VAERS 2021 Database www.vaers.hhs.gov

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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: 1711969
Sex: F
Age:
State: UT

Vax Date: 08/30/2021
Onset Date: 08/30/2021
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: Painful injection spot for about 5 days after; This is a spontaneous report from a contactable consumer, the patient. A 66-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 30Aug2021 (at the age of 66-years-old) as a single dose for COVID-19 immunisation. Medical history included rheumatoid arthritis (RA) and cancer. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received unspecified concomitant medications. The patient previously received sulfur (MANUFACTURER UNKNOWN) for an unknown indication on an unknown date and experienced drug allergy. On 30Aug2021, the patient experienced painful injection spot for about 5 days after. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event painful injection spot for about 5 days after was recovered on an unknown date in Sep2021. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711970
Sex: U
Age:
State: OH

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: Excessive fatigue; Malaise; Patient is post menopausal and restarted me stuck cycle; This is a spontaneous report from a contactable consumer or other non hcp. This report was received via a sales representative. A patient of unspecified age and gender received unknown dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: UNKNOWN), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced excessive fatigue, malaise post vaccine and also patient had post-menopausal and restarted her stuck cycle. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1711971
Sex: F
Age:
State:

Vax Date: 05/27/2021
Onset Date: 05/28/2021
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: passed out; Dizzy; fell; This is a spontaneous report from a contactable consumer (patient). A 41-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 27May2021 at 18:30 (Batch/Lot Number: EW0180) (at the age of 41-years-old) as dose 2, single for COVID-19 immunisation. Medical history included minor asthma and known allergies to some fruits and vegetables. The patient did not have COVID prior to vaccination. Concomitant medications included levothyroxine, fish oil and unspecified multivitamins; all taken for an unspecified indication, start and stop date were not reported. The patient was previously administered with first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EW0167) via unspecified route of administration, administered in the left arm on 01May2021 (at the age of 41-years-old) for COVID-19 immunisation. On 28May2021 at 09:00, the patient felt dizzy, passed out then fell. The patient was not given any treatment for the events. The patient was not tested for COVID post vaccination. Outcome of events was recovered on an unspecified date.

Other Meds: LEVOTHYROXINE; FISH OIL

Current Illness:

ID: 1711972
Sex: F
Age:
State: TX

Vax Date: 01/30/2021
Onset Date: 01/01/2021
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: Menstrual cycle was absent from Jan 2021 until July 2021.; This is a spontaneous report from a contactable consumer, the patient. A 34-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN9581) via an unspecified route of administration in the left arm on 30Jan2021 (at the age of 34-year-old) and also received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6202) via an unspecified route of administration in the right arm on 27Feb2021 (at the age of 34-year-old) as a single dose for COVID-19 immunisation. The patient had no medical history and had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine and did not receive concomitant medication within two weeks of vaccination. The patient's menstrual cycle was absent from Jan2021 until July2021, since the patient received the vaccine and also missed a last month, always had a regular period. The event resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were taken as a result of the event and included treatment with hormonal therapy progesterone (MANUFACTURER UNKNOWN). The clinical outcome of the event menstrual cycle was absent from Jan 2021 until July 2021, was resolved with sequelae on an unknown date in 2021.

Other Meds:

Current Illness:

ID: 1711973
Sex: F
Age:
State: SC

Vax Date: 09/08/2021
Onset Date: 09/08/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: High fever; lethargic; nausea; upset stomach; severe headache; body aches; restless; very weak; dizziness; could not move arm that shot was received in; This is a spontaneous report received from a contactable consumer(patient). A 61-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number and expiry were reported) via an unspecified route of administration, at the age of 61-year-old, on 08Sep2021 18:45, at the left arm, at dose number unknown, single for covid-19 immunisation in a Pharmacy/drug store. The patient had no known allergies. The patient's medical history was not reported. Concomitant medications in two weeks included hydrocodone bitartrate, paracetamol (NORCO), diazepam, bupropion hydrochloride (WELLBUTRIN), gabapentin and progesteron. The patient is not pregnant at the time of vaccination. The patient did not any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have prior COVID vaccination and was not tested post vaccination. On 08Sep2021 at 23:00, the patient experienced High fever, lethargic, nausea, upset stomach, severe headache, body aches, restless, very weak, dizziness, could not move arm that shot was received in. The patient did not receive treatment in response to the events. The outcome of the events was not recovered at the time of report. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds: NORCO; DIAZEPAM; WELLBUTRIN; GABAPENTIN; PROGESTERON

Current Illness:

ID: 1711974
Sex: M
Age:
State: MA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
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: Test Name: labs; Result Unstructured Data: Test Result: fine.

Allergies:

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

Symptoms: fever; received the booster shot; received the booster shot; This is a spontaneous report from a contactable consumer (wife) reported for a 78-year-old male patient (husband). A 78-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), dose 3 via an unspecified route of administration on 02Sep2021 (at the age of 78 years old) as DOSE 3, SINGLE for covid-19 immunisation. Medical history included ongoing spinocerebellar ataxia. When asking for medical conditions, medications, testing labs and treatment, the reporter referred to the facility where he lives. Confirms he has had Spinocerebellar ataxia for 20 years. She noted he had Covid in Apr2020 and after he had Covid he had a flare up of prostatitis which was something he never had before. This was prior to getting the vaccines. The patient's concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) on Dec2020 and second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection) on Jan2021 (at the age of 77 years old) for covid-19 immunisation and after the first 2 doses he was lethargic and weak, patient was diagnosed with colon cancer was diagnosed in May2021, after the first 2 vaccines. Reporter, a wife calling for her husband regarding the Pfizer Covid booster vaccine and who explained her husband received the booster shot last Thursday on 02Sep2021. The booster shot was given on 02Sep2021, the first shot was given in Dec2020 and the second was in Jan2021. He has a rare neurological condition Spinocerebellar ataxia. Currently he was getting chemotherapy for colon cancer. He has had 2 treatments of chemo and did wonderful after both. A week after the second dose of chemotherapy he had his booster shot and has tanked, he has not been the same and it has been hard for him to crawl back out of this. His labs and vitals are fine though he did have a little fever the day after vaccine on 03Sep2021, but he was not back to where he was the day before he got the vaccine. The reporter was looking for to evaluate his specific situation. She wonders if due to the neurological condition he should have gotten the booster shot. She was very concerned and though the doctors are telling her he has a lot of other things going on she felt she should take it a step further and question what was going on. She explained he got the first dose of the Covid vaccine in Dec2020 and the second dose in Jan2021. After the first 2 doses he was lethargic and weak but nothing like what he was experiencing now. She understands that now the booster shot has been compounded with the chemotherapy he was also taking but there was not an issues with the first and second dose of the Chemotherapy. The outcome of events was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness: Spinocerebellar ataxia (Verbatim: Spinocerebellar ataxia).

ID: 1711975
Sex: F
Age:
State:

Vax Date: 04/01/2021
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: Test Date: 202108; Test Name: COVID-19 Test; Result Unstructured Data: Test Result:Positive

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: his wife got covid in August after completing their two doses of covid vaccine with Pfizer; his wife got covid in August after completing their two doses of covid vaccine with Pfizer; This is a spontaneous report from a contactable consumer (husband) in response to consumer letter sent via follow-up letter. A female patient (wife) of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date in Apr2021 as DOSE 1, SINGLE and second dose of bnt162b2 (Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date in Apr2021 as DOSE 2, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter mentioned that he and his wife (patient) got covid in an unspecified date in Aug2021 after completing their two doses of covid vaccine with Pfizer. The reporter got his vaccines in Jan2021 and his wife (patient) around Apr2021. Both were fully recovered. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on Aug2021. The outcome of the event covid-19 was recovered. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711976
Sex: F
Age:
State: FL

Vax Date: 09/02/2021
Onset Date: 09/01/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Both experienced swelling of the arm but her mother's was hotter, redder and hard; Tired; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient's daughter) reported for a female patient (reporter's mother). A 10-decade-old female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number was not reported, Expiry date: Unknown) via an unspecified route of administration on 02Sep2021 as dose 2, single and previously took dose 1 on an unspecified date for COVID-19 immunisation. The patient medical history and concomitant medications were not reported.. On an unspecified date in Sep2021 the patient experienced swelling of the arm but her mother's was hotter, redder and hard and tired. The outcome of the event were unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711977
Sex: M
Age:
State: NJ

Vax Date: 03/27/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: weird accident that her husband had/ skin ripped/ Leg injury by cat; Very tired after first two doses of the Covid 19 Vaccines/ fatigued last time; This is a spontaneous report from a contactable consumer, the patient's wife via sponsored program support. A 86-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6199, Expiration date was not reported) via an unspecified route of administration on 03Mar2021 as dose 1, single and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: reported but not clear, Expiration date was not reported) via an unspecified route of administration on 27Mar2021 (both at the age of 86 years) for covid-19 immunization. Medical history included ongoing chronic obstructive pulmonary disease condition for 5-6 years/ around 6 or 7 years/ that was emphysema and had been on oxygen for a couple of years for unspecified indication. Patient did not take other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Concomitant medication included time-release prednisone (RAYOS) taken for an unspecified indication from an unspecified start date and ongoing. On an unknown date in 2021, the patient was very tired after first two doses of the of vaccine/ was fatigued. On an unknown date in Jun2021, patient had an weird accident in which his leg got injured from a cat. It was reported that, the cat did not actually scratch his skin because of the blanket; but patient's skin was thin from taking prednisone, so his skin ripped. Patient took dicloxacillin 500mg; states it is like penicillin, related to his wound care/ leg injury from cat. It was reported that, patient has gone through different types of wound care to heal his leg; states it was almost totally healed now. Patient did not visit to emergency room or physician office and denied of any labs, testing, or treatments relevant to events. The outcome of fatigue was unknown and leg injury from cat was recovering.

Other Meds: RAYOS

Current Illness: COPD (for 5-6 years/around 6 or 7 years, it is Emphysema)

ID: 1711978
Sex: M
Age:
State: KY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: he was angry at everyone and committed suicide; whole personality changed.; He became so hositle; he was angry at everyone and committed suicide; bipolar, it exacerbated it.; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 20Mar2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included bipolar, it exacerbated it. The patient had covid prior vaccination. No known allergies. No other vaccine in four weeks. The patient received other medications in two weeks. Adverse event start date reported as 20Mar2021. From receiving second dose whole personality changed. All of a sudden he was picking fights with everyone. He went from being passive aggressive to arguing over politics religions and anything he could find. It did not matter. It got to the point his own family did not know him. He became so hostile that he by the end of the summer he was angry at everyone and committed suicide 29Aug2021. The events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The events were reported as life threatening illness (immediate risk of death from the event) and disability or permanent damage. The events received treatments. The patient did not test covid post vaccination. The outcome of events was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1711979
Sex: F
Age:
State: CT

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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Started menstruating day after each vaccine with cramps; Started menstruating day after each vaccine with cramps; This is a spontaneous report from a contactable consumer, the patient. A 52-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Unknown) via an unspecified route of administration in the left arm on an unknown date in 2021 (at the age of 52-years-old) as a single dose for COVID-19 immunisation. The patient also received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Unknown) via an unspecified route of administration in the left arm on 19Aug2021 at 16:15 (at the age of 52-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient had no known allergies. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications were not reported. On an unknown date in 2021, day after first vaccine and on 20Aug2021 at 04:00, day after second vaccine, the patient started menstruating with cramps. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events started menstruating day after each vaccine with cramps was resolved on an unknown date in 2021.

Other Meds:

Current Illness:

ID: 1711980
Sex: M
Age:
State: KS

Vax Date: 08/18/2021
Onset Date: 08/21/2021
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 had pink eye maybe 3 days after the vaccine; Fever; Fatigue; This is a spontaneous report from a contactable consumer. A 53-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 18Aug2021 (age at vaccination 53 years) as dose number unknown, single for covid-19 immunisation. Medical history included High blood pressure. Concomitant medication(s) included amlodipine besilate (AMLODIPINE BESILATE); valsartan (VALSARTAN); hydrochloorthiazide (HYDROCHLOORTHIAZIDE). The patient had no known drug allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21Aug2021 the patient experienced he had pink eye maybe 3 days after the vaccine, fever, fatigue. Patient visited doctor or other healthcare professional office/clinic visit. Patient reported, he was told that this is a common side effect and should end within 10 days. he still has fever and fatigue about twice that long. The patient received treatment of eye Rx. The outcome of event was recovered. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: AMLODIPINE BESILATE; VALSARTAN; HYDROCHLOORTHIAZIDE

Current Illness:

ID: 1711981
Sex: F
Age:
State: FL

Vax Date: 03/28/2021
Onset Date: 04/12/2021
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: Angular cheilitis; Canker sore in mouth; Loss of sour taste for over 3 months; Peeling; Swollen lips; This is a spontaneous report from a contactable consumer, the patient. A 67-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8934) via an unspecified route of administration in the left arm on 28Mar2021 at 10:15 (at the age of 67-years-old) as a single dose for COVID-19 immunisation. The medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. The patient received unspecified concomitant medications. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6200) via an unspecified route of administration in the left arm on 07Mar2021 at 10:15 as a single dose for COVID-19 immunisation. The patient previously received codeine (MANUFACTURER UNKNOWN) and experienced drug allergy. On 12Apr2021, the patient experienced angular cheilitis, canker sore in mouth, loss of sour taste for over 3 months, peeling and swollen lips. The events resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures taken as a result of the events which included treatment with unspecified oral antibiotics, antifungal cream and acyclovir (MANUFACTURER UNKNOWN). The clinical outcome of the event loss of sour taste for over 3 months was recovered on an unknown date in 2021 while that of events angular cheilitis, canker sore in mouth, peeling and swollen lips were recovering at the time of report.

Other Meds:

Current Illness:

Date Died:

ID: 1711982
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: He was hospitalized and then he died.; fluid around his heart; This is a spontaneous report from a non-contactable consumer via a Pfizer sponsored program COVAX support. A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 for Covid-19 Immunization. The patient was hospitalized and then he died. The doctor said the fluid around his heart was a direct symptom of the Pfizer Covid-19 vaccine. The outcome of event died was fatal and fluid around his heart was unknown. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Reported Cause(s) of Death: He was hospitalized and then he died

Other Meds:

Current Illness:

ID: 1711983
Sex: M
Age:
State: NY

Vax Date: 09/07/2021
Onset Date: 09/01/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: chills; vomiting/ throwing up/ puking; fever; diarrhea; stomach cramping; bone are sore; after the second shot he is feeling really sick.; arm is the worse; Has not eaten or been drinking for 2-3 days; This is a spontaneous report from a contactable consumer. A 28-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 07Sep2021 (at the age of 28-year-old) as dose 2, single for covid-19 immunisation. Medical history included asthma diagnosed at least 5 years ago from an unknown date and unknown if ongoing. Concomitant medication included ongoing fluticasone propionate, salmeterol xinafoate (WIXELA INHUB) taken for asthma. On an unspecified date patient received first dose of BNT162B2, Formulation: Solution for injection, Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. Reporter states her son just got second Pfizer Covid vaccine on Tuesday, 07Sep 2021, and has been deathly ill since then, states he has been throwing up, fever chills, puking, diarrhea, stomach cramps states he was just brought by ambulance to the hospital, states he is in the ER, cannot hold anything down, he is really sick, just happened after he got second Covid, states his bones are sore, arm is the worse. Has not eaten or been drinking for 2-3 days, staff at hospital said they will probably give him fluids and give him a Covid test. As a therapeutic measures staff at hospital said they will probably give him fluids as a result of chills, vomiting/ throwing up ,fever, diarrhea stomach cramping, bone are sore has not eaten or been drinking for 2-3 days. Outcome of the events chills, fever, diarrhoea, vomiting, bones are sore was not recovered and outcome of the rest all the events was unknown. The lot number for the vaccine, (BNT162B2), was not provided and will be requested during follow up

Other Meds: WIXELA INHUB

Current Illness:

ID: 1711984
Sex: M
Age:
State: NJ

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: Lost taste and smell 3 days after; Lost taste and smell 3 days after; Fever within the first 24 hours; This is a spontaneous report from a contactable consumer, the patient. A 24-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0191) via an unspecified route of administration in the left arm on 31Aug2021 at 09:00 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient had no known allergies. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medications were not reported. On 31Aug2021 at 23:00, the patient experienced fever within the first 24 hours. On 03Sep2021, 3 days after vaccination, the patient had lost taste and smell. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fever, lost taste and smell 3 days after were resolved with sequelae on an unknown date in Sep2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711985
Sex: F
Age:
State: TX

Vax Date:
Onset Date: 08/17/2021
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:

Allergies:

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

Symptoms: She had a urinary tract infection on 17Aug2021 for 7 days; This is a spontaneous report from a contactable consumer. This 71-year-old female consumer (patient) reported. A 71-year-old female patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on an unspecified date as dose number unknown, single for COVID-19 immunization. The patient medical history includes Cancer and concomitant medications were not reported. On 17Aug2021, after the vaccination, the patient experienced a urinary tract infection for 7 days and was prescribed with cephalexin. Her primary care and oncologist recommended to get the 3rd dose of Pfizer's COVID vaccine on Monday, 13Sep2021. Caller is wondering if that may affect her 3rd dose. The outcome of the event was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1711986
Sex: F
Age:
State: TX

Vax Date: 09/04/2021
Onset Date: 09/06/2021
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: Daily chest pain and shortness of breath that developed 2 days after receiving injection; Daily chest pain and shortness of breath that developed 2 days after receiving injection; This is a spontaneous report from a non-contactable consumer, the patient. A 39-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3183) via an unspecified route of administration in the left arm on 04Sep2021 at 16:00 (at the age of 39-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient also reported to be healthy and in shape. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient did not receive any concomitant medications. On 06Sep2021, 2 days after receiving the injection, the patient developed daily chest pain and shortness of breath. The events did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events daily chest pain and shortness of breath that developed 2 days after receiving injection were not resolved at the time of this report.

Other Meds:

Current Illness:

ID: 1711987
Sex: F
Age:
State: TX

Vax Date: 09/08/2021
Onset Date: 09/10/2021
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: Test Date: 20210909; Test Name: Binax; Test Result: Negative ; Comments: Nasal swab

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Vaginal spotting/bleeding; Abdominal cramping; This is a spontaneous report from a contactable other healthcare professional, the patient. A 44-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0175) via an unspecified route of administration in the right arm on 08Sep2021 at 15:00 (at the age of 44-years-old) as a single dose for COVID-19 immunisation. Medical history included irritable bowel syndrome (IBS), the patient have an intrauterine device (IUD) and did not have a menstruation cycle in three years, prior to IUD, the patient had oral contraceptives without menstruation for 25 years, and COVID-19 on an unknown date. Prior to the vaccination, the patient was diagnosed with COVID-19. Concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient previously received amoxicillin (MANUFACTURER UNKNOWN) and azithromycin (ZPAK); both from unknown dates for unknown indications and experienced allergy to antibiotic. On 10Sep2021 at 09:00, (also reported as three days after vaccination), the patient experienced abdominal cramping and had vaginal spotting/bleeding. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had been tested for COVID-19. On 09Sep2021, the patient underwent a binax test (COVID test) via nasal swab and the result was negative. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events vaginal spotting/bleeding and abdominal cramping were recovering at the time of this report.

Other Meds:

Current Illness:

ID: 1711988
Sex: F
Age:
State: AZ

Vax Date: 08/05/2021
Onset Date: 08/06/2021
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: Headache; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 05Aug2021 at 14:30 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. Medical history included penicillin allergy (reported as no medical history). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Concomitant medications included ibuprofen (MANUFACTURER UNKNOWN), paracetamol (TYLENOL) and unspecified hair skin and nails vitamins; all for unknown indications from unknown dates and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 15Jul2021 at 14:30 (at the age of 17-years-old) as a single dose for COVID-19 immunisation. On 06Aug2021 at 00:00, the patient got a headache afterwards (which the patient was aware that it was common) but only since getting the second dose and that headache had been persistent for over a month now. The patient had to take medication for it every single day and also reported that she never had frequent headaches before this. The event did not result in a visit to the doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were taken as a result of reported event and included treatment with unspecified medications. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event headache was not resolved at the time of this report.

Other Meds: IBUPROFEN; TYLENOL

Current Illness:

ID: 1711989
Sex: M
Age:
State:

Vax Date: 08/12/2021
Onset Date:
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:

Allergies:

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

Symptoms: fever; headache; body aches; colds; he can't even move his arm; This is a spontaneous report received from a contactable consumer (patient) via Team. A 62-year-old male patient received BNT162B2 (COMIRNATYsolution for injection; lot number and expiry date were not reported) via unspecified route of administration, on 12Aug2021, dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient had a very hard time after his first dose further described as he can't even move his arm, fever, headache, body aches and colds. He's getting ready for his 2nd dose and he would like to know what to expect on the 2nd dose. The outcome of the events was unknown at the time of report. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711990
Sex: M
Age:
State: AK

Vax Date: 03/01/2021
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: Unevaluable event

Symptoms: 2 weeks after the vaccine his osteoporosis disappeared; 2 weeks after the vaccine his osteoporosis disappeared; This is a spontaneous report from a contactable consumer. A 79-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration on an unspecified date in Mar2021 (at the age of 79-year-old) as dose number unknown, single for COVID-19 immunization. Medical history included osteoporosis from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On an unspecified date in 2021, patient experienced 2 weeks after the vaccine his osteoporosis disappeared and wondered if you already knew this. The clinical outcome of events was unknown. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711991
Sex: M
Age:
State:

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: muscle aches; over did not feel well; joint aches; headache; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on 09Sep2021 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. Patient reports that he received his first dose of the Pfizer Biontech covid 19 vaccine around 10:15-10:30 yesterday. Last night (on 09Sep2021) he experienced muscle aches, joint aches, headache and over did not feel well. Patient seeking information about how long these side effects typically last. The outcome of the events was unknown. Follow-up activities closed. Batch/lot number not available for vaccine/BNT162B2.

Other Meds:

Current Illness:

ID: 1711992
Sex: F
Age:
State: MT

Vax Date: 04/23/2021
Onset Date: 06/23/2021
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: My doctor diagnosed me with Shingles on 10Sep21.; Have seen doctor 3 times since beginning of August for pain the anal and virginial area.; Have seen doctor 3 times since beginning of August for pain the anal and virginial area.; hemorrhoids; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 37-year-old non pregnant female patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 23Apr2021 12:00 (at the age of 37-years-old) (Batch/Lot Number: EW0176) as dose 2, single for covid-19 immunisation. Medical history included high blood pressure, seasonal allergies and chronic heartburn. The patient previously experienced known allergies: Penicillin. Concomitant medications included dexlansoprazole (DEXILANT) taken for an unspecified indication, start and stop date were not reported. Patient previously took first dose of BNT162B2 (at the age of 37-years-old) (lot number: ER8734, vaccine location: Left arm) on 02Apr2021 12:00 PM for covid-19 immunisation. The patient stated that her doctor diagnosed her with Shingles on 10Sep2021. She have seen doctor 3 times since beginning of August for pain the anal and virginial area. After reviewing her complaints and attempting to treat for hemorrhoids and discussing with another doctor who recently treated a female patient with the same symptoms who was test for Shingles and tested positive. The patient stated that her personal symptoms onset began the last week in June. The patient received medications for the treatment of the events. The patient did not had prolonged hospitalization for the events. The patient visited physician office and emergency room regarding the treatment for the events. Patient did not receive any other vaccines within 4 weeks to the COVID vaccine. The patient was not tested positive for covid 19 prior to vaccination and had not been tested post vaccination. The outcome of all the events was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: DEXILANT

Current Illness:

ID: 1711993
Sex: F
Age:
State:

Vax Date: 08/21/2021
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: High blood pressure; felt dizzy; nausea; This is a spontaneous report from a contactable consumer (patient). A 51-year-old female patient received BNT162B2 (COMIRNATY, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 21Aug2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced felt dizzy, nausea on 2021, high blood pressure on an unspecified date. Reported as, She has felt dizzy, nausea and not the same since her 1st dose. She saw her primary and cardiologist for her High blood pressure since and the primary doctor said that if she was not comfortable that she should not get it and wait 6 months before starting over. Her cardiologist however gave an opposite opinion. since her 1st dose of the vaccine, she still has some side effects, she does not feel the same. Outcome of the events were not resolved. The lot number for the vaccine BNT162B2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711994
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: a platelet problem; This is a spontaneous report from a contactable consumer via Pfizer sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, consumer was interested in the ingredient of the Pfizer COVID19 vaccine since she has a platelet problem, and she has seen patients die from the vaccine from the 1st and 2nd dose. Consumer wanted to know what in the ingredient was causing this. The outcome of the event was unknown. The lot/batch number is not available despite the follow-up attempts made. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1711995
Sex: F
Age:
State: GA

Vax Date: 09/08/2021
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Her sister is also diabetic.; nausea; vomiting; diarrhea; dizziness; This is a spontaneous report from a contactable consumer or other non hcp. A 40-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number was not reported, Expiry date: Unknown) via an unspecified route of administration on 08Sep2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced nausea, vomiting, diarrhoea and dizziness on an unspecified date. She was also diabetic on an unspecified date. She would like to know if these are known side effects of the first dose of the vaccine and how long they may last. The outcome of the events was unknown. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1711996
Sex: M
Age:
State: TX

Vax Date: 08/13/2021
Onset Date: 08/14/2021
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: Test Name: Chest X-ray; Result Unstructured Data: Test Result:unknown results; Test Name: CT; Result Unstructured Data: Test Result:unknown results; Test Date: 20210201; Test Name: Nasal swab; Test Result: Negative

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Cardiomegaly without typical pulmonary edema; Had shortness of breath; This is a spontaneous report from a contactable consumer, the patient. A 79-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0175) via an unspecified route of administration in the right arm on 13Aug2021 at 15:30 (at the age of 79-years-old) as a single dose for COVID-19 immunisation. Medical history included diagnosis (dx) with glioblastoma 62 days after COVID hospitalization in Oct2020 and COVID-19. The patient had no known allergies. Prior to the vaccination, the patient was diagnosed with COVID-19. On 01Feb2021, the patient underwent COVID-19 test via nasal swab and the result was negative. Concomitant medications included losartan (MANUFACTURER UNKNOWN), pregabalin (LYRICA) and levetiracetam (KEPPRA); all from unknown date for unknown indication and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0175) via an unspecified route of administration in the arm on 16Jul2021 (at the age of 79-years-old) as a single dose for COVID-19 immunisation. On 14Aug2021 at 13:00, the patient experienced cardiomegaly without typical pulmonary edema. The patient had computed tomography (CT) and chest X-rays before first shot and after second shot. The patient's daughter noticed that the patient had shortness of breath and the patient did not had the issue all year. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the events which included CT and chest X- ray. Since the vaccination, the patient had not been tested for COVID-19 (also reported as yes). The clinical outcome of the events cardiomegaly without typical pulmonary edema and had shortness of breath was unknown at the time of the report.

Other Meds: LOSARTAN; LYRICA; KEPPRA [LEVETIRACETAM]

Current Illness:

ID: 1711997
Sex: F
Age:
State:

Vax Date: 09/08/2021
Onset Date: 09/01/2021
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: RA

Lab Data: Test Date: 202109; Test Name: Body temperature; Result Unstructured Data: Test Result:101 Fahrenheit; Test Date: 202109; Test Name: Body temperature; Result Unstructured Data: Test Result:99.1 Fahrenheit; Test Date: 202109; Test Name: Body temperature; Result Unstructured Data: Test Result:100 Fahrenheit; Test Name: low platelet count; Result Unstructured Data: Test Result:Low

Allergies:

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

Symptoms: Fever; Chills; headache; adverse events after getting the third dose of the Pfizer BioNtech covid-19 Vaccine; adverse events after getting the third dose of the Pfizer BioNtech covid-19 Vaccine; a low platelet count; This is a spontaneous report from a contactable consumer (patient herself). A 69-years-old female patient received bnt162b2 (BNT162B2, formulation: solution for injection, lot number: not reported, expiry date: not reported), via an unspecified route of administration on 08Sep2021 (at the age of 69-years-old) as dose 3, single for COVID-19 immunization. Medical history included ongoing low immune system. Patient had 1st and 2nd dose of BNT162B2 on an unspecified date for COVID-19 immunization and after 2nd dose patient had fever, chills and headache. The patient's concomitant medications were not reported. On 08Sep2021, the patient experienced fever, chills, headache, adverse events after getting the third dose of the pfizer biontech COVID-19 vaccine. On an unspecified date in Sep2021, experienced a low platelet count. Patient had COVID-19 Vaccine on Wednesday morning 08Sep2021, and later that night, she started experiencing chills, (woke up with chills), yesterday experienced headache and fever with body temperature of 101F, she took a number medications (Tylenol, Ibuprofen and aceterin) as therapeutic measure for the events fever chills and headache. Patient was fine for the rest of last night. Earlier, she got a body temperature of 99.1F and it went back to 100F with a bit of headache. The patient underwent lab tests and procedures on an unspecified date in Sep2021 which included body temperature: 101 fahrenheit, body temperature: 99.1 fahrenheit, body temperature: 100 fahrenheit and platelet count: low on an unspecified date. She was seeing a hematologist because she has a low platelet count. The outcome of event chills was recovered on an unspecified date in Sep2021 and all other events was reported as unknown. Information on lot number has been requested during follow up.

Other Meds:

Current Illness: Immune system disorder (NOS) (Event Verbatim: she has low immune system)

ID: 1711998
Sex: M
Age:
State:

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

Allergies:

Symptom List: Nausea

Symptoms: hey am or shaking can't sign anything lymph nodes under the arms are all swollen; hey am or shaking can't sign anything lymph nodes under the arms are all swollen; This is a spontaneous report from a non-contactable consumer (patient). A 77-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: hfc3182), via an unspecified route of administration on 03Sep2021 (at the age of 77 years old) as single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 for covid-19 immunisation. On 03Sep2021 patient experienced shaking can't sign anything lymph nodes under the arms are all swollen. The outcome of events was unknown. No follow-up attempts are Possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1711999
Sex: M
Age:
State:

Vax Date: 08/20/2021
Onset Date: 08/20/2021
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: the pain from his injection elbow to his shoulder; numbness and tightness that goes from shoulders to chest; numbness and tightness that goes from shoulders to chest; experience arm pain in the injection arm; experience arm pain in the injection arm; This is a spontaneous report from a contactable consumer (patient, self-reported). A 44-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, in Arm, on 20Aug2021 (age at vaccination: 44 years), as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that on 20Aug2021, at evening, he started to experience arm pain in the injection arm. The following day he stated the arm was still sore and had not stopped hurting since but reports that "some days the pain was not so bad." He described that on an unspecified date the pain from his injection elbow to his shoulder and then numbness and tightness that goes from shoulders to chest. He was calling to report his side effects. Outcome of the events was unknown. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1712000
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:
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: Caller states she reported side effects form first dose of the Pfizer covid 19 vaccine./she is also allergic to a lot of foods that may not have set well in my system; This is a spontaneous report from a contactable consumer (patient). A 61-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. Medical history included she is also allergic to a lot of foods that may not have set well in my system. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced caller states she reported side effects form first dose of the pfizer covid 19 vaccine/she is also allergic to a lot of foods that may not have set well in my system. The outcome of event unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.

Other Meds:

Current Illness:

Date Died: 09/01/2021

ID: 1712001
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: died the beginning of this month because of blood clots because of vaccine.; This is a spontaneous report from a Pfizer-sponsored program COVAX Support. A contactable consumer reported for a patient of unspecified age and gender received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced died the beginning of this month because of blood clots because of vaccine on an unspecified date. The patient died in Sep2021. It was not reported if an autopsy was performed. The lot number for [BNT162B2], was not provided and will be requested during follow up.; Reported Cause(s) of Death: died the beginning of this month because of blood clots because of vaccine.

Other Meds:

Current Illness:

ID: 1712002
Sex: M
Age:
State: CA

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 09/18/2021
Hospital: Y

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

Lab Data: Test Date: 20210603; Test Name: Blood pressure; Result Unstructured Data: Test Result:80/60; Comments: drop, sometimes unreadable.; Test Date: 20210603; Test Name: Irregular heart rate; Result Unstructured Data: Test Result:180; Comments: bpm, Irregular; Test Date: 20210604; Test Name: COVID-19 test; Test Result: Negative ; Comments: Nasal Swab

Allergies:

Symptom List: Tremor

Symptoms: Irregular heart rate up to 180bpm in a resting state.; Lightheaded/Dizziness; palpitations; drop in blood pressure 80/60 sometimes unreadable.; diaphoretic; This is a spontaneous report from a contactable consumer (patient). A 35-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration at age of 35 years on 02Jun2021 12:00 (Batch/Lot Number: Unknown) as dose 2, single for covid-19 immunisation. Medical history included penicillin allergy, no other medical history. The patient's concomitant medications were not reported. No other medications the patient received within 2 weeks of vaccination. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 in 2021 (reported as other vaccine in 4weeks) at age of 35 years for covid-19 immunisation. The patient experienced Irregular heart rate up to 180bpm in a resting state. Lightheaded, dizziness, palpitations, diaphoretic, drop in blood pressure 80/60 sometimes unreadable, started since 03Jun2021 13:00, resulted in Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event), hospitalization for 7 days, received treatment of Adenosine, Cardizem, Metroprolol. No COVID prior vaccination. COVID test post vaccination (Nasal Swab) on 04Jun2021 was negative. The outcome of the events was recovering. The lot number for the vaccine BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1712003
Sex: M
Age:
State: TN

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Very drowsy sleepy; Muscle pain; Severe pain in the neck on right side; Severe pain in the shoulder on right side; The pain started to migrate over next couple days over to his right arm from his triceps to his biceps where it is now; This is a spontaneous report from a contactable 27-year-old male consumer reported for himself received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiry date were not reported) via an unspecified route of administration on 27Aug2021 (at the age of 27-year-old) (2 weeks ago from Friday(10Sep2021)) as SINGLE for covid-19 immunization. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiry date were not reported) via an unspecified route of administration on an unspecified date as SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 27Aug2021 (2 weeks ago from Friday (10Sep2021)), about an hour or 2 hrs after the vaccine he had got very drowsy sleepy and had muscle pain. In Aug2021 (that Friday into Monday), he woke up with severe pain in the neck and shoulder on right side, opposite injection site on left side. He took Tylenol to try and relieve but it didn't do much. Also the pain started to migrate over next couple days over to his right arm from his triceps to his biceps where it was now. It was been like that for over a week and a half. Some days not so bad and other days wake in pain to the point of tears, bad. Stating he was a heavy guy over 400 pounds. He was taking 3 Advil 200mg each about every 6 hours, which was helping. He states he does forget it sometimes and states, it was slow onset that builds then he has to take the Advil. The reporter considered the events as non-serious. The outcome of the event very drowsy sleepy was unknown whereas other events was not recovered. The lot number for BNT162b2 was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1712004
Sex: F
Age:
State: MI

Vax Date: 08/10/2021
Onset Date: 08/10/2021
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: Muscle cramps in calves, feet, thumbs; Thumbs lock up; Extremely painful; The patient received both doses on 10Aug2021; This is a spontaneous report from a contactable consumer (patient). This 44-year-old non-pregnant female consumer reported for herself that she received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm on 10Aug2021 at 10:00 (Lot number and expiry date: not reported, at the age of 44 years) as single dose and she received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration, administered in left arm (left shoulder) on 10Aug2021 (Lot Number, Expiry Date: not reported, at the age of 44 years) as single dose for COVID-19 immunisation. Medical history included orthoarthritis and COVID-19 (from an unknown date and unknown if ongoing). There were no concomitant medications. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Facility where the most recent COVID-19 vaccine was administered was pharmacy or drug store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were other medications that the patient received within 2 weeks of vaccination. The patient received both doses on 10Aug2021 (inappropriate schedule of vaccine administered). On 16Aug2021, the patient experienced muscle cramps in calves, feet, thumbs similar to a 'charlie horse' and extremely painful. Every time, she stretched she would get one at least in one of her calves. Thumbs lock up a lot too. Hospitalization was not prolonged. Treatment was not received. The adverse event result in following Doctor or other healthcare professional office/clinic visit. Location of injection for vaccine received same date: Pfizer was left shoulder. It was reported that reason for batch/lot is Unknown was misplaced/discarded. Device Date was 10Sep2021. The outcome of all events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712005
Sex: F
Age:
State: NY

Vax Date: 09/03/2021
Onset Date: 09/04/2021
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: knock him back deafness rash; knock him back deafness rash; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 57-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection, lot number: 50fc3182) via an unspecified route of administration on 03Sep2021 (at the age of 57-years-old) as dose 1 single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 04Sep2021, the patient experienced knock him back deafness rash. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds:

Current Illness:

ID: 1712006
Sex: M
Age:
State: NC

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 09/18/2021
Hospital: Y

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

Lab Data: Test Date: 20210821; Test Name: cpk levels; Result Unstructured Data: Test Result:Increased; Comments: cpk levels had spiked to 2300.; Test Date: 20210821; Test Name: blood tests; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210910; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: my cpk levels had spiked to 2300; Rhabdomyolysis; abdomen muscles were very sore and hurting terrible; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Right on 19Aug2021 16:00 (at the age of 37-years-old) (Batch/Lot Number: EW0167) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included none. Concomitant medications included diclofenac (VOLTAREN [DICLOFENAC]); and amlodipine besilate (NORVASC). After a day or two after vaccination on 21Aug2021, it was reported that the abdomen muscles were very sore and hurting terrible. The patient went to the doctor and described what was going on, they took blood tests and found that the cpk levels had spiked to 2300. The patient was sent to the emergency room and put on iv's, he had to stay in the hospital overnight on iv's as they monitored his cpk levels. They began to go down and he was released after 24 hours. The was diagnosed with Rhabdomyolysis. The patient was hospitalized for my cpk levels had spiked to 2300, and Rhabdomyolysis from 21Aug2021 to 22Aug2021, both assessed as Life-threatening. The patient underwent lab tests and procedures which included blood creatine phosphokinase: increased on 21Aug2021 cpk levels had spiked to 2300, blood test: unknown results on 21Aug2021, sars-cov-2 test: negative on 10Sep2021. Therapeutic measures were taken as a result of the events. The outcome of the events was recovering. The patient did not have COVID prior vaccination. The patient was covid tested post vaccination, nasal swab on 10Sep2021, negative.

Other Meds: VOLTAREN [DICLOFENAC]; NORVASC

Current Illness:

ID: 1712007
Sex: F
Age:
State: TX

Vax Date: 08/20/2021
Onset Date: 09/03/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shingles; This is a spontaneous report from a non-contactable consumer(patient) or other non hcp. A 60-years-old female patient received bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection with Batch/Lot Number:FC3180) via an unspecified route of administration, administered in Arm Left on 20Aug2021(at the age of 60-years-old) as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took Darvon (dextropropoxyphene hydrochloride) and experienced allergy. The historical vaccine included bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection with Batch/Lot Number: FA6780) via an unspecified route of administration, administered in Arm Left in Jul2021 as DOSE 1, SINGLE for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine or within 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to vaccination and since the vaccination has not been tested for COVID-19. The patient experienced shingles on 03Sep2021. Adverse event result in emergency room/department or urgent care. Therapeutic measures included Valacyclovir. Treatment received for the adverse event: prescription for Valacyclovir. The event outcome was reported as recovering No follow -up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712008
Sex: F
Age:
State: TN

Vax Date: 08/29/2021
Onset Date: 09/08/2021
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:

Allergies:

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

Symptoms: I developed shingles for the first time in my life after receiving the first dose of the Pfizer coronavirus vaccine.; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 44-year-old non pregnant female patient received bnt162b2 (PFIZER BIONTECH COVID-19 MRNA VACCINE Solution for injection Lot Number: FC3184) via an unspecified route of administration in arm left on 29Aug2021 17:00 as dose 1, single (age at vaccination: 44 years) for covid-19 immunisation. Medical history included known allergies: gallium, known allergies: latex, asthma and 15 yr survivor of cervical cancer, all from an unknown date and unknown if ongoing. Concomitant medications included ascorbic acid, biotin, calcium pantothenate, cyanocobalamin, folic acid, nicotinic acid, pyridoxine hydrochloride, riboflavin, thiamine hydrochloride, tocopheryl acetate (MULTIVITAMIN [ASCORBIC ACID;BIOTIN;CALCIUM PANTOTHENATE;CYANOCOBALAMIN;FOLIC ACID;NICOTINIC ACID;PYRIDOXINE HYDROCHLORIDE;RIBOFLAVIN;THIAMINE HYDROCHLORIDE;TOCOPHERYL ACETATE]); vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]), both taken for an unspecified indication, start and stop date were not reported. The patient previously took erythromycin and experienced allergies. The most recent COVID-19 vaccine was administered at pharmacy or drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 08Sep2021, it was reported that I developed shingles for the first time in my life after receiving the first dose of the Pfizer coronavirus vaccine. The adverse event resulted in doctor or other healthcare professional office/clinic visit. Treatment received was valacyclovir HCL 1 Gram tablet and Hydroxyzine HCL. The clinical outcome of the event was resolving. Follow-up attempts are completed. No further information is expected.

Other Meds: MULTIVITAMIN [ASCORBIC ACID;BIOTIN;CALCIUM PANTOTHENATE;CYANOCOBALAMIN;FOLIC ACID;NICOTINIC ACID;PYR; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1712009
Sex: F
Age:
State: TN

Vax Date: 08/27/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Nausea; Confusion; Fatigue; Lightheaded/ dizziness; This is a spontaneous report from a contactable consumer, the patient. A 56-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3184) via an unspecified route of administration in the left arm on 27Aug2021 at 17:00 (at the age of 56-years-old) as a single dose for COVID-19 immunisation. Medical history included anxiety, depression, peripheral neuropathy, fatigue and penicillin allergy. It was unknown whether the patient was diagnosed with COVID-19 prior to the vaccination. Concomitant medications included unspecified medications for an unknown indication from on an unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: PA7485) via an unspecified route of administration in the left arm on 06Aug2021 at 17:00 (at the age of 56-years-old) as a single dose for COVID-19 immunisation. On 28Aug2021 at 16:00 the patient experienced nausea, confusion, fatigue, lightheadedness and dizziness. The events resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the reported events. The clinical outcome of the events nausea, confusion, fatigue, lightheadedness and dizziness were not recovered at the time of this report.

Other Meds:

Current Illness:

Date Died: 09/09/2021

ID: 1712010
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: baby yesterday that died because its breastfeeding mother got the vaccine and its been linked back to the vaccine.; baby yesterday that died because its breastfeeding mother got the vaccine and its been linked back to the vaccine.; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A patient of unspecified age and gender received unknown dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), via transmammary on an unspecified date as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reporter wanted to know the data for the risks, adverse reactions, and side effects associated with the Pfizer-BioNTech Covid-19 Vaccine. She wanted to know the exact percentage of each. She also wants to know information about blood clots, and deaths associated with the vaccine. She said there was a baby yesterday that died because its breastfeeding mother got the vaccine and its been linked back to the vaccine. The reporter said she has rheumatoid arthritis, and was on Embrel, and Methotrexate. She wants to know the possible interaction and risks of her medications and condition with the Pfizer-BioNTech Covid-19 Vaccine. The reporter wanted the complete list, and the breakdown of the ingredients for the approved Comirnaty, and the approved Pfizer-BioNTech Covid-19 Vaccine. The baby died on 09Sep2021. It was not reported if an autopsy was performed. The outcome of the event was fatal. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.; Reported Cause(s) of Death: baby yesterday that died because its breastfeeding mother got the vaccine and its been linked back to the vaccine.

Other Meds:

Current Illness:

ID: 1712011
Sex: F
Age:
State: KY

Vax Date: 09/09/2021
Onset Date: 09/01/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Dizziness; Chills; Exhaustion; Feeling unwell; Tightness in chest; Fast heartbeat; Shortness of breath/ trouble breathing; Headache; Stomach pain; This is a spontaneous report from a contactable consumer, the patient. A 74-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 09Sep2021 at 08:15 (at the age of 74-years-old) as a single dose for COVID-19 immunisation. Medical history included allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included influenza vaccine (FLU) for immunisation on 26Aug2021. The patient received other medications (unspecified) within two weeks of COVID-19 vaccine. The patient received other vaccines within four weeks prior to the vaccination. On an unknown date in Sep2021, the patient experienced dizziness, chills, exhaustion, feeling unwell, tightness in chest, fast heartbeat, shortness of breath/ trouble breathing, headache, and stomach pain. The events resulted in emergency room/department visit or urgent care. It was unknown whether any therapeutic measures were taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events dizziness, chills, exhaustion, feeling unwell, tightness in chest, fast heartbeat, shortness of breath/ trouble breathing, headache and stomach pain were resolving at the time of this report. The batch/lot numbers for, BNT162b2, were not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1712012
Sex: F
Age:
State: AL

Vax Date: 09/11/2021
Onset Date: 09/12/2021
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: Swollen supraclavicular lymph node (right); Fever; Muscle aches; Headache; Fatigue; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: 30135BA) via an unspecified route of administration in the right arm on 11Sep2021 at 12:45 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. Medical history was unknown. The patient had no known allergies. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. The patient did not receive any concomitant medications. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FD8448) via an unspecified route of administration in the right arm on 20Aug2021 at 09:00 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. On 12Sep2021 at 01:15, the patient experienced swollen supraclavicular lymph node (right), fever, muscle aches, headache, and fatigue. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events swollen supraclavicular lymph node (right), fever, muscle aches, headache, and fatigue were not resolved at the time of this report.

Other Meds:

Current Illness:

ID: 1712013
Sex: U
Age:
State: NJ

Vax Date:
Onset Date: 08/13/2021
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: Test Name: blood work; Result Unstructured Data: Test Result:Unknown results; Comments: If I go to my doctor and he did blood work and or I get a urine specimen yesterday I have nothing to do with this. Its irrelevant and nothing to do with my arm from a month ago."; Test Name: urine specimen; Result Unstructured Data: Test Result:Unknown results; Comments: If I go to my doctor and he did blood work and or I get a urine specimen yesterday I have nothing to do with this. Its irrelevant and nothing to do with my arm from a month ago."

Allergies:

Symptom List: Vomiting

Symptoms: I am still having pain; This is a spontaneous report from a contactable consumer. This 50-year-old consumer (patient) reported for self. A 50-years-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: UNKNOWN), via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had no other vaccine within four weeks and No, nothing within last couple of years. It was reported that the patient had vaccine a month ago on my right arm. On 13Aug2021, the patient experienced still having pain. The patient underwent lab tests and procedures which included blood test: unknown results. "If I go to my doctor and he did blood work and or I get a urine specimen yesterday I have nothing to do with this. Its irrelevant and nothing to do with my arm from a month ago". The patient receive treatment with Aspirin 81 mg. 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: 1712014
Sex: U
Age:
State:

Vax Date: 07/24/2021
Onset Date:
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:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vertigo; Dizzy; My ear hurt a little bit; sore arm; This is a Spontaneous report from a contactable consumer. This consumer(patient) reported that: A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 24Jul2021 as DOSE 2, SINGLE for covid-19 immunisation. Medical history included covid-19, fever, headache, event verbatim : when I had the COVID I didn't even have the sore arm, no dizziness and nothing like that. The only thing I had was the fever and the headache. The patient's concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on unspecified date as DOSE 1, SINGLE for covid-19 immunisation. On an unspecified date, the patient experienced vertigo, dizzy, my ear hurt a little bit, sore arm. The clinical outcome of events were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1712015
Sex: M
Age:
State:

Vax Date: 09/10/2021
Onset Date: 09/11/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Arm is hurting across.; Headache; Right side of my chest really hurts.; Hard to breathe.; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 51-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date was not reported), via an unspecified route of administration on 10Sep2021 (Age at vaccination was 51 years) as dose 2, single for covid-19 immunization. The patient medical history was not reported. The patient did not have any other medical condition. There were no concomitant medications. The patient did not receive any other vaccine. Previously patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date were not reported), via an unspecified route of administration, on 20Aug2021 as dose 1, single for COVID-19 immunization. On 11Sep2021 patient was stated that he gets his second shot last night. Today, patient woke up, his arm was hurting across and headache, but his right side of his chest really hurts. It's kind of, hard to breathe and his chest hurts really bad on that side, Not his heart side. The right side where, he got the shot. Patient went to the pharmacist and she doesn't know. Patient got a little worse, since this morning but not much but he can tell it's still strong. So, If it doesn't go away then quick here he will go to the hospital cause there's something wrong. The patient did not perform any lab test. The patient did not receive any treatment for the events. The outcome of all 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: 1712016
Sex: F
Age:
State:

Vax Date: 08/28/2021
Onset Date: 08/30/2021
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: scars on my face; Shingles; This is a spontaneous report from a contactable consumer or other non hcp. A 58-years-old female patient received second dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: FC3182; Expiration Date: 31Oct2021 via an unspecified route of administration in Arm Left on 28Aug2021 (age at vaccination: 58-Years-old) as DOSE 2, SINGLE for covid-19 immunisation. Patient didn't receive other vaccines within 4 weeks prior to vaccination, patient didn't receive other medications. The patient medical history and concomitant medications were not reported. Patient previously received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: FA6789) via unspecified route of administration on 07Aug2021 in Arm Left (age at vaccination:58-Years-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient experienced shingles on 30Aug2021 with outcome of unknown, scars on my face on an unspecified. Therapeutic measures were taken as a result of shingles, scars on my face was Valacyclovir (Dose: 1000mg, 3 times a day, Tablet), pain meds, Gabapentin, one time a day or as needed, 300mg.The outcome of the events herpes zoster, scar was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712017
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: She also has an allergy that could lead to an anaphylactic shock.; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient). A female patient of an unspecified age received unknown dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Caller was asking for the ingredients used in the Pfizer Biontech COVID19 vaccine since she also has an allergy that could lead to an anaphylactic shock on unknown date. Caller was asking for the ingredients because she has seen around 6 patients with severe reactions from the vaccine and the worst one was ended up with intubation. Caller also added that everyone was scared in receiving the vaccine after witnessing that. Caller also worked in triage and mentioned that she was a traveller and has seen 5 or 6 people that had issues. She stated that one diabetic patient that came in with her sugar always controlled but skyrocketed to 600 and will not get down no matter what they give her. 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: 1712018
Sex: F
Age:
State:

Vax Date: 09/07/2021
Onset Date: 09/08/2021
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: Test Date: 20210910; Test Name: NAAT/Molecular; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210910; Test Name: Antigen; Test Result: Negative ; Comments: Nasal Swab

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Sore throat; Congestion; Cough with some phlegm; This is a spontaneous report from a non-contactable consumer, the patient. A 24-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3181) via an unspecified route of administration in the right arm on 07Sep2021 at 19:00 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 08Sep2021, the patient experienced sore throat, congestion and cough with some phlegm. The patient was tested negative for COVID in two different methods of testing over three times. The events resulted in doctor or other healthcare professional office/clinic visit. Since the vaccination, the patient had been tested for COVID-19. On 10Sep2021, the patient underwent antigen test and nucleic acid amplification test (NAAT)/molecular test via nasal swab and the results were negative. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events sore throat, congestion and cough with some phlegm were resolving at the time of the report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am