VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1712721
Sex: F
Age: 51
State: MI

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

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

Lab Data: None

Allergies: Latex, penicillin, cephalosporin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Extreme pain in bilateral breasts and nipples, extreme diuresis (urinating without taking in fluids every 15 minutes for approximately 12 hours with 500ml of urine each time), dizziness, at hour 12 post-vaccine fever of 102.5 that lasted for 1 day until dropping to 100.5. Extreme pain to all teeth starting at hour 12 through 48. Body pain, insomnia, burning sensation in lungs, and numbness in left facial area. Extreme headache with pressure from left neck area just below ear extending into middle top of skull that felt like having your head in a vice grip. The symptoms with the exception of the headaches and breast pain resolved within 50 hours. The headaches are now episodic. Breast pain is still present as of 9-18-21.

Other Meds: levothyroxine

Current Illness: none

ID: 1712722
Sex: F
Age: 12
State: GA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712723
Sex: M
Age: 24
State: AL

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712724
Sex: M
Age: 46
State: GA

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712725
Sex: F
Age:
State: IL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
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: had an allergic reaction about 5 to 7 days after the vaccine; whole body was itchy and it progressively got worst, came to like her whole body was itchy; felt like skin was on fire; This is a spontaneous report from a contactable consumer (patient). A 30-year-old female patient received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for Injection; Lot number: EL9265, Expiration Date: Not Reported) intramuscularly, administered in the right arm on an unspecified date (at the age of 30-years-old), as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient reported she has no history of allergic reaction in the past. The patient experienced had an allergic reaction about 5 to 7 days after the vaccine, whole body was itchy and it progressively got worst, came to like her whole body was itchy, and felt like skin was on fire on an unspecified date. Patient reported that after the first dose, she had an allergic reaction about 5 to 7 days after the vaccine, where her whole body was itchy and it progressively got worst. It came to like her whole body was itchy, and felt like her skin was on fire. She just took some allergy medication, two Cetirizine (ZYRTEC) and a diphenhydramine (BENADRYL) and she was fine. She spoke with her doctor and informed the clinic before she had her second dose and they all said, because it was 5 days after, was that they can't really attribute the events to the vaccine. The outcome of events was recovered on an unspecified date. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712726
Sex: F
Age: 36
State: WI

Vax Date: 09/10/2021
Onset Date: 09/10/2021
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: None

Allergies: Pertussis vaccination

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

Symptoms: Within an hour of vaccination, a hard red spot appeared at and a little lower from the injection site. It was about 3" and oblong in shape. 6 days after, a rash appeared in random spots: forearm, back of neck/upper shoulder, leg. Day 7 hives appeared where the red hard spot hard been.

Other Meds: venlafaxine 225 mg

Current Illness: None

ID: 1712727
Sex: F
Age: 42
State: NY

Vax Date: 05/18/2021
Onset Date: 05/23/2021
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: I see the OBGYN in October.

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Since getting the vaccination my menstruation cycle has completely stopped. I have not had a period since getting the vaccine.

Other Meds: None

Current Illness: None

ID: 1712728
Sex: M
Age: 70
State: GA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712729
Sex: M
Age: 15
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712730
Sex: M
Age: 15
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712731
Sex: F
Age: 12
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712732
Sex: F
Age: 43
State: PA

Vax Date: 08/26/2021
Onset Date: 08/28/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Adverse reactions: At first very sore arm at injection site. Beginning August 28th two days after 1st dose: Increased fatigue, heaviness in my head, feeling very foggy and unclear, trouble with word finding. These feelings in my head very in intensity and tend to feel better upon waking and intensify throughout the day. Also increased heart palpitations and muscle spasms/twitches that jump throughout my body. These symptoms feel very much like Lymes Disease symptoms and I have no doubt that this is a flare of my condition. It has now been three weeks post vaccine and I do feel as though my symptoms are improving.

Other Meds: Probiotics, vitamins D3 and Zinc

Current Illness: None

ID: 1712733
Sex: M
Age: 68
State: MA

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

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

Lab Data:

Allergies: none

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

Symptoms: muscle pain in left are lasting about 5 hours after vaccination chills starting about 10 hours after vaccination 101 degree fever overnight, 12-15 hours after vaccination temperature normal 20 hours after vaccination

Other Meds: multivitamin, HCTZ Lisinopril, Atorvastatin, Prevagen

Current Illness: none

ID: 1712734
Sex: F
Age: 14
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712735
Sex: F
Age: 12
State: GA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712736
Sex: F
Age: 28
State:

Vax Date: 09/17/2021
Onset Date: 09/18/2021
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: flu vaccine, polymyxin b, neomycin

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

Symptoms: tinnitus left ear

Other Meds: Benadryl, Pepcid

Current Illness:

ID: 1712737
Sex: M
Age: 17
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712738
Sex: F
Age:
State:

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

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

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:Elevated; Comments: elevated. Anxiety/stress response suspected causing elevation of bp

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: lightheadedness; dry eyes; Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash); Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash); Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash); Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash); elevation of bp; This is a spontaneous report from a non-contactable Other-HCP. A 69-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot Number: EN6205) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient reported 15-minute after the injection, began to experienced lightheadedness and dry eyes and Differential Diagnosis: Vaccine- Related Anxiety (include misc. mental health) and Systemic reaction (hypoglycemia, hypotension, generalized rash) on an unspecified date. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, dizziness, facial swelling, lip swelling and tongue swelling. Treatment included: water and snacks. Monitored/observed for 25 minutes. Patient reports improvement in overall symptoms. She feels good to go home. Patient has husband with her today and he will be driving. Patient encouraged to monitor her blood pressure elevated. Anxiety/stress response suspected causing elevation of bp. The event outcome was recovering. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1712739
Sex: F
Age: 41
State: GA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712740
Sex: F
Age: 54
State: GA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712741
Sex: M
Age: 26
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712742
Sex: M
Age: 27
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712743
Sex: M
Age: 23
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1712744
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Intense tinnitus within 4 hours of vaccine; unable to sleep easily; moderate pain soft tissue/bursa; moderate pain tendons; Burning bilateral patellar; arm pain; pain milder in bilateral shoulders; mild typical headache; fatigue; muscle and arm pain; This is a spontaneous report from a contactable physician (patient). A 62-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on 26Feb2021 14:15 (Lot Number: EN6203) (at the age of 62-years-old) as dose 1, single for covid-19 immunisation. Medical history included mild hypertension diet controlled, euthyroid with mild TSH (thyroid stimulating hormone) elevation. The patient had no known allergies. The patient had no concomitant medications in two weeks of vaccination. Patient did not receive any other vaccine in four weeks of vaccination. Patient did not have covid prior vaccination and was not tested for covid post vaccination. On 26Feb2021 18:00, the patient experienced intense tinnitus within 4 hours of vaccine and was unable to sleep easily, burning bilateral patellar, moderate pain in soft tissue/bursa, tendons, milder pain in bilateral shoulders. In addition, patient also had mild typical headache, fatigue, muscle, and arm pain on 26Feb2021 18:00. The events required topical medications started within 24 hours of vaccine, and the events were present 84 hours later, abating. The doctor appointment was pending. The events required doctor or other healthcare professional office/clinic visit. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712745
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pain and itching; She didn't get out of bed, slept all day; Rash; Pink circular blotches on her face, body, and arms; Pain and itching; doctor told her she is allergic to the COVID shot; She was sick for seven days; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number, expiry date not reported) via an unspecified route of administration, on an unspecified date at dose 1, single for covid-19 immunization. Medical history included high blood pressure and high cholesterol. The patient had pneumonia, Flu vaccination on an unspecific date and not been allergic to penicillin. The patient's took unspecified concomitant medications. The next day after the vaccination, the patient experienced rash and it progressed, pink circular blotches on her face; a lot of it was on her body and arms, front and back of her body and doctor told her she is allergic to the covid shot, pain and itching, she didn't get out of bed, slept all day and was sick for seven days. It was also reported that something in the serum of the COVID shot caused her to have such a reaction. The outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712746
Sex: F
Age:
State: CA

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: Test Date: 20210302; Test Name: heart rate; Result Unstructured Data: Test Result:56; Comments: My heart rate was elevated from a normal 56 to 88.; Test Date: 20210302; Test Name: heart rate; Result Unstructured Data: Test Result:88; Comments: My heart rate was elevated from a normal 56 to 88.; Test Date: 20210302; Test Name: heart rate; Result Unstructured Data: Test Result:elevated; Comments: My heart rate was elevated from a normal 56 to 88.

Allergies:

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

Symptoms: anxious; cough; sore throat; dizziness; itching; scratchy throat; rash on my face and arm; heart rate was elevated from a normal 56 to 88; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: en6203), via an unspecified route of administration, administered in left arm, on 02Mar2021 11:15 (at the age of 62 year old) as dose 1, single for COVID-19 immunisation. Medical history included autoimmune disease from an unknown date. The patient had known allergies to IVIG infusions. The patient was taking unspecified medications. The patient was not pregnant at the time of vaccination. Prior vaccination, COVID was not diagnosed and did not receive any other vaccines within four weeks. On 02Mar2021, within 15 min of the vaccination, at 11:30, she got a scratchy throat and after 25 mins, she was very anxious, also, developed cough, sore throat, dizziness and itching all over by the time drive home. When she reached the home, she noticed rash on her face and arms and her heart rate was elevated from a normal 56 to 88. One day later, at the time of report, she still have some itching and sore throat. Therapeutic measures in response to the events included Benadryl. Since the vaccination, patient had not been tested COVID-19. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712747
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: muscle aches; mild fever; sore arm; nausea; dizziness; sharp pain from neck down to elbow on the right hand side; sharp pain from neck down to elbow on the right hand side; This is a spontaneous report from a non-contactable consumer (patient). A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EL3247), via an unspecified route of administration, administered in Arm Right on 01Mar2021 08:30 as dose 2, single for covid-19 immunisation. The patient medical history was not reported and no known allergies. The patient concomitant medications include multivitamin. 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. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, on unspecified date as dose 1, single for covid-19 immunisation. The patient experienced muscle aches, mild fever, sore arm, nausea, dizziness, sharp pain from neck down to elbow on the right hand side on 02Mar2021 17:00. The patient received glucosamine, tylenol in response to the events. The outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712748
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: chills; aches; rash; experiencing swollen and painful joints; experiencing swollen and painful joints; This is a spontaneous report from a contactable Consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously took naproxen and experienced drug hypersensitivity. On an unspecified date (over the week post shot), the patient experienced chills, aches, rash, experiencing swollen and painful joints. The outcome of all the events was unknown. No follow up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1712749
Sex: F
Age:
State: CT

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

Symptoms: Moderate to severe stiffness in left elbow, left lower arm muscle tenderness to to the point of not able to pick up anything; Moderate to severe stiffness in left elbow, left lower arm muscle tenderness to to the point of not able to pick up anything; New onset of chills, fatigue, and loud ringing in left ear.; New onset of chills, fatigue, and loud ringing in left ear.; New onset of chills, fatigue, and loud ringing in left ear.; Day after administration: Injection site soreness, muscle aches in shoulder; Day after administration: Injection site soreness, muscle aches in shoulder; This is a spontaneous report received from a contactable consumer or other non-health care professional. A 65-year-old female patient (non-pregnant) received bnt162b2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection; Batch no: not reported /Lot Number: unknown) via unspecified route of administration, administered in Arm Left on 25Feb2021 (age at vaccination was 65 years) as dose 1, single for covid-19 immunization. The patient medical history included multiple sclerosis and covid-19 from an unknown, prior to vaccination and concomitant medications were not reported. Allergies to medications, food, or other products were reported as unknown. Prior to vaccination, the patient was diagnosed with COVID-19 and Since the vaccination, the patient has not been tested for COVID-19. It was unknown that patient received any other vaccines within 4 weeks prior to the COVID vaccine and patient received other medications within 2 weeks of vaccination with unknown names. On 26Feb2021 day after administration, the patient experienced Injection site soreness, muscle aches in shoulder and Approximately 3 days post administration patient had moderate to severe stiffness in left elbow, left lower arm muscle tenderness to the point of not able to pick up anything. 10 days post injection patient experienced with new onset of chills, fatigue, and loud ringing in left ear. No treatment was taken for the event. Outcome of the events Tenderness was resolving, and other events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1712750
Sex: F
Age:
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Vertigo; nausea; Thinks had a low grade fever; developed fever rash on chest and a bit on face.; This is a spontaneous report from a contactable consumer. A 49-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 09Feb2021 (at the age of 49-year-old), as dose 2, single, for COVID-19 immunisation. Patient was not pregnant at the time of vaccination. 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 in Jan2021 (at the age of 49-year-old), as dose 1, single, for COVID-19 immunisation. It was unknown if patient received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. It was unknown if patient had been tested for COVID-19 since the vaccination. The patient experienced vertigo, nausea, a low grade fever and fever rash on chest and a bit on face on 10Feb2021. Patient received no treatment for the events. The outcome for all the events was recovered on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1712751
Sex: F
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Bilateral eyelid swelling that started about 4-5 hours after vaccination and worsened within 24 hrs.; This is a spontaneous report from a contactable other health care professional (patient). A 34-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 01Mar2021 at 11:15 (at the age of 34-year-old ) as DOSE 1, SINGLE for covid-19 immunization. The patient had no medical history and concomitant medications. The patient had no known allergies. The patient was not pregnant at time of vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. The Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. On 01Mar2021 at 17:00, reported as about 4-5 hours after vaccination, the patient experienced bilateral eyelid swelling and worsened within 24 hrs. Therapeutic measures were taken as a result of event included Benadryl. The outcome of the event was recovering at time of report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712752
Sex: F
Age:
State: NJ

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

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

Lab Data:

Allergies:

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

Symptoms: Rash; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 27Feb2021 (Lot number and expiration date was not reported) as dose 2, single for COVID-19 immunization. Medical history included rash all over chest and back 2 years ago and lupus. The patient's concomitant medications were not provided. The patient experienced rash on an unspecified date. The patient rheumatologist wants to put her on steroids-6 day pack then 5mg thereafter to quiet everything down but said to wait a week before starting to take it, however the pharmacist said it would not interfere. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712753
Sex: F
Age:
State: FL

Vax Date: 03/06/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Name: creatinine test; Result Unstructured Data: Test Result:Unknown; Test Name: blood tests; Test Result: Negative ; Test Name: Hepatitis C test; Test Result: Negative ; Test Name: HIV test; Test Result: Negative ; Test Name: urine; Result Unstructured Data: Test Result:Unknown; Test Name: lung x-ray; Result Unstructured Data: Test Result:Unknown

Allergies:

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

Symptoms: short of breath, her head and whole body are numb; coughing; nauseous; did not feel hungry; felt very tired; felt something jump under her breast; her chest and stomach was bloated and she felt it like air inside; her chest and stomach was bloated and she felt it like air inside; trembling and shaking; She went to the Emergency Room because she had a reaction to the COVID-19 Vaccine, and her breathing was not good; short of breath, her head and whole body are numb; Her chest felt bloated; Stomach pain; Her stomach looked inflated; She had heart pain that woke her up from sleep while she was in bed.; She was not able to get the second COVID-19 Vaccine because she did not feel well.; This is a spontaneous report from a contactable consumer (patient). A female patient of A 13-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6199 and Expiration date: was not reported), via unspecified route, administered on 06-MAR-2021 as dose 1, single for COVID-19 immunization. The patient medical history included Brain Aneurysms on both side of her brain From: 2018 To: Unspecified), Benign Colon Tumor, flu From: 2018 To: Unspecified, concomitant medications were not reported. Question: Caller got her first dose of the vaccine on Saturday, 06Mar2021. She has a history of a benign tumor in her colon and had an injection in her left eye due to a scotoma and had some bleeding. Her doctor told to get the shot and she told the people at the vaccine site that she had medical conditions and a cough with mucus so they said they would observe her for 30 minutes. She was okay then but when she went back home, she started having symptoms. She is short of breath, her head and whole body are numb and weak. She is nauseated and felt like there was something jumping in her heart last night. Her back was heavy, like something was in there, that there was something in her spinal column and she has pain. She was seeing green in her eye where she was injected. She was very worried she was having a reaction. She never felt like this before, they said it was safe to take, her doctor told her to get it. She says her doctor is hard to reach. She stated a few times that she wasn't sure she would make it but then stated she needed to get dressed before calling and that maybe she should wait awhile. She said she was very thirsty and asked if she should bring water to the hospital and should she bring her medications. Because she was having trouble breathing. She went to the emergency room. They did labs and X-rays. They also put a syringe between her upper arm and hand. She was also reported that she was coughing. She was asking if coughing was a side effect of the vaccine. She was unsure if she can take the second dose. Does the second dose have more medication than the first dose , She was trying to call her primary care provider but it was difficult to get a hold of the primary care doctor. After she went home her head was numb and was guided to cough and remove mucus from her throat. Caller states that prior to receiving the vaccine, she had mucus and had taken a little, not much, half a tablespoon of cough and cold syrup. Days later, she went to the vaccination area in [Institute name]. They asked if she had cough and cold with mucus, she replied that she had preexisting conditions such as aneurysm, injection in her eye for scotoma, a benign tumor on left side of colon. After deliberating with her colleague, the interviewer allowed her to receive the vaccine followed by observation for 1 hour. On returning home, she felt nauseous, wanted to vomit and cough out something inside her. She took water, did not feel hungry, felt very tired. Her exhaustion caused her to sleep for 2-3 hours. When she woke up, she felt the same. Felt like she was not herself. Felt hungry and ate. Later at night, she felt something jump under her breast, thought it was her heart, very painful, like a very bad pinch. Massaged the area and endured the pain. Stood up to drink water, exercised and went back to sleep. In the morning, her chest and stomach was bloated and she felt it like air inside. It was painful. Spoke to 'one of you' before going to the ER. The pain was so much she felt like she deflated. Later on, she could not breathe, shortness of breath. The paramedic examined her vitals and took her to emergency. She was trembling and shaking. At about 11:00 at night they took her urine and drew some blood. Was kept the whole night with no medication given to her. Now, she was experiencing a bit of coughing with mucus. They too k antibodies against covid test in June that revealed she had antibodies. Also has high cholesterol for which she takes anti cholesterol and anti blood pressure medication. She takes Topamax for her seizures. Cannot take aspirin, due to her colon and aneurysm, causing a risk of bleeding. Patient would like to know if it was okay to take Mucinex as prescribed by her specialist. Patient would like to know if it is okay to take an anti coughing medication. Stated she was diagnosed in 2018 with brain aneurysms on both side of her brain. She said she had symptoms and was undergoing some stress and depression, and everything was terrible. She said she had pain in her ear and eye. She said she went to Hospital's Emergency Room and the doctors found her brain aneurysms on both sides of her head. She said she was admitted to the hospital and was treated with injections, blood tests, and was put on depression medicine. She clarified she was not able to get the second COVID-19 Vaccine because she did not feel well. She said she was interested to find out if an ingredient was in the Pfizer COVID-19 Vaccine. She said the ingredient helped people with colon problems, like cancer. She clarified she was reading about the ingredient's effectiveness, and thought the ingredient treated people with colon issues. Caller was advised she would be transferred to Pfizer for further assistance with her question. She clarified she had colon problems, and in 2017 was diagnosed with a benign colon tumor. She said that was the reason she was interested in the Pfizer COVID-19 Vaccine, and the vaccine's ingredients. She said she read online a certain ingredient helped with colon problems like cancer. She said she was not diagnosed with (colon) cancer. She said her doctor told her if she doesn't have her benign colon tumor treated, she will have cancer. She said she was supposed to have a colonoscopy, but didn't because of the pandemic. On 08Mar2021 she went to the Emergency Room because she had a reaction to the COVID-19 Vaccine, and her breathing was not good. She said she had blood tests and had to be treated at the Emergency Room. She clarified on the night of 06Mar2021, she had heart pain that woke her up from sleep while she was in bed. She said it felt like a pinch on her heart, and massaged the bottom of her heart with her hands. She said while she laid in bed, she exercised her arms by moving them up and down, and side to side. She said she jumped her body a little while she was lying in bed. She clarified she tried to make her heart get the pain out. She said after a few exercises the heart pain left, and she went back to sleep. She said on 07Apr2021, everything was fine, but that night her chest felt bloated. She said her chest felt like an inflated balloon. She said her stomach looked inflated and was painful. She said she asked herself "what was happening", and then after a few minutes, the chest bloating, stomach looking inflated, and stomach pain went away. Emergency Room Treatment: Stated the Emergency Room tested her urine, did a HIV test, a Hepatitis C test, and a lung x-ray. She said everything was negative, but she did not know the result of the urine test and lung x-ray. Reported she had breathing problems before she had the COVID-19 Vaccine and before the COVID-19 Virus pandemic. She said she would hardly feel the beating of her heart, and when she was laid down, she felt like she was losing her breath. Reported she had an injection in her left eye because of an accident in 2019 where a resident had elbow

Other Meds:

Current Illness:

ID: 1712754
Sex: F
Age:
State: TN

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: She got a Knot at the injection site and now it has spread; Cough; She didn't feel good and slept all day; She didn't feel good and slept all day; Tiredness; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL9266; Expiration Date: 31May2021), via an unspecified route of administration on 26Feb2021 (at the age of 74-years-old) as dose 2, single for COVID-19 immunization. Medical history included none. There were no concomitant medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN9581; Expiration Date: May2021), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient experienced tiredness on late night on 26Feb2021, she didn't feel good and slept all day on 27Feb2021, cough on 28Feb2021 and she got a knot at the injection site and now it has spread on 02Mar2021. Outcome of Tiredness was resolved on an unspecified date, outcome of She didn't feel good and slept all day was unknown. Outcome of Cough and she got a Knot at the injection site and now it has spread was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712755
Sex: F
Age:
State: IN

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

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:120/80; Test Date: 20210220; Test Name: blood pressure; Result Unstructured Data: Test Result:170/?; Test Date: 20210220; Test Name: blood pressure; Result Unstructured Data: Test Result:137/83

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: my arm was sore & I couldnot lay on that side; I had a major hot flash; chest pain; my blood pressure which had went up to 170/?; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 67-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 20Feb2021 11:00 (at the age of 67 years), (Batch/Lot Number: En6200) as DOSE 1, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. Medical history included none from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient had no known allergies. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 20Feb2021 11:00 the patient experienced, 15 minutes after the injection I had a major hot flash, then chest pain the nurse took my blood pressure which had went up to 170/? In 1/2 hour, it dropped to 137/83 and they let me go. The next night my arm was sore, and I couldn't lay on that side. Usually, my BP was 120/80. The patient underwent lab tests and procedures which included blood pressure measurement: 120/80 on an unspecified date, blood pressure measurement: 170/? on 20Feb2021, blood pressure measurement: 137/83 on 20Feb2021. The patient received the treatment as water for the adverse events. The clinical outcome of all the events was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712756
Sex: M
Age:
State: TX

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

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

Lab Data: Test Date: 20210303; Test Name: temperature; Result Unstructured Data: Test Result:101.2; Test Date: 20210210; Test Name: COVID Positive prior to Vaccination; Test Result: Positive.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 43-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in right arm on 02Mar2021 10:00 (Lot Number: CD3969) (at the age of 43-years old) as dose 1, single for covid-19 immunisation. Medical history included ongoing diabetes mellitus from 2016 or 2017, ongoing high blood pressure diagnosed in 2016 or 2017, covid-19 symptoms started on 07Feb2021 and he tested positive for covid on the 10Feb2021 prior to vaccination, pyrexia from Feb2021 and cough from Feb2021 since the covid. The patient was quarantined through the 22Feb2021 after testing positive for covid. The patient had no family medical history relevant to adverse event. Concomitant medications prior to the vaccine up until a week before included chlorphenamine maleate, dextromethorphan hydrobromide, paracetamol (CORICIDIN HBP MAXIMUM STRENGTH FLU) taken for pyrexia and not to raise his blood pressure from 07Feb2021 to 23Feb2021; paracetamol (TYLENOL) taken for an unspecified indication from an unspecified start date to Feb2021. The patient had no prior vaccinations within 4 weeks of covid-19 vaccine. After getting the vaccination, the patient fine just a little soreness initially, the injection site got real hard and started hurting then he noticed that the site where the injection went in on his arm was real sore on 02Mar2021 at about 18:00. Later about 03Mar2021 at 12, he woke up with a real bad fever, chills, sweating, body aches, joint pain in his elbows and knees, and his calves felt real tight like a calve strain on the right side; the side he got the shot on. The calve tightness which woke him up. The patient described the calve pain and waking him up kind of like a Charlie horse, a cramp. His wife checked on him to see why he woke up and felt him, saying he was burning up. His temperature was checked, and it was 101.2. At the time of reporting his arm was not as sore but was still tender right now, his muscles were still somewhat sore and his joints still hurt a lot, his body still ached. The patient was hot to the touch and he checked his temperature. The patient took Tylenol 500mg on 03Mar2021 at 12:30 or 13:00 as treatment for body aches and fever but it was not working. The events did not require visit to emergency room or physician office. The patient asked if he was contagious after vaccine. The outcome of vaccination site induration, sweating and calf pain was unknown and outcome of all other events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: CORICIDIN HBP MAXIMUM STRENGTH FLU; TYLENOL

Current Illness: Blood pressure high (diagnosed in, he wants to say 2016 or 2017); Diabetes (2016 or 2017)

ID: 1712757
Sex: M
Age:
State: CO

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

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

Lab Data: Test Name: blood oxygen level; Result Unstructured Data: Test Result:88; Comments: My blood oxygen level was at 88. It is normally 97 or 98

Allergies:

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

Symptoms: chest hurt; trouble breathing; My blood oxygen level was at 88. It is normally 97 or 98.; feeling cold; dizzy; couldn't walk hardly at all; shaking violently; This is a spontaneous report from a contactable consumer or other non hcp. A 71-years-old male patient received bnt162b2 (BNT162B2) formulation solution for injection, dose 2 (Lot number and expiry date was not reported) via an unspecified route of administration at arm left on 06Mar2021 10:00 (at the age of 71-years-old) as a single dose for covid-19 immunisation. Medical history included refractory anaemia with ringed sideroblasts, Myelodysplastic syndrome with ringed sideroblasts, tardive dyskinesia from an unknown date and unknown if ongoing. Concomitant medication(s) included DE tetrabenazine, levothyroxine sodium, sertraline, metformin (METFORMIN) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Other medications in two weeks: Austedo, levothyroxine, sertraline, metformin, vit. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Patient did not have known allergies. He had MDS with RARS and tardive dyskinesia. He had his 2nd dose on 06Mar2021 at 10:00 AM. He went home feeling fine all day. He went to bet and woke up at 11;55 at night, shaking violently. He was feeling cold. He got up very dizzy, couldn't walk hardly at all. Went back to bed shaking. He finally fell asleep. When he awoke in the morning his chest hurt, front and back, trouble breathing. His have a pulse oximeter from his wife who passed away from COPD 2 years ago. He bloods oxygen level was at 88. It was normally 97 or 98. It was now Monday 08Mar2021. He feels better not 100% but significantly better. His question was should the vaccine lower your blood oxygen level, he knows that if someone had COPD it may have killed them. He hasn't felt that bad in his 71 years. He probably wouldn't have gotten the 2nd shot if he knew this was going to happen. No treatment was given for adverse events. Outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: AUSTEDO; LEVOTHYROXIN; SERTRALINE; METFORMIN

Current Illness:

ID: 1712758
Sex: U
Age:
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: My hands are blood red; my finger tips are blood red; Like a rash but it is like a red and white all over my body; My whole arm is killing me, I am in so much pain; taste of foul fish in mouth and I drink and eat taste like nasty salmon; This is a spontaneous report from a contactable consumer(patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number, expiry date not reported) via an unspecified route of administration, on 01Mar2021, at dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced the hands and finger tips are blood red, like a rash but it is like red and white all over the body, the whole arm is killing with so much of pain on previous day night (02Mar2021) and taste of foul fish in mouth; when drink and eat taste like nasty salmon on Mar2021. 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: 1712759
Sex: F
Age:
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
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: 2021; Test Name: covid-19 test; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Chills; Diarrhea; Fever; I am not feeling well; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number, expiry date: Unknown), via an unspecified route of administration on 20Feb2021 (at the age of 79 year old) as dose 1, single for COVID-19 immunisation. Medical history included high blood pressure and parkinson's disease from an unknown date. The patient was taking unspecified medications for high blood pressure and parkinson's disease. On 21Feb2021, afternoon, she was not feeling well, she had chills, diarrhea and little bit of a fever. The events resulted in clinic visit. The patient underwent lab tests and procedures which included on an unspecified date in 2021, SARS-COV-2 test, where result was found to be negative. The healthcare professional informed her, that it was a side effect from vaccination. Therapeutic measures were taken in response to the events included, Tylenol and drinking Gatorade. It was reported that, her second dose has been scheduled on 13Mar2021. At the time of report, 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:

Current Illness:

ID: 1712760
Sex: F
Age:
State: IA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Ear pain; Sore throat; sinus drainage; felt like she had a fever, but she did not; flu-like symptoms like her body hurting, and not feeling well; Nausea; Tiredness; flu-like symptoms like her body hurting, and not feeling well; Lightheadedness; flu-like symptoms like her body hurting, and not feeling well; Stomach pain; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6198), via an unspecified route of administration, administered in Arm Left on 26Feb2021 14:45 at the age of 55-year-old as dose 1, single for covid-19 immunisation. Patient medical history and concomitant medications was none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no additional vaccines administered on same date of the bnt162b2. On 27Feb2021 patient experienced lightheadedness, nausea, tiredness, flu-like symptoms like her body hurting, and not feeling well. She said she felt like she had a fever, but she did not. She said she had stomach pain, as well. On 03Mar2021 something had developed in her ear and throat, clarifying she believed sinus drainage maybe making her ears and throat sore. Patient did not visit either emergency room or physician office. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1712761
Sex: F
Age:
State:

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: she got a rash; on her left leg there were some of the red spots that were sores that she has suddenly inflamed up; one spot that is still itchy; jillion tiny red dots on her arm, the arm she got the shot in; could have been an allergy; This is a spontaneous report from a contactable consumer. An 86-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EN6200 and expiry date not reported), via an unspecified route of administration, on 24Feb2021 (at the age of 86-year-old), as dose 2, single, for COVID-19 immunisation. Patient had no medical history. There were no concomitant medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number EN5318 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, on 26Feb2021, 2 days after the vaccine she got a rash, it was like a jillion tiny red dots on her arm, the arm she got the shot in, and it completely covered her arm with it and on her left leg there were some of the red spots that were sores that had suddenly inflamed up. It was reported that, they resolved before the vaccine, but they reared their ugly head and were inflamed again then the next day they began to subside (as reported). The reporter clarified this happened after the second dose. It was resolved except for one spot that was still itchy other than that, all the jillion little dots were gone. She was a little concerned about that it could have been an allergy and did not know if she should have had her take something for it like Benadryl. The outcome for rash was recovered and the outcome for one spot that was itchy was not recovered and the outcome for other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712762
Sex: F
Age:
State: VA

Vax Date: 02/27/2021
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: 2
Vax Route:
Vax Site:

Lab Data: Test Name: temperatures; Result Unstructured Data: Test Result:low grade temperatures, 99 to about a 101

Allergies:

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

Symptoms: Rash; Nausea; Low grade temperatures, 99 to about 101; Had vivid dreams were hard to awake even when I was awaken from it was hard to get out of the dream; Cold sores; Night sweat; red throat; Sweat; brain fog/strange feeling I don't know whether I am going to pass out although it feels different than normal that I have experienced in the past; when I stand up now my head becomes very heavy and I have to sit down because it's such a strange feeling I don't know whether I am going to pass out although it feels different than normal that I have experienced in the past; Right sinus and temple pain when I stand up head becomes very heavy and I have to sit down because it's a strange feeling whether I am going to pass out although it feels different than normal; Body aches and pains; cheeks have gotten red; This is a spontaneous report from a contactable consumer (patient). A 76-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiration date: not reported), via an unspecified route of administration, on 27Feb2021 (at the age of 76-year-old) as DOSE 2,SINGLE for covid-19 immunization. Medical history included blood pressure fluctuation. Concomitant medications included valsartan taken for blood pressure fluctuation and esomeprazole sodium (NEXIUM) taken for an unspecified indication. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EL9261 and expiration date: not reported), via an unspecified route of administration, in left arm, on 30Jan2021 (at the age of 76-year-old) as DOSE 1,SINGLE for covid-19 immunization and experienced Headache, nausea, Feeling unwell, Muscle pain and Joint pain. On 27Feb2021, the patient experienced a rash and had taken Tylenol and Benadryl, patient had nausea, low grade temperatures, 99 to about a 101. The patient had vivid dreams that were hard to awake, even when patient was awaken from it was hard to get out of the dream. Cold sores, red throat, right sinus and temple pain standing when she stand up her head becomes very heavy and have to sit down because it's such a strange feeling that she, don't know whether she was going to pass out although it feels different than normal that patient had experienced in the past. Body aches and pains, sweat, night sweat, brain fog. And also cheeks have gotten red and nausea. Therapeutic measures were taken as a result of events included Tylenol, Benadryl and included liquid IV. The outcome of all the events was unknown at time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: VALSARTAN; NEXIUM [ESOMEPRAZOLE SODIUM]

Current Illness:

ID: 1712763
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: A normal little soreness on her arm; She developed a some kind of hive on her leg it is itchy and uncomfortable; She developed a some kind of hive on her leg it is itchy and uncomfortable; She developed a some kind of hive on her leg it is itchy and uncomfortable; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 02Mar2021 (Lot number and expiration date was not reported) as dose 1, single for COVID-19 immunization. Medical history included allergy like seasonal. Concomitant medication included loratadine taken for seasonal allergy, start and stop dates were not reported. The patient experienced a normal little soreness on her arm. The patient applied some ice on her arm and she was fine. The patient developed some kind of hive on her leg and it was itchy and uncomfortable on an unspecified date. The outcome of events was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds: LORATADINE

Current Illness:

ID: 1712764
Sex: U
Age:
State:

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

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

Lab Data: Test Date: 20210302; Test Name: tempreature; Result Unstructured Data: Test Result:98; Test Date: 20210303; Test Name: tempreature; Result Unstructured Data: Test Result:99

Allergies:

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

Symptoms: felt achy almost like had the symptoms of the virus/the minute got in bed I started hurting all over, all over my body, ached all over; noticed the aching in my back and the front of my thighs; noticed the aching in my back and the front of my thighs; extremely tired; got up about 7 times during the night; muscle ache; My temperature is 99, last night it was 98; Congestion where in the morning I will have phlegm; Congestion where in the morning I will have phlegm; Dry cough; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date in Feb2021 as dose number unknown, single for COVID-19 immunization. Medical history included hearing aid user (hearing is not good). The patient's concomitant medications were not reported. The patient experienced dry cough on an unspecified date in 2021, felt achy almost like had the symptoms of the virus/the minute got in bed i started hurting all over, all over my body, ached all over, noticed the aching in my back and the front of my thighs, extremely tired, got up about 7 times during the night, muscle ache, my temperature is 99, last night it was 98 on 02Mar2021, congestion where in the morning i will have phlegm on an unspecified date in 2021. Patient's daughter is a nurse and she wanted patient to take it, otherwise patient wouldn't have. This morning it (temperature) was 99 even. It was reported that it was just a normal ache, not anything that would even single one come to patient's attention, but what patient want to know because of age can he/she ignore this and just wait and see how it goes. Outcome of event Dry cough was not resolved, felt achy almost like had the symptoms of the virus/the minute got in bed I started hurting all over, all over my body, ached all over, noticed the aching in my back and the front of my thighs, muscle ache and My temperature is 99, last night it was 98 were resolved on 03Mar2021. Outcome of extremely tired, got up about 7 times during the night and Congestion where in the morning I will have phlegm were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712765
Sex: M
Age:
State: PA

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

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

Lab Data: Test Date: 202102; Test Name: blood test; Result Unstructured Data: Test Result:Unknown results; Comments: I did have a test last week

Allergies:

Symptom List: Vomiting

Symptoms: Going to suffocate; couldn't breathe very well; Diarrhea; This is a spontaneous report from a contactable consumer (patient). An 85-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EL9269, Expiration date: Not reported), via an unspecified route of administration, on an unspecified date as dose 2, single for COVID-19 immunization. Medical history included ongoing stroke. Concomitant medications included warfarin which was taken for stroke; atorvastatin, telmisartan, doxazosin and atenolol were taken for an unspecified indication. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date: Not reported), via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization. The patient had two side effects in which the number one was reported as the patient was going to suffocate and couldn't breathe very well which would be the feeling at bedtime and the second one was diarrhea on an unspecified date. No treatment was received by the patient for these events. The patient had a blood test in the last week with unknown results in Feb2021. The outcome of the events was unknown at the time of report. No follow-up attempts are possible. No further information is expected.

Other Meds: WARFARIN; ATORVASTATIN; TELMISARTAN; DOXAZOSIN; ATENOLOL

Current Illness: Stroke

ID: 1712766
Sex: F
Age:
State: TN

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: raised knot at injection site; Redness; Swelling; itches constantly; This is a spontaneous report from a contactable consumer (patient). A 34-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EN6210), via an unspecified route of administration, administered in Left arm on 01Mar2021 16:00 (at the age of 34 year old) as dose 2, single for COVID-19 immunisation. The patient medical history and family medical history was reported as none. Concomitant medication included sertraline taken for an unspecified indication. The patient has no known allergies, never had an allergic reaction to medication. Prior vaccination, patient did not receive other vaccines within four weeks. Historical vaccine included first dose of 0.3 ml BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL9261), via an unspecified route of administration on 23Jan2021 (at the age of 34 year old), as single dose for COVID-19 immunization and the patient experienced a little tired. On 01Mar2021 16:00, after received the vaccination, once she reached home, she felt tight like knot under the skin, at the injection site on her left arm, little more than half way down to the elbow. Next day, on 02Mar2021, by the evening time, the knot was raised and kept getting more red and swollen. The redness and swelling spreads, where size of a quarter (that was found on 03Mar2021) became size of a plum or little bigger than a half dollar at the time of report, (on 04Mar2021). At the time of report, it is red and swollen with a white line around it, where it itches constantly. It is super tender and been tender the whole time. It was reported that COVID vaccine was given, on top of her bicep, where she used to get injections towards the top of her shoulder. The outcome of the events was unknown. No follow up attempts are possible. No further information is expected

Other Meds: SERTRALINE

Current Illness:

ID: 1712767
Sex: U
Age:
State:

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Test Date: 20210227; Test Name: Fever; Result Unstructured Data: Test Result:104.4

Allergies:

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

Symptoms: Aches; chills; fever of 104.4; This is a spontaneous report from a non-contactable consumer or other non-healthcare professional (Patient). A 21-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), second dose via an unspecified route of administration on 26Feb2021 (at the age of 21-year-old) as dose 2, single for COVID-19 immunisation at public health clinic/veteran's administration facility. Medical history included irritable bowel syndrome from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. No known allergies were reported. Historical vaccine given to patient previously was bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), first dose via an unspecified route of administration on an unspecified date (at the age of 21-year-old) as dose 1, single for COVID-19 immunisation at public health clinic/veteran's administration facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received any other vaccines within 2 weeks of COVID-19 Vaccination included unspecified vaccine. The patient did not diagnose with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. On 27Feb2021, the patient experienced aches, chills, fever of 104.4 the following day. The patient underwent lab tests and procedures which included body temperature: 104.4 on 27Feb2021. No treatment was received for the events. The outcome of the event was reported as resolved on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1712768
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: rash under both arms; not really tired, just tired; Diarrhea; This is a spontaneous report from a contactable consumer (patient). This consumer reported similar events for two patients. This is the first of two reports. A 72-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVD-19 VACCINE; Batch/Lot Number: EN6203), via an unspecified route of administration, administered in left arm on 26Feb2021 (at the age of 72-year-old) as dose 2, single for COVID-19 immunization. The patient did not have any medical history. There were no concomitant medications. The patient previously received BNT162B2 (PFIZER-BIONTECH COVD-19 VACCINE; Batch/Lot Number: EN9581), via an unspecified route of administration, administered in left arm on 03Feb2021 at 12:30 (at the age of 72-year-old) as dose 1, single for COVID-19 immunization and did not have any adverse event. On 26Feb2021, the patient was not really tired, just tired, that started right after got the shot, that she was yawning and yawning and tired and was fine the next day, states she had diarrhea that has lasted 2-3 days and that also started same day as the shot and it was ongoing, but just about gone. On 28Feb2021, the patient had rash under both arms, that started 2 days after the second shot and has remained the same, has not gone anywhere and she has been putting anti itch cream and Neosporin on the rash. Caller stated that she did not take anything for the diarrhea. Caller clarified that these symptoms all happened after the 2nd COVID 19 vaccine that she received 26Feb2021. The outcome was recovered for not really tired, just tired on 27Feb2021 and recovering for diarrhoea whereas the event outcome was not recovered for rash under both arms. No follow-up attempts are possible; no further information is expected. ; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021257924 same reporter/diff patient

Other Meds:

Current Illness:

ID: 1712769
Sex: F
Age:
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: Loss of taste; Drying mouth; Fever; Chills; Body aches; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE;Lot Number: EN6198 and expiration date was not reported), via an unspecified route of administration, administered in upper Left Arm on an unspecified date at dose 1, single for covid-19 immunization. Patient had no medical history. There were no concomitant medications. The patient experienced loss of taste, drying mouth, fever, chills, body aches on an unspecified date. Patient took Tylenol as a treatment for the events fever, chills, body aches. Patient wanted to know if these are common when got the vaccine. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1712770
Sex: F
Age:
State: OR

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

Lab Data:

Allergies:

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

Symptoms: lost a lot of sense of taste; Sore injection arm/very slight sore arm/Sore arm was the injection arm; Mild headache and head felt full; Mild headache and head felt full; little bit of a strange feeling in her head; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: GL9262), via an unspecified route of administration in the left arm on 25Feb2021 at 09:00 (at the age of 74-year-old), dose 1, single for COVID-19 immunisation. Medical history included never had a sense of smell. Family history included never had a sense of smell. The patient never had a sense of smell, it was genetic. Stated her grandfather, herself, and her grandson never had a sense of smell. The patient did not receive any concomitant medications. The patient did not receive any additional vaccine on same date of COVID-19 vaccine. The patient did not receive other vaccines four weeks prior to COVID-19 vaccine. The patient was not pregnant at the time of vaccination. The vaccine was administered at hospital. It was reported that the patient hardly had any reaction as far as feeling sick form the COVID-19 vaccine. Stated it seemed strange that she lost a lot of sense of taste. The patient reported, currently nothing tastes right. The patient could taste sweets but could not taste flavors. Tasted like her coffee was not strong enough. She made a garlic shrimp pasta and she could not taste the garlic or seasoning. Could not taste her pastrami, mustard, and sauerkraut sandwich and hardly had any flavor. The patient wanted to know if loss of taste was a side effect of the COVID-19 vaccine. The patient had had a very slight sore arm, which was not a problem at all. The sore arm was the injection arm, which was her left arm. On 26Feb2021, just the first day, the patient had a little bit of a strange feeling in her head. Had a mild headache and her head felt full. After that she was fine. It was a very little reaction. The patient did not undergo lab tests and procedures. The outcome of the events 'little bit of a strange feeling in her head' and 'mild headache and head felt full' was recovered and outcome of other events was unknown. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am