VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1712471
Sex: M
Age:
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: felt very beat up the next day because of all the vomiting and diarrhea; Itching; Redness; he broke out in hives; Vomiting; Diarrhea; This is a spontaneous report from a contactable consumer. This 68-year-old male consumer reported that he received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EN6198) via an unspecified route of administration on 25Feb2021 at15:45 on right arm (at 68-year-old) as dose 1, single for COVID-19 immunization. Patient's medical history included that he was diabetic, had high blood pressure, cholesterol, and open-heart surgery with 3 bypasses. He said he takes medication for his diabetes, high blood pressure, and cholesterol, and everything was under control. He said he also takes medicine for his heart. He said he was allergic to Penicillin, Sulfa, and he can't eat lobster. He said he breaks out in hives with Penicillin, Sulfa, and lobster. The family medical history relevant to events not provided. The patient did not receive anu other products and the investigation assessment was reported as no. The relevant tests, prior vaccinations, history of all previous immunization with the Pfizer vaccine considered as suspect and additional vaccines administered on same date of the pfizer suspect were reported as none. After the first dose of the vaccine on 25Feb2021 and everything was fine until on 28Feb2021 patient experienced vomiting and had diarrhea and it went on for a good 6 or 7 hours and had a pain in his stomach. He clarified the vomiting and diarrhea started between 2:30PM-3:00PM. He said he was constantly going back and forth between the vomiting and diarrhea. He said the vomiting and diarrhea were gone by 8:30PM. He said his stomach pain went away when the vomiting and diarrhea stopped. He said his wife got her COVID-19 Vaccine the same day, and his wife had no after effects from the COVID-19 Vaccine, whatsoever. Reported after the vomiting and diarrhea stopped he broke out in hives allover his body. He said his wife had made him a solution in the tub, and he soaked in the tub for 15 minutes. He said he did not know what the solution was that his wife put in the tub. He said he was still itching after he got out of the tub. He said he went to bed. He said at around 9:30PM on 28Feb2021, he was itching so bad that he drew blood at the bottom of his left butt cheek and the back of his left thigh. He said his wife put a cream all over him. He said he was itching still, but he made sure he stayed disciplined, and did not scratch himself. He said he slept with his hands underneath the back of his thighs, so he would not itch himself. He said he slept on 28Feb2021, and woke up on 01Mar2021, and his hives were all cleared up. He said he felt very beat up the next day because of all the vomiting and diarrhea. He said he works a part-time job, and did not go to work on 01Mar2021. He said he called his family doctor to tell him what happened, and he said his family doctor was not worried about the vomiting and diarrhea. He said his family doctor told him he was concerned about the hives, and suggested he not get the second COVID-19 Vaccine shot. He said his family doctor told him he should call the Pfizer number listed on the COVID-19 Vaccine fact sheet, and see what Pfizer said about what he experienced, and to get Pfizer's recommendation for his second COVID-19 Vaccine shot. He said he has been going to his family doctor for a zillion years, and whatever his family doctor says was gospel to him. He said his family doctor said his hives were serious, and he will likely break out in hives again if he gets the second COVID-19 Vaccine shot. He said his family doctor said the hives could be worse than the first time, and the hives could go into his throat. Caller was advised he would be transferred to Pfizer Medical Information for further assistance. The patient reported his hives were completely gone, though he had some scratch marks where he scratched aggressively from the itching. He said all the redness and hives were all gone. He also reported that his family doctor asked him if he had ate anything that may have caused his symptoms. He said he told his family doctor he did not eat anything out of the ordinary that may have caused his symptoms on 28Feb2021. The therapeutic treatment included a cream his wife put all over him was Diabetics Hydrating Lotion Dry Skin Relief (Hydrates & Soothes, Fragrance Free), UPC Number: 639277348173. He said he was not sure of the Lot and Expiration Date, providing number: 248143 1903 for itching. The patient did not require emergency room visit. The outcome of felt very beat up the next day because of all the vomiting and diarrhea was unknown. On 28Feb2021 vomiting was recovered. On 01Mar2021 he broke out in hives, diarrhea, itching and redness recovered. No follow-up attempts were possible. No further infor

Other Meds:

Current Illness:

ID: 1712472
Sex: F
Age:
State: HI

Vax Date: 02/15/2021
Onset Date: 02/20/2021
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: shingles triggered by the vaccine; A little more blisters appeared, made appt with dermatologist for 25Feb2022. got worse on 24Feb2021; a little more blisters appeared; eye swelling a bit; cheek swelling a bit; two small red patches/rash on left side of face; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 61-years-old female patient (patient was not pregnant at the time of vaccination) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EN6201, Expiration date: unknown) via an unspecified route of administration, administered in right arm on 15Feb2021 at 11:30 am (age at vaccination was 61 years) as dose 1, single for COVID-19 immunization. The patient's medical history and allergies were unknown. The patient's concomitant medications were not reported. The patient previously received flu shot in 2020 which produced rash on face and swelling of face and eyes. The facility where the most recent COVID-19 vaccine was administered was Hospital. The patient did not receive any other vaccines in 2 weeks. 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 has not been tested for COVID-19. On 20Feb2021, the patient had two small red patches/rash on left side of face. On 21Feb2021, red patches got a bit larger. On 22Feb2021, the patient had eye and cheek swelling a bit. That was the similar reaction that she had to the flu shot in Feb 2020 so it appeared to be the same progression. But also tiny water blisters appeared on red welts. On 23Feb2021, a little more blisters appeared and the patient made appointment with dermatologist for 25Feb2021. It got worse on 24Feb2021. On 25Feb2021, morning the patient went to urgent care and was diagnosed with shingles triggered by the vaccine. The patient was prescribed medication and went to opthalmologist to check her left eyeball and to dermatologist via telehealth that afternoon. The patient continued to take medications and ointments. Concern was scarring on face and long term nerve damage. The adverse events resulted in Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient received treatment with 3 medications (pills) and an ointment. The outcome of the event condition aggravated was unknown. The outcome of the other events was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712473
Sex: M
Age:
State: VA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: I'm achy all over; a lot of aches to his arms and joints and stuff; a lot of aches to his arms and joints and stuff; makes him sluggish; This is a spontaneous report from a contactable consumer (patient). A 75-year-old male patient received BNT162B2 (PFIZER-BIONTCH COVID-19 VACCINE; Batch/Lot Number: EN6198), via an unspecified route of administration, administered in left arm on 01Mar2021 at 16:00 (at the age of 75-year-old) as dose 2, single for COVID-19 immunization. Medical history included heart bypass in Jan2003, minor stroke in Mar2014 and cholesterol. Concomitant medication included evolocumab (REPATHA). The patient previously received BNT162B2 (PFIZER-BIONTCH COVID-19 VACCINE; Batch/Lot Number: EM9810), via an unspecified route of administration, administered in left arm on 06Feb2021 at 16:00 (at the age of 75-year-old) as dose 2, single for COVID-19 immunization. On 02Mar2021, the patient mentioned he was achy all over, a lot of aches to his arms and joints and stuff which made him sluggish. It was reported that the patient would like to know if it would be alright to take Aleve, Advil, or Tylenol or something like that. The outcome was unknown for the reported events. No follow-up attempts are possible; no further information is expected.

Other Meds: REPATHA

Current Illness:

ID: 1712474
Sex: F
Age:
State: SC

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: little soreness; Soreness in her arm and in the shoulder above where the injection was given; Soreness in her arm and in the shoulder above where the injection was given; low grade fever; feeling lethargic; This is a spontaneous report from a contactable consumer or other non hcp (patient's husband). A 74-years-old female patient (wife) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on an unspecified date (batch/lot number was not reported) as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient received the first dose of vaccine a week ago and she had no issues with it and on an unspecified date she has very little soreness until the morning, aftre that she has soreness in her arm and in the shoulder above where the injection was given, a low-grade fever and feeling lethargic all day. Reporter was wondering about the likely hood that these side effects would occur a week after getting the vaccine. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712475
Sex: F
Age:
State: OK

Vax Date: 02/20/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: my arm was very red (rash like); severely itchy; I'm in the middle of a flare; fatigued; This is a spontaneous report from a contactable other HCP (patient). A 36-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm Right on 20Feb2021 at 01:00 PM as a single dose for COVID-19 immunization (at the age of 36-years-old). Medical history included covid-19 (Under investigation for a year and a half, after a client gave me a virus and I developed symptoms similar to post covid syndrome), food allergy (Chemical produced by fresh pineapple and some tropical fruits), and arthropathy for joint issues. Concomitant medication(s) included hydroxychloroquine (HYDROXYCHLOROQUINE) taken for arthropathy. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. Patient did not receive other vaccine within 4 weeks prior to the COVID vaccine. On 27Feb2021 (at 10:00 AM), the patient experienced my arm was very red, severely itchy, I am in the middle of a flare, and fatigued. The outcome of all the events was recovered on an unspecified date in 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: HYDROXYCHLOROQUINE.

Current Illness:

ID: 1712476
Sex: F
Age:
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: asthma attack; having problems breathing; substantial pain around injection site.; fever; allergic reaction; This is a spontaneous report received from a contactable consumer or other non hcp. A 20-years-old female patient received 1st dose of bnt162b2 (COMIRNATY,Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm Left on 01Mar2021 15:45 as Dose 1,single for covid-19 immunization.Medical history included food allergy and milk allergy from an unknown date and unknown if ongoing. Concomitant medications included bupropion,sertraline, drospirenone, ethinylestradiol betadex clathrate (YAZ) taken for an unspecified indication, start and stop date were not reported.The patient experienced asthma attack, having problems breathing, substantial pain around injection site,fever and allergic reaction on 01Mar2021 21:00.The patient had not received any other vaccine within 4 weeks.The patient was not pregnant.The patient was not diagnosed with covid prior vaccination and not tested for covid post vaccination.The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: BUPROPION; SERTRALINE; YAZ

Current Illness:

ID: 1712477
Sex: F
Age:
State:

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Name: Lipid; Result Unstructured Data: Test Result:increase; Comments: lipids were elevated

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: her lipids were elevated; shoulder pain; bicep pain; headache; It was an entire abdominal spasm and in the back too; It was an entire abdominal spasm and in the back too; she felt a twisting in her entire abdomen, lasted 25 minutes, it was awfully painful, but went away; This is a spontaneous report from a contactable consumer. This 68-years-old female reported for herself that: A 68-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 23Feb2021 (at the age of 68-year-old) as single dose for covid-19 immunisation. Patient was not pregnant at the time of vaccination. The patient medical history and concomitant medications were not reported. The patient's historical vaccine included 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 single dose for covid-19 immunisation and experienced chills, headache, and nausea. Patient stated she received the second dose of the Covid 19 vaccine on 23Feb2021. After the first dose she experienced chills, headache, and nausea; but on 24Feb2021, she felt a twisting in her entire abdomen, lasted 25 minutes, it was awfully painful, but went away. She went to the ER, her lipids were elevated, they told her that it may be a side effect of the vaccine. She also had shoulder pain, bicep pain and headache. Yesterday (March 1st) she experienced the same abdominal pain, lasted 15 to 20 minutes, and then subsided, she went to the ER again and they couldn't find anything abnormal. She had a follow up appointment with her doctor today (March 2nd), it happened again and lasted 15 minutes then subsided. It was an entire abdominal spasm and, in the back, too. She is not sure anymore if it is related to the vaccine. The event resulted to visit emergency room. The patient underwent lab tests and procedures which included lipids: increase on an unspecified date lipid were elevated. The outcome of the event she felt a twisting in her entire abdomen, lasted 25 minutes, it was awfully painful, but went away was recovered and all other events were unknown. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712478
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: right arm was hurting; no rash but it's red; muscle pain; right arm was hurting so bad she couldn't move it; This is a spontaneous report from a contactable consumer (patient herself). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number and expiration date was not reported) via an unspecified route of administration, administered in Arm Left on an unspecified date as DOSE 1, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient had received first dose at around 4:45pm on Saturday afternoon of the Pfizer vaccine. It didn't hurt. She didn't feel a thing by 10pm that night on an unspecified date her right arm was hurting so bad she couldn't move it, it has gone back from hurting to not, no rash but it was red. The left arm was fine, hurts a tiny bit today, but it was the right arm that hurts, and it didn't make sense. It was baffling. She did not know. This arm (right) did hurt prior to but that a year ago in march (she fell and hurt her arm a year ago). It was very nice. It was nice. she felt the prick and it was wonderful. She knew it was muscle pain because she noticed it when she was driving, it hurts but then goes away instantly. Sometimes it was really red and sometimes there was not on her arm. It looked more like a burn, like a heat burn (which was not what she did). It was about 3 inches long and a couple of inches wide. No rash, the skin was smooth. She would go on the 20th for her 2nd shot. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712479
Sex: F
Age:
State: NY

Vax Date: 02/26/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: swollen glands; itchy; sore throat; eyes swollen; dry cough; headache; runny nose; tired; This is a spontaneous report from a contactable consumer (Patient). A 58-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 26Feb2021 at 17:30(at the age of 58-years-old) administered in Arm Right as a single dose for COVID-19 immunisation. Medical history included Diabetes, high blood pressure, sarcoidosis, overweight, fibro, latex allergy (all from an unknown date and unknown if ongoing). Concomitant medication(s) included Metoprolol, pantoprazole, levothyroxine sodium (TIROSINT), vitamin d, acetylsalicylic acid (ASPIRIN E.C.), losartan, amitriptyline, insulin lispro (HUMALOG), canagliflozin hemihydrate, metformin hydrochloride (INVOKANA DUO), insulin degludec (TRESIBA), linaclotide (LINZESS) (all taken for an unspecified indication, start and stop date were not reported). 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 has not been tested for COVID-19.On 27Feb2021, the patient experienced legs felt itchy, next day sore throat and eyes swollen and headache. Day 2 headache, sore throat, runny nose. Day 3 Headache and dry cough, swollen glands. Day 4 dry cough, nose running, tired.No treatment was given for the events. The outcome of the events was not recovered. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.

Other Meds: METOPROLOL; PANTOPRAZOLE; TIROSINT; VITAMIN D [VITAMIN D NOS]; ASPIRIN (E.C.); LOSARTAN; AMITRIPTYLINE; HUMALOG; INVOKANA DUO; TRESIBA; LINZESS

Current Illness:

ID: 1712480
Sex: F
Age:
State: NY

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: my body was sensitive to touch; my body was sensitive to touch, tender if you will; and the smell of my urine changed to an odd sweet/sour smell.; Initially it was common side effects (sore arm, chills, feverish); Initially it was common side effects (sore arm, chills, feverish); Initially it was common side effects (sore arm, chills, feverish); This is a spontaneous report from a contactable consumer (patient) reported for herself. A 33-years-old female patient (patient was not pregnant at the time of vaccination) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 24Feb2021 at 10:15 am (age at vaccination was 33 years) as dose 2, single for COVID-19 immunization. The patient did not have any medical history and known allergies. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 29Jan2021 at 12:00 pm (age at vaccination was 33 years) as dose 1, single for COVID-19 immunization. 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 has not been tested for COVID-19. On 27Feb2021 at 12:00 am, initially it was common side effects (sore arm, chills, feverish) but then the patient noticed a weird feeling in her entire body (day 3+ after vaccine) almost like her body was sensitive to touch, tender if you will and the smell of her urine changed to an odd sweet/sour smell. Her diet did not change and she stayed hydrated. No treatment was received for the adverse events. The outcome of the events was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712481
Sex: F
Age:
State: CO

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

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer or other non hcp (patient). A 38-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot Number: EN6203), via an unspecified route of administration, administered in arm left on 22Feb2021 at 16:45 (04:45 PM) (at the age of 38-year-old) as dose 1, single for COVID-19 immunization. Medical history included seasonal allergy (patient had allergic reactions to seasonal allergy shots before). The patient concomitant medications included pseudoephedrine hydrochloride (SUDAFED [PSEUDOEPHEDRINE HYDROCHLORIDE]); ibuprofen (ADVIL [IBUPROFEN]), both drugs taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine in four weeks. Patient was not diagnosed with COVID prior vaccination. Patient had not been COVID tested post vaccination. On 22Feb2021 at 17:30 (05:30 PM), the patient experienced became flushed, my cheeks were burning, a rash formed from my face down my chest, I became dizzy and lightheaded, very sick to my stomach. Adverse event: Became Flushed, my cheeks were burning and a rash formed from my face down my chest. I became dizzy and lightheaded and very sick to my stomach. A nurse monitored patient, gave patient water, cold rag. The patient received water, cold rag as treatment for all the events. Outcome of all the events was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: SUDAFED [PSEUDOEPHEDRINE HYDROCHLORIDE]; ADVIL [IBUPROFEN]

Current Illness:

ID: 1712482
Sex: M
Age:
State: FL

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Redness and burning sensation between first and second fingers of both hands; Redness and burning sensation between first and second fingers of both hands; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received bnt162b2 (BNT162B2, Solution for injection, Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 24Feb2021 09:30 (age at the vaccination 66-year-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included depression, cholesterol and urine flow. Concomitant medications included duloxetine hydrochloride (CYMBALTA) via unknown route from Nov2020 and ongoing at 30 mg, twice a day for depression, Atorvastatin via unknown route from unspecified date in 2020 and ongoing at 40 mg, daily for cholesterol and Tamsulosin via unspecified route from unspecified date and ongoing at 0.4 mg, twice a day for urine flow. Patient received the Covid-19 vaccine yesterday morning. Today between the first and second fingers of both hands he has redness and a burning sensation on 25Feb2021. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: CYMBALTA; ATORVASTATIN; TAMSULOSIN

Current Illness:

ID: 1712483
Sex: M
Age:
State: TX

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

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

Lab Data: Test Date: 20210301; Test Name: fever; Result Unstructured Data: Test Result:101.1; Comments: fever 101.1

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Injection pain; Extreme fatigue; headache; muscle pain; Chills; fever 101.1; Feeling unwell; dizziness; weakness,; nausea; joint pain; This is a spontaneous report from a contactable consumer. This 66-Year-old elderly male consumer (patient) reported that he received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: unknown as Unable to locate or read the details), dose 1 via an unspecified route of administration on 01Mar2021 at 04: 15 pm in left arm (at the age of 66-years-old) as DOSE 1, SINGLE for covid-19 immunisation. Facility type vaccine was unknown. Patient's medical history cardiac history, Polycystic kidney disease, diabetes, hypo thyroid, auto immune and covid-19 from an unspecified date to unknown if ongoing. There were no known allergies. No other vaccine were given in four weeks. Concomitant medications (in two weeks) included omeprazole, Amlodipine, thiamine hydrochloride (THIAMINE HYDROCHLORIDE), Metformin hcl, all from an unspecified date to an unspecified date at unspecified dosage for an unknown indication. On 01Mar2021 at 1:00 pm, patient experienced injection pain, extreme fatigue, headache, muscle pain, chills, fever 101.1, joint pain, feeling unwell, dizziness and weakness, nausea. The AEs did not result in emergency room visit or physician's office visit. No treatment was given for the AEs. Patient had covid prior vaccination and was not tested for covid post vaccination. The outcome of events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: OMEPRAZOLE; AMLODIPINE; HYDROCHLORIDE B1; METFORMIN HCL

Current Illness:

ID: 1712484
Sex: F
Age:
State: SC

Vax Date: 02/03/2021
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 Date: 20210208; Test Name: CT Scan; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210208; Test Name: Ultrasound; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: I have had a burning feeling inside my body it is like in my legs/ it is a burning hot like inflammation in my body; in my back, to the upper body feels kind of inflamed like it is not hot like a high temperature but it is a burning hot like inflammation in my body; pain in the neck; Pain in the back; This is a spontaneous report from a contactable consumer or other non hcp(patient )via Pfizer-sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number-Unknown), via an unspecified route of administration on 03Feb2021 as DOSE 1, SINGLE for covid-19 immunisation .The patient's medical history and concomitant medications were not reported.Patient stated she had her first Covid shot on the 03Feb2021 and ever since I have had a burning feeling inside my body it's like in my legs and in my back, to the upper body feels kind of inflamed like it was not hot like a high temperature but it was a burning hot like inflammation in my body and I want to know if there has been others who have reported this and was there anything that I need to do to combat this and how do I go about giving another morning.She felt like her whole body was inflamed inside .On Feb2021 she experienced pain in the neck and back. The patient underwent lab tests and procedures which included computerised tomogram,Ultrasound scan on 08Feb2021 and the results were unknown.The outcome of all events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712485
Sex: M
Age:
State: TX

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 202005; Test Name: tested for the virus; Test Result: Negative

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer reporting for himself. An 81-year-old male consumer received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6201, Expiry date: unknown) via an unspecified route of administration and administered on an unspecified anatomical location on 15Feb2021 (at the age of 81 years) as a single dose for COVID-19 immunization. Medical history included problem with his heart for 40 years it would beat rapidly. Concomitant medication included Sotalol HCl taken to keep his heart from beating fast, amlodipine for blood pressure and finasteride for an unknown indication all from an unknown date and unknown if ongoing. The patient reported he was calling Pfizer and wanted to tell someone he got on 15Feb, the Pfizer COVID 19 shot and the next day he had a little itching, there was no rash he shouldn't tell where it was, it would start on the left front of his body and go to the right side in spots. he has been trying to get through, there was 39 ahead of him and he just gave up but today he got lucky. He called his doctor, and the practitioner told him to use Benadryl and he put it in one spot but it was not like a straight line but he put it in one spot and it took it right away but it came back a day later and now it was not working. There are no signs he thinks it was internal there was not a rash. He was concerned he wanted to tell this he was thinking maybe he should take some Aspirin or like some kind of pill because he thinks it was internal, he was concerned because the 08Mar was to get the second shot, he didn't have symptoms other than 3 days ago he got real cold and had chills and he said it was warm outside, he turned his heater on and the chills only lasted 2-3 minutes. He says he was okay everything was okay, he does not know if he will get a double reaction of that or if he should take something to keep it from getting real bad. He wants to get the other shot, he does not care about what happens but he wants to be prepared in case it doubles. He wants the shot, he wants to be with everybody, these people that don't want to get the shot, he thinks it was ridiculous. He got tested for the virus last May and he was negative but he told the people in his state they said they don't have symptoms but from what he understands someone might not have symptoms but still have the virus, it took 4 days but it was negative and he was happy about that. He got the first shot and it went well he had no problems, they were well organized at the medical center, they gave him an appointment and he doesn't have to wait he can come at any hour of the day with that card. He confirmed the first dose was given the 15Feb and the next will be the 8th of next month. The itching started the second or day something like that and it was in only one spot and he put the gel on and that took it away. it took him 5 days to get the gel because his car was broken down. He put the gel on it and it disappeared but the next day it came back in a different spot. It happens if his t-shirt touches it, like right now he doesn't feel it but if his t-shirt touches it he cannot take, he has to take it off and if he has no t-shirt on and he puts his hand over it, it stops itching. It was like he can electrify it or something. He was okay with it if he could take something that will help him get some sleep, it gave him trouble sleeping but if he could find something to take maybe it would not double on him if he can take something, like something internal to take. He does not know if this Benadryl comes in a pill or something. He was not too concerned about it, he knows people might get reactions. He says he really thought about that. He took his mediation and this one was really strong it was Sotalol 80 mg HCl. His heart specialist gave him that and he took that at night. He says the Sotalol was to keep his heart from beating fast. He had a problem with his heart for 40 years it would beat rapidly and no heart specialist could find out what was wrong until he moved from another city and his son works for a hospital in surgery and they recommended him to see a heart specialist and he drew a picture and said his heart was the shape of pear and blood circulates all around and he has this vein that was not normal that he was born with and it interferes and doesn't let the blood go up and the heart starts pumping and he said well lets take it off and he took it off and he has not had problems with that in a long time, its just gone. That doctor have him 40 more years back on his life. He reported when the Sotalol touches was tongue it was like acid like he thinks that could be why he reacted like that he takes it once in the morning. The Sotalol was in a blue, it was white on the bottle but there was a blue sticker that says Teva it was 100 tablets. NDC #. The lot, he needs a magnifying glass it was so small, the medicine says refill 16Feb2021. Expiration 20Jun2022 and lot 100018147. He also reported the Benadryl gel was not working and he will call heart specialist about this Sotalol he thinks it could be making him itch with the vaccine. He will have to make sure it was okay if he stops it for a couple days to see if it was gone or if he can stop using it until a waiting period and when it was gone he can start on that again. If they say its okay, he will call his doctor and Nurse Practitioner that was the one who answers the phone was the NP. They told him to take the Benadryl but they didn't tell him what kind so he did the gel he did not know if there was a pill form so he was going to check into that. Treatment include for the reported adverse events with benadryl. The patient underwent lab tests and procedures which included covid- 19: negative on an unknown date in May2020. The outcome of itching and it would start on the left front of his body and go to the right side in spots was not resolved/not recovered and for he got real cold and chills was resolved/ recovered on 22Feb2021. No follow up attempts are possible. No further information is expected.

Other Meds: SOTALOL; AMLODIPINE; FINASTERIDE

Current Illness: Blood pressure abnormal (he takes Amlodipine for blood pressure); Heart rate high (He says the Sotalol is to keep his heart from beating fast.)

ID: 1712486
Sex: M
Age:
State: CA

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

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

Lab Data: Test Date: 20210301; Test Name: EKG; Result Unstructured Data: Test Result:Unknown

Allergies:

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

Symptoms: throat fullness; cough; flush; throat swelling; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 38 year old male patient received bnt162b2 (BNT162B2), dose 1 intramuscular, administered in Arm Left on 01Mar2021 17:45 (Batch/Lot Number: EN6198) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included rubber sensitivity to latex from an unknown date and unknown if ongoing, hypertension from an unknown date and unknown if ongoing, gout from an unknown date and unknown if ongoing. Concomitant medication(s) included allopurinol (ALLOPURINOL) taken for an unspecified indication, start and stop date were not reported; sertraline (SERTRALINE) taken for an unspecified indication, start and stop date were not reported; amlodipine (AMLODIPINE) taken for an unspecified indication, start and stop date were not reported; simvastatin (SIMVASTATIN) taken for an unspecified indication, start and stop date were not reported. The patient experienced throat fullness with sensation of foreign body on 01Mar2021 18:00 with outcome of recovered, cough on 01Mar2021 18:00 with outcome of recovered, flush on 01Mar2021 18:00 with outcome of recovered, throat swelling causing pharyngeal swelling on 01Mar2021 18:00 with outcome of recovered. The patient underwent lab tests and procedures which included electrocardiogram: unknown on 01Mar2021. Therapeutic measures were taken as a result of these events. Patient was examined by a nurse who referred him to the Emergency department for further evaluation. Patient was hydrated with NS and medicated with diphenhydramine IV for throat swelling and Dexamethasone IV for cough. Patient was mentioned for about one hour until resolution of symptoms. Medical tests and laboratory results related to the adverse event(s): EKG performed in ED and vital signs monitored. No follow-up attempts are possible. No further information is expected.

Other Meds: ALLOPURINOL; SERTRALINE; AMLODIPINE; SIMVASTATIN

Current Illness:

ID: 1712487
Sex: F
Age:
State: PA

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

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

Lab Data: Test Date: 20210228; Test Name: Fever of 100.1F; Result Unstructured Data: Test Result:100.1F; Comments: Fever of 100.1F

Allergies:

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

Symptoms: Burning in Chest; she is having discomfort in her chest; Joint pain; Chills; Trouble Breathing; Hot flashes; Fever of 100.1F; Body Aches; This is a spontaneous report from a contactable consumer. This 56-year-old (age at vaccination) female consumer reported for herself that she received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number; EL9266, expiry date; unknown), via an intramuscular route of administration on 28Feb2021 at 11: 55 am at DOSE 2, SINGLE for covid-19 immunisation. The patient was taking Covid Vaccine as she works in the medical field (non hcp) and had a family member getting Covid. Vaccination Facility Type was Hospital. Patient's weight is 61.23 kg and height is 152 cm. Patient's medical history included asthma from 2011 to ongoing. Historical vaccine included first dose of BNT162B2, Batch/lot number; EL9265, expiry date; unknown, on 09Feb2021 Injection to Right Arm for covid-19 immunisation. Concomitant medications included DUPILUMAB (Dupixent) on 09Feb2021 to ongoing at 300mg injection into the leg or stomach every 2 weeks for asthma. She was on Xoliar for 3 years, then her doctor switched her to Dupixent since she was on it too long. Unknown Lot number or Exp for Xoliar due to patient hasn't taken since Dec2020. Prior Vaccinations (within 4 weeks) were reported as None. AE(s) following prior vaccinations were None. Pertinent Details (Include surgical procedures and dates) were none. Family Medical History Relevant to AEs were None. Consumer stated she got the Pfizer shot on 28Feb2021 around noon, it was her second shot. She states she didn't get chills and hot flashes until after 11p.m. and then she got fever and body aches and symptoms throughout the whole day and then had difficulty breathing and for a bit it subsided and today she is having burning in her chest. Today she is having discomfort in her chest but not like someone is sitting on it. Consumer stated that she tried to call on Monday, but the line was backed up and she was not feeling too well. Consumer clarifies that she started with a little trouble breathing and then chills then hot flashes throughout the whole night then woke up with fever of 100.1F and body aches and joint pain. Chills started at 11pm and went for a long time. When querying outcome of the chills, reports that she didn't start feeling better until late afternoon the next day. Joint pain started on 1Mar2021 when she got up; she felt like her whole body got hit by a truck, it subsided later on when she went to bed. Stated it felt like she was getting the flu. Clarifies that it did not last long and she recovered in the afternoon. Consumer stated that that she called her family doctor and they said that those are the common side effects and consumer felt like no one was going to help her anyway and she still feels like it was in the chest and she doesn't like this feeling. She has asthma and does not want this to go any longer. She wants to know if this is normal or if she should go get it checked out. Advised caller to contact HCP. Consumer indicates she also has an Asthma Doctor. Treatment: Ibuprofen First Pfizer Covid Vaccine was on 9FEB2021; EL9265 Injection to Right Arm. Consumer states she felt fine after first shot. Investigation assessment; no. No any AE(s) required a visit to Emergency Room or Physician Office. The outcome of event chills, hot flush, pyrexia, pain, arthralgia was recovered on 01Mar2021, dyspnoea, burning sensation and chest discomfort was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: DUPIXENT

Current Illness: Asthma (Verbatim: Asthma)

ID: 1712488
Sex: F
Age:
State: IL

Vax Date: 02/19/2021
Onset Date: 02/22/2021
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: 20210222; Test Name: laboratory test; Result Unstructured Data: Test Result:Unknown result

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Blisters cluster around nose, mouth and underneath on one side of my face; Puffiness; Feel like bump underneath my nose and eyes; Feel like bump underneath my nose and eyes; Soreness in mouth; Cold sores; stomach ache; headache; sore arms; This is a spontaneous report from a contactable consumer (patient, self-reported) via Pfizer-sponsored program COVAX Support. A 62-year-old female reported received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL3249 and expiry date was not reported), via an unspecified route of administration, on 19Feb2021 (age at the vaccination 62-year-old) as DOSE 1, SINGLE for COVID-19 immunization. The patient medical history included cancer. Concomitant medications included Ativan (Lorazepam), levothyroxine sodium (SYNTHROID), paracetamol (Tylenol) and ascorbic acid, ergocalciferol, nicotinamide, retinol, riboflavin, thiamine hydrochloride (VITAMINS). Patient gotten her first shot on a week ago today and on Monday patient had experienced blisters that started around my nose and around by my mouth, a cluster of them, some are away from each other but others they are in a cluster and a little bit of underneath on one side of my face, little bit of puffiness and patient feel like there is a bump underneath kind of by her nose by her eyes. There was a lot of "around in" (not clarified) soreness in her mouth on 22Feb2021. The patient stated that, well right now she was taking the Sab a little Sab for cold sores on 22Feb2021. She stated that, she was generally immune compromised because I have had cancer in the past but other than that no. The patient stated, she only took things for her stomach like she did not know. Basically, she took Tylenol as she needed, she took Vitamins things like that. She also took smallest the dose that is 0.5 of Ativan half (not clarified) of that, before she goes to bed. She also takes Synthroid for her thyroid and also patient experienced blisters, headache, stomach-ache and sore arms after the 1st dose on an unspecified date in 2021. consumer stated, she just did her lab test Monday (not clarified): Unknown result on 22Feb2021. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: ATIVAN; SYNTHROID; TYLENOL; VITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;NICOTINAMIDE;RETINOL;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]

Current Illness:

ID: 1712489
Sex: M
Age:
State: IN

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

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain; Redness; Swelling; Itching; Rash; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 41-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: EL9262 and expiration date was not reported), via an unspecified route of administration, administered in Left Arm on 27Jan2021 (Age at vaccination was 41 years) as dose 1, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date in 2021, the patient developed redness, swelling, patient was not able to work the next day due to the pain. Pain at the injection site on the left arm. The pain was unreal. Pain probably lasted for two days. Redness and rash developed later on, probably five to six days after the injection. Patient was not in contact with anything. The rash has gone away, but he still has crazy itching. The outcome of events pain, redness, swelling was unknown and not recovered for itching. Patient was recovered from rash on unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712490
Sex: F
Age:
State: WV

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: Chills/hard time sleeping due to the chills; tired/sleepy; achy all over; joints hurt; muscles ached; fever; slight headache; I felt like I was getting the flu; wobbly on feet after getting up from trying to sleep; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6198), via an unspecified route of administration, administered in Right arm on 26Feb2021 09:30 (at age of 74 year old) as dose 2, single for COVID-19 immunisation. The patient medical history was reported as none. Concomitant medications included lansoprazole (PREVACID); levocetirizine dihydrochloride (XYZAL); paracetamol, phenyltoloxamine citrate (TENSION HEADACHE RELIEVERS) and daily vitamins, all taken for an unspecified indication. Patient has known allergies to Darvon/Darvocet. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN9810), via an unspecified route of administration, in right arm, on 05Feb2021 09:45, as single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Prior vaccination, patient was not diagnosed with COVID-19 and did not receive other vaccines in four weeks. On 26Feb2021 16:30, patient experienced chills, was tired/sleepy, but she had hard time sleeping due to the chills, was wobbly on feet after getting up from trying to sleep, also reported, achy all over, along with joints hurt, muscles ached, fever and slight headache. She felt like as she was getting the flu. Since vaccination, patient had not been tested for COVID-19. No treatment was given in response to the events. The outcome of the events was recovered with lasting effects. No follow-up attempts are possible. No further information is expected.

Other Meds: PREVACID; XYZAL; TENSION HEADACHE RELIEVERS

Current Illness:

ID: 1712491
Sex: F
Age:
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 202102; Test Name: labs work; Result Unstructured Data: Test Result:Unknown Results; Test Name: weight; Result Unstructured Data: Test Result:She is 148lbs sometimes it fluctuates to 150lbs lbs

Allergies:

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

Symptoms: rash was on her back; had pain in her arm; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL1284 and expiry date was not reported), via an unspecified route of administration, on 16Jan2021 (age at vaccination: 70 years), as a single dose for COVID-19 immunization. The patient's medical history included eats eggs like maybe for a couple days she will have a rash on the back. Concomitant medications were not reported. The re-porter said she had the vaccination COVID 19 vaccine on the 16Jan2021 and did nothing and then the next day on 17Jan2021, she had pain in her arm for like 5 minutes and that was it, the second one was a different story. That day she had a rash on her back and she forgot to tell the person she had rash on her back and she took the thing and she went about her day. No further information provided. The next day her arm hurt a little and it hurt on the other arm, in the same place. She did not know if it was sympathetic pain or what but both arms hurt in the muscle towards the back. The rash was on her back rash before the second dose, sometimes when she eats eggs like maybe for a couple days she will have a rash on the back and she had that but it was drying out, she meant to tell the guy and she didn't ask about it, she was rushed it was a rainy day, she had to drive the interstate which was busy and they had to stand under an awning to keep from getting wet, she thought she lost some of her senses and forgot to tell him. She thought the little rash got dark red after the vaccine and she has never had that happen it is usually a little pink thing she does not know if it would be called hives but after the vaccine she got she thinks it was the day after or 2 days after, she didn't recall but the rash intensified it was a dark red color but it was an individual thing there was like 2 that were bigger and very dark red. The patient underwent lab test and procedure included labs work with unknown result on an unspecified date in Feb2021 and weight was 148lbs sometimes it fluctuates to 150lbs on an unspecified date. Outcome of the event had pain in her arm was recovered on 17Jan2021 and for another event, it was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712492
Sex: M
Age:
State: FL

Vax Date: 02/07/2021
Onset Date: 02/20/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Tremendous pain; agony; Severe pain in right shoulder, it went to left shoulder, then it went to my left wrist, then right wrist, then both hands and wrists and fingers, then knees, then both feet; Woke up with terrible shoulder pain, like arthritis in right shoulder and left shoulder and then left wrist and then right wrist; They run in both knees and feet and groin and hip; Sounds like Polyarthritis or Rheumatoid arthritis; Sounds like Polyarthritis or Rheumatoid arthritis; Sounds like Polyarthritis or Rheumatoid arthritis (disease recurrence); Severe pain in rt shoulder,went to lt shoulder,then went to my lt wrist, then rt wrist,then both hands wrists fingers,knees,both feet/Can't hold pencil/toothbrush and my fingers wrists are definitely; This is a spontaneous report from a contactable consumer (patient). A 68-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number was EL9269 and expiration date was unknown), via an unspecified route of administration on 07Feb2021 at dose 2, single for COVID-19 immunization. Medical history included polyarthritis or rheumatoid arthritis about 6 years ago (2015), stent placement. Patient previously used blood thinner. Concomitant medications included clopidogrel bisulfate (PLAVIX) which was a blood thinner; prednisone. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number was EL8982 and expiration date was not reported), via an unspecified route of administration on 17Jan2021 at dose 1, single for COVID-19 immunization. It was reported that in the first two weeks, patient had no symptoms, no side effects at all. And then exactly on the 3rd week, three weeks after the shot, on 20Feb2021 night, patient woke up with terrible shoulder pain, like arthritis in his right shoulder and the next day it was in the left shoulder and then in my left wrist and then in his right wrist and hands. Both hands, wrists and his fingers have been the worst of all. They also run in both of his knees, feet and his groin and hip. So, it sounded like Polyarthritis or Rheumatoid arthritis. Patient had an episode of something like that about 6 years ago. It was reported that patient woke up with terrible shoulder pain, like arthritis in right shoulder and left shoulder and then left wrist and then right wrist on 20Feb2021. And now at the time of report he had tremendous pain and it has been more than a week then. Right then, he couldn't hold a pencil or toothbrush and his fingers and wrists were definitely the worst of everything. Patient was also on Plavix because had stents put in his heart on New Year's Day. Patient was on Plavix which was a blood thinner and was afraid to take some pain medications. The last time, patient took prednisone to make it better, which was a steroid but when he googled Prednisone, it said that it might decrease the efficacy of the vaccine. Patient further stated, he was totally isolated. He and his wife hadn't been out of the house except to get the vaccine. So, they were not near to anybody and don't need to go near to anybody. Patient wanted to know if he takes the prednisone would that going to effect the vaccine. He was just going to have to the painkillers instead if vaccine was getting effected because of prednisone. It was reported that holding onto the telephone was intrusively painful. Patient was in agony and was hurting. He could not hold the phone and he was on speaker. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: PLAVIX; PREDNISONE

Current Illness:

ID: 1712493
Sex: F
Age:
State: PA

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

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

Lab Data: Test Date: 20210303; Test Name: Body temperature; Result Unstructured Data: Test Result:99.2 Fahrenheit

Allergies:

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

Symptoms: Chills; Fever; Dry heaving; slept from 3pm yesterday until 5am this morning; Body aches; Nausea; This is a spontaneous report from a contactable consumer (patient) received from a Pfizer sponsored program COVAX Support via medical information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 01Mar2021 as dose 1, single for COVID-19 immunization. Medical history included COVID-19 in May2020 and laid on bed for 3 weeks. Patient was sick and had no appetite, so she knows she had a mini care of the coronavirus. She also had gastro-intestinal (GI) issues with the virus in May2020. The patient's concomitant medications were not reported. The patient experienced chills, fever, dry heaving and sleep from 15:00 on 02Mar2021 until 05:00 on 03Mar2021 (the next morning). She had a temperature of 99.2 F on 03Mar2021 (reporting day) other than that she feels better. The patient also had body aches and nausea in Mar2021 and people told her that the second vaccine was worse than the first vaccine. The patient wanted to know whether to receive the second dose of vaccination. The outcome of the events chills, fever, dry heaving and sleepiness was recovered on 03Sep2021 at 05:00 while the outcome of body aches and nausea was unknown at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712494
Sex: F
Age:
State: VA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Left eye drooping; Rash and swollen of upper cheek bone; Rash and swollen of upper cheek bones; This is a spontaneous report from a contactable nurse (patient) via other health care professional. A 82-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number was not reported), via an unspecified route of administration, administered in left arm in Feb2021 at 13:15 as dose 1, single for COVID-19 immunization. Medical history included heart surgery and allergy to statin and antidepressants. Concomitant medications included apixaban (ELIQUIS); acetylsalicylic acid (ASPIRIN 81) and multivitamins. The patient was not pregnant. The patient was not tested for COVID post vaccination and did not have COVID prior vaccination. In Feb021 at 14:15, the patient experienced rash and swollen of upper cheek bones, left eye drooping. No corrective treatment was received by the patient. The outcome was not recovered for the reported events. No follow-up attempts are possible. Information on lot/batch number cannot be obtained. No further information is expected.

Other Meds: ELIQUIS; ASPIRIN 81

Current Illness:

ID: 1712495
Sex: M
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: difficulty breathing; Body aches; Dizziness; Cough; Tight chest; Thirsty; Loss of appetite; This is a spontaneous report from a contactable consumer (patient). A 53-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE ; Lot Number: EN6198 and expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 27Feb2021 11:00 (at the age of 53-years-old) at dose 2, single for COVID-19 immunization. Medical history included kidney disease, diabetes, hypertension, CVA(cerebrovascular accident ), GERD (gastrooesophageal reflux disease), IBS (irritable bowel syndrome), bipolar disorder and others, known allergies to Penicillin. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and received other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination has not been tested for COVID-19. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE ; Lot Number: EL8982 and expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 05Feb2021 13:45 (at the age of 53-years-old) at dose 1, single for COVID-19 immunization. The most recent covid-19 vaccine was administered at Doctor's office/urgent care. The patient experienced body aches, dizziness, cough, tight chest, difficulty breathing, some congestion, thirsty and loss of appetite on 27Feb2021 17:00. No treatment was given for the events. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712496
Sex: F
Age:
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Shortness of breath; fever; nausea; body aches; chills; headache; tired; This is a spontaneous report from a non-contactable consumer (patient). A 37-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration in the left arm on 02Ma2021 at 08:00 (at the age of 37-year-old), dose 2, single for COVID-19 immunisation. Medical history included blood clotting disorder. Concomitant medications included apixaban (ELIQUIS) and vitamin B complex (VITAMIN B). The patient previously took cefalexin monohydrate (KEFLEX), levofloxacin (LEVAQUIN), azithromycin and had allergy to these medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported) administered via an unspecified route of administration on an unspecified date, dose 1, single for COVID-19 immunisation. Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive other vaccines four weeks prior. The patient was not pregnant at the time of vaccination. On 02Mar2021 at 23:00, the patient experienced shortness of breath, fever, nausea, body aches, chills, headache, and was tired. No treatment was received for the events. The patient had not been tested for COVID-19 since vaccination. The outcome of the events was not recovered. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds: ELIQUIS; VITAMIN B

Current Illness:

ID: 1712497
Sex: F
Age:
State: DE

Vax Date: 02/27/2021
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: LA

Lab Data: Test Date: 20210228; Test Name: heart rate; Result Unstructured Data: Test Result:90-150

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Extreme chest pain; stomach pain; I have a heart condition; possible problem with my mesentery; I also have had a heart rate of between 90-150; This is a spontaneous report from a contactable consumer (patient). A 23-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on 27Feb2021 13:15 (Lot number was not reported) (at the age of 23-years-old) as dose 1, single for covid-19 immunisation. Medical history included tachycardia, asthma. The patient received concomitant medications within two weeks of vaccination. The patient did not receive any other vaccine in four weeks of vaccination. The patient previously took penicillin and experienced allergy. The patient did not have covid-19 prior to vaccination and was not tested for covid-19 post vaccination. On 28Feb2021 at 16:00, the patient experienced extreme chest pain and stomach pain. She had a heart condition and possible problem with her mesentery. Hence it felt like the vaccine was attacking my weak points. She also had a heart rate of between 90-150. The patient did not receive any treatment for adverse events. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712498
Sex: F
Age:
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: PCR; Test Result: Negative ; Test Name: rapid test; Test Result: Negative

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: cold toes changing color from blue to red in her both feet/blue and cold toes in both feet; cold toes changing color from blue to red in her both feet/Blue and cold toes in both feet; Also her toes are red; This is a spontaneous report from a contactable physician. A 35-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 11Feb2021 as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced cold toes changing color from blue to red in her both feet/blue and cold toes in both feet and also her toes are red on 14Feb2021. The patient underwent lab tests and procedures which included PCR and rapid test on an unspecified date and results were negative. Outcome of events was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712499
Sex: F
Age:
State: TX

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: Test Name: Covid 19; Test Result: Negative ; Comments: Exposure to covid postive but tested negative.

Allergies:

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

Symptoms: headache; cough; sinus drainage; This is a spontaneous report from a contactable other Health care professional via Pfizer sponsored program, reporting herself. A female patient of unknown age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch no/Lot number: unknown, Expiry date: unknown) via an unspecified route of administration on an unknown date as dose 1, single for COVID-19 immunization. Medical history included exposure to covid positive (with Negative results). Concomitant medications were not reported. It was reported that she exposed to covid positive but not tested positive however on an unknown date patient was experienced with headache, cough, and sinus drainage and asked if it was ok to get the second dose of the vaccine on the 03Mar2021. On an unknown date, the patient underwent lab tests and procedures which included covid-19 results negative. The outcome the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712500
Sex: F
Age:
State: FL

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

Lab Data: Test Date: 20200606; Test Name: Covid Test; Test Result:

Allergies:

Symptom List: Nausea

Symptoms: Allergic reaction to serum; Swelling; redness; warmth; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in right arm on 28Feb2021 10:30 (at the age of 70-years-old) as dose 1, single for covid-19 immunization. Medical history included Breast cancer remission. Patient previously took Penicillin and experienced allergy. The patient's concomitant medications were not reported. Prior to vaccination, the patient was not pregnant, not diagnosed with COVID-19, did not receive any other vaccines within 4 weeks and no other medications within 2 weeks. The patient experienced allergic reaction to serum, swelling, redness and warmth on 01Mar2021 11:00. The patient underwent lab tests and procedures which included sars-cov-2 antibody test: negative on 06Jun2020. The events were treated with doxycycline antibiotic. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1712501
Sex: M
Age:
State:

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

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

Lab Data: Test Name: Lab tests; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptom List: Injection site pain

Symptoms: dick and balls were shrinking, and it's just skin now; dick and balls were shrinking, and it's just skin now; wasn't feeling good right away; he has lost his mojo; This is a spontaneous report from a contactable consumer. This Consumer reported for a 21-year-old male patient who received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on an unknown date as dose number unknown, single for COVID-19 immunization. The patient's and medical history, concomitant medications and investigation assessment were unknown. On an unknown date it was reported that the patient got the Pfizer Covid vaccine and when he got it he wasn't feeling good right away and his penis and scrotum were shrinking and it was just skin now. Caller stated that he does not have any information to provide, just that he was really healthy. Caller states the patient received the vaccine about 3 days ago and he was in the hospital. States his friend just told him this. Caller does not know when he was hospitalized and they were running tests. He said that the patient was shrinking. No further information was provided. He said that the patient was hurting bad right now. Caller states the patient got the Covid vaccine and has no idea which one and states he has no further information to provide, does not know NDC, lot, or exp. States when he met the patient, he was a healthy happy guy and now he has lost his mojo per his friend. The event outcome was unknown. PSCC Communication: When verifying information provided with agent caller states it was his friends brother and he lost his penis and it's gone. Caller states can't have this product. He said that it was dangerous No follow-up attempts were possible; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1712502
Sex: F
Age:
State: PA

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash on my lower back and it got so bad with the itching; Rash on lower back extending down to buttocks within 72 hours of getting the vaccine/Some spots have come up on the trunk on my front; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: LN6202), via an unspecified route of administration, administered in Arm Left on 26Feb2021 12:00 as dose 1, single for covid-19 immunisation. Medical history included bronchiectasis from an unknown date and unknown if ongoing. Concomitant medication included azythromycin and doxyclene taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with covid prior to vaccination and patient was not tested for COVID-19 post vaccination. On 01Mar2021 19:00, patient experienced rash on lower back extending down to buttocks within 72 hours of getting the vaccine. The rash on her lower back, also some spots have come up on the trunk on my front and it got so bad with the itching on 02Mar2021. The patient went to see a dermatologist and he has prescribed a corticosteroid topical ointment (treatment) for it. The patient wanted to know if she should get the second dose, which is in 3 weeks, and if you are on steroids, should she think about getting the second dose. The outcome of the event was not recovered No follow-up attempts are possible. No further information is expected.

Other Meds: AZITHROMYCIN; DOXYCYCLINE

Current Illness:

ID: 1712503
Sex: M
Age:
State: NY

Vax Date: 02/23/2021
Onset Date: 02/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 202102; Test Name: temperature; Result Unstructured Data: Test Result:changes in his temperature

Allergies:

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

Symptoms: if the changes in his temperature are normal or not.; This is a spontaneous report from a contactable consumer (patient, self-reporting). A male patient of an unspecified age received first dose of bnt162b2 (COMIRNATY, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 23Feb2021 as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient stated that he got the first dose yesterday, and he was asking if the changes in his temperature are normal or not. The patient underwent lab tests and procedures which included body temperature: changes in his temperature on Feb2021. Outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712504
Sex: F
Age:
State: NY

Vax Date: 03/01/2021
Onset Date: 03/02/2021
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: Tremor

Symptoms: muscle pain; bone pain; tiredness; chills; joint pain; injection site pain; This is a spontaneous report from a contactable consumer (patient). A 47-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EN6201 and expiry date not reported), via an unspecified route of administration, administered in Arm Right, on 01Mar2021 16:00 (at the age of 47-year-old), as dose 1, single, for COVID-19 immunisation. Patient was not pregnant at the time of vaccination. The patient had no medical history, no known allergies, and no concomitant medications. Patient did not receive any other vaccine in four weeks. Patient was not diagnosed with COVID prior vaccination. Patient was not tested for COVID post vaccination. The patient experienced muscle pain, bone pain, tiredness, chills, joint pain, and injection site pain on 02Mar2021 11:00. Patient received no treatment for the events. The outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712505
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: bad itching, lot of bumps, redness on the arm she received her shot on/ injection site itchy with little red bumps; bad itching, lot of bumps, redness on the arm she received her shot on/ injection site itchy with little red bumps; Swelling/ arm swelling where she got the needle; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm on an unspecified date (Lot number and expiration date was not reported) as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient reported that her arm was and it was a little swollen but that went down and it was still itchy with like little red bumps in the area where she got the needle. The patient did not know what to do for it, and did not know what to put on it, she applied cortisone on it and it seemed to irritate it and itch more. The patient also applied cool compression on it and stated she was warm and irritated. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712506
Sex: F
Age:
State:

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Adds that his wife is wanting to hold back on taking the second dose until the side effects; pain at injection site on the day of injection; joint pain; muscle pain; inflammation; swelling in hands and wrist; pain; This is a spontaneous report from a contactable consumer. A 67-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), dose 1 via an unspecified route of administration on an unspecified (age at vaccination 67 years) date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced adds that his wife is wanting to hold back on taking the second dose until the side effects, on the day of injection pain at injection site on the day of injection, On the second day after the vaccine joint pain, muscle pain, inflammation, swelling in hands and wrist, pain. Reporter stated, her wife had pain seems to subside during day but comes back at night. Also reports that the pain seems to travel throughout her body from one shoulder to the next shoulder. She has consulted her hcp. Patient received treatment of prescribed anti inflammatory which helps the pain. The outcome of event joint pain, muscle pain, inflammation was not recovered, and rest of all outcome was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712507
Sex: M
Age:
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: 12-24 hours of severe chills.; This is a spontaneous report from a non-contactable consumer. This male consumer reported for himself. A male patient with unspecified age received a dose of BNT162B2 (BNT162B2, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered on Feb2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On Feb2021, after the vaccination, the patient experienced 12-24 hours of severe chills. The outcome of the events was recovered on Feb2021. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1712508
Sex: F
Age:
State: CT

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: chills; Soreness at the injection site; This is a spontaneous report from a contactable consumer (patient) or other non-health care professional received from Pfizer-sponsored program. A female 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 19Feb2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization. On 19Feb2021 the patient experienced soreness at the injection site and on 20Feb2021, the patient has chills. Patient wanted to know how long after the second dose she could still experienced reactions. Outcome of the events were unknown. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1712509
Sex: F
Age:
State: NC

Vax Date: 02/24/2021
Onset Date: 02/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer from medical information team. A 72-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date not reported) via intramuscular route, in right arm, on 24Feb2021 12:15 (at the age of 72-years-old) at dose 1, 0.3ml single for covid-19 immunization. Medical history included heart (as reported); close to 20 years. The patient had a flu shot on Jan2021 and had no problems with that. There were no concomitant medications. Prior to vaccination the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the covid-19 vaccine. The patient was not administered with any other vaccine on the same date of vaccination. The patient experienced severe/bad muscle spasms, left back pain, pain down her leg into her knee/left knee pain, left hip pain on 25Feb2021. It was also reported that the conditions were progressively getting worse and she can't put weight on that side or walk/move without excruciating pain on Feb2021. The patient had no relevant test results. Therapeutic measures were taken included Ibuprofen. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712510
Sex: F
Age:
State: IN

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

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

Lab Data:

Allergies:

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

Symptoms: headaches; runny nose; back of the throat/sore throat; swollen lymph nodes/Lymph nodes started swelling in the throat and then lymph node under the arm; she washes it hurts and she noticed a lump in the arm pit; noticed a lump in the arm pit; elbow pain and she thought she broke her elbow; bad rash; itching and scratching/It starts on the back of her neck and is by the arm pit in the back/The same thing on the leg; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date in 2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in 2021, within 4 hours after vaccination, patient had a little headache, but not bad. Then she got runny nose, but it did not come out of the front. It went back of the throat. Within 3 or 4 days she got a sore throat. Her lymph nodes in the throat and under the arm were started swelling. When she washes, it hurts, and noticed a lump in the arm pit. It was okay if she leaves it alone and doesn't bother it. Also reported, she had elbow pain and she thought, she might break her elbow. She had no fever and can get out of the bed. At the time of report, patient had no headache. Then she got a bad rash. She had been itching and scratching. It was reported that she looked like a mangy dog, where rash started on the back of her neck and by the arm pit in the back, also in the trunk where the arm connects to the trunk of the body and found on the leg, below the buttock, where the limbs connect to the body. Patient wanted to know whether she can use cortisone cream that has been prescribed for her and also could receive 2nd dose in next 2 week. The outcome of the event rash was not recovered, and of headache and swollen lymph nodes was recovered and of all other 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: 1712511
Sex: M
Age:
State: CA

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: flu like symptoms; tiredness; achiness/he just had body aches; swelling; bruising at the injection site; bruising at the injection site /still tender if touched hard and there is still some bruising left; bruising at the injection site /still tender if touched hard and there is still some bruising left; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 66-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6201, Expiration Date: 30Jun2021), via an unspecified route of administration in left arm, on 24Feb2021 at 10:45 (at the age of 66-years-old) as dose 1, single for COVID-19 immunization in facility reported as covid relief set up clinic in a community college but not in a military facility. No patient's medical history/other history/family history was reported. There were no concomitant medications/other products reported. The patient had no history of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). The patient had no prior vaccinations within 4 weeks of COVID vaccine. The patient felt okay for a couple of days after the vaccination. The patient received the vaccine a week ago and in the last couple of days, the patient noticed of getting flu-like-symptoms on 01Mar2021. The patient didn't had fever or chills, but had achiness and tiredness on 01Mar2021. The patient had pain, swelling, and bruising at the injection site in 2021 that went away after 2-3 days. The patient reported it was still tender if touched hard and there is still some bruising left in 2021. It was reported there was no emergency room (ER) or physician's office visit. The patient wanted to know whether these events were side effects and how long these symptoms are supposed to last. The outcome of pain and swelling was recovered in 2021 while the events flu-like-symptoms and tenderness was not recovered; tiredness and paresthesia was unknown and the event bruising at injection site was recovering at the time of report. It was reported that there was no investigation assessment. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712512
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: injection site pain; muscle pain; chills; fever; This is a spontaneous report from a contactable consumer (patient's husband). A 57-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient experienced injection site pain, muscle pain, chills and fever. The outcome was unknown for the reported events. The reporter also asked whether the patient could use the antipyretic. No follow-up attempts are possible. Information on lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712513
Sex: M
Age:
State: TN

Vax Date: 01/23/2021
Onset Date: 01/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:120/80; Comments: his high blood pressure was down around normal: 120/80

Allergies:

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

Symptoms: high blood pressure was down; This is a spontaneous report from a contactable other health care professional via Medical information team. A 59-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 23Jan2021 at dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. 3 to 4 days after the 1st dose in Jan2021, patient noticed his high blood pressure was down around normal: 120/80. Everything was back to normal. He visited the cardiologist who has no other patient who have taken the vaccine with reports similar to his but advised him to call Pfizer. Caller has also reported to VAERS. He logs his blood pressure daily for his doctor. He was a former surgical technologist and nursing assistant. Currently retired. The outcome of the event was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712514
Sex: F
Age:
State: MI

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

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

Lab Data:

Allergies:

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

Symptoms: patient has a giant bruise on her upper arm and shoulder, and this bruise appeared after her second vaccine dose. The bruise is getting bigger/spreading.; This is a spontaneous report from a contactable consumer. An elderly non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on an unspecified date (Lot number was not reported) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not known. It was unknown if the patient had allergies to medications, food, or other products. It was unknown if the patient was diagnosed with COVID-19 prior to vaccination and if the patient has been tested for COVID-19 since the vaccination. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) on an unspecified date (Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient had a giant bruise on her upper arm and shoulder, and this bruise appeared after her second vaccine dose. The bruise was getting bigger/spreading. It was unknown if the patient received treatment for the events. The outcome of the event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712515
Sex: F
Age:
State:

Vax Date: 02/08/2021
Onset Date: 02/25/2021
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: Yesterday her doctor, she was getting some joint pain/having joint pain; This is a spontaneous report from a Regulatory Authority via a contactable consumer reported for a patient (reporter's mother). A 91-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 08Feb2021 (age at vaccination was unknown) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received 1st dose of COVID vaccine 08Feb2021. After 1st dose, on 25Feb2021, she was getting some joint pain and went to HCP and the doctor told her to hold of getting cortisone shot and the nurse gave cortisone shot to her. When probed for indication of cortisone, reporter stated that she guessed she got confused. The doctor said to hold off after the second shot but they were busy and the nurse came in and gave it to her. The reporter stated that her mother was scheduled to get her second Pfizer vaccine this Tuesday the 2nd. The reporter now wondered if her mom should get 2nd dose this coming Tuesday.She wanted to find out what was their recommendation as far as her getting her the vaccine 6 days after getting the cortisone shot. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712516
Sex: F
Age:
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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; rash; flushing; inflamed throat; decreased respiration; This is a spontaneous report from a contactable other healthcare professional (patient). A 42-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6202), via an unspecified route of administration in left arm on 03Mar2021 10:45 (at the age of 42-years-old) as dose 1, single for COVID-19 immunization. Medical history included Hashimotos thyroiditis and anxiety. Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive any vaccines within four weeks and was not having any known allergies. Concomitant medication included prescription medications. The patient was not pregnant. The patient experienced itching, rash, flushing, inflamed throat, and decreased respiration on 03Mar2021 11:15. Patient received treatment with Benadryl. No treatment was received for the event. Outcome of event was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712517
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: Flushed face; painful salivary glands + unusual mouth waterig; painful salivary glands + unusual mouth watering; headache; sore throat; GI distress; This is a spontaneous report from a contactable health care professional. A 30-year-old female other HCP reported for herself that she received bnt162b2 (BNT162B2, Lot Number: EN6203), via an unspecified route of administration, administered in left arm on 02Mar2021 13:00 (at the age of 30-years-old) as dose 1, single for covid-19 immunization. Medical history included polycystic ovaries. Patient previously took sulfonamides and had allergy. Concomitant medications included vitex agnus-castus (VITEX [VITEX AGNUS-CASTUS]) and cetirizine hydrochloride (ZYRTEK). Prior to vaccination, the patient was not pregnant, not diagnosed with COVID-19, did not receive any other vaccines within 4 weeks. Since the vaccination, has the patient has not been tested for COVID-19. Patient experienced flushed face, painful salivary glands unusual mouthwatering, headache, sore throat and GI distress on 02Mar2021 13:30 PM. No treatment was taken for the events. The outcome of all the events was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: VITEX [VITEX AGNUS-CASTUS]; ZYRTEK

Current Illness:

ID: 1712518
Sex: F
Age:
State: NC

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: skin was inflamed; facial swelling; kind of rashy area; face got red and swelled; a bit more blotchy than the other side; face felt funny, felt super tight; This is a spontaneous report from a contactable consumer (patient). A 43-year-old female patient received bnt162b2 ((PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6203), dose 1 via an unspecified route of administration, administered in Arm Left on 02Mar2021 13:00 at the age of 43-year-old as dose 1, single for covid-19 immunisation from defense medical center. Medical history included ongoing asthma on inhaler , hypothyroidism (taken synthroid for many years) and seasonal allergy, Strange reactions to foods that does not follow a pattern; she is known to have the odd hive outbreak occasionally over the years. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and not administered additional vaccines on same date of the bnt162b2. Concomitant medication included levothyroxine sodium (SYNTHROID) taken 50mg taken once daily for hypothyroidism, start and stop date were not reported. Patient family Medical History include autoimmune diseases, psoriatic arthritis and crohn's disease. On 02Mar2021 13:20. (about 20 minutes after she got the vaccine) Patient face got red and swelled, skin was inflamed. It was reported as facial swelling and like a raised up red, kind of rashy area. She had just left the vaccine site and was driving when adverse reaction started. Her face felt funny, felt super tight. She looked in the mirror and her face was all raised up and had bright red skin raised up a bit on one side, that side was a bit more blotchy than the other side. The adverse reaction lasted several hours with bright redness that gradually started to fade but the swelling overall stayed until 03Mar2021 morning when she woke up it was gone. In morning patient noticed her face was till blotchy on one side but is getting better on its own. Patient has not seen the doctor or visit emergency room about this events an. Patients second dose is scheduled for 23Mar2021 and she wanted to know if she could still get the second dose of the vaccine. The outcome of event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: SYNTHROID

Current Illness: Asthma (on inhaler)

ID: 1712519
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: lupus, and has broken out since the second dose; lupus, and has broken out since the second dose; rash; This is a spontaneous report from a contactable consumer. An 81-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on 27Feb2021, as dose 2, single, for COVID-19 immunisation. Medical history included ongoing lupus. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on an unspecified date, as dose 1, single, for COVID-19 immunisation. It was reported that, patient had lupus, and has broken out since the second dose and noticed a little bit of rash in her arm (Clarified that this was not vaccine related). She was prescribed with some steroids. The reporter asked if this would have any effectiveness on the second dose. The outcome for the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Based on the description given in the narrative, there is reasonable possibility of causal association between the event Rash and the suspect BNT162B2 can be excluded. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness: Lupus erythematosus

ID: 1712520
Sex: M
Age:
State: WI

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result: normal range.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 60-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6206), via an unspecified route of administration in the upper left arm on 26Feb2021 (at the age of 60-year-old), dose 1, single for COVID-19 immunisation. Medical history included HIV, asthma, colon inflammation, and allergies. The patient's concomitant medications included mesalamine and bictegravir sodium, emtricitabine, tenofovir alafenamide fumarate (BIKTARVY). The patient received unspecified for medication for colon inflammation which commonly called as yogurt (not specified). Historical vaccine included shingles vaccine, pneumocystis vaccine and had very bad reactions for like five days and the doctor gave him an antihistamine (treatment) for ten days and that squelched everything. The patient reported height as between 5 feet 11 inches and 6 feet and weight as like 250 (not specified). The patient stated that he decided between his doctor and pharmacist to take the COVID-19 vaccine and he received the vaccination on 26Feb2021. Probably, less than 24 hours, the patient started to get reactions, but it did not look like initially that it was probably a reaction to the vaccine. Part of his concern was of the fact that, he had bad reactions with both shingles vaccine (unspecified vaccine) and pneumocystis vaccine (unspecified vaccine) and he had it for like five days. The patient had reactions and the doctor would not do anything and when he went to the pharmacy, the doctor gave him an antihistamine (treatment) for ten days and that squelched everything and after both those incidents, the patient was advised do not take COVID-19 vaccine. The patient started experiencing reactions like after 12 to 15 hours like late Friday night. The patient further stated, he did not sleep very well from 26Feb2021 night to 27Feb2021 morning, he kept getting up and had trouble going back to sleep which was not normal for him. The patient was one of those people that could drink a strong cup of coffee and twenty minutes later lay down and go back to sleep. The first thing the patient have noticed was not being able to sleep because he had a pain shooting down his left arm and felt like somebody was trying to dislocate his index finger. Then later on, throughout the day, on 27Feb2021, he just kept experiencing fatigue. The patient was trying to do laundry, he live in an apartment and he was going down one floor to do laundry and it took him over eight hours to do his laundry and when he reach his house he would just fall asleep. The patient was all out from everything. The patient had headaches that was coming and going and at one point he felt like a hot flash. The patient took his temperature and the temperature was on the normal range and then all of a sudden, he started sweating and had a fever and pricking sensation kind of like small shivers and along with that he was having achy joints and achy muscles. The patient had basically, aches from his head till my toes, even my toes, it just hurt to move down. The patient further stated, the only thing from his experience from his 60 years of life, he could relate it to like he was stuck somewhere in between of feeling like he was getting in sick and getting over of getting sick. On top of that, he started that on 27Feb2021 night and 28Feb2021 morning he was experiencing dizziness, that was when he was getting up on his bed or out of the chair and he was still feeling weak like barely able to walk because he was walking through his building to get his laundry and there were two people who said he did not look good. The patient stated when he was walking around and doing laundry, he was experiencing shortness of breath. This was the most annoying, he had hasty symptoms, this morning, periods of runny nose and his nose got itchy and he started sneezing for some time and he become very congested and all of a sudden, it would just cleared up and be calm again. The patient also had had multiple trips to the bathroom, that was the most annoying because he would have a bowel movement and it would burn like he had a fire coming out of me. The patient was scheduled probably about a month to get blood work done as every six months he gets his blood work. The patient was taking antihistamine, Equate 25 mg for the events. The patient stated he was somewhat still experiencing events, but it was stopped kind of. The outcome of the events was recovering. No follow-up attempts are possible; No further information is expected.

Other Meds: MESALAMINE; BIKTARVY

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am