shot, but the Tylenol didn't even take away 5 percent of the pain. Lot number F200557 and expiration date Feb2022. Symptoms started at 4:00 pm and her symptoms are worse. Caller was given the following information. In general, local side effects; the ones you get on the arm where you got the shot (such as injection site redness and injection site swelling) were mostly mild-to-moderate in severity and resolved within 1 to 2 days. Side effects that you may experience throughout the rest of your body; (systemic side effects) including fever and chills were observed with the first 1 to 2 days after vaccination and resolved shortly thereafter. Swollen lymph nodes (lymphadenopathy), which generally resolved within 10 days, is likely to have resulted from a robust vaccine-elicited immune response. The outcome of the events was not recovered. Follow up(27Aug2021): This is a spontaneous report included. Event onset dates and some clinically relevant information provided.

Other Meds:

Current Illness:

ID: 1711389
Sex: F
Age:
State:

Vax Date: 08/12/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: right side lymph swelling; right ear pain; could not hear out of her right ear; gently touch the right side of her head and she is in pain; Pain; This is a spontaneous report from a contactable consumer or other non hcp (parent). A 12-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on 12Aug2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced right side lymph swelling, right ear pain on 12Aug2021 while could not hear out of her right ear, gently touch the right side of her head and she is in pain, pain on an unspecified date in Aug2021. It was reported that, the mother of the patient on the line calling about the Pfizer Covid-19 vaccine and reported that her daughter received her first dose 12Aug2021. Within 24 hours her daughter had lymph node swelling and what she thought was normal ear pain on the right side. They applied heat and ice. She took her daughter to the doctor on 18Aug2021. The doctor looked in her ears and the patient could not hear out of the right ear. He referred them to the ER. They waited for 2 hours in the ER and they sent her home because it was not an emergency and she was referred to her primary care. The caller reported that her daughter cannot hear anything out of her right ear. Someone was taking her daughter to the clinic to get revaluated. She called the CDC and they referred her to the ER. The patient was in a lot of pain and you can barely touch the side of her neck. Therapeutic measures were taken as a result of events. The outcome for all 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: 1711390
Sex: F
Age:
State: FL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 09/18/2021
Hospital: Y

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

Lab Data: Test Date: 202104; Test Name: COVID test Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: very high blood pressure; Dizziness/ Lightheaded; This is a spontaneous report from a contactable consumer, the patient. This 85-year-old non-pregmant female patient reported that she received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EN6201) via unspecified route in the left arm on 14Feb2021 at 10:00 (at the age of 85-years-old) as a single dose for COVID-19 immunization. Medical history included High Blood Pressure, Back Surgery, and Neurological (as reported). Patient's known allergies include scallops. The patient did not have COVID-19 prior to vaccination. The patient did not receive any other vaccines within four weeks of the COVID-19 vaccine. Concomitant medications received within two weeks included irbesartan 75, pravastatin (PRAVASTAT) 10mg, escitalopram oxalate (LEXAPRO) 5mg, and amlodipine besilate (AMLOPIN) '5m'. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL9262) via unspecified route in the left arm on 24Jan2021 at 10:00 (at the age of 85-years-old) as a single dose for COVID-19 immunization. On 14Feb2021, the patient experienced dizziness, lightheaded, diagnoses (Dx) as very high blood pressure. The patient was kept in hospital 8 hours and was given meds to lower blood pressure. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Treatment received included blood pressure meds. The outcome of the events was recovered on unspecified date. The patient was tested for COVID post vaccination with nasal swab COVID test in Apr2021 which resulted Negative. Follow-up (08Sep2021): Follow-up attempts are completed. No further information is expected.

Other Meds: IRBESARTAN; PRAVASTAT SODIC; LEXAPRO; AMLOPIN [AMLODIPINE]

Current Illness:

ID: 1711391
Sex: F
Age:
State: NJ

Vax Date: 07/25/2021
Onset Date: 07/30/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210730; Test Name: Heart beat; Result Unstructured Data: Test Result:rapid; Test Date: 20210730; Test Name: d-dimer; Result Unstructured Data: Test Result:.92; Comments: Went to e.r. they told me I had uti and my d-dimer was .92. (Had no symptoms of uti).

Allergies:

Symptom List: Nausea

Symptoms: UTI; Difficulty breathing; chest pain; rapid heart beat; Fluttering/heart palpitations; Dark veins; Excessive urination; Dizzy; Weakness; Fluttering/heart palpitations; This is a spontaneous report from a contactable consumer (patient). A 35-year-old nonpregnant female patient received BNT162B2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE Solution for injection) dose 1 via an unspecified route of administration, administered in Arm Left on 25Jul2021 10:00 AM (age at vaccination 35-year-old) (Lot Number: FA7484, and Expiration Date was not reported) as dose 1, single for covid-19 immunisation. Medical history included covid-19 from an unknown date and unknown if ongoing (if covid prior vaccination: Yes). There were no concomitant medications. The patient did not received other vaccine in four weeks. if covid tested post vaccination :No. known allergies: No The patient experienced on 30Jul2021 at 18:00, Difficulty breathing, chest pain, rapid heartbeat. Fluttering/heart palpitations. Dark veins. Excessive urination. Dizzy. Weakness a few days after. Went to e.r. they told me patient had UTI and patient d-dimer was .92. (Had no symptoms of UTI). The patient received treatment for the events and included Antibiotic for UTI. Going to cardiologist and register Doctor. The events resulted in: Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. The outcome of the events was reported as Resolved with Sequel on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711392
Sex: F
Age:
State: TN

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/18/2021
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: I had a very cold sensation in the middle of my chest/then my lower legs have a on and off cold sensation; tingling; numbness; irritating bilateral pain; This is a spontaneous report from a contactable consumer, other healthcare professional. This 35-year-old female consumer (patient) reported for herself. A 35-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: FC3181), dose 1 via an unspecified route of administration, administered in Arm Left on 24Aug2021 08:45 (at the age of 35-years-old) as a single dose for covid-19 immunization. Medical history included retinal detachment, chronic inflammatory demyelinating polyradiculoneuropathy CIDP, unevaluable event- reaction to Gardasil vaccine. There were no concomitant medications. The patient had no other vaccine within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 24Aug2021 09:00, In the first 5 minutes, the patient had a very cold sensation in the middle of her chest with tingling and numbness down the left side of her arm to her fingertips. After 40 minutes that resolved and then her lower legs have a on and off cold sensation with irritating bilateral pains that have become worse each day. Adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment. Outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 1711393
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I had chills and headache for 12 hours; I had chills and headache for 12 hours; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number was not reported), dose unknown via an unspecified route of administration on 27Aug2021 as SINGLE DOSE for covid-19 immunisation. The patient's medical history and concomitant medication was none. Patient had chills and headache for 12 hours. It start developing after the 5 hours. The outcome of the event was recovered. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711394
Sex: M
Age:
State:

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 09/18/2021
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: Hive like swelling around injection site; Hive like swelling around injection site; This is a spontaneous report from a contactable Consumer. This 14-year-old male consumer reported for himself that: A 14-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Fc3182), via an unspecified route of administration in Arm Left on 27Aug2021 13:30 (at the age of 14-year-old) as DOSE 2, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. The patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Fc3180), via an unspecified route of administration in Arm Left on 06Aug2021 (at the age of 14-year-old) as DOSE 1, SINGLE for covid-19 immunization. On 29Aug2021 patient experienced hive like swelling around injection site. Patient didn't received treatment for the events. The clinical outcome of the event was recovering.

Other Meds:

Current Illness:

ID: 1711395
Sex: M
Age:
State:

Vax Date: 08/23/2021
Onset Date:
Rec V Date: 09/18/2021
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: Stuttering; Dizzy; Shaking; Light-headed; Can't understand much of anything; he can't get across what's going on; This is a spontaneous report from contactable consumer. This consumer (parent) reported for her son (patient). A male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: unknown, Expiration date: unknown), via unspecified rout on 23Aug2021 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 stuttering, dizzy, shaking, light-headed, can't understand much of anything; he can't get across what's going on. Reporter stated, "The thing is he's stuttering and can't understand much of anything. I had to talk to a fellow students because he can't get across what's going on, My son received the Covid-19 vaccination on 23rd from school and today the last 2 hours he is stuttering, he's dizzy, shaking, light headed, we don't know what to do. If this a reaction to the shot, what do we do. The outcome of the events was unknown. Follow-up attempts has been completed; No further information is expected.

Other Meds:

Current Illness:

ID: 1711396
Sex: F
Age:
State: PA

Vax Date: 06/27/2021
Onset Date: 06/01/2021
Rec V Date: 09/18/2021
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: Really knocked out/Thinks the vaccine was just too strong for her; Shingles; Bad burning and nerve pain.; Bad burning and nerve pain.; This is a spontaneous report from a contactable consumer or other non-Health Care Professional. A 59-years-old female patient received bnt162b2 PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0202 and Expiry date: Unknown), dose 2 via an unspecified route of administration on 27Jun2021 , at the age of 59-years-old as DOSE 2 SINGLE for Covid-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the Covid vaccine.She completed two rounds of antibiotics for a respiratory infection these 2 weeks prior to getting the first dose Pfizer Covid 19 Vaccine. Patient took first dose of bnt162b2 (COMIRNATY, Solution for injection, Lot number was not reported) on 06JUN2021for covid-19 immunization. The patient medical history was not reported. On Jun2021 the patient experienced really knocked out/thinks the vaccine was just too strong for her. On 2021 the patient experienced shingles, bad burning and nerve pain. Therapeutic measures were taken as a result of shingles. The outcome of event really knocked out/thinks the vaccine was just too strong for her was recovered on 2021 ,the outcome of event shingles was recovering while the outcome of event was unknown. No further information is expected.

Other Meds:

Current Illness:

ID: 1711397
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: Pain in my chest; Breathing a little bit heavier; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Batch/Lot Number: Unknown, Expiration 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. On an unspecified date the patient experienced pain in chest, breathing a little bit heavier. When probed for the concern, consumer stated, "The patient got to go and get the shot and the patient felt like patient had pain in chest, He felt like my breathing was a little bit heavier. Patient asked if that was normal." The clinical 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: 1711398
Sex: F
Age:
State:

Vax Date: 08/08/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: This is a spontaneous report from a contactable consumer (patient's husband). A female patient, of unknown age, received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# unknown), via unknown route, on Aug 8, 2021, single dose, for COVID-19 immunization. The patient's medical history and concomitant medication not reported. Since the past 15 days, patient has experienced multiple types of symptoms: pain in forearm, in the palm, in the wrist, pain in the neck, shoulders and back (lower back). The outcome of the event pain in forearm, in the palm, in the wrist: recovering; and all other events unknown. The lot number for the vaccine, BNT162B2, not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 1711399
Sex: U
Age:
State:

Vax Date: 08/27/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: I am feeling pain in my leg you know, It's like, I can't even walk very well; It's like getting worst.; My left leg on the bottom, Like strong pain in my bottom. I can't really walk very well.; This is a spontaneous report from contactable consumer. This consumer (Patient) reported. A patient of an unspecified age and gender received second dose of BNT162B2 (solution for injection, Lot number: unknown) via an unspecified route of administration on 27Aug2021, as dose 2, single for Covid-19 immunization. Medical history and concomitant medications were not report-ed. The patient received first dose of BNT162B2 (solution for injection, Lot number: unknown) via an unspecified route of administration on an unknown date in 2021, as dose 1, single for Covid-19 immunization. The patient stated that after the 2nd shot, patient don't know the vaccine is, What is causing it or left leg on the bottom, Like strong pain in bottom. Patient can't really walk very well. Patient don't know if it has to do with the vaccine. The patient wanted to make sure, It's not some-thing serious cause. Patient can't even walk very well. So, It's like getting worst. If, It has anything to do with vaccine or something different. The patient also stated that they would see, and go to emergency room now. They just want someone, who knows that, Someone can give advice, this is serious or not. The patient was requested to visit the Health care provider in case of emergency. The outcome of the events was reported as not recovered. The lot number for the vaccine, BNT162B2, was not provided and would be requested during follow up.

Other Meds:

Current Illness:

ID: 1711400
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: could not walk; both knees are swollen; knee pain/ around my knees are very painful/joint pain; muscles are really in agony; sciatica; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 62-year-old female patient received bnt162b2 (BNT162B2, Batch/Lot number was not reported) 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 an unspecified date, The patient experienced could not walk, both knees are swollen, knee pain/ around my knees are very painful/joint pain, muscles are really in agony and sciatica. Caller stated the patient had her first dose of the Pfizer covid 19 vaccine on Saturday. Caller stated that yesterday she woke up and could not walk. Caller stated both knees are swollen. Caller stated the left knee is worse and you can see where it is swollen. Caller reported that her knees feel like they do not belong to her. Caller state she was crying trying to make it to the bathroom. Caller stated she rested yesterday because the message when she called yesterday said to call back today. Caller stated she has physical therapy appointment today at 11 for sciatica. Caller stated her mind told her to wait to get the vaccine until she finished the sciatica. Caller stated she read the side effects and read new or worsened muscle pain. Caller wanted to know what she should do for her knee pain. Agent warm transferred caller to agent (Withheld) reportum number (Withheld) Caller disconnected during transfer. Caller stated it was not right that she has to go to her own HCP and take up HCP time for her side effect. Caller stated it is not right that Pfizer leaves her on her own. Agent showed empathy to caller when caller first gave side effects. Agent wished the caller a quick recovery. Consumer stated, I had a question, my muscles are really really in agony. Just see both of my knees, but my left one is really got me ah! It's like I am trying icing it, putting the ointments (not clarified) on it around my knees are very painful and I don't know I know that you might deal muscle and joint pain. So, what should I do other than should I just take some pain medicines? Yeah, around my knees really, really hurting me there. Vaccine: Pfizer, Covid-19 Vaccine. Consumer was informed about the Pfizer Medical Information Department. Consumer stated, So, you are not the one that we calling to # that is on this paper. Consumer was informed about the role of Pfizer Drug Safety. Consumer stated, Oh, they are not even open today. Consumer hung up the call abruptly. Further probing could not be done. Hence, limited information available over the call. Transferring agent stated, I have a caller on the line. She is a consumer. She had the first dose of the Pfizer Biontech COVID-19 Vaccine on Saturday. Yesterday, she woke up and her knees are swollen. Both knees are swollen. Stating her left knee is worse. She was saying she could not walk. She is saying, it feels like her knees they like they did not belong to her. She stated, she was crying to make it to the bathroom. She did say she is going to assist physical therapist today but its for unrelated condition (Further clarification unknown hence not captured). She is going for sciatica (Further not clarified hence not captured in tab) and she didn't mention anything else as far as anything she is doing or did for the knee pain. I think that is it then I gave you her phone# and she did say she rested yesterday. Anything else you need. Transferring agent further stated, I will get her on the line. She hung up. Can you call her back. Call back was done however it was unsuccessful. Hence, further probing could not be done. Hence, limited information available over the call. Therapeutic measures were taken as a result of knee pain/ around my knees are very painful/joint pain, muscles are really in agony. The outcome of the events (could not walk, both knees are swollen, knee pain/ around my knees are very painful/joint pain, muscles are really in agony and sciatica) was unknown The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711401
Sex: F
Age:
State: FL

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Antibody test; Result Unstructured Data: Test Result:750; Test Date: 20210208; Test Name: COVID test; Test Result: Positive ; Comments: Three days before her second dose was due she tested positive for the Covid virus.

Allergies:

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

Symptoms: On 09Feb2021 I got COVID; had the Pfizer shot 22Jan2021. On 09Feb2021 I got COVID; really sick; sore arm; This is a spontaneous report. A 72-year-old female patient (patient herself) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EL9262, Expiry date was unknown), via an unspecified route of administration, administered in Arm Left on 22Jan2021 as dose 1, single for COVID-19 immunization (Age at Vaccination was 72 years). The patient's medical history included ongoing colitis ulcerative. She was also immunocompromised with ulcerative colitis (but not that immunocompromised; it's in remission), pulmonary embolism, have a history of blood clots in her lungs, migraine prophylaxis, Prophylactic migraine headaches, migraine. Concomitant medications included Topiramate (TOPAMAX) taken for migraine prophylaxis, migraine. The patient previously took Pneumococcal vaccine and experienced Guillain-Barre syndrome. On 09Feb2021, patient experienced three days before her second dose was due, she was tested positive for the COVID-19 virus. On 12Feb2021, she was also on oxygen and nebulizers during that time. On an unspecified date in Feb2021, the patient had experienced really sick and sore arm. The patient underwent lab tests and procedures which included antibody test: 750 on an unspecified date and SARS-COV-2 test: positive on 08Feb2021. Therapeutic measures were taken as a result of events includes an antibody infusion of Bamlanivimab on 12Feb2021, Dexamethasone and Ivermectin. The seriousness of the events really sick and sore arm was non-serious and for the all the other events was serious and medically significant. The outcome of the events was unknown. Follow-up (01Sep2021): Follow-up attempts completed. No additional information was received from last follow-up attempt.

Other Meds: TOPAMAX

Current Illness: Ulcerative colitis (immunocompromised with ulcerative colitis (not that immunocompromised, remission))

ID: 1711402
Sex: U
Age:
State:

Vax Date: 08/28/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: I am having, Like a headache.; I am having arm pain.; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 28Aug2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in Aug2021, the patient experienced having, like a headache and arm pain. It was reported that consumer stated, "Yes I call a pharmacy, because I had my first shot. My first dose on yesterday so, the paper, they gave me the paper to let me know, What the symptoms are but, when it come down like, checking the medication for stop me, until to call you provider. Like, I have one because I am having arm pain and I am having like a headache and I want to take, like some Tylenol (intent treatment) or something but it told me that, I have to call and you know, I talk to the provider. Well. My doctor's office was not open this morning so, I soon, Get the pharmacy, would be they are not open for today. So, I am calling this line anything to know." The outcome of the events was reported as unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711403
Sex: F
Age:
State: UT

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data: Test Name: PTT; Result Unstructured Data: Test Result:Elevated; Test Name: PTT; Result Unstructured Data: Test Result:Elevated; Test Date: 20210824; Test Name: PTT; Result Unstructured Data: Test Result:Elevated

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: PTT's drawn and they have all been elevated; This is a spontaneous report from a contactable consumer (patient). A 36-years-old female patient received bnt162b2 (COMIRNATY; Solution for injection; Lot Number and Expiration date was not reported), via an unspecified route of administration, administered in Arm Right on 27Jan2021 (at the age of 35-years-old) as DOSE 2, SINGLE for covid-19 immunisation. This report is not related to a study or programme. The patient was taking Pfizer Covid Vaccine for work. Vaccine was not administered at Facility and Vaccine facility information was available. The patient medical history and concomitant medications included none. The patient previously received first dose of BNT162B2 in right arm on 31Dec2021 (at the age of 35-years-old) as dose 1, single for covid-19 immunisation. Additional vaccines administered on same date of the Pfizer Suspect; Prior Vaccinations (within 4 weeks); AE(s) following prior vaccinations; Family Medical History Relevant to AE(s) included none. The patient experienced PTT's drawn, and they have all been elevated in 2021. The patient underwent lab tests and procedures which included PTT: elevated, PTT: elevated on unspecified dates, PTT: elevated on 24Aug2021. Caller has had three PTT's drawn and they have all been elevated with her most recent one being 24Aug2021. Caller stated she had been to the doctor and they couldn't figure out why. She was wondering if this was something that had been reported before after receiving the Pfizer COVID vaccine. Patient had been to so many doctors over it; but they could not figure out why it was elevated. Stated the rest of her labs were normal. Caller denied any other medications, medical conditions, labs, testing, or treatments relevant to events. No information in PI regarding elevated PTT after receiving the Pfizer COVID vaccine. No exact times of event onset provided. AE(s) require a visit to Physician office and not to Emergency Room. Clinical outcome of event was not recovered. Information about lot/batch number will be obtained during follow-up.

Other Meds:

Current Illness:

ID: 1711404
Sex: F
Age:
State: CA

Vax Date: 02/01/2021
Onset Date:
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Since then caller was prescribed Hydroxychloroquine, leucovorin and methotrexate for rheumatoid arthritis; This is a spontaneous report from a contactable consumer (patient). A female patient of unknown age received the second dose of bnt162b2 (lot number: unknown) in Feb2021 via unknown route of administration at single dose for COVID-19 immunisation. Medical histories included immunocompromised. Concomitant medications were not reported. Historical Vaccine included the first dose of bnt162b2 (lot number: unknown) in Jan2021 via unknown route of administration at single dose for COVID-19 immunisation. The reporter was calling about the covid booster vaccine. The reporter had a compromised immune system and had rheumatoid arthritis. The caller was not on these medications with the initial vaccination of the two doses. Consumer wanted to know if it was ok to take the booster dose Pfizer covid vaccine. She received Pfizer covid vaccine first dose in Jan2021 and second dose in Feb2021. Since then reporter was prescribed, Hydroxychloroquine, leucovorin and methotrexate for rheumatoid arthritis. The patient was currently on methotrexate, hydroxychloroquine, and leucovorin. The 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: 1711405
Sex: F
Age:
State: FL

Vax Date: 04/26/2021
Onset Date: 05/08/2021
Rec V Date: 09/18/2021
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: My breasts also appear more full as if they have grown; My Period has been noticeably late since the vaccine; The swelling and pain in my breasts is noticeable and not normal for my cycle; The swelling and pain in my breasts is noticeable and not normal for my cycle; Specifically, very sore within the areolas all the way to my armpits which is completely abnormal for me; This is a spontaneous report from a non-contactable consumer (patient). A 37-year-old non-pregnant female patient received bnt162b2 ((PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0171, Expiry date: unknown, at the age of 37 years), dose 2 via an unspecified route of administration, administered in Arm Left on 26Apr2021 as dose 2, single for covid-19 immunisation. The medical history was not reported. There were no concomitant medications. No known allergies. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8737, Expiry date: unknown, at the age of 37 years), dose 1 via an unspecified route of administration, administered in Arm Left on Apr2021 as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced her period has been noticeably late since the vaccine, the swelling and pain in her breasts is noticeable and not normal for her cycle, specifically, very sore within the areolas all the way to her armpits which is completely abnormal for her. Her breasts also appeared more full as if they had grown. Her period had always been regular prior to this shot. No other changes in her health, eating, exercise, stress, medication to explain the odd changes on 08May2021. The patient did not receive any treatment for the event. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1711406
Sex: F
Age:
State: KY

Vax Date: 08/26/2021
Onset Date: 08/01/2021
Rec V Date: 09/18/2021
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: This is a spontaneous report from a contactable consumer, the patient. This consumer reported similar events for two patients. This is the first of two reports. A 52-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EW0172) via unspecified route in the right arm on 26Aug2021 at about 1:30 -1:40pm (at the age of 52-years-old) as a single dose for COVID-19 immunization. Patient had no medical history and no concomitant medications. No additional vaccines were administered on the same date as the COVID vaccine and no other prior vaccinations (within 4 weeks) of the COVID vaccine were received. The patient and her husband received the first dose of the vaccine from employer on Thursday, 26Aug2021 and before they got home, the lab called and said the company they hired to administered it, instead of giving them the 0.3ml they got 2.1ml which is over 6 times the amount they should have gotten. She also said 7 other patients were involved with incorrect dosing of the vaccine. Patient reported they (she and her husband) haven't had any crazy side effects, just sore (Aug2021) and the 'expected things' (as reported). When she ask the director of the site about the second shot, she was told to go ahead and take the shot. She is going to wait and hear from her primary care doctor but wanted some more information regarding this. The normal things mentioned were described as headache which started that evening (26Aug2021) and is better now, seasonal allergies with runny nose which started on 29Aug2021 and is better today, her arm swelled at the injection site on 26Aug2021 but this has gone down now and this has subsided, body aches including leg cramps (Aug2021) and her neck hurting (the leg hurting started 29Aug2021 and is about the same and the neck hurting started a few days ago (Aug2021) and is about the same). She also reported that the biggest thing has been fatigue which started right away on 26Aug2016, that evening and it is about the same. The reported events did not require ER visit or physician office visit. There were no relevant tests. Treatment for the events included ibuprofen. The outcome of headaches and seasonal allergies with runny nose was recovering; arm swelled at the injection site was recovered in Aug2021; while body aches including leg cramps, leg hurting, fatigue and neck hurting were not recovered. Follow-up (06Sep2021): Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202101132573 same reporter/events/product, different patient.

Other Meds:

Current Illness:

ID: 1711407
Sex: F
Age:
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210818; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rotator cuff tendonitis; torn cartilage in shoulder; This is a spontaneous report from a contactable consumer (patient). This 33-year-old non-pregnant female consumer received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number ER8737) on 06Apr2021 at 09:30, at the age of 33 years, as the second single dose, for COVID-19 immunisation. Medical history included epilepsy. Known allergies: no. COVID prior vaccination: no. The patient received the first dose of BNT162B2 vaccine on 16Mar2021 at 09:00 AM, lot EN6208, in left arm, at the age of 33 years. Concomitant medication included lamotrigine. No other vaccine was administered in 4 weeks. The patient experienced rotator cuff tendonitis and torn cartilage in shoulder on 06Apr2021 at 10:00 AM. The events resulted in Doctor or other healthcare professional office/clinic visit and required treatment with steroid shot, physical therapy and Aleve for 2 weeks. The patient had not recovered. COVID was tested post vaccination with nasal swab: negative on 18Aug2021. Follow-up attempts are completed. No further information is expected.

Other Meds: LAMOTRIGINE

Current Illness:

ID: 1711408
Sex: U
Age:
State:

Vax Date: 08/26/2021
Onset Date:
Rec V Date: 09/18/2021
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: severe lower back pain; , the pain is been so bad that I couldn't walk, I have to crawl to go to the bathroom; I can't walk; I am walking with a cane right now, because I still get back spasms; I am walking with a cane right now, because I still get back spasms; This is a spontaneous report from a contactable consumer (Patient reported for self). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/lot number and Expiry Date: Unknown), via an unspecified route of administration on 26Aug2021 as dose 1, single for COVID-19 immunisation. The patient reported, (on unspecified date) starting yesterday at 4 clock in the afternoon patient had severe lower back pain; the patient stated "the pain is been so bad that I couldn't walk, I have to crawl to go to the bathroom and today is the pain is subsided a bit but I am walking with a cane right now, because I still get back spasms." Patient was not concerned about that so much as the second dose which is schedule for September 16th, patient was told that this second dose that the side effects are more severe so patient queried if it was possible for patient to push up second dose until the 20Sep. Patient hung up abruptly hence details could not be probed,limited information was available over the call. The outcome of the events was unknown. Batch/lot number not available for vaccine [BNT162B2]. Follow-up attempts are completed and no further information is expected.

Other Meds:

Current Illness:

ID: 1711409
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/18/2021
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: reactive arthritis; joint pain; This is a spontaneous report from a contactable other healthcare professional. An 80-year-old female patient received bnt162b2 (BNT162B2), dose 1 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 reactive arthritis on an unspecified date with outcome of unknown, and joint pain on an unspecified date with outcome of unknown. The lot number for the vaccine [BNT162B2] was not provided and will be requested during follow up.; Sender's Comments: Considering the plausible drug-event temporal association, a contributory role of the suspect product bnt162b2 to the reported events cannot be excluded. Case will be reassessed upon receipt of additional information. 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-202101133832 Same Reporter/Patient/AE/Drug, Different Vaccine Dose

Other Meds:

Current Illness:

ID: 1711410
Sex: F
Age:
State: TX

Vax Date: 03/15/2021
Onset Date: 08/28/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210829; Test Name: COVID test; Test Result: Positive; Comments: Nasal swab, Post vaccination; Test Date: 20210829; Test Name: COVID test; Test Result: Positive; Comments: Blood test, Post vaccination.

Allergies:

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

Symptoms: I was diagnosed with COVID-19 yesterday; I was diagnosed with COVID-19 yesterday; This is a spontaneous report from a contactable consumer (patient). A 42-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot/batch number and expiration date not reported), via an unspecified route of administration on 15Mar2021 at 17:00 (at the age of 41-year-old) at single dose for COVID-19 immunisation in hospital. Medical history included high blood pressure, restless leg syndrome, and allergy to Sulfa drugs. Prior to vaccination, patient was not diagnosed with COVID-19. Concomitant medications included Lisinopril and Ropinirole. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient reported that she was diagnosed with COVID-19 yesterday on 28Aug2021 at 06:00. Events resulted in emergency room/department or urgent care. Since the vaccination, patient had been tested for COVID-19 via Blood test and nasal swab both on 29Aug2021, the results were Positive for both. Therapeutic measures were taken as a result of the events included regeneron and a lot of medications. The outcome of the events was not recovered. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds: LISINOPRIL; ROPINIROLE

Current Illness:

ID: 1711411
Sex: M
Age:
State: CT

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/18/2021
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: left hand was flopping like someone had a stroke; no control over his hand or fingers; he had the Pfizer booster shot yesterday; This is a spontaneous report from contactable consumer. 87-years-old male patient received bnt162b2 (BNT162B2), dose 3 (booster shot) via an unspecified route of administration, administered in Arm Left on 29Aug2021 14:00 (Batch/Lot number was not reported) as a single dose for covid-19 immunisation. Medical history included 12 years ago that he had heart surgery and it worked and his heart works. Concomitant medications were not reported. Stated that that he had the Pfizer booster shot yesterday (29Aug2021), that it was refrigerated yesterday and they had to mix it which he did not know that they had to do. Stated that he got the first two shots in (withheld) in large campus like environment. Stated that he is fine, can open and close fist. Stated that they may want to send him to someone to perform exercises.Caller reports he received the booster dose 29Aug2021 at 1400. Caller says "I would say I am in good health". Caller received his booster dose in his left arm; he reports on 30Aug2021, his left hand was flopping around like someone who has had a stroke, he had no control over his hand or fingers. He reports the "flopping" has resolved today and he wanted to know if this side effect had been reported. Caller wants to know if he is an outlier with this side effect and wanted to ensure he reported this side effect. The outcome of the events was recovered on the same day, while the booster dose was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up. .

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am