VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1712271
Sex: F
Age:
State: CA

Vax Date:
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nausea; Headache; This is a spontaneous report from contactable consumer. A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: Unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced nausea and headache. The outcome of events was unknown. Information on the lot/batch number has been requested Follow-up (14MAY2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712272
Sex: F
Age:
State: AL

Vax Date: 02/17/2021
Onset Date: 02/01/2021
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: Slightly sore arm after second dose; This is a spontaneous report from a contactable consumer (patient). A 71-years-old female patient (non-pregnant) received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EL9264 ) dose 2 via an unspecified route of administration, administered in left arm on 17Feb2021 at 02:00 PM (at the age of 71-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. Medical history included High blood pressure, High Cholesterol, Hypothyroid, Known allergies to sulfa and bees. Concomitant medication(s) included LEVOTHYROXINE, SANCTURA, PRAVASTATIN, BUSPAR, and ATENOLOL. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient was not tested for COVID-19. The patient previously took Tramadol, Celebrex, Theophylline, and experienced known allergies to Tramadol, Celebrex, Theophylline. The patient previously took bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) dose 1 via an unspecified route of administration, administered in left arm on 28Jan2021 at 01:00 pm in hospital for (at the age of 71-years-old) Covid-19 immunisation and experienced very slight chills lasting 2 hours evening after first dose. The patient experienced slightly sore arm after second dose (on an unspecified date in Feb2021) but took Tylenol immediately after shot. Therapeutic measures were taken as a result of event occurred taken Tylenol immediately after shot. Outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: LEVOTHYROXINE; SANCTURA; PRAVASTATIN; BUSPAR; ATENO

Current Illness:

ID: 1712273
Sex: F
Age:
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Test Name: TB test; Test Result: Positive ; Comments: The only thing was in her 20's she had a positive TB test result

Allergies:

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

Symptoms: Drowsiness; aches and pains; normal headache; She gets migraines; She didn't go to work because it made her nervous; tongue has been numb; side of face numb; This is a spontaneous report from a contactable consumer (patient herself). A 41-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number: EN6200, Expiry date was not reported), via an unspecified route of administration, administered in Arm Left on 17Feb2021 (Age at vaccination 41-years-old) as dose number unknown, single for covid-19 immunisation. Medical history included high cholesterol from an unknown date and unknown if ongoing she is not medicated because it is not at that point. The patient concomitant medications were not reported. The patient did not receive any other products. Caller confirmed product as COVID19 Vaccine. She was an educator. On an unspecified date, the patient had her Pfizer first vaccination yesterday afternoon. She had typical side effects such as, drowsiness and aches and pains. Her tongue had been numb since yesterday. She gets migraines and had numbness of the tongue and face, but the tongue and side of her face had remained numb since getting the vaccine. It is not as bad as yesterday, but it was still there this morning when she woke up. She didn't go to work because it made her nervous. With the side effects her coworkers had she wasn't sure if she needed to report it. No further details provided. The caller declined to provide HCP information. It was crazy at the site yesterday and she had been holding for a long time. She was sure it is crazy everywhere. After the vaccine she waited for 15 minutes. When she got in the car she noticed her tongue and side of her face were numb. She would say that was about 20 minutes after the vaccine. It was at 15:30 on 17Feb2021. Yesterday it was more of the right side of her face and today it is more so the left lower side of face that it numbs. Yesterday and today, it is the entire tongue that is numb. Numbness of tongue and face is normal for her with migraines, but usually it goes away. She had a normal headache, but not a migraine since getting the vaccine. There is a number on the card, but she was not sure what that is for. It was just weird that the numbness didn't go away. No. The only thing was in her 20's she had a positive TB test result. No further details provided. Prior Vaccinations, the patient had not received any other vaccine within 4 weeks. The patient underwent lab tests and procedures which included mycobacterium tuberculosis complex test: positive on an unspecified date the only thing was in her 20's she had a positive TB test result. The outcome of events was unknown. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected

Other Meds:

Current Illness:

ID: 1712274
Sex: M
Age:
State:

Vax Date: 02/17/2021
Onset Date:
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills; Weakness; Nose running; Feeling Unwell; This is a spontaneous report from a contactable consumer (parent) or other non-health care professional. A male patient of unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry Date: unknown) via an unspecified route of administration on 17Feb2021 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 chills, weakness, nose running and was feeling unwell. Reporter stated, he was at work so reporter was assuming he got off of work and was calling to share that he was not feeling well, feeling very weak. Reporter called to inform that he was having some type of symptoms. Limited information was available over the call. Outcome of the events were unknown. Information of lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1712275
Sex: F
Age:
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Extreme soreness/pain at injection site intermittently for at least 11 hrs post dose; Hard to lift arm up.; This is a spontaneous report from a non-contactable consumer (patient). A 42-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot number were not provided, Expiration date were not provided), via an unspecified route of administration on administered in arm left on 17Feb2021 at 13:30 (at the age of 42-years-old) as dose number unknown, single for covid-19 immunisation. Medical history included Obesity. Concomitant medications included escitalopram oxalate (LEXAPRO) taken for an unspecified indication, start and stop date were not reported. On an17Feb2021 at 17:00, the patient experienced extreme soreness/pain at injection site intermittently for at least 11 hrs post dose and hard to lift arm up. The patient not received treatment. The outcome of the events was not recovered. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained. No further information is expected.

Other Meds: LEXAPRO

Current Illness:

ID: 1712276
Sex: F
Age:
State:

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Problems with her lymph glands under her arm; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection) via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On unspecified date, the patient experienced problems with her lymph glands under her arm. It was reported that reporter had a medical background and a friend of reporter have received her first dose of the Pfizer vaccine anyway reporter trying to help her make a decision because she went to her oncologist and she is having problems with her lymph glands under her arm and the doctor would not tell her to get the second vaccine, the second dose. And she was wondering if she should or if it was going to cause her more problems. And reporter also stated that will they be able to advise her whether she should take the vaccine or not. The outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712277
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: her daughter had it worse; This is a spontaneous report from a contactable consumer (parent). A female patient of an unspecified age received bnt162b2 (BNT162B2, solution for injection, Lot number was not reported, NDC number was not provided) dose 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 medication was not reported. Investigation assessment was not provided. On an unspecified date the patient experienced her daughter had it worse. Reporter reported that she had her first Pfizer COVID-19 vaccine shot and was ready to get her second shot, but she got the COVID. She said that she had her appointment for on the second then on the first she tested positive. Caller said something about her husband and daughter two days later and a week after. Unable to clarify with caller due to poor sound quality and caller speaking over call handler. She said her question is can she get the second dose of the vaccine still and how soon she can get it. She said her husband is 84 and she was 70 and they had very mild symptoms, so she thought the vaccine helped them, which her daughter had it worse. Caller said she had been on the phone three hours now and she was tired. She said she was afraid to provide further information on this call since she did not know if it was Pfizer. Address: Caller began to provide address then declined to clarify street name, documented as provided. Caller declined to complete a report. No further details captured, reported, or documented at this time. The clinical outcome of the event was reported as unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712278
Sex: M
Age:
State: IL

Vax Date: 02/05/2021
Onset Date:
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: has knot in his arm; lump; his is actually on the outside on his arm; This is a spontaneous report from a contactable consumer or other non hcp (patient s wife). This is the first case out of two cases. A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EL9269), via an unspecified route of administration on 05Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient has knot in his arm, lump, his was actually on the outside on his arm on an unspecified date. Reporter stated, patient had our shot of the Pfizer vaccine (Clarified as Covid vaccine) on 05Feb2021 and so his arm was sore for day and a half and her husbands was not, but now he had knot in his arm, was that common to have a lump there. Yes, it was on the arm and I have been looking all information and patient know something that happen with arm pit but his was actually on the outside on his arm where he had the shot little bit below where he had the shot. The outcome of the event was not resolved at the time of this report. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712279
Sex: F
Age:
State:

Vax Date: 01/18/2021
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: I have had chills that does not seem to go away without a fever. Just random chills like goosebumps; I have had chills that does not seem to go away without a fever. Just random chills like goosebumps; Just random chills like goosebumps. After my first vaccine i got a weird cold sensation throughout my left arm and it happened again last night; This is a spontaneous report from a contactable consumer, the patient. A 22-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EL1284), dose 1 via an unspecified route of administration, administered in arm left on 18Jan2021 17:00 as dose 1, single and dose 2 via an unspecified route of administration, administered in arm left on 05Feb2021 (lot Number: EL3249) as dose 2, single (at the age of 22-years-old) for covid-19 immunization. Medical history reported as none. The patient concomitant medications were not reported. The patient had chills that did not seem to go away without a fever. Just random chills like goosebumps. After her first vaccine she got a weird cold sensation throughout her left arm and it happened again last night. The patient did not receive any treatment for events. The patient did not receive any other vaccine in four weeks and did not receive any other medications in two weeks. The patient visited the doctor or other healthcare professional office/clinic for the events. The patient did not have COVID prior the vaccination and did not test post vaccination. There were no allergies. The outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712280
Sex: F
Age:
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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: Extreme fatigue; heavy arm; This is a spontaneous report from a contactable consumer (patient) reporting herself. A 39-year-old non pregnant female patient received BNT162B2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot Number: Tl8982), via an unspecified route of administration, administered in left arm on 26Jan2021 18:00 (at the age of 39-years-old) as dose number unknown, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously experienced known allergies: Amoxicillin. The patient experienced extreme fatigue and heavy arm on 27Jan2021. The patient received no treatment for the event. Patient did not receive any other vaccines within 4 weeks prior 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 recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712281
Sex: F
Age:
State: MA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: I felt quite dizzy for 1 hour after getting the vaccine dose. I stayed at (Pharmacy name) and waited to drive home. DIzziness subsided at the 1-hour mark and I drove home then.; This is a spontaneous report from a contactable Other health care professional (patient herself). A 42-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EL3247), via an unspecified route of administration, administered in Arm Left on 29Jan2021 15:15 as dose 1, single for COVID-19 immunisation (Age at Vaccination was 42 years). The patient's medical history included just hypothyroid, low progesterone and ADHD(Attention deficit hyperactivity disorder). The patient previously took Bactrim sulfa and experienced drug allergy. Concomitant medications included Levothyroxine sodium 25mcg, Progesterone (PROGESTIN) and Methylphenidate hydrochloride (CONCERTA 27mg). It was stated that she was not pregnant at the time of vaccination. She did not receive any other vaccine in four weeks prior COVID vaccination. She was not diagnosed with COVID prior vaccination and not test with COVID post vaccination. On 29Jan2021 15:15, the patient reported that she felt quite dizzy for 1 hour after getting the vaccine dose. She stayed at and waited to drive home. Dizziness subsided at the 1-hour mark and she drove home then. The outcome of the event was resolved on 29Jan2021. Follow-up attempts completed. No further information expected.

Other Meds: LEVOTHYROXINE SODIUM; PROGESTIN; CONCERTA

Current Illness:

ID: 1712282
Sex: F
Age:
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Slight headache; pain at injection site; fatigue; This is a spontaneous report from a contactable consumer (patient). A 33-years-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6203), dose 1 via an unspecified route of administration, administered in left arm on 19Feb2021 at 12:00 PM as DOSE 1, SINGLE (at the age of 33-years-old) for COVID-19 immunisation. The patient's medical history included Known allergies: Penicillin from an unknown date and unknown if ongoing. There were no concomitant medications. On 19Feb2021 at 15:00 hours, the patient experienced slight headache, pain at injection site, and fatigue. The patient received no treatment for the events. The patient had received no other vaccine in four weeks and no other medications in two weeks. The patient did not have COVID prior to vaccination, did not get COVID tested post vaccination. The patient recovered from the events on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712283
Sex: F
Age:
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Tiredness; Mild headache; Sore arm; This is a spontaneous report from a contactable consumer (patient). A 72-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in arm right on 17Feb2021 at 14:30 (age at vaccination was 72-years-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. No medical history was reported. No known allergies. The concomitant medications were not reported. On 17Feb2021 at 16:30 , the patient experienced tiredness, mild headache and sore arm. No treatment was received. No covid prior vaccination and no covid tested post vaccination. The outcome of the events was recovered on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712284
Sex: M
Age:
State: CT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pain at injection site within a hew hours with general muscle aches. Aches continued next day, especially pain in left hip (possibly unrelated); Pain at injection site within a hew hours with general muscle aches. Aches continued next day, especially pain in left hip (possibly unrelated); Pain at injection site within a hew hours with general muscle aches. Aches continued next day, especially pain in left hip (possibly unrelated); Pain at injection site within a hew hours with general muscle aches. Aches continued next day, especially pain in left hip (possibly unrelated); This is a spontaneous report from a contactable consumer (patient). A 55-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL3247) via an unspecified route of administration, in Left arm on 23Feb2021 10:50 AM (at the age 55-years-old) as dose 2, single for COVID-19 immunization. The patient medical history included high blood pressure from an unknown date and unknown if ongoing. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL3247) via an unspecified route of administration, in Left arm on an unspecified date 10:30 AM as dose 1, single for COVID-19 immunization. The patient concomitant medications included sertraline hcl (ZOLOFT), losartan, ergocalciferol (VITAMIN D [ERGOCALCIFEROL]), multivitamin, Tumeric (received within two weeks of vaccination). The patient had not received any other vaccine within 4 weeks prior to the COVID vaccine. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. On 23Feb2021 1:00 PM, the patient had experienced pain at injection site within hew hours with general muscle aches, aches continued next day, especially pain in left hip (possibly unrelated). Patient had not received any treatment for the events reported. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: LOSARTAN; VITAMIN D [ERGOCALCIFEROL]; Zoloft

Current Illness:

ID: 1712285
Sex: F
Age:
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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: 20210220; Test Name: temperature; Result Unstructured Data: Test Result: 99.3 Centigrade; Comments: elevated, has gone up and down since Saturday; Test Date: 20210222; Test Name: temperature; Result Unstructured Data: Test Result: 97 Centigrade; Test Date: 20210225; Test Name: temperature; Result Unstructured Data: Test Result: 99.3 Centigrade; Comments: degrees.

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: on the evening of 20Feb2021, she felt a little chilly. She said she checked her temperature, and her temperature was about 99.3. She said since 20Feb2021 she still has an elevated temperature.; she said her skin had a very little chilled feeling to it. She said her chills were not terrible.; low grade fever; she started to feel strange. She said her skin had a strange feeling.; she said her left shoulder pain started within 2 hours after receiving her COVID-19 Vaccine; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 55-years-old female patient received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in arm left on 15Feb2021 14:30 (age at vaccination: 55 years) as dose 1, single for COVID-19 immunization. Medical history and concomitant medications were not reported. It was reported that she had her first Pfizer COVID-19 Vaccine dose on 15Feb20201. She said she had shoulder pain, clarified as left shoulder pain that started within 2 hours after receiving her COVID-19 Vaccine that disappeared the next day. She clarified her left shoulder pain was almost gone by the morning of 16Feb2021. She said she was a very healthy individual. She said after she received the COVID-19 Vaccine, she resumed all her sport activities, and everything she would normally do. She said on the evening of 20Feb2021, she felt a little chilly. She said she checked her temperature, and her temperature was about 99.3. She said since 20Feb2021 she still has an elevated temperature. She said her temperature was not terrible, but she has never had a fever for so long. She clarified she knows her temperature elevation was really not a fever, but she has not had a problem with her temperature in the past. She said she doesn't know if she got a cold, or if her elevated temperature is a side effect of the COVID-19 Vaccine. on Saturday evening (20Feb2021) she started to feel strange. She said her skin had a strange feeling. She said her skin had a very little chilled feeling to it. She said her chills were not terrible. She said her temperature has gone up and down since Saturday (20Feb2021). She said on Monday (22Feb2021) her temperature was 97 degrees, but then her temperature had gone back up again. She said her temperature was around 99.3 degrees now. Vaccination facility type was public health department. Vaccine was not administered at a Facility. No history of all previous immunization with the Pfizer vaccine considered as suspect or patient age at first and subsequent immunizations if dates of birth or immunizations are not available. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. No prior vaccinations within 4 weeks. Patient took the regular brand name Tylenol. Patient said that took 2 regular Tylenol and does not know the Tylenol dose or the Tylenol NDC, Lot, and Expiration Date. The outcome of the event Feeling abnormal was unknown, event shoulder pain was recovered on 16Feb2021, and not recovered for other events. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712286
Sex: F
Age:
State: VT

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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: Significant gas; mostly flatulence; some burping; This is a spontaneous report from a contactable consumer (patient). A non-pregnant 52-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EN6201, Expiration date: unknown) via an unspecified route of administration in arm right on 15Feb2021 11:00 (Age at vaccination: 52-years-old) as dose 1, single for COVID-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing , covid-19 from an unknown date and unknown if ongoing , gluten sensitivity from an unknown date and unknown if ongoing. Concomitant medication(s) included eszopiclone (LUNESTA) taken for an unspecified indication, start and stop date were not reported; alprazolam (ALPRAZOLAM) taken for an unspecified indication, start and stop date were not reported; lorazepam (LORAZEPAM) taken for an unspecified indication, start and stop date were not reported. On 15Feb2021 05:00 PM, patient experienced significant gas, mostly flatulence, some burping. Facility type vaccine was other. Other vaccine in four weeks was none. No treatment received for Adverse event. COVID was present prior vaccination. No COVID tested post vaccination. The outcome of events was recovered on an unspecified date in 2021. Follow-up attempts completed. No further information expected.

Other Meds: LUNESTA; ALPRAZOLAM; LORAZEPAM

Current Illness:

ID: 1712287
Sex: F
Age:
State:

Vax Date:
Onset Date:
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: a sore arm after receiving the second shot of the vaccine; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, batch/lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for covid-19 immunisation. The patient's medical history and concomitant medication were not reported. The patient stated that she had a sore arm after receiving the second shot of the vaccine. The second dose hurt more than the first. She generally had a sore arm with the flu shot. The outcome of event was unknown. Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1712288
Sex: F
Age:
State: OH

Vax Date:
Onset Date:
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: Arm is swollen; This is a spontaneous report from Pfizer sponsored program. A consumer reported that a female patient (daughter) of an unspecified age received bnt162b2 (BNT162B2, 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. Reporter stated that his daughter got her shot, arm was swollen on unspecified date. Outcome of the event was unknown. Information about lot/batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1712289
Sex: F
Age:
State: OH

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: itchy; she was off balance; She could not stand up; large dark red rash under left breast and onto shoulder; cold; dizzy; feeling wobbly; feeling cold and chilled; woozy; This is a spontaneous report from a contactable consumer (Patient). A 88 year old female patient started to receive bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via intramuscular injection into left arm on 24Feb2021at 10:20 AM as DOSE 1, SINGLE for COVID-19 immunization (at the age of 88 Years). Medical history includes breathing problem, heart problem, chest pain. It was reported that AE(s) prior vaccinations rash with flu shot for the first time this year, she had shingles shot 3-4 weeks before the flu shot. She thought at first the rash was from the shingles shot. However, she realized later the rash was indeed from the flu shot. Concomitant medication(s) includes Clopidogrel Bisulfate (PLAVIX) for blood clots, Amlodipine Besilate (NORVASC) for heart problems and chest pain, POTASSIUM for unspecified indication, singulair for breathing problems, albuterol sulfate for breathing problems. The patient previously took first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via intramuscular injection into left arm on 22Jan2021 for COVID-19 Immunization. The patient had experienced on 24Feb2021 cold and dizzy, feeling wobbly, feeling cold and chilled, woozy, it was reported that, large dark red rash under left breast and onto shoulder on 25Feb2021, itchy, she was off balance, She could not stand up on an unknown date. It was reported that, second Covid shot yesterday 24Feb2021 at initially stated as 10:00AM and when she woke up around 12:30AM this morning she had a large rash under her left breast and it's dark and it's red but it was kind of burning but it's not burning now. She normally does have allergies, she might tell me about that, she has allergies but she wanted to take the shot she just wanted to know if she's in danger. She doesn't want to go to the hospital because she's lost 5 people in her family. That's where she can get it, Covid, is in the hospital. They gave her all the literature she needed where she got the vaccine. She did wait there 15 minutes but she was a little dizzy when she got the Covid 19 vaccine when she got home, it didn't last long. She's never sick. She felt woozy she wanted to go out but she was off balance, kind of cold too, the dizziness wasn't that bad, she was wobbly. She could not stand up. When she woke up this morning it was gone. After she got cold she went to bed early around 6. She only sleeps around 5 hours so she got up at around 12:30AM. Then she went back to sleep 6AM this morning. She reports you don't sleep like you used to when you get older. She reported the coldness wasn't that bad but it wasn't normal she didn't want to go to the doctor. She mentioned in regards to the rash it is like fine measles like bumps on chest and up around shoulders. Body is still rough form the rash. They didn't bother her they didn't itch it was just like measles like rash on shoulders on around her chest. The clinical outcome of the events dizzy, feeling wobbly, feeling cold and chilled, woozy were recovered and rest all events were unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: PLAVIX; NORVASC; SINGULAIR; ALBUTEROL SULFATE

Current Illness:

ID: 1712290
Sex: M
Age:
State: MO

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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: Swollen lymph nodes more than 8 days after injection.; This is a spontaneous report from a contactable consumer (patient). An adult male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 17Feb2021 as dose 2, single for COVID-19 immunization, at workplace clinic. The patient medical history included known allergies: Penicillin. Other medical history was not provided. Concomitant medication included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]). Previously the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 27Jan2021 as dose 1, single for COVID-19 immunization. The patient received no other vaccine in four weeks. The patient had no COVID prior vaccination. The patient was not tested for COVID post vaccination. On 18Feb2021, the patient experienced swollen lymph nodes more than 8 days after injection. The event resulted in Doctor or other healthcare professional office/clinic visit. It was unknown if the patient received treatment for the event. The outcome of the event was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1712291
Sex: F
Age:
State: NY

Vax Date: 02/08/2021
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: Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: Test Result: went lower; Comments: the top number in her blood pressure of left arm is bad, but the bottom numbers are ok; the top number goes down below 100 sometimes.; Test Date: 2021; Test Name: Blood pressure; Result Unstructured Data: Test Result: her blood pressure in both arms also shot; Test Date: 2021; Test Name: Heart rate; Result Unstructured Data: Test Result: shot up to like 100

Allergies:

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

Symptoms: her blood pressure went lower/Very low blood pressure in her left arm went down some more; Just did not feel good; Felt like she had a little bit of the flu or something for several days; her blood pressure in both arms also shot; Heart rate shot up to like 100 something; This is a spontaneous report from a contactable consumer (patient). An 87-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: Unknown, Expiration date: unknown), dose 1 via an unspecified route of administration on 08Feb2021 (at the age of 87-year-old) as dose 1, single for COVID-19 immunization. Medical history included blood pressure was low from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously received flu shot for immunization and experienced flu. Patient stated she received the first dose of Pfizer's COVID vaccine on 08Feb2021 and was due for her second dose on Monday, 01Mar2021. She stated her blood pressure was low before the first dose, but after receiving the first dose, her blood pressure went lower (2021). It is dangerously low now and she was wondering if she should receive the second dose. Patient again stated after he had the first dose on 08Feb2021, and her blood pressure dropped. So, it was low before he had the vaccine, but it went lower after she received the first dose of the vaccine. Patient again stated I have not had the second shot yet. I am afraid to get the second shot because my blood pressure and I was already been doctoring for my low blood pressure in my left arm and my right arm was high, but my left arm reached a very low. But it got lower after I took the shot, then it got lower, dangerously low. So, I was afraid to get the second shot. I was wondered if I go ahead and got it because it was coming up Monday and I was afraid to do it, my blood pressure even might go lower as it was persistently low. Patient stated for treatment, No, I had an appointment to go, have an ultrasound tomorrow. For the lab work patient stated not yet. Reporter again stated after administered her first dose she just did not feel good (2021); she felt like she used to feel after she got the flu shot, like she had a little bit of the flu or something for several days (2021); but she was still having problems. She was seeing a doctor because of an existing problem with very low blood pressure in her left arm. The blood pressure in her left arm has about a 50-point differential as compared to the blood pressure in her right arm. The Blood pressure in her right arm was higher than in the left arm. Because of the blood pressure issue and shoulder issue she was having an ultrasound performed tomorrow, 26Feb2021. She reported that the top number in her blood pressure of left arm was bad, but the bottom numbers are ok; the top number goes down below 100 sometimes. She reported that her very low blood pressure in her left arm went down some more after she was administered the first dose. Due to that event, she was very nervous about getting the second dose of the Pfizer COVID-19 Vaccine. She was scheduled for the second dose of the Pfizer COVID-19 Vaccine on Monday, 01Mar2021. She reported that after she was administered the first dose her blood pressure in both arms also shot up and her heart rate shot up to like 100 something a couple of times (2021). She had not had a problem with her heart rate in many years before this event. The blood pressure shot up and heart rate shot up events did not last; it was just for a couple of days but left her a little concerned. She looked on the internet, did a lot of researching and talked a lot to (clinic name withheld); she looked up their whatever they had; and asked some questions about the vaccine. One of the things it said on there was when you have low blood pressure; and she also had dermatitis bad on areas of her body; but if you have the first shot they have found that would suffice if you have a reaction or worry about the low blood pressure; and they said the vaccine does lower blood pressure; then you may not had to get the second dose of the vaccine as the first dose may provide sufficient effect. She asked if it was ok to only at the first dose of the Pfizer COVID-19 Vaccine if you had a reaction with the first dose. There was no treatment for the events. The patient underwent lab tests and procedures which included blood pressure: went lower (the top number in her blood pressure of left arm is bad, but the bottom numbers are ok; the top number goes down below 100 sometimes), blood pressure: her blood pressure in both arms also shot, heart rate: shot up to like 100 on an unspecified date in 2021. The clinical outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712292
Sex: F
Age:
State: TX

Vax Date: 02/08/2021
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: Test Name: CT Scan; Result Unstructured Data: Test Result:some swollen nodules

Allergies:

Symptom List: Unevaluable event

Symptoms: swollen lymph nodes; dizziness; nausea; fever; This is a spontaneous report from a contactable consumer (Patient herself). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration on 08Feb2021 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. The patient's concomitant medications were not reported. Patient stated that four or five days later, she had some glands that swelled behind her ear and on her head. She also had fever, and nausea and she had to go to the doctor. Patient stated that the doctor injected her with two very strong antibiotics. She stated that it continued, and two days later, she went to see the same doctor again, because she was getting more glands, and the doctor sent her to the emergency room. At hospital, the staff did a CT, and they told her that she had some swollen nodules (swollen lymph nodes), and they changed her antibiotics. Patient reported that they are still swollen, they are less, but she is also still dizzy and nauseous (medically significant). Patient is wondering if this could be a side effect of the vaccine. Patient states that she was due on Monday for her second dose, and she was wondering about if she should still get it. 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: 1712293
Sex: F
Age:
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: her left ear that is ringing; her skin hurt to the touch; weird static noise/ tinnitus, in her left ear; flu-like symptoms; chilled; her skin hurt to the touch; lethargic; This is a spontaneous report from a contactable consumer (Patient herself). A 71-year-old female patient received second dose of bnt162b2 (Pfizer-BioNTech Covid-19 Vaccine, Solution injection; Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 05Feb2021 (at the age of 71-year-old) as single dose for covid-19 immunisation. Patient previously received first dose of bnt162b2 (Pfizer-BioNTech Covid-19 Vaccine, Solution injection; Batch/Lot number: EL8982), via an unspecified route of administration, administered in Arm Right on 15Jan2021 as single dose for covid-19 immunisation. Medical history included factor V leiden carrier from 2015 and ongoing. Concomitant medication included acetylsalicylic acid (BABY ASPIRIN) taken for factor V leiden carrier from 2015 and ongoing. Patient received no other vaccines on the day of her COVID vaccine. Caller stated that with her second dose, on the day of her second dose, 05Feb2021, maybe two hours after getting the second dose, she had this really weird static noise in her left ear, that she was hoping would go away, but it did not. Caller stated that same evening, she had flu-like symptoms, no fever but was chilled, and her skin hurt to the touch, and she was lethargic, the caller didn't get out of bed for a day and a half. Caller reported that the static in her ear started before she had the flu-like symptoms, but by Sunday, she was fine. Caller stated that she was hoping the static in her ear would go away, but it has not. Caller stated that the sound will sometimes disappear but then come back, but most of the time the sound was there. Caller stated that she thinks loud noises set it off. Caller was wondering if there have been any other people who have reported tinnitus after the vaccine. The outcome of the event weird static noise/ tinnitus, in her left ear was not recovered while the outcome of all the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: BABY ASPIRIN

Current Illness: Factor V Leiden carrier

ID: 1712294
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: nausea; vomiting; thought she was going to die,; This is a spontaneous report from a contactable other healthcare professional via Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: unknown), via an unspecified route of administration on 03Feb2021 as dose 1, single for COVID-19 immunisation. Medical history included antibody therapy from Oct2020 to an unknown date. Concomitant medications were not reported. On an unspecified date, after first dose, patient had nausea, vomiting and thought she was going to die. The patient had her second dose scheduled for 24Feb2021. Patient wants to see if it was ok to receive second dose. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712295
Sex: F
Age:
State: NY

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: Injection site pain, Menorrhagia

Symptoms: 8 hrs after vaccine #2 terrible headache. felt like chisel was hitting head above brow bone.; Injections site extremely sore; Intermittent chills; headache& sore arm; This is a spontaneous report from a non-contactable consumer. A 71-years-old female patient (not pregnant) received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: not reported), via an unspecified route of administration (at the age of 71 years) as dose 2, single for covid-19 immunization. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 1 for covid-19 immunization. The patient relevant medical history includes high blood pressure. Patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient concomitant medications were not reported. It was reported that 8 hours after vaccine 2 patient had experienced terrible headache, felt like chisel was hitting head above brow bone, Injections site extremely sore. Headache and sore arm slowly subsided after 24 hrs. Intermittent chills also occurred while experiencing headache. By day 3 felt. No treatment was received in response to the adverse events. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. The outcome of the events were recovered. No follow-up attempts are possible. No further information is provided.

Other Meds:

Current Illness:

ID: 1712296
Sex: M
Age:
State: MN

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache; Light fever; Soreness at injection site; Swelling and pain in lymphnodes; Swelling and pain in lymphnodes; This is a spontaneous report from a contactable other hcp. A 44-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, Injection for injection, (Batch/Lot Number: EN6201, expiry date: unknown) dose 2 intramuscular, administered in Arm Left on 23Feb2021 08:30 AM as DOSE 2 SINGLE, for covid-19 immunization (age at vaccination:44-Year-old). The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, Injection for injection, (Batch/Lot Number: EL9264, expiry date: unknown) on 02Feb2021 08:30 AM intramuscularly in left arm as DOSE 1 single, for covid-19 immunization. On 25Feb2021 10:00 AM the patient experienced headache, light fever (pyrexia), soreness at injection site (vaccination site pain), swelling and pain in lymph nodes (lymphadenopathy) and swelling and pain in lymph nodes (lymph node pain). The patient had not received any treatment for the events.The outcome of all events was reported as not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712297
Sex: U
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: two of her doctors said they felt very sick after receiving the second vaccine.; This is a spontaneous report from a Pfizer-sponsored program via a contactable consumer or other non-healthcare professional. A patient of an unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. Medical history and concomitant medications were not reported. The reporter reported that two of her doctors said that they felt very sick after receiving the second vaccine. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712298
Sex: F
Age:
State: CA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: blood work; Result Unstructured Data: Test Result:normal; Test Name: Temp; Result Unstructured Data: Test Result:97 Fahrenheit; Test Name: Temp; Result Unstructured Data: Test Result:98 Fahrenheit; Test Name: Temp; Result Unstructured Data: Test Result:99.7 Fahrenheit

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: her arm was hurting; chills; joints are achy; Tiredness; flu-like symptoms; achiness; cold; low temp usually 99.7 and temp 98; This is a spontaneous report from a contactable consumer (patient). A 77-years-old female patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, batch/lot number: EN6200, expiration date: not reported) (age at the time of vaccination was 77 years) via an unspecified route of administration, administered in Arm Left on 23Feb2021 as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history included chronic obstructive pulmonary disease, emphysema, atrial fibrillation from an unknown date and unknown if ongoing and spleen operation and the patient lost her spleen when she was 26 years old, this causes her immune system to be compromised. There were no concomitant medications reported. The patient received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, batch/lot number: EN5318, expiration date: May2021) (age at the time of vaccination was 77 years) via an unspecified route of administration, administered in upper left arm on 02Feb2021 as DOSE 1, SINGLE for COVID-19 immunisation and It was reported that the caller seems to be having a reaction, after the first dose she was real tired and slept for the first day. The caller showed these symptoms for the first day and for half of the second day after the first dose. The caller got the second shot Tuesday and did not show side effects until yesterday, she got really achy, cold, flu like symptoms, chills, low temp usually 99.7 and temp 98, her arm was hurting where she received the vaccine, and all of her joints are achy. The first time the side effects happened within 2.5 hours after the first shot. She felt really out of it, really tired, slept for 4 hours and got up and felt very weak, very tired and that lasted during the night. The patient got up the next day and felt the same way and decided to stay up because she hated the way she felt when she went to bed. The patient mentioned that between 5 and 6 she felt like herself and bam that was it. The patient says she goes in and out of it, feels great then boom she goes right back into it. She woke up and felt fantastic and within a half hour she was back in bed. It was reported that after the patient had taken the second dose of the Pfizer COVID-19 vaccine, she had flu-like symptoms. It did not occur right away. It started yesterday (24Feb2021) and carried over until today (25Feb2021). She described her adverse events as intermittent she would feel her AEs then she would go to another room feeling fine then she would have her AEs again. She would like to know if there are other reports of intermittent flu-like symptoms and she wanted to know the duration of her adverse event. She said that she felt the achiness, the tiredness, the chills, the mild fever (usually she is 97F but she was reading 98F). She's had the flu, she knows what it feels like, her arm even hurts to comb her hair, everything hurts. She said she was taking Tylenol. The caller was unable to verify if the events are improved, worsened, or persisting, stating they are the same. When it does improve she feels like herself and when it goes back to the symptoms, it does not feel like its any worse or any better. The patient underwent lab tests and procedures which included blood test: normal body temperature: 97 Fahrenheit, body temperature: 98 Fahrenheit, body temperature: 99.7 Fahrenheit. The outcome of the events was unknown. No follow-up attempts are possible. No further information was expected.

Other Meds:

Current Illness:

ID: 1712299
Sex: F
Age:
State:

Vax Date: 02/02/2021
Onset Date: 02/16/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Sores in mouth; dry throat; This is a spontaneous report from a non-contactable consumer (Patient). A 59-year-old non pregnant 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 02Feb2021, as dose number unknown, single for COVID-19 immunisation at hospital. The patient medical history, concomitant medications were not reported and had no allergies. The patient did not receive other Vaccine in four weeks. On 16Feb2021, 14 days after vaccination, the patient had sores in mouth and experienced dry throat. The patient was not Covid prior vaccination and was not tested Covid post vaccination. The patient did not receive any treatment for the events. The clinical outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712300
Sex: M
Age:
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Vitals; Result Unstructured Data: Test Result:Normal

Allergies:

Symptom List: Nausea

Symptoms: His arm swelled up; His elbow has a baseball size pocket of swelling/6 inches below that elbow area he developed a very large, big bulge; swelling in the hand and hot to the touch; swelling in the hand and hot to the touch/The left arm is very feverish; hot; The left arm is very feverish; hot; red; left armpit the nodes there are swollen; This is a spontaneous report received from a contactable consumer (patient). A male patient of unspecified age (Age: 74; Unit: Unspecified) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection and batch no: not reported/lot number: not reported) via an unspecified route of administration, in left arm on 24Feb2021 at 11:00 as single dose for COVID-19 immunization. The patients medical history and concomitant medications were not reported. Caller stated that he received the first dose of the pfizer covid 19 vaccine yesterday 24Feb2021. Caller stated that five minutes after his arm swelled up and his elbow has a baseball size pocket of swelling and swelling in the hand and hot to the touch/The left arm was very feverish; hot swelling in the hand and hot to the touch Vitals were normal. Caller wanted to know what he could do about the swelling. Caller stated that he used benadryl, ice and epsom salt. This consumer was administered their first dose of Pfizer COVID-19 Vaccine on 24Feb2021 at 11:00 to the left arm. Within 5 minutes of being administered that dose his entire left arm swelled up including his arm pit, elbow and hand. Under the left armpit the nodes there are swollen, and he was wondering if it would be ok to just take Tylenol or Ibuprofen for that discomfort or will those products interfere with the workings of the Pfizer COVID-19 Vaccine. They went to the observation nurse who took his vitals which were ok, he did not have any problems or bleeding; but the swelling of his entire arm was still present. Consumer wanted to know what they can do to reduce the swelling. They tried ice, and even Epsom salt with warm water thinking it would help it. The left arm is very feverish; hot; red; about twice the size it was normally; his elbow area produced a swelling the size of a baseball at least and then a pocket. The swelling of the elbow area was kind of soft so they said oh that was ok; but at same time about 6 inches below that elbow area he developed a very large, big bulge. That bulge later in the day became hard; but consumer reported the bulge only became hard when his was arm bent; otherwise, the bulge was soft when arm was extended. Because he had such a quick reaction to the Pfizer COVID-19 Vaccine; it blew the socks off all the nurses there, they could not believe how fast and how large the swelling area was; they had never seen anything quite so large or occur so quick before; they wanted to know if he should still get the second dose of the Pfizer COVID-19 Vaccine relative to this event. Patient underwent lab test and procedure which included Vitals with normal results. Outcome of the events his arm swelled up and His elbow has a baseball size pocket of swelling/6 inches below that elbow area he developed a very large, big bulge was not recovered and other events was unknown. No follow up attempts are possible; Information about Lot and batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1712301
Sex: F
Age:
State: AZ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: break out in little itchy bumps was reported as worsened; her face is little flushed; experiencing allergic symptoms; break out in little itchy bumps; headache; This is a spontaneous report from a contactable consumer (patient). A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EL6202, Expiry Date: Unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 23Feb2021 at 22:30 (at the age of 65-years-old) as a DOSE 2, SINGLE for covid-19 immunisation. The patient medical history included coeliac disease reported as, Celiac autoimmune, on no autoimmune meds, she deals with a strict gluten free diet, this was diagnosed 15 years ago, when she was 50. Patient had seasonal allergy (pollen), food allergy, milk allergy (she doesn't eat dairy), food allergy, she was allergic to shellfish she has to have an Epi pen, and other food can create problems, histamine wise, she knows that she was that sort of an allergic person and had nasal congestion all from an unknown date and unknown if ongoing. Concomitant medications included montelukast (MONTELUKAST) 10 mg tablet by mouth once daily taken for nasal congestion, reported as, Initially provides as Singulair, then stated it was Montelukast. Started taking all the time about a year ago start and stop date were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EL9264, Expiry Date: Unknown), dose 1 via an unspecified route of administration, administered in right upper arm on 03Feb2021 (at the age of 65-years-old) as a DOSE 1, SINGLE for covid-19 immunisation. She reported, first dose lot was EL9264, asked her husband if that lot number is a 1 or 4, then confirmed the last digit was a 4, and the date of that first dose was 03Feb2021; by injection once to right upper arm. The patient reported that, event following prior vaccinations was not generally, no, she felt safe taking it, generally gets through fine, she recently did shingles vaccine within year, fine and all flu shots were fine. Vaccination Facility Type was reported as state run site at the stadium, it's amazing, they vaccinate people around the clock. Vaccine was not administered at Military Facility. Additional Administered Vaccines were none. Prior Vaccinations (within 4 weeks) were none. The patient experienced headache on 23Feb2021, break out in little itchy bumps on 24Feb2021, break out in little itchy bumps was reported as worsened on an unspecified date, her face is little flushed and experiencing allergic symptoms both on 25Feb2021. Reporter wanted to know whether she may take Benadryl after receiving the 1st dose of the Covid vaccine. Reporter received the 1st dose of the Pfizer Covid vaccine 36 hours ago. She took Tylenol last night because she had a headache from the vaccine. Currently, she was experiencing allergic symptoms which she suggests could be from the pollen in her area. She reported about her second shot, Pfizer COVID vaccine, received it on Tuesday night at 10:30PM, a little over 36 hours ago. She reported as she was an allergy person, she had high allergies to things, so she is allergic, but she was not in danger, she was breathing fine, but today she was noticing, and even yesterday, she was breaking out in little itchy bumps, she is also celiac, so autoimmune, but has no other auto immunes, and was on no drugs, she is overall healthy, so she was wondering since the itching with the bumps on her neck and maybe upper chest, they are minor, not all over her body, her hands are clear, and her face was little flushed, but that was the extent, but she wondered if she would be allowed to take an antihistamine, like Benadryl, would it be harmful, like get in the way of the vaccine's efficacy? She explained, there was a lot of pollen out there, she was allergic, the last few days she's been outside, and noticed because of spring and pollen, and as well as she had food allergies. Primary care doctor was in another state, and she had one out there, but has had no reason to see them as she's been very healthy, all that mask wearing, and social distancing. She woke up with this yesterday (date unspecified), she went to bed, then was itchy around her neck and had one or two bumps. It was slightly more bothersome today than yesterday. She had a lot of allergies, she doesn't eat dairy, she was very allergic to shellfish, with shellfish she had to have an Epi pen, and other food can create problems, histamine wise, she knew that she was that sort of an allergic person. She reported that she lived with this stuff all the time, she knew when it was bad, it was not severe, her breathing was fine, no tongue swelling. She experienced mild headache after her second dose. Asked, if she can take medication. Family Medical History Relevant to the events were none. Relevant tests done were none. Event did not require a visit to the emergency Room or Physician Office. Therapeutic measures were taken as a result of headache. Outcome of the breakout in little itchy bumps was not resolved whereas outcome of the break-out in little itchy bumps was reported as worsened, her face is little flushed, headache and experiencing allergic symptoms were unknown. No follow up attempts are possible. No further information is expected.

Other Meds: MONTELUKAST

Current Illness:

ID: 1712302
Sex: F
Age:
State: CA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: bruises in her mouth and on her stomach; Suspect platelet disorder; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6201), via an unspecified route of administration, administered in arm left on 23Feb2021 at 18:30 (at the age of 65-years-old) as dose 1, single for COVID-19 immunisation. Medical history included overweight, antibiotic and latex allergy, implant done for her tooth, gastrointestinal upset (She is having an implant done for her tooth and was put on an antibiotic. She only took it for one day because she started to have gastrointestinal upset) and arthritis in both feet (Recently she has had two people die in her family. She attributes it to being upset. Recently she has arthritis in both feet that popped up out of nowhere. It is more in the left foot. She saw a Podiatrist and the orthotics are helping already), all from an unknown date. There were no concomitant medications. The patient previously took iodine and steroids and experienced allergies. The patient experienced bruises in her mouth and on her stomach on 25Feb2021 at 08:30. The clinical course was as follows: Patient wanted to know if bruises in her mouth and stomach area are side effects of the PFIZER-BIONTECH COVID-19 vaccine - She had the 1st dose last 23Feb2021 then symptoms came out today 25Feb2021. She got the shot on the twenty third at 6:30pm. She didn't have any kind of reaction at all, but this morning it's been a day and a half. She has bruises in her mouth and on her stomach. She looked it up and sees all the platelet problems. She is concerned about that. Is what she is experiencing a side effect? It says there have only been 36 people that have platelet issue. The bruise on her mouth is getting darker and bigger. It is on the corner of the lip going into the mouth. It is the edge of her lip. It is more of a purple color now. She has not had anything at this time, but she thinks she may go to get a blood test. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712303
Sex: M
Age:
State: PA

Vax Date: 02/23/2021
Onset Date: 02/01/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: 29 hours after injection, minor fever; 23 hours after injection, extreme exhaustion; All muscles felt week; general tired feeling.; This is a spontaneous report from a contactable consumer (patient). A 47-year-old male patient received BNT162B2 (COMIRNATY, Solution for injection, Lot number: EL3247), via an unspecified route of administration in left arm on 23Feb2021 at 01:45 PM (age at vaccination was 47 Years) as DOSE 1, SINGLE for COVID-19 immunisation at workplace clinic. Medical history included Covid-19 (Prior to vaccination, the patient was diagnosed with COVID-19) from an unknown date and unknown if ongoing. No allergies reported. Concomitant medications includes vitamin d3, ascorbic acid, calcium carbonate, calcium pantothenate, calcium phosphate, chromium, cyanocobalamin, folic acid, magnesium carbonate, magnesium hydroxide, manganese gluconate, nicotinic acid, potassium bicarbonate, potassium carbonate, potassium phosphate dibasic, pyridoxine hydrochloride, quercetin, riboflavin sodium phosphate, sodium bicarbonate, sodium phosphate, thiamine hydrochloride, thioctic acid, zinc ascorbate (EMERGEN C) and probiotics; taken for an unspecified indication, start and stop date were not reported and the patient received within 2 weeks of vaccination. The patient was not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not covid tested post vaccination. 23 hours after injection, on 24Aug2021 at 12:45 PM, the patient was experienced extreme exhaustion set in. All muscles felt week. On 24Aug2021 at 06:45 PM, 29 hours after injection, minor fever. 40 hours after injection, exhaustion and fever were resolved and the patient just had a general tired feeling on an unspecified date in Feb2021. The report was non-serious. The patient was not received any treatment for adverse event. Outcome of the event tiredness was unknown and remaining events were recovered on an unspecified date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMIN D3; EMERGEN C; PROBIOTICS

Current Illness:

ID: 1712304
Sex: F
Age:
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: tendonitis on the arm; This is a spontaneous report received from a contactable consumer (patient), from Pfizer-sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: Not provided), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. Medical history was not reported. Concomitant medication included cyanocobalamin (B12-SHOTS) taken for an unspecified indication, start and stop date were not reported. On an unspecified date, after vaccination, the patient experienced tendonitis on the arm. Therapeutic measures were taken as result of event included, patient's doctor prescribed a steroid shot. It was reported that, the patient received the 1st dose a week ago (at the time of report). She was asking if it was ok to proceed with the 2nd dose of the vaccine. Patient was about to receive 3 of the B12 shots. Once in a month for 3 months. She already had the 1 of 3 of the B12. The patient will have these shots in between the vaccine. Patient was asking if she should wait to have B12 before or after the vaccine. Outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: B12-Shots

Current Illness:

ID: 1712305
Sex: F
Age:
State: MN

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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: redness in her arm/entire shoulder turned red; she has swelling on the left arm and hurting; Itching; enlarged lymph node under arm is hurting/is very sore; enlarged lymph node under arm is hurting/is very sore; soreness in her arm/she received the vaccine and has been sore ever since/swelling on the left arm and hurting; This is a spontaneous report from a contactable consumer (patient). A 72-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9266) via an unspecified route of administration left arm (Left shoulder) on 20Feb2021 (at the age of 72-year-old) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included Jun2020 She had severe Covid last Jun and almost died, leukaemia, lymph node was enlarged before. There were no concomitant medications. Patient was reported that she was afraid the soreness in her arm wasn't going to go away because it is still pretty much the same soreness, but her entire shoulder turned red today. Which she knows they say you can get redness in the first day or two, but she is on day 6 now. On 21Feb2021 The patient also had an enlarged lymph node under that arm which is being watched with her leukemia and the lymph node is enlarged more and was very sore. The soreness in her arm started the very night of the Saturday (20Feb2021) when she received the vaccine and has been sore ever since. The redness/ redness in her arm started on 25Feb2021. The patient states that her arm is itching and is irritating and very uncomfortable which started 24Feb2021 or the day before and it comes and goes. She explains she is a leukemia patient and her lymph node was enlarged before, but its never been hurting her. It's been hurting her ever since the second day of the vaccine. On 25Feb2021 also reported she had swelling on the left arm and hurting. Prior Vaccinations (within 4 weeks): none. Patient did not have any AE(s) require a visit to Emergency room, Physician's office. The outcome of event for Lymph node pain, pain in arm, redness in her arm was not recovered and rest all event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712306
Sex: F
Age:
State:

Vax Date: 02/05/2021
Onset Date: 02/01/2021
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: This is a spontaneous report from a contactable consumer. A female consumer of an unspecified age reported for herself, who received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: EM9810, expiry date: 30Jun2021) via an unspecified route of administration on 05Feb2021, as SINGLE dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. After vaccination on Feb2021, patient stated that next day or so or may be that same day on 05Feb2021 she had developed onset of sniffles, a little running of nose and watering of the eyes. On the second day, on 06Feb2021, she got some chest congestion and cough. She coughed every now and then but not terribly. She took cold tablets for probably about 6-7 days until they ran out. She was taking the second bottle of cough syrup which was almost finished, but still coughs every now and then. She wondered since it seems to her, she got those events after the Pfizer COVID-19 Vaccine, and she was supposed to get the second dose of Pfizer COVID-19 Vaccine tomorrow but had a doubt whether she should or should not get the second dose as scheduled relative to these events. The outcome of the events sniffles/ runny nose and cough were not recovered; chest congestion was improved (recovering) but it was almost gone but not completely and she no longer had watery eyes, recovered on an unspecified date in 2021. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712307
Sex: F
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: chest pain; severe headache; muscle pain; she has felt real, real sick,; she does not feel well; She has so much pain; joint pain; back pain; chest pain unbearable/generally lots of pain/headaches were so bad; This is a spontaneous report from a contactable nurse (patient). A 71-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: not reported), via an unspecified route of administration on 09Feb2021 (age at vaccination was 71 years) as dose 1, single for COVID-19 immunisation. The patient has a history of bad reactions to other vaccines, Graves' disease, rheumatic fever and multiple allergic reactions to multiple stuff; all were from an unknown date and unknown if ongoing. Concomitant medications were not reported. The patient received the first dose of the vaccine 09Feb2021 and patient didn't feel well and was not doing so well. On an unspecified date the patient had so much pain, specifically severe headache almost every day, muscle pain, joint pain, back pain, chest pain, and generally lots of pain. The headaches were so bad that she can't even talk and she finds the chest pain unbearable. The patient has felt real, real sick, since getting her vaccine on 09Feb2021. The patient finds that it was not a regular kind of pain and was unusual because it started gradual. The patient did not do anything and that this came in after the vaccine. The patient second shot was in a few days, 02Mar2021, so patient was asking if she should still take the second dose. The patient doesn't feel like she wants to go because she does not feel well. The patient knows many of her friends that tolerated the vaccine pretty well, and the patient knew that patient could have some reaction to it, but the patient was on the third week of symptoms now. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712308
Sex: F
Age:
State: MD

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: mild soreness at injection site which lasted for 2 days; This is a spontaneous report from a contactable Other HCP. A 28-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL9262) dose 1 via an unspecified route of administration, administered in Arm Left on 24Jan2021 11:00 (at the age of 28 years old) at dose 1, single for covid-19 immunisation. Medical history included ongoing rhinitis allergic and uterine leiomyoma from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. The patient previously took feraheme and experienced drug hypersensitivity. The patient received other medications within 2 weeks of vaccination. On 24Jan2021, the patient experienced mild soreness at injection site which lasted for 2 days. The patient was did not received 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. The outcome of the event was not recovered on an unspecified date 2021. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness: Allergic rhinitis

ID: 1712309
Sex: F
Age:
State: CO

Vax Date: 02/17/2021
Onset Date: 02/19/2021
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: She had heart palpitations; The opposite arm was swollen up; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration in left arm on 17Feb2021 (at the age of 65-years-old) as single dose for COVID-19 immunization. The patient's medical history included palpitations and she takes medicine for it. The patient's concomitant medications were not reported. The patient previously experienced known allergies to lot of medicines and things. On 19Feb2021, the patient experienced swollen up in the opposite arm when she woke up. The patient also experienced heart palpitations the last night. The patient noticed the opposite arm was swollen this morning. The patient was trying to figure out why it was feeling so tight and she got out of the shower and she was lotioning up and she noticed it and said oh that was why. The patient said the injection was given in the left arm but this was the right arm that was swollen. The right arm and it was swollen in the fold of the arm like where the crease was between arm and elbow. The patient said it was swollen in the bend of her elbow and was ongoing. The outcome of the opposite arm was swollen up was not recovered. The outcome of heart palpitations was unknown. Information about lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712310
Sex: F
Age:
State:

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: The next morning 19Feb2021 she said she woke up around 2am; gassy; had muscle pain like nots throughout her body; This is a spontaneous report from a contactable consumer (patient's daughter). A female patient of an unspecified age received bnt162b2 (PFIZER COVID VACCINE, Solution for injection, Lot number was not reported), via an unspecified route of administration on 18Feb2021 at 17:30 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the next morning 19Feb2021 she said she woke up around 2 AM, was gassy, and had muscle pain like nots throughout her body. The events lasted for two hours and ended up going away. The patient recovered from the events on 19Feb2021 at 04:00. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712311
Sex: F
Age:
State: CA

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: Pain in extremity

Symptoms: This is a spontaneous report from contactable other HCP via Pfizer Sales Representative. A female patient of an unspecified age 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 dose 2 single for COVID-19 immunization. Medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- unknown) via an unspecified route of administration as dose 1 single for COVID-19 immunization. After the 2nd dose, the patient did not feel well the day after receiving the 2nd dose. She experienced minor body aches and chills on an unspecified date. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712312
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: Post dose 2 headache lasting a week; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. Medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported) via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization. On an unspecified date, post dose 2, the patient experienced headache, lasting a week. Outcome of the event was resolved on an unspecified date. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712313
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Chills; Diarrhea; Cramping and pain in my stomach terrible; Cramping and pain in my stomach terrible; This is a spontaneous report from a contactable consumer (Patient). A patient of unspecified gender and age received bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: was not reported, Expiry Date: Unknown) via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On the 5th day after vaccination the patient experienced little chill before but had diarrhea and cramping and pain in stomach terrible. The outcome of the events were unknown. Information about Lot/Batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712314
Sex: U
Age:
State: CA

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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: had chills and body aches; had chills and body aches; This is a spontaneous report from a contactable other HCP via Pfizer sales representative. This Other HCP reported for a patient that: A patient of unspecified age and gender 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 an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, after the first dose the patient had chills and body aches that lasted for about 1 day. The clinical outcome of events were recovered on unspecified date. Information about lot/ batch number has been requested. This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712315
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Mild pain at injection site; Itchiness at injection site; This is a spontaneous report from a contactable consumer via Pfizer Sales Representative. A contactable consumer of an unspecified age and gender 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 an unspecified date as SINGLE dose for covid-19 immunization. Historical vaccine included received 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 dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient was a neighbour of the reporter, who developed mild pain and itchiness at injection site after second dose of the vaccine. The outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712316
Sex: F
Age:
State: CA

Vax Date: 02/15/2021
Onset Date: 02/19/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Mild swelling, redness and itchyness At injection site.; Mild swelling, redness and itchyness At injection site.; Mild swelling, redness and itchyness At injection site.; This is a spontaneous report from a contactable reporter. This reporter reported for a female consumer. An 82-year-old female patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EMn00n, Expiration date: unknown), via intramuscular, administered in right arm on 15Feb2021 07:15 (at the age of 82-year-old) as dose 2, single for COVID-19 immunization. Patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9262, Expiration date: unknown), via unspecified route, administered on 25Jan2021 07:30 AM (at the age of 82-year-old) as dose 1, single for COVID-19 immunization. The patient medical history includes Congestive heart failure and Adhesive tape allergy with unknown onset and unknown ongoing and concomitant medications include Apixaban (ELIQUIS), Furosemide (LASIX SPECIAL) and Metformin. On 19Feb2021 04:00 PM, 04 days after the vaccination, the patient experienced mild swelling, redness and itchiness at injection site. Patient took no other vaccine in four weeks; patient was not diagnosed with covid prior vaccination. Patient was not tested with covid post vaccination. The outcome of the events was not recovered at the time of this report. No follow-up attempts possible. No further information expected.

Other Meds: ELIQUIS; LASIX SPECIAL; METFORMIN

Current Illness:

ID: 1712317
Sex: F
Age:
State:

Vax Date:
Onset Date: 02/18/2021
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: Pain at the injection site; swelling at the injection site; muscle pain; hot flash after the injection; tiredness; Fatigue; This is a spontaneous report from a Non-contactable consumer. This 57-year-old Female consumer (Patient) reported. A 57-year-old (non-pregnant) female patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: 18, Expiration date: unknown), via unspecified route, administered on an unspecified date (at the age of 57-year-old) as dose number unknown, single for COVID-19 immunization. The patient medical history includes Fibromyalgia and Diabetes mellitus both from an unspecified date to unknown ongoing, and concomitant medications includes Diphenhydramine Hydrochloride, Paracetamol (TYLENOL EXTRA S.P) and Metformin. Past drug event include PERAZONE [CEFOPERAZONE SODIUM] induced Drug hypersensitivity on an unspecified date. On 18-FEB-2021 13:45, after the vaccination, the patient experienced Pain at the injection site, swelling at the injection site, muscle pain, hot flash after the injection, tiredness, fatigue. Patient took no other vaccine in four weeks; patient was not diagnosed with covid prior vaccination. Patient was not tested with covid post vaccination. The outcome of the events was recovering at the time of this report. No follow-up attempts possible. No further information expected.

Other Meds: TYLENOL EXTRA S. P; METFORMIN

Current Illness:

ID: 1712318
Sex: U
Age:
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fatigue; headache; This is a spontaneous report from a contactable other hcp via a sales representative. A patient of unspecified age and gender received bnt162b2 (COMIRNATY, 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. The patient medical history and concomitant medications were not reported. Reporter stated that after the first dose, the patient felt fatigue and headache immediately following the dose, but it resolved in about 1/2 day. Outcome of the events was recovered. Information about lot/batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712319
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: I couldn't get out of bed because I was too dizzy for about 4 hours; I had that dizziness reaction; This is a spontaneous report from a contactable consumer (patient). A patient of an unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: EN5318), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date, the patient experienced that patient couldn't get out of bed because patient was too dizzy for about 4 hours; patient had that dizziness reaction. It was reported that the patient was fine the day the patient took the first shot in the morning and was fine that day and during the night but the next morning when the patient got up, the patient couldn't get out of bed because the patient was too dizzy for about 4 hours and a medical person tell patient that they did not think that patient should take the second shot because the patient had that dizziness reaction the next day. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712320
Sex: F
Age:
State: OH

Vax Date: 01/20/2021
Onset Date: 02/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain at injection site; Arm hurt; Hair loss; This is a spontaneous report from a contactable consumer. This consumer reported for a 77-year-old female patient (wife) that: A 77-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EL9261), via an unspecified route of administration, administered in Arm Left on 20Jan2021 (at the age of 77-year-old) as single dose for covid-19 immunisation. Medical history included reversible shoulder surgery from 03Dec2020 to an unknown date and ongoing blood cholesterol from an unknown date. Concomitant medication only prescription medication she takes is a stating drug to control cholesterol she has been on it for 2 to 3 years. He doesn't know the dose. Patient previously took flu shot and a pneumonia shot he thinks it might have been the end of Oct2020. Additional vaccines administered on same date of the Pfizer Suspect reported as none. Consumer reported side effect from the first dose was pain at the injection site along with for a day or two her arm hurt. But as far as fever and chills none. They received the first dose of the Pfizer vaccine on 20Jan2021 at the (facility name) in (place). The reason he called before around the eighth was because 10 days to two weeks after the vaccine his wife started a lot of hair loss, she continues to have a lot of hair loss she doesn't have much hair left. He is calling because he is curious to know. He talked to family doctor too. Received the first dose of COVID19 Vaccine on 20Jan2021. Ten to fourteen days after the vaccine his wife developed hair loss. It was around the first week of February. It is worsening and her hair is currently coming out. They were also told that she should have the second dose initially they were supposed to receive Moderna, but when it came their turn, they had run out of Moderna and had 20 vials of Pfizer left, so they got Pfizer. Because of the hair loss they had called the family doctor and asked if it would be a good idea to get the second dose since she is having a lot of hair loss. The doctor's response was yes, he would recommend the second dose. the doctor told them it would be better off to have no hair. Patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EL9269), via an unspecified route of administration, administered on 11Feb2021 as single dose for covid-19 immunisation. The outcome of the event hair loss was reported as not recovered and Pain at injection site, Arm hurt was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Cholesterol

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am