VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1712371
Sex: F
Age:
State: FL

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Blood Platelets; Result Unstructured Data: Test Result:Low

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: 2 days after 2nd woke up with uncontrollable anger; upper arm ached inside bones; felt like electric wire laid against bone; shoulder blade up side of neck; This is a spontaneous report from a contactable Other HCP for herself. A 61-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 27Jan2021 09:00 (Batch/Lot Number: EL3248) as dose 2, single (age at vaccination 61-year-old) for covid-19 immunisation. Medical history included type 2 Obese, hypertension, Low Blood Platelets from an unknown date and unknown if ongoing. Concomitant medication(s) included nebivolol hydrochloride (BYSTOLIC); azilsartan kamedoxomil (EDARBI); alprazolam (ALPRAZOLAM); vitamin b complex (VITAMINE B COMPLEX); ascorbic acid (VITAMINE C); colecalciferol (VITAMINE D) taken for an unspecified indication, start and stop date were not reported. Historical vaccine information included bnt162b2 (COMIRNATY) 1st dose on 06Jan2021, administered at 10:00 AMAM, lot number EK4176 for Covid-19 Immunization. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. No known allergies. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 29Jan2021 07:00, the patient experienced 2 days after 2nd woke up with uncontrollable anger, upper arm ached inside bones, felt like electric wire laid against bone, shoulder blade upside of neck. It was reported that 2 days after 2nd woke up with uncontrollable anger and upper arm ached inside bone, next week pain moved to outside bone felt like electric wire laid against bone. Pain moved up and down by 3rd week under right shoulder blade up side of neck. Started taking Tylenol Called doctor thinks maybe nerve got nicked but advise to report as possible side effect. Started taking Methylprednisolne. Pain is less but still aches every day. Can't sleep. Pain still moving around now going around to arm pit. The patient underwent lab tests and procedures which included platelet count: low on an unknown date. Therapeutic measures were taken as a result of events includes Tylenol and Methylprednisolne. The outcome for all events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: BYSTOLIC; EDARBI; ALPRAZOLAM; VITAMINE B COMPLEX; VITAMINE C; VITAMINE D

Current Illness:

ID: 1712372
Sex: F
Age:
State: MD

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: my throat started burning; Coughing; Horrible stomach pain; Nauseous; very very tired; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 42-years-old non pregnant female patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 27Feb2021 11:45 (Age at vaccination: 42-years-old) as single dose for covid-19 immunization. Medical history included Crohns disease from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Historical vaccine included first dose of Covid-19 vaccine in Left arm on 06Feb2021 11:30 (Age at vaccination: 42-years-old) for covid-19 immunization. Patient did not receive any other vaccine in four weeks. Other medications in two weeks was reported as yes. Patient was not diagnosed with covid prior to vaccination. Known allergies was reported as yes. It was reported that on 27Feb2021 12:00 At the time of receiving the vaccine her throat started burning and she was coughing uncontrollably. That went away after about 10 minutes. 12 hours later she began to get very nauseous and have horrible stomach pain. she also very very tired. Since the vaccination patient was not tested for covid. Patient did not received any treatment for the events. Outcome for the events nauseous, horrible stomach pain and very very tired was reported as not resolved and for remaining events outcome was reported as resolved on 27Feb2021. No follow up attempts are needed. Information on Lot/batch cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1712373
Sex: F
Age:
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
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 Date: 20210228; Test Name: fever; Result Unstructured Data: Test Result:99.3; Comments: fever (99.3) 36 hours after administration of vaccine

Allergies:

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

Symptoms: fever (99.3); Nausea; vomiting; diarrhea; fatigue; headache; This is a spontaneous report from a contactable other hcp. A 39-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6202, Expiration date was not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 26Feb2021 14:45 (age at vaccination 39 years) as dose 1, single for covid-19 immunisation. Medical history included asthma, migraine. Concomitant medication(s) included melatonin (MELATONIN); amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) XR 30mg; vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]); vitamin d nos (VITAMIN D NOS). The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 27Feb2021 23:00 the patient experienced nausea, vomiting, diarrhea, fatigue, headache, fever (99.3). The patient underwent lab tests and procedures which included body temperature: 99.3 on 28Feb2021 (fever (99.3) 36 hours after administration of vaccine). The patient did not received treatment for reported events. The outcome of event was recovering. No follow-up attempts are possible; No further information is expected.

Other Meds: MELATONIN; ADDERALL; VITAMIN C [ASCORBIC ACID]; VITAMIN D NOS

Current Illness:

ID: 1712374
Sex: F
Age:
State: OH

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: skin rash that first appeared on both ankles, then spread to feet, up the legs, back of arms and hands; This is a spontaneous report from a contactable consumer (patient). A 82-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Batch/Lot Number: EM9809), dose 2 via an unspecified route of administration, administered in arm left on 17Feb2021 14:00 (at the age of 82-years-old) as dose 2, single for covid-19 immunisation. The patient medical history was not reported. No other medical history. Concomitant medications included biotin, fluoxetine, indapamide, potassium and propranolol hydrochloride taken for an unspecified indication, start and stop date were not reported. Historical vaccine of BNT162B2 (lot number: EL9262) for COVID-19 immunisation on 27Jan2021 at the age of 82 year in left arm as first dose. Prior to vaccination patient was not diagnosed with covid 19 and not tested for covid since the vaccination. On 20Feb2021 10:00 the patient was experienced skin rash that first appeared on both ankles, then spread to feet, up the legs, back of arms and hands. The treatment was not received. The outcome of event was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: BIOTIN; VIT D3; FLUOXETINE; LOZOL; POTASSIUM; INDERAL

Current Illness:

ID: 1712375
Sex: F
Age:
State: CA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: fatigue; joint/muscle pains all over; joint/muscle pains all over; Nausea; This is a spontaneous report from a contactable consumer or other non-health care professional. A 63-years-old non pregnant female patient (not pregnant at the time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6200), dose 1 via an unspecified route of administration, administered in Arm Left on 25Feb2021 19:00 (at the age of 63-year-old) as dose 1, single for covid-19 immunisation. The patient medical history included migraines, degenerative arthritis in the neck and mild asthma from an unspecified date. The patient's concomitant medications included thyroid (ARMOUR THYROID), Lovastatin (LOVASTATIN), acetylsalicylic acid, caffeine, paracetamol Excedrin (migraine medicine) for migraine and naproxen sodium (ALEVE) for degenerative arthritis received within 2 weeks of vaccination. The patient did not received any other vaccines within 4 weeks prior to the covid 19 vaccine. The patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The patient had no known allergies. On 26Feb2021, 1:00 AM the patient experienced fatigue, joint/muscle pains all over, nausea. The patient took treatment for the adverse events over the phone call to nurse practitioner. The clinical outcome of the events was recovered on an unspecified date on Feb2021. No follow-up attempts are needed. No further information is expected.

Other Meds: ARMOUR THYROID; LOVASTATIN; EXCEDRIN MIGRAINE; ALEVE

Current Illness:

ID: 1712376
Sex: F
Age:
State: TX

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: shoulder muscle pain; Headache; Chills; Tiredness; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 59-year-old non-pregnant female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: EN6202), via an unspecified route of administration in arm left on 28Feb2021 at 10:00 (at the age of 59-years-old) as dose 1, single for COVID-19 immunisation. The medical history of the patient included heart disease & high blood pressure. The concomitant medications of the patient included lisinopril (LISINOPRIL), rosuvastatin (ROSUVASTATIN), metoprolol (METOPROLOL), coenzyme q10 [ubidecarenone] (COENZYME Q10 [UBIDECARENONE]) all taken for an unspecified indication, start and stop date were not reported. The patient previously took codeine and experienced drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the covid vaccine. Prior to vaccination, the patient was not diagnosed with covid-19. Since the vaccination, the patient not been tested with covid-19. On 28Feb2021 at 10:00, the patient experienced shoulder muscle pain, headache, chills and tiredness. The patient received no treatment for the events. The outcome of the events was reported as resolving. No follow up attempts are possible. No further information is expected.

Other Meds: LISINOPRIL; ROSUVASTATIN; METOPROLOL; COENZYME Q10 [UBIDECARENONE]

Current Illness:

ID: 1712377
Sex: F
Age:
State: FL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore and very itchy Injection Site; Sore and very itchy Injection Site; Itching and Tingling around mouth and eyes; Itching and Tingling around mouth and eyes; feeling pins & Needles and Tingling all over my body; Dizzy; Tired; Sleepy; low-grade temperature; Forehead was warmer than usual; This is a spontaneous report from a contactable pharmacist (patient herself). A 55-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9267), via an unspecified route of administration, administered in left arm on 27Feb2021 13:45 (age at vaccination: 55 years) as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history included Hashimoto's, glaucoma and hazelnut allergy. Concomitant medication(s) included levothyroxine sodium tablets and brimonidine tartrate (ALPHAGAN) eye drops. On 27Feb2021 15:45, 2 hours after the vaccination, the patient was dizzy, tired, sleepy, low-grade temperature. On 27Feb2021, the patient's forehead was warmer than usual. On 28Feb2021, the patient was sore and very itchy at injection site, itching and tingling around mouth and eyes, feeling pins and needles and tingling all over her body. The patient received Hydrocortisone 1 percent Cream, Tylenol and Claritine as treatment for the adverse events. The patient did not have any other vaccine in four weeks. The patient was not diagnosed with covid-19 prior to vaccination nor was tested since vaccination. The outcome of all the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE SODIUM; ALPHAGAN

Current Illness:

ID: 1712378
Sex: F
Age:
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Fatigue; Malaise; chills; fever; muscle soreness; headache; joint pain; rash; This is a spontaneous report from a contactable consumer or other non hcp. A 65-years-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm Left on 25Feb2021 14:00 as single dose for covid-19 immunisation. Medical history included food allergy ongoing, known allergy eggs Concomitant medication(s) included pregabalin (LYRICA); hydrocodone bitartrate, paracetamol (NORCO); cyclobenzaprine hydrochloride (FLEXERIL [CYCLOBENZAPRINE HYDROCHLORIDE]) duloxetine hydrochloride (CYMBALTA; meloxicam (MELOXICAM); camphor, eucalyptus spp. oil, levomenthol, Mentha spp. oil (RELI BALM). The patient did not receive any other vaccine in four weeks. Prior to vaccination patient was not diagnosed with COVID. Post vaccination patient did not test for COVID.It was Reported that, The patient experienced fatigue, malaise, chills, fever, muscle soreness, headache, joint pain, rash on 26Feb2021 16:00 with outcome of unknown. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds: LYRICA; NORCO; FLEXERIL [CYCLOBENZAPRINE HYDROCHLORIDE]; CYMBALTA; MELOXICAM; RELI BALM

Current Illness:

ID: 1712379
Sex: M
Age:
State: NY

Vax Date: 02/02/2021
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 Date: 20210224; Test Name: Covid Antibody Test; Test Result: Negative ; Test Name: COVID Test; Test Result: Negative ; Comments: repeatedly get tested for the covid virus and they are both always negative.

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: arm was swollen; This is a spontaneous report from a contactable pharmacist (patient). This 79-year-old male patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL9262; Expiration Date: 31May2021) via an unspecified route of administration, on 02Feb2021 at 8:30 as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. Concomitant medication(s) included acetylsalicylic acid (BABY ASPIRIN) taken for an unspecified indication, start and stop date were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EK5730, Expiration Date: not reported) via an unspecified route of administration, on 11Jan2021 at 12:00 as dose 1, single for COVID-19 immunisation. On an unspecified date, patient experienced arm was swollen. Caller states that he received the covid vaccine, last shot was 3 weeks ago, and he was tested for antibodies but has no antibodies. He doesn't understand this, he doesn't know if this means the vaccine was not effective. Caller adds that he does take a baby aspirin daily, and he did take baby aspirin prior to his covid vaccines. After his second dose his arm was swollen and was bothering after the vaccine and for which the doctor just told him to take 1 Advil. He took the Advil a couple hours after the second dose. He inquired if him taking his daily baby aspirin would have any effect on the antibodies and was concerned about vaccine as test came out negative for antibodies, does it mean the vaccine was not good. Caller states that his wife had the same test, same doctor, but she had antibodies. His Wife had the same dates as receiving the covid vaccine and the same lot number but she has her levels of antibodies and it was high. He states who knows maybe his wife had the virus at one point in time, he does not know, but him and his wife always repeatedly get tested for the covid virus and they are both always negative and the patient inquired should he be concerned or was that common. On 24Feb2021, the patient underwent lab tests and procedures which included sars-cov-2 antibody test: negative and SARS-CoV-2 test: Negative (repeatedly get tested for the covid virus and they are both always negative). The patient as a treatment received Advil for his arm swollen. Outcome of the events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds: BABY ASPIRIN

Current Illness:

ID: 1712380
Sex: F
Age:
State:

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: Discolored, raised lump on left breast with tenderness; Discolored, raised lump on left breast with tenderness; Discolored, raised lump on left breast with tenderness; Fever; chills; whole body muscle aches; headache; nausea; fatigue; sore injection site; This is a spontaneous report from a non-contactable consumer or other non health care professional (patient). A 29-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19, Solution for injection, Lot Number: EL3247, Expiry date was not reported), dose 2 via an unspecified route of administration, administered in arm right on 24Feb2021 14:45 (29-year-old at the time of vaccination) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had a known allergy to eggs, peanuts and tree nut. The patient did not received any other vaccines within 4 weeks prior to the covid 19 vaccine. The patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The patient had previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19), dose 1 via an unspecified route of administration, administered in right arm on 04Feb2021 14:45 PM (Lot Number: EL3247, Expiry date was not reported) (29-year-old at the time of vaccination) as dose 1, single for covid-19 immunization. On 25Feb2021,12:45 the patient experienced Fever, chills, whole body muscle aches, headache, nausea, fatigue, sore injection site. On 27Feb2021, the patient experienced discolored, raised lump on left breast with tenderness and she visited doctor office and emergency room for this event. The clinical outcome of the event discolored, raised lump on left breast with tenderness was not recovered and other events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712381
Sex: F
Age:
State:

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Test Date: 20210228; Test Name: fever; Result Unstructured Data: Test Result:99.5; Comments: low grade fever all day after vaccine

Allergies:

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

Symptoms: Double-vision; loss of appetite; woke up with all over body aches; fever/low grade fever all day after vaccine (99.5 with taking Tylenol); chills; nausea; Pain; Extreme fatigue; This is a spontaneous report from a contactable consumer or other non-health care professional. A 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection; Batch/Lot Number: Not reported), via an unspecified route of administration, administered in left arm on 27Feb2021 at 13:45 (at the age of 26-year-old) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. Medical history included Hypothyroidism, asthma, eczema, vitamin d deficient. Known allergies included Pediazole, Suprax, Sulfa drugs, Penicillin and reaction to Toradol. Concomitant medications included spironolactone, levothyroxine sodium (SYNTHROID) and birth control; all taken for an unspecified indication, start and stop date were not reported. Patient was not pregnant at time of Vaccination. Patient not had Covid prior vaccination. Patient was not tested Covid post vaccination. Patient not administered other vaccine in four weeks. The patient experienced double-vision on 28Feb2021 at 16:30 for about 30 minutes, extreme fatigue on 27Feb2021 at 19:00, woke up with all over body aches on 28Feb2021 at 04:00, fever/low grade fever all day after vaccine (99.5 with taking Tylenol), chills, nausea, on 28Feb2021 at 04:00, loss of appetite on 28Feb2021 at 16:30, pain on 28Feb2021. The patient underwent lab tests and procedures which included body temperature: 99.5 on 28Feb2021 low grade fever all day after vaccine. Therapeutic measures were taken as a result of fever/low grade fever all day after vaccine (99.5 with taking tylenol) and no treatment was received for other events. The outcome of the events pain and double vision was resolved on an unspecified date in 2021 and outcome of other events was resolving. No follow-up attempts are Possible. Information about lot/batch number cannot be obtained.

Other Meds: SPIRONOLACTONE; SYNTHROID

Current Illness:

ID: 1712382
Sex: U
Age:
State: WI

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: itchy eyes; asthma; severe itchy skin; random hives; blotchy sunburn type rash on ifferent parts of the body including face; blotchy sunburn type rash on ifferent parts of the body including face; severe aggravation of allergy type symptoms congestion; severe aggravation of allergy type symptoms congestion; This is a spontaneous report from a contactable consumer (patient). A 42-year-old patient received bnt162b2 (BNT162B2, formulation: solution for injection, Batch/Lot number: not provided, expiry date not provided) via an unknown route of administration, administered in Arm Left on 12Feb2021 16:00 as DOSE 2, SINGLE (at the age of 42-year-old) for covid-19 immunisation. Medical history included asthma, Autoimmune neutropenia, idiopathic thrombocytopenic purpura (ITP), allergy to animal dander, Allergies to dust, food allergy, kiwi, known allergies: sulfa from an unknown date and unknown if ongoing. Historical vaccine included first dose of bnt162b2(BNT162B2) administered on 22Jan2021 as DOSE 1, SINGLE (at the age of 42-year-old) for covid-19 immunisation and experienced slight aggravation of allergy sneezing, congestion and Itchy eyes 2 days after vaccine was given. The patient previously took Rocephine, Ciproflaxin and experienced allergy. Patient had not received any other vaccine within 4 weeks. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The patient received unknown concomitant medications in two weeks. On an unknown date after second dose of vaccination, the patient experienced severe aggravation of allergy type symptoms: congestion, severe itchy eyes, blotchy sunburn type rash on different parts of the body including face, severe itchy skin, random hives, asthma felt as though rolled in fiberglass and snuggled a kitten simultaneously in 2021. The patient received allergy eye drops for itchy eyes and inhaler for asthma for treatment. Outcome of events itchy eyes and asthma was recovering, and other events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712383
Sex: F
Age:
State: NM

Vax Date: 01/20/2021
Onset Date: 02/11/2021
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: itching on the skin of my ears, spread to her scalp and face, itching spread to her arms and legs, along with a rash; itching on the skin of my ears, spread to her scalp and face, itching spread to her arms and legs, along with a rash; itching on the skin of my ears, spread to her scalp and face, itching spread to her arms and legs, along with a rash; swelling of lymph nodes in her neck; This is a spontaneous report from a contactable nurse (patient). A 45-year-old female patient (non-pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) dose 2 via an unspecified route of administration in right arm on 20Jan2021 (at the age of 44-year-old) as dose 2 single for covid-19 immunization at Workplace clinic. Medical history included Type 1 diabetes, hypothyroid. No known allergies. No Covid prior vaccination. Not tested for covid post vaccination. Concomitant medications included insulin, levothyroxine, amitriptyline hydrochloride (AMITRIPTYLIN), escitalopram, all received in two weeks. No other vaccine received in four weeks. Historical Vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown) dose 1 via an unspecified route of administration in left arm on 30Dec2020 at 04:00 PM (at the age of 44-year-old) as dose 1 single for covid-19 immunization. After first injection she experienced brain fog and confusion, which resolved after 4 weeks. On 11Feb2021 07:00 AM, three weeks after the 2nd injection, she developed itching on the skin of ears. A week later this spread to her scalp and face. She had swelling of lymph nodes in her neck, and 10 days after the itching started, her face swelled, especially around her eyes. That same day, the itching spread to her arms and legs, along with a rash. These symptoms have persisted. Events resulted in visit to Emergency room/department or urgent care. Received treatment with Cetirizine, hydroxyzine. The outcome of events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: INSULIN; LEVOTHYROXINE; AMITRIPTYLIN; ESCITALOPRAM

Current Illness:

ID: 1712384
Sex: F
Age:
State: GA

Vax Date: 01/22/2021
Onset Date: 02/01/2021
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: Test Name: Body temperature; Result Unstructured Data: Test Result:101; Comments: 101 fever for about 24 hrs

Allergies:

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

Symptoms: 2nd vaccine- slight tenderness; shortness of breath; fever for 24 hours started 12 hours after shot/ 101 fever for about 24 hrs; triggered my IBS; walking dog up a hill and felt like pass out; fatigue/ extreme fatigue; This is a spontaneous report from a contactable consumer, the patient via Pfizer Sponsored Program. A 67-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot mumber: EN5318 and expiration date not reported), via an unspecified route of administration, administered in left arm on 13Feb2021 13:30 (at the age of 67 years) as dose 2, single for covid-19 immunization; and tetanus vaccine, via an unspecified route of administration in left arm on 22Jan2021 (lot number and expiration date not reported), for an unspecified indication. Medical history included ongoing irritable bowel syndrome and osteoporosis. Patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot mumber: EL3246 and expiration date not reported) via an unspecified route of administration, administered in right arm on 20Jan2021 10:15 (at the age of 67 years) as dose 1, single for covid-19 immunization. Patient had no allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19 and had not been tested for COVID-19, since the vaccination. Concomitant medications were not reported. On 14Feb2021, patient experienced slight tenderness, fever for 24 hours started 12 hours after shot/ 101 fever for about 24 hrs, shortness of breath, and got triggered irritable bowel syndrome. On an unknown date patient had fatigue/ extreme fatigue and while walking dog up a hill patient felt like she was going to pass out. All symptoms resolved the 15Feb2021. One week later, on 20Feb2021, the patient again experienced fatique and severe shortness of breath with slight exertion recured and persisting as of 22Feb2021. Patient did not take any treatment for the events. The outcome of event slight tenderness, and fever was recovered on 15Feb2021, shortness of breath and fatigue/ extreme fatigue was recovered with sequel and for triggered irritable bowel syndrome and walking dog up a hill and felt like pass out was unknown. No follow up attempts are needed. No further information is expected.

Other Meds:

Current Illness: Irritable bowel syndrome; Osteoporosis

ID: 1712385
Sex: F
Age:
State: TX

Vax Date: 02/24/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I got the shot Wednesday and I have been sick ever since then; Shortness of breath; Joints hurt; My throat is very raspy and it seems, it want to stay dry; I started feeling like I had the flu; I went to bed and then I was sound asleep like in a state of coma for 12 hours; I was so tired, I couldn't get my eyes open; This is a spontaneous report from a contactable consumer or other non hcp. A 63-years-old female patient received bnt162b2 (BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection, (Batch/Lot Number: EN6203), dose 1 via an unspecified route of administration on 24Feb2021 as dose 1 single for covid-19 immunisation. Medical history included thyroid disorder. It was Reported that, The patient experienced got the shot Wednesday and had sick ever since then, shortness of breath, joints hurt, my throat is very raspy and it seems, it want to stay dry, started feeling like had the flu on an unspecified date with outcome of unknown, went to bed and then was sound asleep like in a state of coma for 12 hours on an unspecified date with outcome of unknown , was so tired, i couldn't get my eyes open on an unspecified date with outcome of unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712386
Sex: F
Age:
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: L axillary, clavicular Lymphadenopathy lasting into 10th day; more intense fatigue; worse/stronger arthralgia; nose running; This is a spontaneous report from a contactable Nurse (patient). A 53-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN6200), via an unspecified route of administration, administrated in Left deltoid on 18Feb2021 (age at the time of vaccination 53-years-old), as a single dose for COVID-19 immunization at Hospital. The patient's medical history included Ewings sarcoma as a teen. The patient's concomitant medications included Omeprazole 20mg, and Amlodipine 2.5mg. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EK9231), via an unspecified route of administration, administrated in Left arm on 26Jan2021 12:30 (age at the time of vaccination 53-years-old), as a single dose for COVID-19 immunization and experienced runny nose, Light Arthralgia, upper back/shoulders, progressing to arms, wrists, hands, Fatigue, and in bed by 7pm and sleeping 10h. No other vaccine in four weeks. covid prior vaccination was unknown. No covid tested post vaccination. Patient had no known allergies. On an unspecified date Feb2021, the patient experienced L axillary, clavicular Lymphadenopathy lasting into 10th day, more intense fatigue, worse/stronger arthralgia, and nose running. Patient received treatment as a result of adverse events which included Ibuprofen but no relief. The outcome for all the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: OMEPRAZOLE; AMLODIPINE

Current Illness:

ID: 1712387
Sex: F
Age:
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Blood test; Result Unstructured Data: Test Result:her doctor was not happy about potassium; Comments: her doctor was not happy about potassium so he told her to eat bananas, which she started eating; Test Date: 202102; Test Name: Blood test; Result Unstructured Data: Test Result:Unknown results; Comments: The caller also had a blood test yesterday because the doctor ordered it, also a urine test but doesn't know what he's looking fo; Test Name: Urine test; Result Unstructured Data: Test Result:Unknown results; Comments: The caller also had a blood test yesterday because the doctor ordered it, also a urine test but doesn't know what he's looking for

Allergies:

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

Symptoms: had a problem understanding things lately; kind of tired; rash/rash on chest/has had a little rash/its just pretty much her chest and neck/rash was on her chest, up on her neck/the rash wasn't light pink it was super red; rash up on her neck; miserable itch/itching a lot/an itch and it seemed like all she would do is scratch everything; sore arms, where she got the vaccine/soreness/pain in the arm; This is a spontaneous report from a contactable consumer, the patient via Pfizer sponsored program. A female patient (age: 78, unit: unspecified), received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6201, Expiration Date: 30Jun2021), via an unspecified route of administration, administered in left arm on 16Feb2021 as dose 1, 0.3 ml single for covid-19 immunization. The ongoing medical history included high blood pressure since she was 34 which seemed to get more and more, had lot of hay fever and was allergic to dogs and cats. Patient had medical history of depressed mood, a lot of snotty nose which they were constantly trying to get it to stop running, had to wash her nose with saline twice a day, and did not had energy to clean house anymore, all from an unknown date and unknown if ongoing. The patient previously took mirtazapine for depression and experienced eye disorder because it screwed her eyes up and lately seemed to be improving. Concomitant medications included hydralazine from 18Feb2021 to an unspecified stop date, propranolol; and losartan, all taken for high blood pressure. Patient got her first shot on the 16Feb2021 and the first day everything seemed fine. Patient had a little rash for the past couple of days. When she left the hospital and after 15 mins and by the time she got home she had the sore arm and it wasn't as bad as she thought it could be. Then on 17feb2021 (Wednesday), she woke up with a sore arm but amazingly it was gone before she had dinner that night. Then on 18feb 2021 (second day) the patient started having an itch and it seemed like all she would do was scratch everything. On unknown date, patient had been up and down but kind of tired and was so tired as she could not even go to the event. It was this way before she had the coronavirus thing. On 23feb2021, she got a rash on her chest and neck. She did not do anything about the rash on her chest, then on 24Feb2021, she went to get groceries and saw a friend and she said her friend did not seen the rash. The patient had a problem understanding things lately. Patient has her next shot on 09Mar2021. The Patient mentions that her rash was just on the chest, with a miserable itch, she woke up at 3:00 with it. The patient doctor said that he did not think it was from the shot since it had not showed up 2 days after the shot, most show up within 2 hours of the shot, he does not think its coronavirus and second doctor thinks it may be from the shot. The patient did not have a fever or anything like that. The patient was quite miserable, the rash wasn't light pink it was super red. Patient used aveeno stress relief moisturizing lotion as treatment for the event rash, rash chest and neck and rash wasn't light pink it was super red. The patient underwent lab tests and procedures which included blood test: her doctor was not happy about potassium on her doctor was not happy about potassium so he told her to eat bananas, which she started eating, blood test: unknown results in Feb2021, had a blood test yesterday because the doctor ordered it, and also a urine test but does not know what doctor was looking for, culture urine: unknown results on unspecified date. The clinical outcome of miserable itch/itching a lot/an itch and it seemed like all she would do is scratch everything, rash/rash on chest/has had a little rash/its just pretty much her chest and neck/rash was on her chest, up on her neck/the rash wasn't light pink it was super red was recovering, had a problem understanding things lately and kind of tired was unknown, and the event sore arms, where she got the vaccine/soreness/pain in the arm was recovered on 17Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds: PROPRANOLOL; HYDRALAZINE; LOSARTAN

Current Illness: Allergy to animals; Blood pressure high (since she was 34 and getting more and more); Hay fever (lot of hay fever)

ID: 1712388
Sex: F
Age:
State: NJ

Vax Date: 02/26/2021
Onset Date: 03/18/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210318; Test Name: Fever; Result Unstructured Data: Test Result:102.5

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills; Fever (102.5); Headache; Aches/body aches; This is a spontaneous report received from a contactable consumer or other non-health care professional (patient). A 45-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: En6203), via an unspecified route of administration, administered in Arm Left on 26Feb2021 18:00 as dose 1, single and a second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6208), via unknown route of administration, administered in Arm Left on 17Mar2021 13:45 (both doses at the age of 45-years-old) as dose 2, single for COVID-19 immunisation. Medical history included diabetes mellitus, obesity, shrimp allergy, covid-19 from (If covid prior vaccination: Yes), HBP from an unknown date and unknown if ongoing. Concomitant medications included sitagliptin (JANUVIA [SITAGLIPTIN]), metoprolol (METOPROLOL), losartan potassium (COZARTAN), losartan (LOSARTAN) taken for an unspecified indication, start and stop date were not reported. The patient previously took lidocaine and experienced drug hypersensitivity. Since the vaccination, did not patient been tested for COVID-19. The patient experienced chills, fever (102.5), headache, aches/body aches. The patient underwent lab tests and procedures which included body temperature: 102.5 on 18Mar2021. The outcome of the events was reported as recovered in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: JANUVIA [SITAGLIPTIN]; METOPROLOL; COZARTAN; LOSARTAN

Current Illness:

ID: 1712389
Sex: F
Age:
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: shortness of breath; left side of her body - leg, arm and face - started to get numb; Dizziness; sharp pain in neck; fever; nauseating headache; nauseating headache; body ache; reduced mobility of left arm; This is a spontaneous report from a contactable consumer or other non-health care professional. A 47-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection; Batch/Lot Number: EN6200), via an unspecified route of administration, administered in left arm on 27Feb2021 at 20:00 (at the age of 47-year-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included food allergy (Known allergy: cucumber). Patient was not pregnant. Patient not administered other vaccine in four weeks. Concomitant medications included paracetamol (TYLENOL), fluoxetine, collagen; all taken for an unspecified indication, start and stop date were not reported. The patient experienced shortness of breath, left side of her body, leg, arm and face started to get numb, dizziness, sharp pain in neck, fever, nauseating headache, body ache and reduced mobility of left arm on 27Feb2021 at 20:15. Patient not had COVID prior vaccination. Patient was tested COVID post vaccination. Patient not administered other vaccine in four weeks. Patient did not receive any treatment as a result of event. The outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds: TYLENOL; FLUOXETINE; COLLAGEN

Current Illness:

ID: 1712390
Sex: F
Age:
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: feeling miserable; Chills; Extreme tiredness; fever 101-102; severe aches; Exhaustion; This is a spontaneous report from a contactable nurse. A 59-years-old non-pregnant female nurse (Patient) received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 09Feb2021 09:30 (at the age of 59 years) as dose number unknown, single for covid-19 immunisation. Medical history included allergies to several antibiotics and covid-19 (prior to vaccination). It was reported that patient had not tested Covid Post Vaccination. Patient was not received any other vaccine in four weeks nor any medications in two weeks. There were no concomitant medications. On 09Feb2021, the patient experienced Exhaustion and Chills in the evening and severe aches keeping me awake most of the night, Extreme tiredness, fever 101-102, and feeling miserable most of Thursday. Patient ate soup at 5 and fine thereafter. Patient was not received any treatment for the events. On an unknown date, patient had recovered from all the events. No follow-up attempts were possible; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1712391
Sex: F
Age:
State: NC

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Anxiety-ridden; Right arm itching at injection site; Jittery; Right arm sore; Hyped up; Felt like she had the flu; Chattering with her teeth/Chills; Could not get warm; Second dose of Pfizer COVID-19 Vaccine kicked her tail; Achy; Feverish; This is a spontaneous report from a contactable consumer or other non hcp. A 69-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 2 via an unspecified route of administration, administered in Arm Right on 24Feb2021 08:50 (Batch/Lot Number: EN6203) as dose 2, single (age at vaccination 69-year-old) for covid-19 immunisation. Medical history included , dust allergy, Former smoker, hepatitis c (20 something years ago), Fibroscan, Pap smear from an unknown date and unknown if ongoing and colonoscopy, endoscopy , laser therapy from unknown date in Sep2020. The patient's concomitant medications were not reported. Historical vaccine information included bnt162b2 (COMIRNATY) 1st dose on 03Feb2021, administration site (Left arm), administered at 08:50 , lot number EL3247 for covid-19 immunisation and experienced Left arm sore: Onset unknown time later in evening on 03Feb2021. Still a little sore to the touch if she touches in certain areas, but not bad. The patient experienced anxiety-ridden, right arm itching at injection site, jittery, right arm sore, hyped up on 26Feb2021, achy, feverish, felt like she had the flu, chattering with her teeth/chills, could not get warm, second dose of pfizer covid-19 vaccine kicked her tail on 25Feb2021. It was reported Following that second dose she reported right arm sore; right arm itching at injection site; achy; chills; chattering with her teeth; could not get warm; feverish; felt like she had the flu; jittery; hyped up; anxiety-ridden; The second dose of Pfizer COVID-19 Vaccine kicked her tail. She asked how long these events are expected to last. 25Feb2021: Around 01:30 she woke with onset of achy; chills; chattering with her teeth; could not get warm; feverish with no sweating; felt like she had the flu. She described events as feeling just like when she had the flu years ago, exactly the same symptoms as these events. She took a Tylenol and the events subsided. Around 18:30 she had onset of feeling feverish again and took another Tylenol and sweated it out. She feels some better, no more chills at this time, feverish feeling is gone, but it may come back this evening because it usually hits in the evening. 26Feb2021: Unknown onset time: She feels jittery; hyped up; anxiety-ridden; and her right arm sore; The second dose of Pfizer COVID-19 Vaccine kicked her tail. Pertinent Details Include surgical procedures and dates: She had a Fibroscan of liver because she has Hepatitis C. They are trying to get it taken care of and doing all these tests; they do a test like when they rub your stomach if your pregnant; but for the Hepatitis C; and they said she had some Cirrhosis but not a lot. She found out she had Hepatitis C when she donated blood for the organization at work. At that time they were doing trial and error; but now they have a cure if you're curable so they're trying to get that done for her. Pertinent Details Include surgical procedures and dates: She had a colonoscopy, endoscopy and laser surgery for pre-lesions of the vagina in Sep2020. Recently she had her Pap smear and they called and said everything was good, no sign of anything. They go with your Pap smear results, if Pap smear had shown high grade she would have had to have laser surgery again, but so far she has had last 2 Pap smears were good. As far as she knows she has no cancer. Therapeutic measures were taken as a result of event. The outcome for event second dose of pfizer covid-19 vaccine kicked her tail was recovering while for the events could not get warm, chattering with her teeth/chills, felt like she had the flu, right arm sore, feverish, achy were unknown while rest not recovered. No follow up attempts are needed. Information on Lot/batch cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1712392
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: vivid dreams; fatigue; headache; rash on my neck; This is a spontaneous report from a contactable consumer or other non hcp. A 33-years-old female patient received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 24Feb2021 as DOSE 1, SINGLE for COVID-19 immunisation. Medical history included COVID-19 from Dec2020 to an unknown date Had COVID in Dec and recovered, autoimmune disorder from an unknown date and unknown if ongoing, illness from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On an unspecified date the patient experienced vivid dreams, fatigue, headache, rash on my neck. Patient wanted to know whether she can receive the second dose of vaccination. The outcome of the events abnormal dreams, fatigue, headache, rash was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712393
Sex: F
Age:
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: can't breathe; her back and chest had the red rash; glands in her neck were tender for about 4 or 5 days; upper lip swelled; had a hard time swallowing; This is a spontaneous report from a contactable consumer. A 70-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number Expiry date, number was not reported), via an unspecified route of administration, administered in Arm Right on 10Feb2021 00:45 (Age at vaccination 70-years-old) as dose 1, single for covid-19 immunisation. Medical history included cancer, allergic to penicillin and sulfars, and caller had 3 eye surgeries in 8 months and she was given a couple eye drops that she had horrible reactions tofrom from an unknown date and unknown if ongoing. The patient's concomitant medications, she takes a high blood pressure medicine, that is a beta blocker, and some cholesterol drugs, and eye drops, but caller did not take anything the same day as her COVID vaccine that was unusual. No further details, or product names, were provided by the caller. Caller explained she had a reaction to the first dose of the Pfizer-BioNTech COVID-19 vaccine and is scheduled to receive the second dose of the vaccine this Wednesday. She asked Can I take Benadryl before of after this second injection. Caller states that she is going for her second shot Wednesday at the hospital, and she is kind of nervous to take the second dose. Caller states that she is allergic to penicillins, she swells up and can't breathe and gets hives. Caller states that she had the same thing happen with this vaccine, about 24 hours after getting the injection, her upper lip swelled, she had a hard time swallowing on 11Feb2021, and her back and chest had the red rash. Caller states that it lasted about an hour, but now she is kind of nervous to take the second shot and she is wondering if it is okay to take Benadryl before or after getting the shot. Caller had her shot on 10Feb2021, and it was about 24 hours later that her symptoms occurred. Caller reports that most of her symptoms resolved within an hour, but her glands in her neck were tender for about 4 or 5 days following her side effects. Patient had no other vaccines on the same day as the suspect product. Patient considered going to the ER, but her symptoms resolved within an hour. Prior Vaccinations, the patient had not received any other vaccine within 4 weeks. The outcome of events her back and chest had the red rash and hard time swallowing was recovered on 11Feb2021, hard time swallowing was recovered on unspecified date and rest of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712394
Sex: M
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: extreme chills; body ache; slight fever; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. Medical history included covid-19 and spent two weeks in the hospital battling the virus , lung carcinoma cell type unspecified stage iv I also have stage 4 lung cancer which I take Alectinib from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. The patient previously took alectinib. On an unspecified date, the patient experienced extreme chills, body ache, slight fever. It was further reported that does anyone else have similar reporting of these side effects as it might make my decision as to take the second dose of Pfizer vaccine or not easier. The clinical outcome for all the events was reported as unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712395
Sex: F
Age:
State: IN

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Test Date: 20210226; Test Name: Rapid test covid test; Test Result: Negative ; Comments: Nasal Swab

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe chills; headache; Dizziness; short of breath; This is a spontaneous report received from a contactable consumer or other non-HCP (patient herself). A 57-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number- EL9265) via an unspecified route of administration in left arm on 23Feb2021 07:00 as dose 2, single (at the age of 57-years-old) for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Patient medical history was not reported. The patient had no known allergies. Facility where the most recent COVID-19 vaccine was administered was reported as Hospital. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The concomitant medications included lisinopril, atorvastatin. The patient did not receive any other vaccines within four weeks prior to the vaccination. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EL3249) via an unspecified route of administration in left arm on 02Feb2021 07:00 as dose 1, single for COVID-19 immunization. The patient experienced severe chills, headache, dizziness, short of breath on 23Feb2021 20:00. The patient did not receive any treatment for the adverse events. The adverse events resulted in Doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included Sars-cov-2 test (reported as Rapid test Covid test) (Nasal Swab) with result as negative on 26Feb2021. The outcome of the event was recovering. No follow-up attempts are possible; Information about lot/batch number cannot be obtained. Follow-up (17May2021): Follow-up attempts completed. No further information expected.

Other Meds: LISINOPRIL; ATORVASTATIN

Current Illness:

ID: 1712396
Sex: F
Age:
State: NY

Vax Date: 02/28/2021
Onset Date: 02/28/2021
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: receiving her vaccine in her thigh; her tongue and lips felt fuzzy; her face was red; tongue felt like it was fuzzy and swelling; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received bnt162b2 (BNT162B2, solution for injection, Lot Number: EN6201, NDC number: unknown) dose 1 via an unspecified route of administration, administered in thigh on 28Feb2021 (at the age of 61-years) as dose 1, single for COVID-19 immunisation. Medical history included breast cancer from Dec2005 to an unknown date, lymphoedema from 2009 to an unknown date, had surgery to remove lymph nodes in both arms on an unspecified date. There were no concomitant medications. No PQC was present. Investigation assessment was not provided. On 28Feb2021, the patient received her vaccine in her thigh, her tongue and lips felt fuzzy, her face was red, tongue felt like it was fuzzy and swelling. Patient stated that the symptoms left about 10 or 11 minutes, so they were not there the full 15 minutes and after they drove away, she said she was not making this up and she took off her mask and her face was red. The symptoms disappeared within an hour. Her husband was not concerned at all about the second dose and her brother was a physician as well and he isn't alarmed, but she wanted to double check with Pfizer to see if they have any information on experiences like this. She kind of wanted to know if there were other reports from people like this as well. The clinical outcome of the events her tongue and lips felt fuzzy, her face was red, tongue felt like it was fuzzy, and swelling was reported as recovered on an unspecified date of 2021 and clinical outcome of the event receiving her vaccine in her thigh was reported as unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712397
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: rash from head to toe; chills; face swelled up; This is a spontaneous report from a contactable consumer (Patient) reported for self. A 67-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: EL9267), dose 1 via an unspecified route of administration on 24Feb2021 (at the age of 67-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included thyroid disorder (Thyroid) from an unknown date and unknown if ongoing. Concomitant medication included levothyroxine (LEVOTHYROXINE) taken for thyroid disorder, start and stop date were not reported. Investigation assessment reported as no. Patient wanted to report symptoms after the Pfizer vaccine. On 24Feb2021 Patient had rash all over body and swelled up a little hands, face everything and got the chills. Patient was in the last stages hopefully of rash disappearing. Rash all over my body from head to toe. Second dose schedule on 17Mar2021. Patient was asking, will experience the same side effects on the second dose with what experienced in the first dose. If it would be safe to get only one dose of the vaccine? Patient took Benadryl. The outcome of the events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1712398
Sex: F
Age:
State: NM

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210226; Test Name: VSS and LUNG; Result Unstructured Data: Test Result: auscultation.

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: some increased work of breathing/ hard to breath and it feels like i am unable to take a deep breath; redness to her left side of the neck; dizziness; itching to the left posterior neck; This is a spontaneous report from a contactable pharmacist. A 23-years-old female patient received bnt162b2 (BNT162B2, formulation: solution for injection, Lot Number: EN6201) via intramuscularly on 26Feb2021 12:30 as dose 2, single (at the age of 23-years-old) for COVID-19 immunization. Medical history included patient did have a reaction to the typhoid vaccine in the past with a noted peg allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously took bnt162b2 via intramuscularly as dose 1, single for COVID-19 immunization and experienced urticaria, rash and pruritus. On 26Feb2021 at 12:33, the patient experienced dizziness, itching to the left posterior neck. At 12:35, patient experienced itching to the back and noticed some increased work of breathing and redness to her left side of the neck. Patient stated hard to breath and it feels like she was unable to take a deep breath. At 12:37 provider and medics on duty notified and patient assessed and patient's vss and lungs clear to auscultation and patient was given Benadryl 25 oral liquid mg by nurse. The patient underwent lab tests and procedures on 26Feb2021, VSS and lung investigation results auscultation. No therapeutic measures were taken. The outcome of the events was reported as unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712399
Sex: F
Age:
State: NM

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: RA

Lab Data:

Allergies:

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

Symptoms: today patient stated that she did have a previous reaction of hives, rash, and itching for 2 weeks status post 1st vaccine dose.; today patient stated that she did have a previous reaction of hives, rash, and itching for 2 weeks status post 1st vaccine dose.; today patient stated that she did have a previous reaction of hives, rash, and itching for 2 weeks status post 1st vaccine dose.; This is a spontaneous report from a contactable Pharmacist. A 23-years-old female patient received bnt162b2 (Pfizer Covid-19 vaccine, Formulation: Solution for injection) dose 1 via intramuscular route of administration on an unspecified date (Lot unknown-not reported) as dose 1, single for COVID-19 immunisation. The patient medical history included PEG (unknown product, unknown reaction). The patient previously received Typhoid vaccine (unknown reaction) and patient experienced allergy. The patients pregnant condition was unknown. Patient stated that she did have a previous reaction of hives, rash, and itching for 2 weeks status post 1st vaccine dose. Patient observation continued and it was found that after calling patients mother that the patient did have a reaction to the Typhoid Vaccine in the past with a noted PEG Allergy. The outcome of events was unknown. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712400
Sex: F
Age:
State: MI

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: swelling, redness, itching at injection site. "size of nickel. little red bumps around it; red spots; Swelling arm; swelling, redness, itching at injection site. "size of nickel. little red bumps around it; swelling, redness, itching at injection site. "size of nickel. little red bumps around it; swelling, redness, itching at injection site. "size of nickel. little red bumps around it; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 67-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EL9267), via an unspecified route of administration on 22Feb2021 (at the age of 67-year-old) as dose 1, single for COVID-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing. The patient previously took ace inhibitors and experienced drug allergy. The patient had no concomitant medications. Caller got dose on 22Feb2021 approximately 12 noon, the following symptoms began Tuesday night was swelling, redness, itching at injection site. Size of nickel. Little red bumps around it. Caller asked, should I be taking any action on this. Caller voices concerns about going to be evaluated by a health care professional since this was a new vaccine with limited information. Caller believes health care professional will not know how to evaluate and treat her symptoms. She was called about the vaccine for COVID. She has concerns, she took it last Monday, and experienced mild side effects. She had swelling on the arm. As the week progressed, she began to itch and have red spots, it still persists. She was just wondering was this an issue that will dissipate or should she be concerned. The Swelling started the same day as receiving the vaccine on 22Feb2021 it now gone but there was a little hard skin around the area, harder than the other skin. She has recovered with lasting effects. The Itch and red spots started approximately on 24Feb2021, it was still ongoing vacillates, it was more intense at time yet less at times, it was fluctuating up and down. Regarding COVID vaccine card, she just stated her name and birthday. Her second dose schedule, which she was recalled from her memory, was on 15Mar2021 at about 10 she thinks. She was just taking her normal stuff, she takes lotions and vitamins, she was nothing new. The outcome of red spots, swelling arm was recovered with sequelae and rest all the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712401
Sex: F
Age:
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: sore throat; her arm was a little sore; hoarseness/raspiness of the voice; pressure in the chest; This is a spontaneous report from a contactable consumer or other non-HCP. A female patient of an unspecified age(Age: 71; Unit: Unknown) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), via an unspecified route of administration on 27Feb2021 as DOSE 1, SINGLE (Age of vaccination: Unknown) for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 27Feb2021 the patient experienced sore throat, her arm was a little sore, hoarseness and raspiness of the voice and pressure in the chest. The outcome of event her arm was a little sore was unknown while outcome of rest all events was recovered on 27Feb2021 No follow up attempts are possible; information on Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712402
Sex: F
Age:
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: Test Name: Chest X-Ray; Result Unstructured Data: Test Result:Ok; Comments: Thinks they said it was ok, 3 weeks ago

Allergies:

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

Symptoms: Shortness of breath; she hasn't felt well ever since she received her first dose; This is a spontaneous report from a contactable consumer reported for herself. A 69-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection Lot number was not reported) via an unspecified route of administration, administered in arm right on 27Jan2021 12:00 as dose 1, single (age at vaccination: 69 years) for COVID-19 immunisation. Medical history included vitamin from an unknown date and unknown if ongoing. Concomitant medications included vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]) 500 to 1000 mg, through the year taken for vitamin supplementation, start and stop date were not reported; vitamin b complex (VITAMIN B COMPLEX COX) through the year taken for vitamin supplementation, start and stop date were not reported; fish oil, oenothera biennis oil, tocopheryl acetate (OMEGA 3) taken for vitamin supplementation, start and stop date were not reported. He drank cup of herbal tea this before vaccine. On 27Jan2021, the patient experienced shortness of breath. Patient had a bad experience with the first shot reporting that 3 minutes after receiving the first shot breathing changed and did not feel right and it lasted for 11 days. She has not felt well ever since she received her first dose. She spoke with her doctor who she reports said its up to you and he did not guide her in one direction or the other. She calls now to ask if she should get the second dose. Caller reports that she missed her second dose, but the facility called her to get her rescheduled for the second dose tomorrow, 02Mar2021 and she is scared to get it stating that I have not responded to them because I dont know what to do and asked will the first shot protect me. Pfizer COVID-19 Vaccine dosage temporarily discontinued. She asked if there was something else, she should take instead of the second dose of Pfizer COVID-19 Vaccine and if you are supposed to get the Pfizer COVID-19 Vaccine injections in the left or right arm. She did not had any emergency room visit or hospitalization related to this event. She did had a physicians office visit due to this event. The patient underwent lab tests and procedures which included chest x-ray resulted as ok on an unspecified date thinks they said it was ok, 3 weeks ago. The clinical outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: VITAMIN C [ASCORBIC ACID]; VITAMIN B COMPLEX COX; OMEGA 3

Current Illness:

ID: 1712403
Sex: F
Age:
State: TN

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

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

Lab Data:

Allergies:

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

Symptoms: extreme fatigue; MUSCLE PAIN ON THE SIDE WHERE VACCINE WAS GIVEN; muscle pain on the side where vaccine was given; Vomiting; Fever; Chills; Hot and Cold influx; RIGHT ARM WENT NUMB ABOUT AN HOUR AFTER VACCINE; Hot and Cold influx; This is a spontaneous report from a contactable Other-HCP (patient). A 36-Year-old (non-pregnant) female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EL3248) via an intramuscular route of administration at left arm on 03Feb2021 at 08:00 AM (at the age of 36-year-old) as dose 1, single for COVID-19 immunisation. The patient medical history included known allergies with sulfa, morphine, latex, (lamotrigine) LAMICTAL. The patient's concomitant medications were not reported. Past drug included morphine and (lamotrigine) LAMICTAL. On 03Feb2021 at 15:00, the patient experienced extreme fatigue, muscle pain on the side where vaccine was given, vomiting, fever, chills, hot and cold influx, right arm went numb about an hour after vaccine. The patient received (ondansetron) ZOFRAN and ibuprofen to treat the adverse events. The patient did not receive any other vaccine prior COVID vaccination. The patient COVID test was unknown post vaccination. It was reported that the patient was recovered with lasting effects. The outcome of the events was recovered with sequel on an unspecified date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712404
Sex: F
Age:
State: NJ

Vax Date: 02/28/2021
Onset Date: 02/28/2021
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: Test Name: Fever; Result Unstructured Data: Test Result:; Comments: 100 degree

Allergies:

Symptom List: Tremor

Symptoms: fever 100; headache; body aches; chills; shot site pain; Flushing of face; This is a spontaneous report from a contactable consumer. This 66-year-old female consumer reported for herself that: A 66-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number were not reported), via unspecified route administration, administered in right arm on 28Feb2021 16:00 as (at the age of 66-years-old) 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 had not any allergies. The patient was not pregnant at the time of vaccination. Concomitant medication(s) included losartan (LOSARTAN) and alendronate sodium (FOSAMAX) both taken for an unspecified indication, start and stop date were not reported. The patient had not received other vaccine within four weeks, Prior to vaccination. The other medications received in two weeks Losartan Fosamax. The patient hat not covid prior vaccination. Patient had not covid tested post vaccination. The patient had previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EM9809), via unspecified route administration on 07Feb2021 16:00 as (at the age of 66-years-old) DOSE 1, SINGLE for COVID-19 immunization. On 28Feb2021 16:30 after the second dose of vaccination, the patient experienced flushing of face. On 01Mar2021 02:00 the patient experienced fever 100, headache, body aches, chills and shot site pain. It was reported that adverse event flushing of face about 1/2 hour after receiving dose. Headache, fever (100), body aches, chills, shot-site pain starting about 10 hours after receiving dose. On an unspecified date, the patient underwent lab tests and procedures which included body temperature: 100 degrees. The patient had not received treatment for the adverse events. The outcome of event fever 100 was recovered on an unspecified date, while outcome of other events was recovering at the time of last observation. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: LOSARTAN; FOSAMAX

Current Illness:

ID: 1712405
Sex: F
Age:
State: FL

Vax Date: 02/15/2021
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: Erythema, Pruritus

Symptoms: Itching so badly; Pain under my armpits; Headache; Cold; This is a spontaneous report from a contactable consumer. This 92-year-old female consumer (patient) reported that. A 92-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EL9267), dose 1 via an unspecified route of administration on 15Feb2021 as (At the age of 92-years) dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced itching so badly, pain under my armpits, headache, and cold on an unspecified date. It was reported that patient had number of reactions of Pfizer vaccine which she took on 15Feb2021 at the town hall community center. It was the Pfizer Vaccine, it was a first vaccine, the first shot. Patient had several reactions to the vaccine, patient had to go to the emergency room twice in County on Saturday and on Sunday. It was reported that patient was good for the first couple of days and by late Thursday she started with several reactions. Patient went to the emergency room and they gave intravenous of steroid and Benadryl because she was itching so badly. she couldn't stand it. It was reported that patient did not hospitalized, they were thinking about it, but they said no, they gave (incomplete sentence). It was reported that patient have to go back again next day on Sunday because it came back (Clarification unknown). It's not something she supposed to have handy, it's intravenous and she have to go back on Sunday afternoon to the same hospital. Patient had pain under his armpits, she has severe itch, she has headache, she was cold, is he have everything and just got feeling better maybe this past Wednesday. she doesn't know about the second vaccine. What should I do?" Consumer was provided with the number of Pfizer Medical Information Department. It was reported that patient really afraid to take the second shot after all the reactions she had from the first one. Therapeutic measures were taken for the events. The outcome of events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712406
Sex: F
Age:
State: AR

Vax Date: 02/26/2021
Onset Date: 02/27/2021
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: had 2 knots that came up in my arm at injection site; It's red all the way around, up under my arm and then it is too big on the inside of my arm and it's causing fever; did not have redness at the injection site but it turned purple-blueish, like it was a bruise; I 'got up' in the middle of the night; nauseated; This is a spontaneous report from a contactable consumer. A 51-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EN6201; Expiration Date: 30Jun2021), dose 1 via an unspecified route of administration on 26Feb2021 (Batch/Lot Number: EN6201; Expiration Date: 30Jun2021) as DOSE 1, SINGLE for COVID-19 immunisation. No medical history and concomitant medications were not reported. The patient experienced It's red all the way around, up under my arm and then it is too big on the inside of my arm and it's causing fever. Reporter stated, I have a consumer on the other line reporting an adverse event with the COVID-19 Vaccine, she is 51 years old and all she said was that she received the first dose of the Pfizer COVID-19 Vaccine on Friday and she has experienced an adverse reaction, but she did not tell me what it was. Consumer stated, when they gave me the shot, 2:50 when they gave me the shot at and I 'got up' in the middle of the night, it's red all the way around, up under my arm and then it is too big on the inside of my arm and it's causing fever. Consumer stated, I took some Tylenol, and I went to the emergency room last night and they gave me some Benadryl and they gave me pain medicine (Clarification unknown) for it. When probed if taking any other medications, consumer stated, No, I have been taking Benadryl and 2 Tylenol. Consumer stated, do I need to take the second shot. Consumer stated after my 1st dose on Friday 26Feb2021, I did not have redness at the injection site, but it turned purple-blueish, like it was a bruise, I was nauseated all day from Saturday (27feb) until Monday (1Mar). I also had 2 knots that came up in my arm at injection site. The outcome of the event nauseated was recovered and outcome for other events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712407
Sex: F
Age:
State: MS

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Body weight; Result Unstructured Data: Test Result:20 lbs; Comments: She has gained 20 lbs from quarantine and COVID.

Allergies:

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

Symptoms: hips at the right groin hurt so bad/Both sides of her hips are hurting/hips at the right groin hurt so bad; hips at the right groin hurt so bad/She had a pain that woke her up in her hips and groin/The pain is right at the top of her leg on the right side. She thinks that is her groin; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 66 year old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 28Feb2021 (Batch/Lot Number: EN6200) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included knee operation from an unknown date and unknown if ongoing, help with joints and muscles after knee surgery, anxiety from an unknown date and unknown if ongoing , blood pressure abnormal from an unknown date and unknown if ongoing. Concomitant medication(s) included losartan (LOSARTAN) taken for blood pressure abnormal from an unspecified start date and ongoing; celecoxib (CELEXA [CELECOXIB]) taken for anxiety from an unspecified start date and ongoing; meloxicam (MOBIC) taken for knee operation from an unspecified start date and ongoing. The patient experienced hips at the right groin hurt so bad/both sides of her hips are hurting/hips at the right groin hurt so bad leading to arthralgia on 01Mar2021 05:00 with outcome of not recovered, hips at the right groin hurt so bad/she had a pain that woke her up in her hips and groin/the pain is right at the top of her leg on the right side. she thinks that is her groin pain on 01Mar2021 05:00 with outcome of not recovered. The patient underwent lab tests and procedures which included weight gained 20 lbs from quarantine and COVID. Therapeutic measures were taken as a result of these events with Tylenol. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN; CELEXA [CELECOXIB]; MOBIC

Current Illness:

ID: 1712408
Sex: F
Age:
State: CO

Vax Date: 02/27/2021
Onset Date: 02/28/2021
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: Test Date: 20210301; Test Name: Sars-cov-2 rdrp gene; Result Unstructured Data: Test Result:Negative; Comments: covid test type post vaccination: Nasal swab

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: couldn't breathe; Severe sinus blockage rt. side; constant sneezing (50 times); Severe headache going down into jaw and teeth; Severe headache going down into jaw and teeth; watery eyes; couldn't sleep; Diarrhea; Right sinus and head started hurting; It hurts into her jaw and that makes her teeth ache; Right sinus flare ups; This is a spontaneous report from a contactable consumer or other non hcp. A 72-years-old non-pregnant female patient received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6203) via an unspecified route of administration in Arm Left on 27Feb2021 14:00 (age at vaccination:72 Years) as DOSE 1, SINGLE for covid-19 immunisation (at hospital. Patient was not pregnant at the time of vaccination. Patient didn't receive other vaccines within 4 weeks prior to vaccination, patient received Rosuvastatin 5mg and Alprazolam 0.5mg within 2 weeks vaccination. Medical history included chronic obstructive pulmonary disease from an unknown date and unknown if ongoing. Concomitant medications included rosuvastatin (ROSUVASTATIN) taken for arteriosclerosis from Feb2021 and ongoing; alprazolam (ALPRAZOLAM) taken for an unspecified indication, start and stop date were not reported; acetylsalicylic acid (ASPIRIN (E.C.)) taken for an unspecified indication, start and stop date were not reported. Patient didn't had covid prior to vaccination. On 28Feb2021 14:00 the patient experienced couldn't breathe on 28Feb2021 14:00 with outcome of recovered with sequelae, severe sinus blockage rt. side, constant sneezing (50 times), severe headache going down into jaw and teeth, severe headache going down into jaw and teeth, watery eyes, couldn't sleep, diarrhoea, right sinus and head started hurting, it hurts into her jaw and that makes her teeth ache, right sinus flare ups. Patient had Emergency room visits for the events. No Therapeutic measures were taken for the events. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 01Mar2021 covid test type post vaccination: Nasal swab. The outcome of the events dyspnoea, sinus congestion, sneezing, headache, pain, lacrimation increased, insomnia, diarrhoea, sinus pain, pain in jaw, sinusitis was recovered with sequela. No follow-up attempts are needed. No further information is expected.

Other Meds: ROSUVASTATIN; ALPRAZOLAM; ASPIRIN (E.C.)

Current Illness:

ID: 1712409
Sex: M
Age:
State: PA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
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: muscle aches; joint aches; headaches; Chills; Short fever; swelling of my eyelids; aching of my general eye area; extreme sensitivity to light; This is a spontaneous report from a contactable consumer (patient). A 34-years-old male patient received bnt162b2 (BNT162B2, solution for injection, Batch/Lot number: not reported) administered in left arm via an unknown route of administration on 27Feb2021 at 11:30 as dose number unknown, single for covid-19 immunisation. Medical history included Chronic Myeloid Leukemia, seasonal allergies. No other vaccine was received in four weeks. Other medications in two weeks included Dasatinib monohydrate (SPRYCEL), Cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]). It was reported that the patient did not have a covid prior to vaccination. The patient did not test for covid post vaccination. There were no known allergies. On 28Feb2021 at 03:00, the patient experienced muscle aches, joint aches, headaches, chills, short fever, swelling of my eyelids, aching of my general eye area, extreme sensitivity to light. It was reported that the patient experienced most of the common side effects including muscle aches, joint aches, headaches, chills, short fever. The patient also experienced a swelling of eyelids, aching of general eye area, and extreme sensitivity to light. This was much better by day 3, but still present. No treatment was received for the adverse events. The outcome of all the events was reported as recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: SPRYCEL; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1712410
Sex: M
Age:
State: NY

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: Test Name: Chest X ray; Result Unstructured Data: Test Result:Unknown; Test Name: EKG; Result Unstructured Data: Test Result:Unknown; Test Date: 20210222; Test Name: NASAL SWAB; Result Unstructured Data: Test Result:Negative; Test Date: 20210224; Test Name: NASAL SWAB; Result Unstructured Data: Test Result:Negative; Test Date: 20210222; Test Name: RAPID TEST; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Extremely tired; headache; body/muscle aches; chills; fever(11 days now); nausea; no appetite (lost 12pounds); swollen lymph nodes; feels horrible; This is a spontaneous report from a contactable consumer. This 55-years-old male consumer(patient) reported for himself that: A 55-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9263) via an unspecified route of administration in arm left on 18Feb2021 15:30 (at the age of 55-year-old) as dose 1, single for COVID-19 immunization. Medical history included complex regional pain syndrome and high blood pressure. Concomitant medications included amlodipine besylate (AMLODIPINE BESYLATE) taken for an unspecified indication, start and stop date were not reported; naproxen (NAPROXEN) taken for an unspecified indication, start and stop date were not reported; pregabalin (PREGABALIN) taken for an unspecified indication, start and stop date were not reported; losartan (LOSARTAN) taken for an unspecified indication, start and stop date were not reported were taken 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was tested for COVID-19 (Nasal Swab) post vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. On 19Feb2021 at 6:00 patient was extremely tired, headache, body/muscle aches, chills, fever (11 days now), nausea, no appetite (lost 12pounds), swollen lymph nodes, feels horrible. The patient underwent lab tests and procedures which included post vaccination nasal swab and rapid test on 22Feb2021 both negative and Nasal swab on 24Feb2021: negative, chest X ray: unknown, EKG: Unknown. Patient received treatment of Tylenol and ibuprofen. The clinical outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: AMLODIPINE BESYLATE; NAPROXEN; PREGABALIN; LOSARTAN

Current Illness:

ID: 1712411
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: pain everywhere; sweaty; feels hot even when the thermometer says that his temperature is normal; shortness of breath; feels like close to get sick; itchy eyes; irritated eyes; watery eyes; headache that is like "not coming on a full blast"; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced everything and then he started describing that he have pain everywhere, he was all sweaty and feels hot even when the thermometer says that the temperature was normal, he had shortness of breath, feels like close to get sick, he had itchy, irritated and watery eyes and was dealing with a headache that is like not coming on a full blast. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712412
Sex: F
Age:
State: OH

Vax Date: 02/26/2021
Onset Date:
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: uvula was itching like crazy; This is a spontaneous report from a contactable consumer or other non hcp (patient) via medical information team. A 73-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EN6202), via an unspecified route of administration, administered in deltoid left on 26Feb2021 at 18:45 (6:45 PM) (at the age of 73-year-old) as dose 1, single for COVID-19 immunization. Medical history included allergy to sulfa drugs, anxiety, cholesterol, blood pressure, ADHD, throat looks red. The patient concomitant medications included diphenhydramine hydrochloride (BENADRYL) at a dose of 50 mg taken for throat looks red; clorazepate dipotassium (TRANXENE) at a dose of 7.5 mg taken for anxiety attacks; metoprolol tartrate tablet at a dose of 150 mg, daily, (50 mg in the morning and then two 50 mg tablets at night) taken for blood pressure; methylphenidate hydrochloride (RITALIN) (once or twice a week she takes 20 mg) taken for ADHD; atorvastatin calcium (LIPITOR). The patient previously took flu shot (Patient had a flu shot in September or October), first shingles shot; macrodantin and experienced allergy. On an unspecified date in 2021, the patient experienced uvula was itching like crazy. The patient stated received the first dose of the vaccine on Friday. She has a history of an allergy to sulfa drugs and Macrodantin and that was a slow anaphylactic reaction and it did not happen immediately. Yesterday she had raspberry sherbet and her uvula was itchy. She had some more sherbet in the evening and had more itching. She went to bed and in the middle of night she sucked on two honey lemon lozenges and it made the roof of her mouth a little bumpy. This morning her throat is red and she has had to take Benadryl. She is prone to anxiety attacks and took 7.5 mg Tranxene and gargled with salt water. She stated she may be anxious. She is thinking she needs to take another Tranxene and Benadryl and gargle with salt water and just relax. She asked could this be an allergic reaction 3 to 4 days later. What should she look for with an allergic reaction before she would call doctor. She asked if I recommended, she take these medications prior to calling her doctor. Patient got the Pfizer vaccine on Friday at 6:45PM. She has read what to expect and she downloaded Pfizer's sheet. She had to stay after because she is allergic to Sulfa and Macrodantin. Yesterday she ate something she hasn't had in 3 or 4 years, raspberry sherbet. She has undiagnosed food allergies. Her uvula was itching like crazy. She has had that before but didn't know what caused it. Later she had double the raspberry sherbet and started itching again. She had no difficulty breathing. She took a 50mg Benadryl when she woke up this morning. She is prone to anxiety attacks. She took 7.5mg of Tranxene. She hasn't eaten. She gargled with salt water and had coffee, but she hasn't eaten anything. Could this be an allergy thing from sherbet or can she have a reaction three or four days after receiving the vaccine. Patient ate the raspberry sherbet and her uvula started itching about 3:00PM. When she ate the sherbet again she had more like a whole cup and that was between 7:30PM and 8:00PM. She had itching. She went to bed and fell asleep. There wasn't anything else but itching. Her house is dry. In the morning she had mucus in the back of her throat. That is why she gargled. Her throat looks red. Patient is very self-aware. Her family had medical problems. When she gets upset her chest gets tight. That is why she took the Tranxene. She took Benadryl this morning around three or four, she only took one and it was 50mg. She took the Tranxene at 6:00 AM. Patient does not have NDC, lot, and expiry for Sulfa Drug and Macrodantin she was allergic to. She is 73 years old, and this happened when she was 5 years old, and 20 years old, and 34 years old. She hasn't had any since then. She had hives and a slow anaphylactic reaction. Tranxene and Benadryl lot numbers was not provided. Patient doesn't feel unhealthy, but when you have had anaphylactic shock and get an itchy throat you want to rule out since the sulfa and Macrodantin reaction was slow. Prior Vaccinations within 4 weeks: Patient had a flu shot in September or October. Patient is due for second shingles shot. she purposely didn't take the second shingle shot until she got this. Patient doesn't not have lot number or expiry for Flu shot or Shingles vaccines. Description of complaint: Received first dose of COVID19 vaccine. She has read what to expect and she downloaded Pfizer's sheet. Yesterday she ate something she hasn't had in 3 or 4 years, raspberry sherbet. She has undiagnosed food allergies. Her uvula was itching like crazy. Later she had double the raspberry sherbet and started itching again. She gargled with salt water and had coffee, but she hasn't eaten anything. In the morning she had mucus in the back of her throat. That is why she gargled. Her throat looks red. She took Benadryl this morning around three or four, she only took one and it was 50mg. When she gets upset her chest gets tight. That is why she took the Tranxene at 6AM. She doesn't feel unhealthy, but when you have had anaphylactic shock and get an itchy throat you want to rule out since the sulfa and Macrodantin reaction was slow. Therapeutic measures were taken as a result of event. Outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: BENADRYL; TRANXENE; METOPROLOL TARTRATE; RITALIN; LIPITOR [ATORVASTATIN CALCIUM]

Current Illness:

ID: 1712413
Sex: M
Age:
State: OH

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: rash on his arm and on his left foot that is stinging and painful; rash on his arm and on his left foot that is stinging and painful; rash on his arm and on his left foot that is stinging and painful; burning and tingling sensation during the night; burning and tingling sensation during the night; This is a spontaneous report from a contactable consumer (patient) via medical information team. A male patient of an unspecified age (reported as Age:80, Unit: Unknown) reported for himself that he received bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 19Feb2021 as DOSE 2, SINGLE for covid-19 immunisation. Medical history included poison ivy rash from an unknown date and unknown if ongoing (Caller states his is also very susceptible to poison ivy which is a similar rash, and is usually treated with steroid packs). The concomitant medications were not reported. The patient previously took first dose of bnt162b2 (Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient had received both of the bnt162b2 vaccines. On 27Feb2021, 8 days later the second dose, the patient developed a rash on his arm and on his left foot that is stinging and painful, especially during the night. And also this morning, on 01Mar2021, he noticed a rash on his left foot, on the top of the foot. The patient stated that there was burning and tingling sensation during the night. He was wondering if that was known side effect of the product, and if he should be tested for covid in anyway. Investigation assessment was not provided. 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: 1712414
Sex: F
Age:
State: DC

Vax Date: 02/23/2021
Onset Date: 02/28/2021
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: Test Date: 2021; Test Name: biopsy; Result Unstructured Data: Test Result:Unknown result; Test Date: 2021; Test Name: Blood Draw; Result Unstructured Data: Test Result:Unknown result; Test Date: 202102; Test Name: Nuclear Medicine Test; Result Unstructured Data: Test Result:Unknown result

Allergies:

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

Symptoms: she is getting Chemotherapy on 16Mar2021; she is getting Chemotherapy on 16Mar2021; neck started to hurt; my neck started to hurt, got stiff; shoulder and neck started turning red; breaking out look on the skin; This is a spontaneous report from a contactable consumer (patient). A 81-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: EN6200; Expiration Date: Jun2021, NDC number: 592671000-1, patient was 81-year-old at the time of vaccination), via an unspecified route of administration, administered in Arm Right on 23Feb2021 at 02:00 PM as DOSE 1, SINGLE for covid-19 immunisation. Medical history included bladder cancer, Kidney cancer, Allergy, Allergies: Sulphur or Sulfa. There were no concomitant medications. On 28Feb2021 is when she had the stiff neck as well as the redness and breaking out look on the skin, she looked in the bathroom, and pulled her shit down and looked on the shoulder, by the neck, it was red as if it was like welts, however she did not have welts it was smooth skin on the shoulder, she felt her skin and on the neck she a welt, she states that maybe it is an allergic reaction, she did not feel any temperature. She put a hot water bag on the neck. Caller adds that back on the early part of Feb2021 before the covid vaccine, she had a nuclear medicine test, with that she broke out with welts on the neck, she does not know the name of vaccine used during the test. She is getting ready to have chemo because of her bladder and they needed the Nuclear medicine test for a biopsy, all of this happened before first dose. The patient previously took codeine, aspirin and experienced allergy, the patient previously took bactrim and experienced her stiff/bones stiff. On an unspecified date, the patient experienced she is getting chemotherapy on 16mar2021, breaking out look on the skin, on 28Feb2021, the patient experienced neck started to hurt, my neck started to hurt, got stiff, shoulder and neck started turning red. The patient underwent lab tests and procedures which included biopsy, blood test which included unknown result in 2021, Nuclear Medicine Test: unknown result on Feb2021. Reported that patient does not know if patient was having an allergic reaction to the medicine. Caller has called her oncology doctor because she is getting Chemotherapy on 16Mar2021. Patient was told to take Benadryl. It was reported that after vaccination, yesterday last night she was sitting in the chair and felt that her neck was getting stiff on the right side. She looked in the mirror and saw that her skin turned red, as if it like broke out into something. The outcomes of events (my neck started to hurt, got stiff, shoulder and neck started turning red) were not recovered and the outcome of event (breaking out look on the skin, she is getting Chemotherapy on 16Mar2021) was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712415
Sex: F
Age:
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Moderate injection site pain; tiredness; moderate headache; muscle pain; chills; joint pain; nausea; feeling unwell; woke up in the middle of the night with chest pain; insomnia; This is a spontaneous report from a contactable other hcp (patient). A 21-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: VAC0022679), via intramuscular, administered in Arm Left on 08Feb2021 15:00 (at the age of 21-year-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 09Feb2021, the patient experienced moderate injection site pain, tiredness, moderate headache, muscle pain, chills, joint pain, nausea, feeling unwell, woke up in the middle of the night with chest pain, insomnia. No treatment was taken as a result of events. The outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712416
Sex: M
Age:
State:

Vax Date: 02/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: itching/Itching areas in a pattern on body; red/itching area; both of his hands were swollen, red and very itchy; This is a non-serious spontaneous report from a contactable consumer. This consumer reported for a 78-year-old male patient (Reporter's Husband). A 78-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EL9246), dose 1 via an unspecified route of administration, administered in Arm Left on 15Feb2021 14:30 (at the age of 78-years-old) as a single dose for covid-19 immunization. Medical history included blood cholesterol abnormal. Concomitant medication(s) included atorvastatin; paroxetine; omeprazole; tamsulosin; metoprolol. After the first dose, on 17Feb2021 later in the day he had onset of itching areas in a pattern on body. She called to ask if there are any recommendations regarding the second dose of the Pfizer COVID-19 Vaccine relative to this event. Second dose is scheduled for 08Mar2021. Itching areas in a pattern on body: On 20Feb2021 caller took the patient to the walk-in because this event was so bad that he would wake up during the night due to itching so bad. This event was not like a rash to her; she thought this event was strange because usually a rash is like on the chest and legs or whatever; but it was more of a pattern of a probably 6-8 inch circle on both thighs where the areas were raised and a little bit red; and then on each of his sides from under his armpits down to his waist he had a line of itching areas that were red; and an itching area on his lower back that was red; and then both of his hands were swollen, red and very itchy. At the walk-in the doctor gave him prescription fluocinonide cream which he started on 20Feb2021. After starting fluocinonide cream he slept all night and used it for about a week and the fluocinonide cream really worked; he recovered completely from the event by around 25Feb2021. Caller reported that there was nothing new around time of vaccine and event onset, regarding concomitant products and other medical conditions. Outcome of the event was recovered on 25Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds: ATORVASTATIN; PAROXETINE; OMEPRAZOLE; TAMSULOSIN; METOPROLOL

Current Illness:

ID: 1712417
Sex: F
Age:
State: OH

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210228; Test Name: Body temperature; Result Unstructured Data: Test Result:100; Comments: 100 degree

Allergies:

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

Symptoms: Severe burning in both armpits with red lumps; Severe burning in both armpits with red lumps; Fever of 100.0; headache; sore injection site; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 39-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL9264 and expiry date: unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 28Feb2021 at 12:15 as DOSE 1, SINGLE for covid-19 immunisation (age at vaccination: 39-years-old). Medical history included hypothyroidism. The patient had no known allergies. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), levothyroxine sodium (LEVOTHYROXINE SODIUM), liothyronine sodium (CYTOMEL). Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced severe burning in both armpits with red lumps, fever of 100.0, headache and sore injection site on 28Feb2021 at 22:00. The patient underwent lab tests and procedures which included body temperature: 100 on 28Feb2021 (100 degree). No treatment was received for the events. Outcome of all the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ADDERALL; LEVOTHYROXINE SODIUM; CYTOMEL

Current Illness:

ID: 1712418
Sex: F
Age:
State: LA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: shortness of breath; Weakness; This is the spontaneous report from a contactable consumer (patient). A 60-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number- EL9267) via an unspecified route of administration in arm left on 23Feb2021 01:30 PM (age at vaccination was 60 years) as dose 1, single for COVID-19 immunisation. The patient's medical history included ongoing asthma, she had asthma in the past but she had outgrown it. When she would get sinuses or a minor infection she would have little issue then. She used to have trouble breathing before but not like this. She never took any medication for the asthma, she is not on any medications or nebulizer treatments. The patient's concomitant medications were not reported. She did take vitamins and protein before the vaccine for a few days because thats what she read, She work in organic gardening and so she takes mostly organic stuff. She did not take other products. The patient stated that she got her first Pfizer Covid- 19 dose last 23Feb2021 and the next day she experienced weakness and shortness of breath on 24Feb2021 on 06:00 AM. The breathing was worse, but the weakness was not as bad, the weakness was better, it was like she could not do anything. It was reported that she was still having side effects. She read up a lot about the vaccine. she read that side effect usually last the first 2-3 days, but this is her 6th day, was it normal. When this all first began, when she heard about the shot, she heard that its suppose to be in the second shot that there would be side effects not the first. She does land scaping so she was pretty active and yesterday(28Feb2021) all she did was cuttings, she didnt do digging or anything but still got worn out and yesterday was the 5th day. It's like she just cant catch her breath. She did not take Tylenol, because she read that she was not suppose to. The outcome of weakness was resolving and for shortness of breath was not resolved. No follow-up attempts were possible. No further information was expected.

Other Meds:

Current Illness: Asthma

ID: 1712419
Sex: F
Age:
State: CA

Vax Date: 02/22/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Dizziness; Weakness; Injection site pain; Tiredness; Headache; Muscle pain; Chills; Joint pain; Low grade fever; nausea; she did not feel well; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 67-years-old female patient received second dose of bnt162b2 (BNT162B2, PFIZER-BIOTECH COVI-19 VACCINE, Solution for injection, Batch/Lot Number: EN6198), via an unspecified route of administration on 22Feb2021 (Age a vaccination: 67-years-old) as single dose for covid-19 immunization. No medical history and no concomitant medications were not reported. historical vaccine included first dose of BNT162B2 (Lot/batch number: EL9262) for covid-19 immunization and got sick. patient and her husband received second injection on Monday afternoon. They have both been sick since then. He has been worse than her but getting better they did not expect it to take this long to get over it. She has had injection site pain, tiredness, headache, muscle pain, chills, joint pain, low grade fever, neither of them got a very high temperature but they checked both of their temperatures and they were right under 100, but she got chills, she was nauseated but she did not throw up, she did not feel well, they both felt unwell, she had dizziness and weakness. She still has the headache and the nausea is off and on. She still has dizziness, weakness all of that is still going on today but it is getting all getting better. She confirms ongoing but improved. She says the injection site pain, muscle pain, joint pain, and low grade fever have all resolved. The tiredness is ongoing, she groups that with the weakness. The outcome for the events chills, did not feel well was unknown, dizziness, weakness was resolving, Tiredness, Headache, nausea was not resolved and for remaining events outcome was reported as resolved on an unspecified date. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712420
Sex: F
Age:
State: IA

Vax Date: 02/18/2021
Onset Date: 02/22/2021
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: congestion; coughing; sore throat; had a little soreness; This is a spontaneous report from a contactable consumer. This consumer reported for herself and another one patient (Mother). This is 1st of 2 reports and consumer reported for herself. A 74-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: EN6200), dose 1 via an unspecified route of administration, administered in right arm on 18Feb2021 (at the age of 74-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included COVID-19 (Additional information for other conditions: had COVID previously in Oct2020) from Oct2020 to an unknown date. Other products reported as unknown. Investigation assessment reported as no. Concomitant medications, history and investigations: Patient stated that there was nothing relevant. Caller states that she has been on the same medications for years now, there was nothing new. No further details were provided. Patient woke up on 22Feb2021 with a little sore throat and not feeling good, and then it went into chest, congestion, coughing up, so patient had the side effects more than a week now. Patient stated that she took Nyquil and Mucinex and stuff to help. Patient heard from other people that the second dose of the Pfizer vaccine has worse side effects than the first dose. Patient would like to know if this was accurate and percentage of efficacy after one dose. The outcome of the events were recovering. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am