VAERS 2021 Database www.vaers.hhs.gov

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







Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1712571
Sex: F
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Full body rash; tightness in chest; sensation of skin swelling; neuropathic skin pain; This is a spontaneous report from a contactable consumer. An adult 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 an unspecified date in Feb2021, as dose 1, single, for COVID-19 immunisation. It was unknown if patient was pregnant at the time of vaccination. It was unknown if patient had any known allergies. The patient medical history and concomitant medications were not reported. It was unknown if patient received other vaccine in four weeks. It was unknown if patient experienced COVID prior vaccination. It was unknown if patient was tested for COVID post vaccination. It was reported that, 30 min after first dose she developed full body rash, tightness in chest, and a sensation of skin swelling/ neuropathic skin pain. Patient's husband was physician and recommended her to take levocetirizine. The patient visited doctor or other healthcare professional office/clinic visit due to the events. The patient was treated with diphenhydramine. The outcome for the events was resolved. The patient took second dose and experienced no discernable symptoms. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712572
Sex: M
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210303; Test Name: fever; Result Unstructured Data: Test Result:100 Fahrenheit; Test Name: pulse rate; Result Unstructured Data: Test Result:90-110; Comments: his normal 58; Test Name: pulse rate; Result Unstructured Data: Test Result:80-110; Comments: his normal 58; Test Name: body weight; Result Unstructured Data: Test Result:196lbs; Comments: before COVID; Test Name: body weight; Result Unstructured Data: Test Result:172lbs; Comments: after COVID; Test Name: body weight; Result Unstructured Data: Test Result:182lbs; Comments: at the time of report

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: mouth is very dry; headache; fever at 100F; Heart rate increased; aches all over; This is a spontaneous report from a contactable consumer (patient). A 78-year-old male patient received BNT162B2 (BNT162B2, Solution for injection; lot number ENG200 and expiry date not reported), via an unspecified route of administration, administered in Arm Right, on 03Mar2021 09:00 (at the age of 78-year-old), as dose 1, single, for covid-19 immunisation. Medical history included covid-19 from 01Nov2020 to an unknown date and blood pressure high which was diagnosed 10 years ago. It was reported that, he nearly died of COVID in November and took him until December and January to start feeling human. The patient went to emergency room twice, the second time was on 13Nov2020 with his wife, and she passed away in a few days. The patient was sent home, he was very sick, but they had no beds. From 13th - 23rd he lost about 24lbs, had tremendous sweating, high pulse, etc. The patient lost his weight from 196 to 172 pounds in 10 days during COVID and now he put on 10lbs and weighs 182lbs. Concomitant medication included tiotropium bromide (SPIRIVA RESPIMAT; lot number: 004796A and expiry date: July 2023, 2.5mg, take two puffs once a day) taken to improve lung ability from Jan2021 and unspecified blood pressure medication (5 mg) to lower his blood pressure. Patient did not take any other recent vaccinations, he had been using Spiriva inhaler that was prescribed to get his oxygen percentage up, it has been in the low 90s for a long time, it got up to 95, about where it was now, and the only real medication he was using was the inhaler that was prescribed for his wife. He used it and it gave him some relief, then his doctor prescribed it to him too, he was only on his second unit. It was supposed to improve the ability for his lungs to generate oxygen. He says that he first used that medication during the third week of January, it has 60 meters in doses, his COVID was not like others who got better in 2-3 weeks, it lasted right thru December, perhaps he was a long hauler, he still had symptoms in January that were not improving. On 03Mar2021, after vaccination, at night, the patient was not feeling well and experienced a fever at 100F, aching all over, headache, and a pulse rate of 90-110/ heart rate increased. The temperature began about 12 hours later after getting the shot at 09:00AM, about 6-8 hours he began to suffer, and it had got worse. It was reported that he was suffering, and he feels like when he had nearly died of COVID which was 6 weeks long and was feeling the same way. It was also reported that, his mouth was very dry. The patient wants to know if there was anything, he can take, to help this. No treatment done so far. It was reported that if this goes away in 24-36 hours it would be good. The patient was wondering if it was ok for people who had serious COVID to get the vaccine. The patient underwent lab tests and procedures which included body temperature: 100F on 03Mar2021; heart rate: 90-110 and 80-110 (his normal 58), weight: 196lbs (before COVID), weight: 172lbs (after COVID), weight: 182lbs (at the time of report). The outcome for the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: SPIRIVA RESPIMAT

Current Illness:

ID: 1712573
Sex: F
Age:
State: OH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: My tongue and face swelled up about 40 minutes after the injection.; My tongue and face swelled up about 40 minutes after the injection.; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 49 year old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 26Feb2021 (Batch/Lot Number: EN6202) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included hypersensitivity to liprinsol from an unknown date and unknown if ongoing , rubber sensitivity from an unknown date and unknown if ongoing. The patient experienced the tongue and face swelled up about 40 minutes after the injection leading to swollen tongue and face on 26Feb2021 11:00 with outcome of recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712574
Sex: F
Age:
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 4x4 inch knot on arm, blotchy redness and arm was firm; blotchy redness; arm was firm; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number: EN6198), via an unspecified route of administration, administered in left arm on 01Mar2021 (at the age of 64-years-old) as dose 2, single for covid-19 immunization. Medical history included allergies eggs and shellfish. The patient's concomitant medications were not reported. Patient historical vaccine includes BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number: EL8982), via an unspecified route of administration, administered in left arm on 08Feb2021 10:30 (at the age of 64-years-old) as dose 1, single for covid-19 immunization. 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. Since the vaccination, has the patient has not been tested for COVID-19. The patient had a reaction of 4x4 inch knot on arm, blotchy redness and arm was firm on 03Mar2021. No treatment was taken for the event. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712575
Sex: F
Age:
State: IN

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: LA

Lab Data:

Allergies:

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

Symptoms: left breast has deflated and is not same size; Huge swelling under arm; This is a spontaneous report from a contactable other healthcare professional (patient). A 59-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, in left arm, on 28Feb2021 13:30 (at the age of 59-years-old) at dose 2, single for covid-19 immunization. Medical history included osteo inflammation and Sjogren's. The patient had no known allergies. Concomitant medications included thyroid; losartan potassium (LOSARTIN); C Zinc D (as reported) elderberry (SAMBUCUS NIGRA); glutathione. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, in left arm, on 07Feb2021 12:30 (at the age of 59-years-old) at dose 1, single for covid-19 immunization. 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 has not been tested with covid-19 after the vaccination. On 01Mar2021 07:00, the patient experienced huge swelling under arm and 4 days out the left breast has deflated and is not same size. The events resulted in doctor or other healthcare professional office/clinic visit. No treatment was administered 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. No further information is expected.

Other Meds: THYROID; LOSARTIN; ELDERBERRY [SAMBUCUS NIGRA]; GLUTATHIONE

Current Illness:

ID: 1712576
Sex: F
Age:
State: GA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: sniffling; hoarse; tongue was swollen; This is a spontaneous report from a contactable Nurse (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 11Feb2021 (at the age of 68 years old) as dose 2, single for COVID-19 immunisation. Medical history included penicillin allergy, horrible rash, hospitalization, drug allergy (States 10-15 years ago she was in the hospital for a week after a drug reaction they believe). There were no concomitant medications. 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 20Jan2021 (at the age of 68 years old) as single for COVID-19 immunisation and experienced swollen eyes (after the first dose which she states might have been around 20Jan2021 she was fine other than swollen eyes that evening and the next day). The patient experienced sniffling, hoarse, tongue was swollen on 11Feb2021. Reported as, she received the second dose on 11Feb2021 and she was fine after the first 15 minutes when she we waited at the facility. she states then a little later she starting having some sniffling and then 30 minutes later she noticed she was hoarse. She got home about a hour later and her tongue was swollen but she had no problems breathing. two hours later the hoarseness went away. She does have allergies and has become hoarse a couple of other times, there are certain chemicals and things that can cause her to be hoarse. She did have a drug reaction to something a couple of years ago, states they think it was a delayed reaction to penicillin, just a horrible rash, no further information provided. Outcome of the event hoarse, tongue was swollen was recovered on 11Feb2021 and unknown for sniffling. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712577
Sex: F
Age:
State: PA

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I felt like I had the flu; My head was pounding; Neck hurt; Face and ears hurt; Face and ears hurt; Joints were terrible; Dizzy; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 02Mar2021 09:45 (at the age of 72-year-old) (Lot number and expiration date was not reported) as dose 1, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Medical history included diabetes. The patient had known allergies to penicillin, SUDAFED (pseudoephedrine hydrochloride), aspartame, caffeine, FLEXERIL (cyclobenzaprine hydrochloride), bentyl, morphine, minocin, diprivan, belladonna, coated paracetamol (TYLENOL), zantac, progesterone, apples, lactose intolerant, chocolate, mayonnaise, water. Concomitant medications included cetirizine hydrochloride (ZYRTEC); glimepiride; ergocalciferol (VIT D), all taken for an unspecified indication, start and stop dates were not reported. The patient did not receive any other vaccines within 4 weeks prior to COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. The patient felt like she had the flu, her head was pounding and had neck hurt, face and ears hurt, reported that joints were terrible, and was dizzy as soon as the burning needle went in and lasted for about 4 hours on 02Mar2021 09:45. The patient reported that the serum was in her arm and didn't move for a long time (as reported). The patient did not receive treatment for the events. The outcome of events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; GLIMEPIRIDE; VIT D

Current Illness:

ID: 1712578
Sex: F
Age:
State: TN

Vax Date: 02/12/2021
Onset Date: 02/23/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Mammogram; Result Unstructured Data: Test Result:showed nothing; Comments: that would have caused this.; Test Name: ultrasound; Result Unstructured Data: Test Result:showed nothing; Comments: that would have caused this.

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: severe pain in the left breast along with some redness and irritation; severe pain in the left breast along with some redness and irritation; severe pain in the left breast along with some redness and irritation; an abscess but did not feel any lumps; This is a spontaneous report from a contactable nurse (patient). A 49-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6201), via an unspecified route of administration, administered in Arm Left on 12Feb2021 at the age of 49-year-old as dose 1, single for covid-19 immunisation. Medical history included irritable bowel syndrome, seasonal allergies , allergies to sulfa drugs , patient have silicone breast implants. In the left breast I also have some silicone free floating due to a silicone implant rupture years ago and they could not remove it all. 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. Concomitant medications included claritin, famotidine taken for an unspecified indication, start and stop date were not reported. On 23Feb2021, patient woke up with severe pain in the left breast along with some redness and irritation, 11 days after the injection. Patient consult a doctor and they started on an antibiotics for an abscess but did not feel any lumps. Redness and pain improved greatly with antibiotics. Mammogram and ultrasound showed nothing that would have caused this. Patient 2nd dose schedule on 05Mar2021 will get in right arm. The outcome of the event was recovering. No follow-up attempts are possible. No further information is expected

Other Meds: CLARITINE; FAMOTIDINE

Current Illness:

ID: 1712579
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: it was given in a place where there was no muscle so it probably went subcutaneous; nausea; headache; allergic reaction; one large hive on the injection arm but not at the site it was beside it; it grew in size and was very itchy and painful; it grew in size and was very itchy and painful; redness in the area it was given; This is a spontaneous report from a contactable consumer (patient). A 52-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EN6205 and expiry date not reported), dose 1 via an unspecified route of administration on 01Mar2021 (at the age of 52-year-old), as dose 1, single, for COVID-19 immunisation. Medical history included asthma and several allergies to things she doesn't know of but has never had an anaphylactic reaction or used an epi pen for them. Her reactions have been hives and swelling in her mouth. There were no concomitant medications. The patient received the first dose of the Pfizer COVID vaccine on 01Mar2021 (reported as Monday). On the first day there was no issues. On 02Mar2021 (reported as Tuesday), the patient experienced an allergic reaction, one large hive on the injection arm but not at the site it was beside it and it grew in size and was very itchy and painful, she had terrible headache, nausea. The patient went to her primary doctor and they told her they didn't feel as though she had a severe reaction and she should be okay to receive the second dose of the vaccine. The primary doctor told her to ask her allergist for their opinion regarding her receiving the second dose. The patient saw the nurse practitioner there and they thought her reaction was severe and that she should not receive the second dose and told her to call Pfizer to see recommendations. The patient took Zofran for her nausea and Tylenol every 6 hours for headache. Her hives never went all over her body they stayed on her upper arm near injection site. The patient got her first dose on 01Mar2021 and finished her second dose on 22Mar2021 (lot number: EN6205). Two days before her second dose a nurse and her physician told that her first dose of vaccine was given improperly, administered subcutaneously and should have been intramuscularly and that was against protocol. They do not know if she would get the full protection, instead of being like 90 something percent covered she was really going to be like 50-55% covered with one dose, the second dose so she wants to find out if that was true. She also added that her second dose was given correctly. The patient asked if there was a way if she can know if she was protected and if Pfizer can recommend an antibody test. The patient also asked if there were any other vaccines given subcutaneously. The outcome for the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712580
Sex: F
Age:
State: VA

Vax Date: 02/25/2021
Onset Date: 03/01/2021
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: top lip was swollen/within 2 hours,both upper and lower lips were swollen; numbness; Lips feel very dry; tingling sensation; This is a spontaneous report from a contactable consumer (patient). A 67-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6198), via an unspecified route of administration, administered in left arm on 25Feb2021 14:00 (at the age of 67 year old) as dose 2, single for COVID-19 immunisation. Medical history reported as none. Patient has known allergies to PCN. Concomitant medication included omeprazole taken for an unspecified indication. The patient was not pregnant at the time of vaccination. Prior vaccination, patient was not diagnosed with COVID and did not receive any other vaccines within 2 weeks. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9265), via an unspecified route of administration on 04Feb2021 14:00 (at the age of 67 year old), as single dose for COVID-19 immunization. On 01Mar2021, patient woke up at 05:00, feeling like her top lip was swollen, within 2 hours, both upper and lower lips were swollen, and then had moderate numbness. Lips felt very dry, swollen with moderate numbness and tingling sensation. Since vaccination patient had not tested for COVID. No treatment was received in response to the events. The outcome of the event was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: OMEPRAZOLE

Current Illness:

ID: 1712581
Sex: M
Age:
State: GA

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Test Name: investigation; Result Unstructured Data: Test Result:His follow up check ups have been fine

Allergies:

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

Symptoms: coughing up a lot mucus/ keeps coughing and coughing; spitting up a lot of mucus; This is a spontaneous report from a contactable consumer, caregiver of the patient. A 88-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: EN6200) via an unspecified route of administration, administered in left arm on 03Mar2021 at 12:35 as dose 2, single (age at the time of vaccination: 88 years) for covid-19 immunisation. The patient had stroke last Mar2020 and that 25% of his heart was working. The stroke was in the front lobe, it was small. Then 20-25% of his heart, he had a watchman, clarified, watchmen filters blood clots so they can get the patient off warfarin, the blood thinning medicine. The patient took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: EM9810) via an unspecified route of administration at dose 1, single. The patient previously received flu shot on an unspecified date and experienced sore arm. There were no concomitant medications. His follow up check ups have been fine. The patient was spitting up a lot of mucus/ spitting up all kinds of mucus in the trash can and was coughing and coughing on 03Mar2021 at 16:00. It was reported that the patient was still coughing even at 8:00 PM when the reporter's shift changed. The patient took Tylenol at 8 hour interval at a dose of 225 mg. No vaccines were administered on same date with the suspect product. The reporter was giving him 2 tablets by mouth and he was feeling better. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Left atrial appendage closure implant (he had a watchman, watchmen filters blood clots so they can get the patient off warfarin.)

ID: 1712582
Sex: F
Age:
State: NJ

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: This is a spontaneous report from a contactable consumer or other non hcp. A 41-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: not reported), dose 2 via an unspecified route of administration, administered in Arm Left on 24Feb2021 at 15:30 (at the age of 41-years-old) as dose 2, single for covid-19 immunisation. The patient medical history was not reported.Patient had no known allergies. The patient's concomitant medications were not reported. The patient received no other vaccine in four weeks and no other medications in two weeks. Historical vaccine included bnt162b2 via an unspecified route of administration, administered in Arm Left on 03Feb2021 at 14:15 (at the age of 41-years-old) as dose 1, single for covid-19 immunisation. On 25Feb2021 at 01:00, the patient experienced nausea, insomnia, loss of appetite, chills/shivering, low grade fever, dizzy, swollen lymph node near breast on side of shot and exhausted. No treatment was given for the events. Patient was not covid prior vaccination. Patient did not test for covid post vaccination. Outcome of the events were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712583
Sex: F
Age:
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
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: 20201201; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 20201223; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: sore arm (injection site pain); headache; low-grade fever; severe joint pain; This is a spontaneous report from a contactable other hcp. A 22-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EK5730, Expiration Date: not reported), via an unspecified route of administration in left arm on 09Jan2021 10:00 as dose 2, single for COVID-19 immunization (at the age of 22-year-old). Patient historical vaccine included dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EK9231, Expiration Date: not reported), via an unspecified route of administration in left arm on 19Dec2020 09:30 for COVID-19 immunization and experienced sore arm (injection site pain). Medical history included mild Hypothyroidism. Concomitant medication(s) (in two weeks) included ibuprofen (ADVIL [IBUPROFEN]) taken for an unspecified indication, start and stop date were not reported. Patient did not receive any other vaccine in four Patient had no known allergies. weeks. The patient experienced sore arm (injection site pain), headache, low-grade fever, severe joint pain on 10Jan2021. Patient had no covid prior vaccination and was covid tested post vaccination. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 01Dec2020 and 23Dec2020. Therapeutic measures were taken as a result of events with 1000 mg acetaminophen on 10Jan2021 at 6:00 AM. The severe joint pain was lasted 24 hours and recovered on 11Jan2021 and outcome of rest of the events was recovered on an unspecified date. No follow-up attempts are possible; No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021239769 same patient/drug, different dose/event

Other Meds: ADVIL [IBUPROFEN]

Current Illness:

ID: 1712584
Sex: M
Age:
State: VA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: hives; rash; skin irritation; redness; This is a spontaneous report from a contactable consumer (patient). A 25-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot Number: EN6203), via intramuscular route, administered in left arm on 26Feb2021 10:00 (at the age of 25-years-old) as dose 1, single for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient previously took amoxicillin and experienced allergy. About 48 hours after getting the vaccine patient had a reaction. He had skin irritation. It was not at the injection site, but mostly in the back of his neck and on his chest and back area. He had redness and hives. He went to see the dermatologist regarding this reaction. The events were treated with Benadryl one at night. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1712585
Sex: F
Age:
State: CA

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

Lab Data: Test Name: High cholesterol; Result Unstructured Data: Test Result: unknown results; Test Name: Not absorbing Vitamin D; Result Unstructured Data: Test Result: Unknown Result.

Allergies:

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

Symptoms: Fever; neck ache; diarrhea; Ache; Headache; she felt kind of sick and was up a lot of the night; nauseated/nausea; This is a spontaneous report from a contactable consumer (patient) from medical information team. A 66-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, in right arm, on 26Feb2021 08:30 at the age of 66-years-old at dose 2, single for covid-19 immunization. Medical history included bipolar disorder and high cholesterol. The patient had no family medical history. Concomitant medications included ongoing PROZAC, ongoing WELLBUTRIN taken for bipolar disorder, and CRESTOR for cholesterol. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, on 05Feb2021 at the age of 66-years-old at dose 1, single for covid-19 immunization. The patient also received a flu shot and PNEUMOCOCCAL VACCINE at the same time on an unspecified date and her arm felt like it was going to fall off and flu like symptoms. 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 has not been tested with covid-19 since the vaccination. The patient experienced nausea, ache, headache, and she felt kind of sick and was up a lot of the night (as reported) on 26Feb2021, diarrhea on 01Mar2021, fever, and neck ache on an unspecified date. The patient underwent lab tests and procedures which included high cholesterol, Vitamin D with unknown results on an unspecific date. Therapeutic measures were taken for headache included Tylenol and was not working. The outcome of the event ache and headache was recovering, nausea, and diarrhea was not recovered, outcome of 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: PROZAC; WELLBUTRIN; CRESTOR

Current Illness:

ID: 1712586
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: Still has a bruise on her right arm from the first injection, must have hit a vein, doesn't hurt; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 16Feb2021 (Lot number and expiration date was not reported) as dose 1, single for COVID-19 immunization; acetaminophen (ACETAMINOPHEN), route of administration, start and stop date, lot number and expiration date and dose were not reported for an unspecified indication; sulfamethoxazole, trimethoprim (MORTIN), via an unspecified route of administration from an unspecified date (Lot number and expiration date was not reported) to an unspecified date, at 1200 mg, 3x/day for an unspecified indication. Medical history included bilateral lymphedema, lymphadenopathy from an accident. Concomitant medications included fluconazole (DIFLUCAN); lidocaine (LIDOCAINE); cyanocobalamin (B-12), all taken for an unspecified indication, and inflammatory medication for bilateral lymphedema and lymphadenopathy; start and stop dates were not reported. The patient stated that she still had a bruise on her right arm from the first injection, must have hit a vein, did not hurt. The patient called her doctor because she have a scheduled procedure for a steroid injection. The doctors don't know because it may be lessen the value of the vaccine. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds: DIFLUCAN; LIDOCAINE; B-12

Current Illness:

ID: 1712587
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Sore arm around 6 hours post-shot; Fever; headache; body aches; fatigue; chills around 12 hours post-shot; This is a spontaneous report from a non-contactable consumer or other non hcp. A 23-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Batch/Lot Number: EL3247), via an unspecified route of administration, administered in Arm Left on 25Feb2021 at 14:30 (at the age of 23-years-old) as dose 2, single for covid-19 immunisation. Medical history included Shellfish (known allergies: Shellfish). The concomitant medications were not reported. The patient received first dose of bnt162b2 on 03Feb2021 at 09:30 AM (left arm, lot number: EL3247) for covid-19 immunisation. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On 25Feb2021 at 03:00 AM the patient experienced Sore arm around 6 hours post-shot, Fever, headache, body aches, fatigue and chills around 12 hours post-shot. Therapeutic measures were taken as a result of Sore arm around 6 hours post-shot, Fever, headache, body aches, fatigue and chills around 12 hours post-shot. The adverse event treatment included Tylenol. It was reported that the events Lasted 24 hours. The outcome of all events were resolved on 2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712588
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: arm was hurting/ Arm soreness; hives/ hives again and they are even worse; Fatigue; Anxiety; Odd dreams; Runny nose; Congestion; Allergic reaction; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration on 23Feb2021 at the age of 42-year-old as dose 1 single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 23Feb2021, patient received first dose and that day had normal reactions her arm was hurting, In the morning she woke up with hives. Patient had seen a primary care physician and told that she had a delayed allergic reaction and given a dose of steroids which was finished on 02Mar2021. On 03Mar2021 she woke up with hives again and on 04Mar2021 they are even worse. Patient also experienced arm soreness, fatigue, anxiety, odd dreams, runny nose, congestion. The outcome of the event 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: 1712589
Sex: F
Age:
State: FL

Vax Date: 02/25/2021
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: allergies jumped up over the weekend; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A 75-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 25Feb2021, as dose 1, single, for COVID-19 immunisation. The patient medical history was not reported. Concomitant medication included methylprednisolone. The patient experienced allergies and it jumped up over the weekend and reported as that could've been a side effect from the vaccine. The patient started taking Methylprednisone 4mg dspk on an unspecified date (reported as Monday). The patient asked if this would lessen the efficacy of the vaccine. The outcome for the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: METHYLPREDNISOLONE

Current Illness:

ID: 1712590
Sex: F
Age:
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: Test Date: 202103; Test Name: Fever; Result Unstructured Data: Test Result: 102.5 F.

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Fever (102.5); chills; muscle aches; headache; nausea; diarrhea; extreme fatigue; This is a spontaneous report from a contactable consumer (patient) received via the Regulatory Authority. A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6206), via an unspecified route of administration, administered in the left arm on 01Mar2021, at 12:30 (at the age of 62 years old) as dose 1, single for COVID-19 immunisation. Medical history included diabetes and hypertension. She was also diagnosed with COVID-19 prior to vaccination. The patient has no known allergies and she was not pregnant at the time of vaccination. Concomitant medications included atorvastatin, lisinopril, metformin, and (OZEMPIC). She did not receive any other vaccines within four weeks prior to the COVID vaccine. On an unspecified date in Mar2021, the patient experienced fever (102.5), chills, muscle aches, headache, nausea, diarrhea, and extreme fatigue. The patient was not tested for COVID-19 post vaccination. No therapeutic measures were taken as a result of the events. The patient was recovering from fever (102.5), chills, muscle aches, headache, nausea, diarrhea, and extreme fatigue. No follow up attempts are possible. No further information is expected.

Other Meds: Atorvastatin; Lisinopril; Metformin; Ozempic

Current Illness:

ID: 1712591
Sex: F
Age:
State:

Vax Date: 02/27/2021
Onset Date: 03/03/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program COVAX US Support. A 85-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 27Feb2021 (Lot Number: EN6205) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient mentioned that she had slept for 3 days and she was sleeping a lot after she got the first dose in 2021, then a day before reporting on 03Mar2021 she was soaking wet and must have had a fever. This had never happened to her before. She was feeling kind of rotten for the past few days in 2021 and she wanted to know was that normal. On the day of reporting she felt like she was going to make it. She was scared to get the second COVID vaccine. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712592
Sex: F
Age:
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: This is a spontaneous report from a contactable consumer or other non hcp. A 66-years-old female patient received bnt162b2 ((PFIZER-BIONTECH COVID -19 VACCINE, Injection for injection, (Batch/Lot Number: EN6201, expiry date: unknown) dose 1 in right arm via an unspecified route of administration, administered in on 12Feb2021 14:10 PM as 1ST DOSE, SINGLE for covid-19 immunisation (age at vaccination 66-Year-old)) from the hospital. Medical history included pneumonia bacterial from unspecific date of Mar2020 to an unknown date, crest syndrome from 2013 and ongoing: CREST syndrome for 20 years , ongoing raynaud's phenomenon, ongoing peripheral neuropathy, she has had it for 25 yrs. She had received FLU VACCINE VII in unspecific date of 2021. The patient's concomitant medications were not reported. No prior vaccination within 4 weeks. The patient experienced severe itching for 2 hours after the vaccine on her right arm, back, right ear and forehead (pruritus) on 12Feb2021, numbness and tingling in elbows (hypoaesthesia) on unspecific date in Feb2021, numbness and tingling in elbows (paraesthesia) on Feb2021, pain in right arm (pain in extremity) on 12Feb2021, extreme fatigue (fatigue) on 15Feb2021, hands were numb and tingly (hypoaesthesia) on 15Feb2021, hands were numb and tingly (paraesthesia) on 15Feb2021, numbness and tingling in feet that went up to her knees (hypoaesthesia) on 19Feb2021, numbness and tingling in feet that went up to her knees (paraesthesia) on 19Feb2021, had an allergic reaction (hypersensitivity) on 12Feb2021, was in a deeper sleep (hypersomnia) on 14Feb2021. She had numbness that goes away. She was concerned about the numbness. She had an allergic reaction within 10 minutes of getting the vaccine. The first few days she seemed to be in a deeper sleep. She had her alarm set and when she woke up, she felt really sleepy. She states it had worsened and then it plateaued. The numbness and tingling in her elbows started the middle of last week. It was off and on. The reaction lasted for about two hours. She had not visited to ER for the AE events. She states she did not tell this to DSU, but she also had severe itching for 2 hours after the vaccine on her right arm, back, right ear and forehead. She wants to know if there have been any other reports of numbness/tingling. Her second dose is scheduled for 05Mar2021 and her MD does not recommend she get the second dose. He wants her to wait for 12 weeks after the first dose so there is potentially more information available about the side effects. She is very scared of the virus and wants to be protected. She doesn't want to get the second dose and be unable to walk or something. She had not heard of these conditions. She is asking whether it go away or be worse and should she get it at all. Had anyone experienced the numbness. Does it go away in "X" number of days. Should she be concerned. The outcome of the events of severe itching for 2 hours after the vaccine on her right arm, back, right ear and forehead (pruritus), numbness and tingling in elbows (hypoaesthesia), numbness and tingling in elbows (paraesthesia), numbness and tingling in feet that went up to her knees (hypoaesthesia), numbness and tingling in feet that went up to her knees (paraesthesia) was unknown. The outcome of the event allergic reaction (hypersensitivity) was recovered on 12Feb2021. The outcome of the event pain in right arm (pain in extremity) was recovered on 15Feb2021, extreme fatigue (fatigue) and deeper sleep (hypersomnia) on 17Feb2021. The outcome of the events hands were numb and tingly (hypoaesthesia) and hands were numb and tingly (paraesthesia) was not recovered. There is no history of all previous immunization with the Pfizer vaccine considered as suspect and additional Vaccines administered on same Date of the Pfizer suspect. Follow-up activities closed: No follow-up attempts are possible.

Other Meds:

Current Illness: CREST syndrome (CREST syndrome for 20 years); Peripheral neuropathy (she has had it for 25 yrs.); Raynaud's disease

ID: 1712593
Sex: F
Age:
State: NY

Vax Date: 02/25/2021
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:

Allergies:

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

Symptoms: I am not able to function; strong pain on her joints/hip pain/pain in wrist joints; muscle contractions; Lot of pain all over my body; my neck paining; my back paining; my arm paining; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 25Feb2021 (at the age of 69 year old) as dose 1, single for COVID-19 immunisation. Medical history included high blood pressure and fibromyalgia. Patient had taken unspecified medications for fibromyalgia, but it was suspended. Concomitant medications included amlodipine and meloxicam both taken for an unspecified indication. On 25Feb2021, patient received the vaccine, she did not felt anything for first 2 days. But by the third day, on 28Feb2021, she developed strong pain on her joints, and muscle contractions and a lot of pain all over my body. Pain made her very difficult to get up, she used to stood and bend because of intense pain on her hip, in the middle, wrist joints and also had pain in her back, neck and arm. She also reported that she was not able to function due to pain. At the time of report, it was 6th day, still having the pain. Before she had the vaccine, she was suffering from Fibromyalgia, at that time, she had pain all over but the pain that now she have, was more intense. At the time of report, she felt dragged and forced by the pain. Patient had unspecified medication for the pain. She wanted to go to Physical therapy but she want to make sure that she can do. So she called the doctor's office, the nurse advised her to go ahead and to go to Physical therapy but she was confused whether she would get better or may get worse. The second dose would be on 19Mar2021. The outcome of the events muscle contractions and not able to function due to pain was unknown and of the other events was not recovered No follow-up attempts are possible. No further information is expected.

Other Meds: AMLODIPINE; MELOXICAM A

Current Illness:

ID: 1712594
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: chills; fever; diarrhea; vomiting; This is a spontaneous report from a contactable consumer. A 90-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 number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced chills, fever, diarrhea and vomiting. The outcome was unknown for the reported events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712595
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: pain at injection site and swelling; pain at injection site and swelling; chills; tiredness; headache; in addition to previous I have sore underarm; itchy vaccine site today; This is a spontaneous report from a contactable consumer (patient). This consumer reported that: A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient reported I had my first dose of Pfizer vaccine yesterday and I had pain at injection site and swelling, chills, tiredness and headache on an unspecified date. I am assuming those are typical in addition to pervious I have sore underarm and itchy vaccine site today (1 week after initial vaccine) on an unspecified date. The outcome of the events was reported as unknown. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712596
Sex: F
Age:
State: NY

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: Nausea; pain in injection site; fever; This is a spontaneous report from a contactable consumer (patient). A 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in the left arm on 02Mar2021 (at the age of 56-years-old) (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. Medical history included MS (multiple sclerosis), hypo thyroid, chronic migraines, and COVID-19. The patient has known allergies to amoxicillin, sulfa, dozicillian (doxycycline), and pretizone (prednisone). The patient was not pregnant at the time of the events. The patient did not receive other vaccine in four weeks. Mavenclad was received in two weeks. The patient had COVID-19 prior to vaccination. The patient had not been tested for COVID post-vaccination. Concomitant medication included cladribine (MAVENCLAD) taken for multiple sclerosis, start and stop date were not reported. On 02Mar2021 at 13:30, the patient experienced nausea, pain in injection site, and fever. No treatment was received for the events. The outcome of the events was not recovered/not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: MAVENCLAD

Current Illness:

ID: 1712597
Sex: M
Age:
State: AZ

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 55-year-old male patient received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, batch/lot# not reported), via an unspecified route of administration, on Feb 25, 2021, single dose, for COVID-19 immunization. Medical history included joint injury about 20-30 years ago and minor arthritis. The patient's concomitant medications not reported. Patient experienced a little soreness in the arm the next day after the second dose, but otherwise was fine. On Mar 3, 2021, he experienced joint pain and swelling of his knee. He says he has minor arthritis. And this joint pain and swelling of the knee has caused him to limp on Mar 4, 2021. He stated, he did not twist or do anything to it. It is swollen and he is in a great deal of pain. He says he is trying to figure out if this could be associated with the vaccine or if it is something different. He just wanted to see if there has been other people going through what he is going through or if there is anything he can do. He was treated with Tylenol; with outcome of unknown. No follow-up attempts possible. Information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1712598
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: muscle aches; flu like symptoms; head cold; couldn't sleep the entire night; nausea; stiff neck; joints ache; bone ache; Lot of pain; Weakness; Felt sluggish; Felt like I was going to pass out; headache; neck pain; had hot flashes; chills; she couldn't keep her eyes open; she couldn't focus; lethargic; tired; she turned white like a sheet of paper; everything rushed to her head and she felt lightheaded; moist to the touch/I was wet to touch, I do not sweat that often but I was like moist, my skin was moist; This is a spontaneous report from a contactable other healthcare professional (patient) via medical information team. A 70-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EL9266, expiration date was not reported) via an unspecified route of administration, on 28Feb202111:15 (at the age of 70-years-old) a dose 1, single for covid-19 immunization. Medical history included lupus, arthritis, allergic to eggs, cannot eat a lot and allergic to wheat, nuts, and penicillin. There were no concomitant medications. The patient turned white like a sheet of paper; she laid down for 30 minutes instead of the normal 15 minutes, everything rushed to her head and she felt lightheaded, moist to the touch/wet to touch, she do not sweat that often but skin was moist, neck pain, had hot flashes, chills; it was like menopause type, she couldn't keep her eyes open, couldn't focus, lethargic and tired on 28Feb2021, headache on 28Feb2021 13:30. On an unspecific date, she experienced muscle aches, flu like symptoms; teeth, gums everything that come down with the flu (as reported), head cold, couldn't sleep the entire night, nausea, stiff neck; like a pull muscle in neck, joints ache, bone ache, lot of pain, weakness, felt sluggish and felt like she was going to pass out. It was also reported on an unspecific date about 05:30, she started having all the symptoms over again but nausea and the other symptoms were not as bad as the first two days when they occurred. There were no investigation assessments. It was reported that an ice pack was given to her for which she turned white and no other treatment was given for the other events. The outcome of all the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712599
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: right arm (injection site arm) was swollen; had a red rash; and was itchy; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in Arm Right on 25Feb2021 (lot number and expiry date: unknown) as dose 1, single, for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received Pfizer-BioNTech COVID-19 Vaccine first dose a week ago today, 25Feb2021. The patient mentioned that on Saturday, 27Feb2021, she woke up with her right arm (injection site arm) swollen, red rash and itchy. Outcome of the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1712600
Sex: F
Age:
State:

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: Histamine level; Result Unstructured Data: Test Result:High; Comments: My histamine levels have been so high.

Allergies:

Symptom List: Nausea

Symptoms: My histamine levels have been so high; She had a full body rash/Broke out a rash like a full body rash from head to toe and it was two days afterwards and I still have it; She always had itchy skin; This is a spontaneous report from a contactable nurse (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 17Feb2021 (Lot number and expiration date was not reported) as dose 1, single for COVID-19 immunization. Medical history included urinary prolapse, itchy skin and dry skin. The patient's concomitant medications were not reported. On 19Feb2021, the patient had itching and scratching and after a day she had a full body rash. She said that it comes and goes. She has spoken to her doctor about the rash (her rash actually disappeared when she was talking to her doctor) and she was prescribed with Benadryl. The rash had simmered down and she was getting better. She wanted to know if this was considered a severe allergic reaction. After two days, the patient still had rash. The patient's histamine levels have been so high. The outcome of rash was not recovered and the outcome of other events was unknown. No follow-up attempts are possible; Information about Lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1712601
Sex: F
Age:
State: OH

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

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

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:160 over something; Comments: high

Allergies:

Symptom List: Injection site pain

Symptoms: with little appetite; fatigued; immediately got flushed /face was red and flushed; face turned red and my whole body blushed; that I've been sick ever since/feeling crummy/she just didn't feel well; nauseated; she was burning up /I immediately got very hot, burning up; like I have a mild case of the flu; BP was 160 over something; Headache; Fever; Chills; This is a spontaneous report from a contactable consumer (patient). A 67-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EN6198 and expiration date: not reported), via an unspecified route of administration, in Left Arm, on 28Feb2021 at 01:45 (at the age of 67-year-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included supraventricular tachycardia from 2019, had a reaction to Gadolinum a contrast dye for the MRI, polyuria, cardiac disorder and anxiety. Concomitant medications included metoprolol taken for cardiac disorder from 2020 and hydrochlorothiazide taken for polyuria from 2019. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. On 28Feb2021, patient immediately got flushed and hot, restating immediately after vaccination. The patient reported the nurse took her blood pressure and said it was 160 over something which is abnormal for her. The patient was burning up and she wanted to go outside for fresh air, but the nurse would not let her go outside for 5 minutes. The patient stated she would not let me get fresh air and it was awful. The patient reported that on the way home she just didn't feel well. The patient stated her blood pressure normally runs 120 over something or 130 over something. So 160 is high for her. The patient reported a headache with chills, a fever that never really went high, and stated she was extremely nauseated, with little appetite. The patient reported she felt like she had the flu. She continued to say It did not get better and that she was still nauseous but had not had a headache so far today. The patient reported blood pressure is doing good and she recovered from that about 48 hours later. The patient clarified the use of the word fever as more of a wave hot immediately after the vaccine, she stated her face was red and flushed, patient stated the nurse that gave her the injection was telling her it was more anxiety then reaction. The patient reported she knows how anxiety feels she has had that before and this was not the feeling she was having after the injection. Again patient restated like how it feels to have the flu kind of like feeling hot. The patient reported that the worse part has been just feeling crummy. The patient reported that the nausea comes and goes but sticks with her about all day. Sometimes it helps to eat and sometimes eating makes her feel worse. The patient also stated that the fatigue has been there the whole time and that she has to lay down several times a day. The patient main concern is the next injection. The patient would like to know, if she will have this all over again and is this just her immune response to the vaccine, like to know if this is a good sign of having these symptoms. Therapeutic measures were taken as a result of events included Tylenol. The outcome of the events blood pressure increased and fever was recovered in 02Mar2021, and nausea, fatigue, was not recovered, headache and chills was recovering, erythema, malaise, Burning sensation, Flu like symptoms, Decreased appetite ,and flushing was unknown at time of report. No follow-up attempts are possible. No further information is expected.

Other Meds: METOPROLOL; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1712602
Sex: M
Age:
State: MD

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:
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: Nasal congestion; fatigue; arm pain; shoulder pain; neck pain; This is a spontaneous report from a contactable consumer (patient). A 67-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 02Mar2021 09:15 at the age of 67-year-old as dose 1, single for covid-19 immunisation. Medical history included asthma, monoclonal gammopathy of undetermined significance (MGUS), sinusitis and allergy to tegretol, Lamictal. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no other medications were received within 2 weeks of vaccination. The patient was not diagnosed with covid prior to vaccination and patient was not tested for COVID-19 post vaccination. The patient experienced nasal congestion, fatigue, neck arm and shoulder pain on 02Mar2021 09:15. The outcome of the event was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds:

Current Illness:

ID: 1712603
Sex: M
Age:
State:

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

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

Lab Data: Test Name: Investigation; Result Unstructured Data: Test Result:urinated blood

Allergies:

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

Symptoms: urinated blood; This is a spontaneous report from a contactable consumer (patient). A 69-year-old male 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 an unspecified date, as dose 2, single, for COVID-19 immunisation. The patient medical history and 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, 2 days after receiving his second dose of the Pfier BioNTech COVID-19 vaccine, he urinated blood. It was just one incident and after that it disappeared. The patient followed up with his doctor who told him everything was fine. The patient wanted to know if there were other people who experienced this after the vaccine. The outcome for the event was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712604
Sex: F
Age:
State: TN

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210128; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 20210128; Test Name: Rapid COVID 19; Test Result: Negative

Allergies:

Symptom List: Tremor

Symptoms: lost her taste; lost her taste and sense of smell; This is a spontaneous report from a contactable other nurse (patient) received via COVID-19 Vaccine Adverse Event Reporting System (COVAES). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 09Jan2021 (Batch/Lot Number: EK5730; at the age of 69 years old) as dose 2, single for COVID-19 immunisation. Medical history included asthmatic bronchitis. The patient was not pregnant at the time of report. She has no known allergies and she did not receive any other vaccines in four weeks before the COVID vaccine. The patient was not tested for COVID-19 prior to vaccination. Concomitant medications included vitamins and royal jelly. She previously received first dose of BNT162B2, intramuscular, administered in the left arm on 19Dec2020, at 16:30 (Batch/Lot Number: EK5730; at the age of 69 years old) for COVID-19 immunisation. On 11Jan2021, at 00:00, the patient lost her taste and sense of smell for about five days, and then returned. They disappeared again almost immediately after the second dose. After almost two months since her last dose, some of her taste has returned, but her sense of smell was still not back. The patient underwent lab tests and procedures which included nasal swab: negative and rapid COVID 19: negative both on 28Jan2021. No treatment was received for the events. The patient has not recovered from the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: ROYAL JELLY

Current Illness:

ID: 1712605
Sex: F
Age:
State: OH

Vax Date: 02/25/2021
Onset Date: 02/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: A little warmer but no fever; Ringing in the ear; Pain on knee; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: Unknown) via an unspecified route of administration on 25Feb2021 as dose 1, single for COVID- 19 Immunisation. Relevant medical history included thyroid, cholesterol, anxiety/depression, and asthma, sciatica, received lumbar injection last Friday on 24Feb2021. Concomitant medications were not reported. The patient received Flu shot in 2021. On an unknown date in Feb2021, the patient was feeling quite not okay, a little warmer but no fever. The patient experienced ringing in the ear and pain on knee and applied Biofreeze on her knee. The patient was also taking Tylenol every 6 hours. The patient was scheduled to get the second dose on 19Mar2021, which was more than 21 days after the first dose. Caller wants to know if it was because of the vaccine or does the vaccine affect her sciatica. Therapeutic measures were taken with Biofreeze and Tylenol as a result of the all adverse events. The outcome of the events was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712606
Sex: M
Age:
State: OH

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: ringing in the ear; pain on the knee; This is a spontaneous report from a contactable consumer or other non hcp. A male patient of an unspecified age received bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: not reported) via an unspecified route of administration on an unspecified date dose unknown, for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced ringing in the ear and pain on the knee on an unspecified date. The event outcome was reported as unknown No follow-up attempts are possible: Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712607
Sex: F
Age:
State: SC

Vax Date: 02/14/2021
Onset Date: 02/26/2021
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: Facial rash/Rash; lip and eye swelling; lip and eye swelling; hives; itching arms stomach and hand palms; headache; chills; fatigue; arm pain at injection site; This is a spontaneous report from a contactable consumer (Patient). A 66-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN8200), dose 2 via an unspecified route of administration, administered in Arm Left on 14Feb2021(Age at vaccination: 66 years) as dose 2, 0.3 ml single for covid-19 immunisation. Medical history included Osteoporosis, elevated cholesterol, panic attacks. Patient had known allergies of Environmental, barley, rye, prescribed narcotic medicine. Concomitant medications included Alendronate Sodium 70 mg; vitamin b complex (VITAMIN B); Zinc; colecalciferol (VITAMIN D [COLECALCIFEROL]); vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]); Calcium. Historical vaccine included bnt162b2 (COMIRNATY) 0.3 ml as dose 1 received on 24Feb2021 at 9AM in left arm with lot number EL3247 for covid-19 immunisation. Patient did not receive other vaccines in 4 weeks. The patient experienced facial rash/ rash, lip and eye swelling, hives, itching arms stomach and hand palms, headache, chills, fatigue, arm pain at injection site on 26Feb2021. Facial rash/rash, lip and eye swelling/hives/itching arms, stomach and hand palms. All occurred approximately 2 weeks after the second dose and was currently ongoing. Other reactions were headache, chills, fatigue, arm pain at injection site which went away within 48 hours after the injection. Took over the counter allergy medicine Benedryl. Patient did not have COVID prior vaccination. Patient did not test COVID post vaccination. The outcome of the events headache, chills, fatigue, arm pain at injection site was recovered on 28Feb2021. The outcome of the rest of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ALENDRONATE SODIUM; VITAMIN B; ZINC; VITAMIN D [COLECALCIFEROL]; VITAMIN C [ASCORBIC ACID]; CALCIUM

Current Illness:

ID: 1712608
Sex: U
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: Asthenia, Chills, Headache, Myalgia

Symptoms: I experience sore arm (injection arm); redness near the injection site; tired; minor chills; body ache; joint pain; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 01Mar2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 02Mar2021, patient experienced I experience sore arm (injection arm), redness near the injection site, tired, minor chills, body ache, joint pain. Patient reported that I experienced more severe adverse event for about a day started the day after injection. I became really tired on Tuesday afternoon, and started to have minor chills, body ache and joint pain. There was no fever. All the adverse event except a little arm pain have resolved on Wednesday. The clinical outcome of event vaccination site pain was not recovered, and other events was recovered on 03Mar2021. No follow-up possible are possible, Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712609
Sex: F
Age:
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: Test Date: 202102; Test Name: investigation: Skin patch; Result Unstructured Data: Test Result:Unknown; Comments: Unknown result

Allergies:

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

Symptoms: different skin patches on lower legs showed up day 5 after injection; Bad muscle aches.; pain; fever; chills; swollen lymph nodes; achy eye lids; This is a spontaneous report from a contactable consumer (patient). A 52-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN5318), via an unspecified route of administration, administered in Right arm on 05Feb2021 13:00 (at the age of 52 year old) as dose 2, single for COVID-19 immunisation. Medical history included Sjogren's, and factor V-Leiden deficient from an unknown date. Patient has known allergies to sulpha medications. Concomitant medications included apixaban (ELIQUIS); zinc; vitamin d3 and other multivitamins. The patient was not pregnant at the time of vaccination. Prior vaccination, patient was not diagnosed with COVID and did not receive any other vaccines within 4 weeks. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), via an unspecified route of administration in left arm, on 11Jan2021 15:00 (at the age of 52 year old), as single dose for COVID-19 immunization. After vaccination, within 16 hours of administration, that is on 06Feb2021, 05:00, patient laid flat with bad muscle aches/pain, fever/chills, swollen lymph nodes in right armpit area, achy eye lids. These lasted for 40 hours. On 10- 11th day, repetition of events occurred, almost exactly same only slightly less. On 10Feb2021 (after 5 days of injection), showed up different skin patches on lower legs. Skin patches were investigated and blood was drawn. Since the vaccination, patient had not been tested for COVID. Treatment was received for the events. The outcome of the events was recovered on an unspecified date in 2021. No follow up attempts are possible. No further information is expected.

Other Meds: ELIQUIS; ZINC; VITAMIN D3

Current Illness:

ID: 1712610
Sex: F
Age:
State: PA

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: swollen gums at teeth; Sore in teeth; Sore inner cheeks; Canker sores; Lower back rash; This is a spontaneous report from a contactable consumer or other non hcp. A 66-years-old non-pregnant female patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Lot Number: EL3246, expiration date: unknown), via an unspecified route of administration, administered in Arm Left on 02Feb2021 15:15 (at the age of 66 years) as dose 1, single for covid-19 immunisation. Medical history included hypertension allergy to Penicillin. Patient did not receive any other vaccine within 4 weeks. Patient neither diagnosed with COVID-19 prior to vaccination nor been tested for COVID-19 after the vaccination. Concomitant medications included Lisinopril 10 mg. on 05Feb2021, the patient experienced swollen gums at teeth, Sore inner cheeks, Sore gums at cheek line, Canker sores and Lower back rash. At the time of report, patient was recovering from all the events. No follow-up attempts were possible; information about lot/batch number could not been obtained.

Other Meds: LISINOPRIL

Current Illness:

ID: 1712611
Sex: F
Age:
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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: Chest feels slightly tight; Pain from shot site all the way down arm; Really tired; muscle aches; pains; This is a spontaneous report from a contactable consumer (patient). A non pregnant 24-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE ; lot number was EN6205 and expiration date was not reported), via an unspecified route of administration, administered in Arm Left on 04Mar2021 15:30(at the age of 24-years-old) at dose 1, single for covid-19 immunization. Patient had known allergies to Sulfa, tree nuts, coconut, blueberries, etc. The patient's concomitant medications were not reported. The most recent covid-19 vaccine was administered at Pharmacy or Drug Store. 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 and since the vaccination has not been tested for COVID-19. The patient experienced pain from shot site all the way down arm and was really tired with muscle aches and pains; chest felt slightly tight on 04Mar2021 15:45. No treatment was given for the events. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712612
Sex: M
Age:
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 09/18/2021
Hospital:

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

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

Allergies:

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

Symptoms: flared up joint pain; flared up joint pain; Breathing difficulties; heavy fatigue; This is a spontaneous report from a non-contactable other HCP. A 28-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9264), via an unspecified route of administration, administered in Left Arm on 12Feb2021 as DOSE 2, SINGLE (at the age of: 28-year-old) for covid-19 immunization. Historical vaccine included first dose of BNT162B2 (COMIRNATY, Solution injection, Lot number: Unknown) on 12Feb2021 for covid-19 immunization. Medical history included lyme disease. The patient's concomitant medications were not reported. The patient had not diagnosed with covid prior vaccination. And post vaccination, patient had not tested with covid. No known allergies reported for the patient. On 13Feb2021, the patient experienced flared up joint pain, flared up joint pain, breathing difficulties and heavy fatigue. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on an unspecified date. The outcome of all events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712613
Sex: F
Age:
State: KS

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

Lab Data:

Allergies:

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

Symptoms: Snoty nose; cough; sore arm that swelled to size of base ball; loss of smell; heaviness in joints; sore arm that swelled to size of baseball; This is a spontaneous report from a contactable other HCP (patient). A 26-years-old (non-pregnant) female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: unknown) via an unspecified route of administration, administered at right arm on 24Feb2021 at 12:15 PM (at the age of 26-year-old) as dose 2, single for COVID-19 immunisation. The patient medical history included TBI, epilepsy, non epileptic seizures, post-traumatic stress disorder and ADHD (from an unknown date and unknown if ongoing for all medical history). The patient had known allergies with sulfa mild allergy. The patient's concomitant medications included lamotrigine (LAMICTAL) for an unspecified indication from an unknown date (in two weeks of vaccination) and unknown if ongoing and venlafaxine for an unspecified indication from an unknown date (in two weeks of vaccination) and unknown if ongoing. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), via an unspecified route of administration on an unknown date as dose 1, single for covid-19 immunisation. On 27Feb2021 at 17:00, the patient experienced snoty nose, cough, sore arm that swelled to size of baseball, loss of smell, heaviness in joints. The patient received no treatment for adverse event. The patient did not receive other vaccines prior to the COVID vaccine. The patient had not Covid tested post vaccination. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds: LAMICTAL; VENLAFAXINE

Current Illness:

ID: 1712614
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Nose got swollen; Bridge of nose was very red; Glands on the bottom of his jaw got swollen and sensitive; Whole skin was very tender and warm; Whole skin was very tender and warm; This is a spontaneous report from a contactable consumer. This male contactable consumer (patient) reported for himself that: A male patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number were not reported, NDC number and Expiry Date: Not Provided), via unspecified route administration on an unspecified date as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient had previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number were not reported, NDC number and Expiry Date: Not Provided), via unspecified route administration on an unspecified date as DOSE 1, SINGLE for COVID-19 immunization. On an unspecified date after the second dose of vaccination, the patient experienced nose got swollen, bridge of nose was very red, glands on the bottom of his jaw got swollen and sensitive and whole skin was very tender and warm. It was reported that, patient reported he was administered the second dose of Pfizer COVID-19 Vaccine injection on Friday. Starting last night his nose got swollen; the bridge of his nose was very red; and the whole skin was very tender and warm; the glands on the bottom of his jaw got swollen and sensitive. Patient called to ask if he should worry about these events or if he should take some medication for them. Patient: Sex: Patient referred to as male during this report, but sex not verified with caller who was unwilling to complete report. The outcome of events was reported as unknown. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712615
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Pain on site, up his right arm; pain in his gum; Pain on site, up his right arm; pain in his gum; Pain on site, up his right arm; pain in his gum; Swelling on the face on his right side, neck, his lymph glands, his gum; Sensitivity when he eats or drinks anything hot, cold or otherwise doesn't matter the temperature; Sensitivity when he eats or drinks anything hot, cold or otherwise doesn't matter the temperature; Pain in his shoulder; Nausea; This is a spontaneous report from a contactable consumer. A male patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration, on 23Feb2021 09:00 as dose 1, single for coivd-19 immunisation. Patients medical history and concomitant medications were not reported. On an unspecified date, patient experienced pain on site up his right arm, swelling on the face on his right side, neck, his lymph glands, his gum, he had sensitivity when he eats or drinks anything hot, cold or otherwise doesn't matter the temperature. He wears dentures, so there are no teeth where he was having pain in his gum. So pain in his shoulder, neck, gums, swelling on right side of his face, he was having nausea. Called wanted to know will the second vaccination cause any side effect worse or otherwise. 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: 1712616
Sex: M
Age:
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210202; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue; Joint aches; Headaches; Fever that advanced in severity; This is a spontaneous report from a contactable other healthcare professional (patient). A 54-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on 26Jan2021 (Lot Number: EL3248) (at the age of 54-years-old) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not receive other vaccine within four weeks of vaccination. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on 07Jan2021 at 11:00 AM (Lot Number: EL0142) (at the age of 54-years-old) as dose 1, single for covid-19 immunisation. The patient did not have covid-19 prior vaccination. The patient fatigue, joint aches, headaches, fever that advanced in severity on 27Jan2021 09:00 AM. The patient did not receive any treatment for the events. The patient was tested for covid-19 post vaccination on 02Feb2021 by nasal swab and the result was negative. The outcome of the events was recovered in 2021. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712617
Sex: F
Age:
State: OK

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

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

Lab Data:

Allergies:

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

Symptoms: Stomach pain; body aches; chills; fever; headache; joint pain; This is a spontaneous report from a contactable healthcare professional (patient). A 58-years-old non pregnant female patient received first dose of bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: EN6203) administered in left arm via an unknown route of administration (at the age of 58 years old) on 25Feb2021 at 14:15 pm as dose 1, single for covid-19 immunisation. Medical history included chronic sinusitis (event verbatim-Chronic sinusitis, pneumonia). Other concomitant medications in two weeks included allergy injections. The patient had known allergies to Penicillin and other antibiotics. It was reported that the patient did not have covid prior vaccination. The patient did not tested covid post vaccination. On 26Feb2021 at 14:00pm, the patient experienced stomach pain, body aches, chills, fever, headache and joint pain. No treatment was received for all the events. The outcome of all the events was reported as recovering. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712618
Sex: F
Age:
State: CT

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Second injection site is currently ~6cm x 7cm, diffuse erythema, mildly firm, and has been mildly pruritic; Second injection site is currently ~6cm x 7cm, diffuse erythema, mildly firm, and has been mildly pruritic; Second injection site is currently ~6cm x 7cm, diffuse erythema, mildly firm, and has been mildly pruritic; headache; hypersensitivity to noise and physical contact; muscle aches; joint aches; malaise/ fatigue; malaise/ fatigue; excessive thirst; mild tinnitus; feeling cold; random shooting pains; hypersensitivity to noise and physical contact; This is a spontaneous report from a contactable consumer (patient). A 48-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL3247 and Expiration date was not reported) via an unspecified route of administration, in right leg on 24Feb2021 11:00 AM (at the age of 48-years-old) as dose 2, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. The patient medical history included transient ischaemic attack, found to be heterozygous for factor V Leiden, and diagnosed PFO (repaired) from an unknown date and unknown if ongoing. Patient was allergic to azithromycin, penicillin. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL3247 and Expiration date was not reported) via an unspecified route of administration, in right leg on 03Feb2021 09:30 AM as dose 1, single for COVID-19 immunization and experienced First injection site was erythematous, not swollen or painful, covering ~10cm x 10cm; began to itch after 8-10 days; now appears as a large diffuse, blotchy bruise surrounded by erythema. Patient was sure as she can be that this was administered into fat (ie.not IM). The patient concomitant medication included aspirin (81 mg), one-a-day vitamin (received within two weeks of vaccination). Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. On 27Feb2021, the patient had experienced Second injection site is currently ~6cm x 7cm, diffuse erythema, mildly firm, and has been mildly pruritic. On an unspecified date feb2021, the patient had experienced pronounced side effects 1 and 2 days post-injection: headache, hypersensitivity to noise and physical contact, muscle aches, joint aches, malaise/ fatigue, excessive thirst, mild tinnitus, feeling cold (no fever), random shooting pains! Stayed home from work that day. Should not have gone to work 28Feb due to recurrence of these mid-morning left work early. Reporter stated that first awareness of initial sign for 1st vaccine was 04Feb2021, and for 2nd vaccine was 25Feb2021. Patient had not received any treatment for the events reported. The outcome of the events was recovered with sequel on unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: ASPIRIN (E.C.)

Current Illness:

ID: 1712619
Sex: F
Age:
State: TX

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

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

Lab Data: Test Name: fever; Result Unstructured Data: Test Result:for 2 days 101-102 degrees

Allergies:

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

Symptoms: injection site pain; tiredness; headache; muscle pain; chills; joint pain; fever - for 2 days 101-102 degrees; injection site swelling; nausea; feeling unwell; dry cough; This is a spontaneous report from a contactable Consumer. This 67-year-old Female Consumer reported for herself that: A 67-years-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: Not available/provided to reporter at the time of report completion) via an unspecified route of administration in arm left on 25Feb2021 11:00 as single dose for COVID-19 immunization. Medical history included covid-19 from an unknown date and unknown if ongoing if covid prior vaccination Yes. Concomitant medications included levocetirizine (LEVOCETIRIZINE), metoprolol succinate (TOPROL), pantoprazole (PANTOPRAZOLE) all taken for an unspecified indication, start and stop date were not reported and have other medication in two weeks. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On 26Feb2021 at 12:00 patient experienced injection site pain, tiredness, headache, muscle pain, chills, joint pain, fever - for 2 days 101-102 degrees, dry cough, injection site swelling, nausea, feeling unwell. Patient didn't received treatment for adverse event. The clinical outcome of the event was recovering. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds: LEVOCETIRIZINE; TOPROL; PANTOPRAZOLE

Current Illness:

ID: 1712620
Sex: F
Age:
State: FL

Vax Date: 01/01/2021
Onset Date: 01/26/2021
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 Date: 20210226; Test Name: covid test type post vaccination; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Dizzy; Joint pain; Weak; Shaky; Fever; Headache; This is a spontaneous report from a non-contactable other hcp. A 66-year-old female non pregnant patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, age at vaccination 66-year-old) via an unspecified route of administration on unspecified date in Jan2021 (Lot Number and expiry date was not reported) as single dose for COVID-19 immunisation. Medical history included keratitis and known allergies to Plaster, Sanitizer from an unknown date and unknown if ongoing. Concomitant medications included fish oil; probiotics; calcium; colecalciferol (VITAMIN D) taken for an unspecified indication start and stop date were not reported. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection), via an unspecified route of administration on unspecified date in Jan2021 (Lot Number and expiry date was not reported) as single dose for COVID-19 immunization. No COVID prior to vaccination. On 26Jan2021, the patient was dizzy, weak, shaky and had joint pain, fever, headache. The patient experienced dizzy symptoms a month after taking it, never got dizzy. She still had joint pain over a month after taking it. She was weak, shaky, fever, headache, and joint pain the night after taking second dose and latest three days. The patient underwent lab tests and procedures which included sars-cov-2 test via nasal swab as negative post vaccination on 26Feb2021. She did not receive treatment for adverse event. The outcome of all the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: FISH OIL; PROBIOTICS; CALCIUM; VITAMIN D

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am