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: 1718390
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/21/2021
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: A little soreness at the injection site; kind of tired; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 76-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient's medical history included ongoing dust and dust mites, trees and grass. The patient's concomitant medications were not reported. It was reported that the patient receives an allergy shot every 3 weeks and has done so since 2009. She receives the allergy shot in one arm for dust and dust mites, and another in the other arm for trees and grass. On an unspecified date, the patient also reports that after receiving her first dose, she experienced a little soreness at the injection site and reports feeling kind of tired but states she haven't really experienced anything else. She was okay. She hasn't had anything significant. The patient would like to know if there was any information regarding blood thinners and taking the vaccine. The outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness: Dust allergy (she receives an allergy shot every 3 weeks and has done so since 2009.); Grass allergy

ID: 1718391
Sex: M
Age:
State:

Vax Date: 02/12/2021
Onset Date:
Rec V Date: 09/21/2021
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: still getting some body aches and pain; still getting some body aches and pain; This is a spontaneous report from a contactable consumer (patient, self-reported). A 74-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on 12Feb2021, as a single dose for COVID-19 immunization. The patient's medical history included arthritis. Concomitant medications included paracetamol (TYLENOL) and naproxen sodium (ALEVE). The patient explained he was "still getting some body aches and pain" on an unspecified date. He asked was that normal after the shot. He then added he stopped taking his pain medication, "Tylenol and Aleve", one day before the receipt of the first dose of the vaccine and hasn't taken anything since then. He specified he usually took those pain medications for his "arthritis". The patient also asked could he took pain medication such as Tylenol or Aleve with the vaccination. If so, how long before getting the second dose should I stop taking them. Outcome of the events was not reported. Information on lot/ batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds: TYLENOL; ALEVE

Current Illness:

ID: 1718392
Sex: F
Age:
State: CT

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 09/21/2021
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: fatigue; arm pain; stomach pain, cramping; diarrhea; nausea; This is a spontaneous report from a contactable pharmacist. A 48-years-old non pregnant female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: unknown), via an unspecified route of administration, administered in Arm Left on 13Feb2021 11:00 (at age of 48-years-old) at as dose 2, single for covid-19 immunisation. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: not reported), via an unspecified route of administration left arm on 14Jan2021 as dose 1, single for covid-19 immunization. Medical history included asthma, allergies. The patient was known allergies to dairy, statin drugs and yeast. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient's concomitant medications were not reported. On 14Feb2021 08:00 AM, 20 hours after the second vaccine dose I experienced 48 hours of fatigue and arm pain. After this, I started to have severe stomach pain, cramping and some diarrhea. It was not like anything I experienced before. The only thing that relieved the pain and nausea was to lie still. The adverse event resulted in emergency room. No treatment was received in response to the adverse events. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. At the of reporting, the outcome of the events were not resolved. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718393
Sex: F
Age:
State: MD

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 09/21/2021
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: Metallic taste; This is a spontaneous report from a contactable consumer (patient). A 32-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: El3247) via an unspecified route of administration, administered in arm right on 16Feb2021 12:30 PM as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history included IBS, enlarged mitro valve. The patient had known allergies to peanuts. Concomitant medications/other medications in two weeks included Benadryl. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: El1284) via an unspecified route of administration, administered in arm left on 26JanFeb2021 10:30 AM as DOSE 1, SINGLE for COVID-19 immunisation. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. On 19Feb2021 09:00 PM, the patient experienced metallic taste. The patient did not receive any treatment for the event. The outcome of the events was not recovered. Follow-up attempts are completed. No further information was expected.

Other Meds: BENADRYL.

Current Illness:

ID: 1718394
Sex: M
Age:
State: MO

Vax Date:
Onset Date:
Rec V Date: 09/21/2021
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: "I'm confused, I believe it (vaccine )was yesterday".; does not remember getting a card from vaccination provider; This is a spontaneous report from a non-contactable consumer (patient). A male patient of age 72 (units unspecified) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number was not reported) via an unspecified route of administration on an unknown date in 2021 as DOSE 1, SINGLE for COVID-19 immunization. The patient medical history included urinary flow. Concomitant medications included doxycycline calcium, atorvastatin calcium, doxazosin mesylate and finasteride taken for urinary flow. Patient received 1st dose of vaccine and became unsure if he received Pfizer or Moderna vaccine. He said he believes they told him they gave me Moderna. Patient said all his post vaccination paperwork says Pfizer and was sure he got the Pfizer drug. Patient continues to go back and forth about whether he received Pfizer or Moderna. He does not remember getting a card from vaccination provider and is asking for assistance with obtaining another card and confirming vaccination information (date received, manufacturing company). He is also confused about hand written date and time on top of paperwork, 10Mar2021 at 10 30am. Patient continues to voice he believes that was the date he got the 1st dose. Patient was confused about multiple topics and said maybe its medication he is taking, but this has been the most confusing day. Patient then repeats he was confused, he believed it (vaccine) was yesterday. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: DOXYCYCLINE CALCIUM; ATORVASTATIN CALCIUM; DOXAZOSIN MESILATE; FINASTERIDE 1A PHARMA.

Current Illness:

ID: 1718395
Sex: F
Age:
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/21/2021
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: Severe Headache; Dizziness; sore left arm; This is a spontaneous report from a contactable consumer or other non hcp. A 41-years-old female (non pregnant) patient received bnt162b2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6200 and expiry date was not reported),via an unspecified route administered in Arm Left on 20Feb2021 09:00 ( age at vaccination 41 years old) as dose 1,single for COVID-19 immunisation.Medical history and concomitant medications were not reported.On 20Feb2021 12:00 patient experienced severe headache, dizziness, sore left arm.The outcome of the events was not recovered. Follow-up (11May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718396
Sex: M
Age:
State: MA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 09/21/2021
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: This is a spontaneous report from a contactable consumer. A 40-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot number: el3247 and Batch no/Expiration date: not provided) via an unspecified route of administration in Arm Left on 18Feb2021 09:00 AM (age at vaccination 40-years-old) as dose 2, single for COVID-19 immunization at Workplace clinic. The patient medical history and concomitant medications were not reported. Patient had past drug codeine and experienced allergies. Historical vaccine included previously patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot number: EL3247 and Batch no/Expiration date: not provided) via an unspecified route of administration in Arm Left on 28Jan2021 09:00 AM (age at vaccination 40-years-old) as dose 1, single for COVID-19 immunization. Patient did not receive other vaccines within four weeks and did not receive other medications within two weeks. Patient had no covid prior to vaccination and not tested post vaccination.Two days later on 20Feb2021, the patient experienced Sore arm, felt tired and headache most of the day. The patient received treatment for the reported events which included Tylenol. Outcome of all the events was recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718397
Sex: F
Age:
State: PA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 09/21/2021
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:high; Test Name: heartbeat; Result Unstructured Data: Test Result:rapid; Test Date: 202010; Test Name: covid 19; Result Unstructured Data: Test Result:unknown result; Comments: Had Covid 19 in Oct2020

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: high blood pressure; weakness; unable to stand; rapid heartbeat; This is a spontaneous report from a contactable consumer or other non hcp. A 80-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number EN9581) via an unspecified route of administration, administered in Arm Right on 18Feb2021 10:00(Age at vaccination was 80 years) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included chronic obstructive pulmonary disease, bronchitis chronic, asthma, covid-19 on 19Oct2020. The patient previously took percocet [oxycodone hydrochloride;oxycodone terephthalate;paracetamol] and experienced drug hypersensitivity. No other vaccine in was received in four weeks. Concomitant medication(s) included fluticasone propionate (FLONASE [FLUTICASONE PROPIONATE]); ibuprofen (IBUPROFEN); esomeprazole sodium (NEXIUM [ESOMEPRAZOLE SODIUM]) all taken at 12.5 mg for unspecified indication, start and stop date were not reported and the patient received within 2 weeks of vaccination. The patient had identical side effects after initial dose of vaccine. On 19Feb2021 08:00 patient experienced high blood pressure, weakness, unable to stand, rapid heartbeat. Went to emergency room by ambulance on 19Feb, patient still experiencing weakness in legs and arms. No treatment was received for adverse events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient underwent lab tests and procedures which included blood pressure measurement: high on unspecified date, heart rate: rapid on unspecified date, sars-cov-2 test: unknown result on Oct2020. The report was non-serious. The outcome of events was recovered with Sequel. Follow-up attempts completed. No further information expected.

Other Meds: FLONASE [FLUTICASONE PROPIONATE]; IBUPROFEN; NEXIUM [ESOMEPRAZOLE SODIUM]

Current Illness:

ID: 1718398
Sex: F
Age:
State:

Vax Date: 01/28/2021
Onset Date:
Rec V Date: 09/21/2021
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: Received her first dose on 28Jan and patient was diagnosed with transient global amnesia; This is a spontaneous report from a contactable Nurse (Patient). A 68-year-old female (Non pregnant) patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered anatomical location not reported on 28Jan2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient wanted to know if a patient can have IV contrast Iohexol 75 ml/350 solution due to a neurological event happened on 16Feb (year not reported), can the patient receive the second dose of the vaccine which will due tomorrow (4 days later of IV contrast) and is it safe to give COVID-19 vaccine 4 days later. Patient wanted to know what arm patient should get their second dose of the bnt162b2 vaccine (opposite arm or same arm). On unspecified date, patient experienced transient global amnesia. Treatment received for the event was unknown. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021183970 similar report from same reporter

Other Meds:

Current Illness:

ID: 1718400
Sex: M
Age:
State: PA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Test Date: 20210218; Test Name: Nasal Swab; Result Unstructured Data: Test Result:unknown results

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 36 hrs after injection extreme fatigue began. while improving slightly it has continued for 18 days. went to ER but they could not find a reason to admit me. Still very weak. Need help but no one can; Still very weak.; This is a spontaneous report from a contactable consumer (patient). A 75-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EL9262), via an unspecified route of administration, administrated in left arm on 12Feb2021 13:30 (age at the time of vaccination 75-years-old), as a single dose for COVID-19 immunization at Hospital. The patient's medical history included copd, and coronary artery disease. The patient's concomitant medications included spiriva, plavix, avodart, atorvastatin, lipitor, linzess, breo, and levoxly. Patient did not have known allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 14Feb2021, the patient experienced 36 hrs after injection extreme fatigue began. while improving slightly it has continued for 18 days. went to ER but they could not find a reason to admit me. Still very weak. Need help but no one can provide, and Still very weak. On 18Feb2021, the patient underwent lab tests and procedures which included Nasal Swab, COVID-19: Negative. The adverse event result in Emergency room/department or urgent care. No treatment received for the adverse event. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. Upon follow-up (26Feb2021), age of the patient at the time of vaccination, lot number, date and time of vaccination, date of lab test and result, concomitant drugs, adverse event, and outcome was updated. The outcome of the event was not recovered. Information on the lot/batch number has been requested. Follow-up#1 (26Feb2021): This is a spontaneous report from a contactable consumer. This consumer (patient) reported that, which included: age of the patient at the time of vaccination, lot number, date and time of vaccination, date of lab test and result, concomitant drugs, adverse event, and outcome was updated in narrative. Follow-up#2 (06Mar2021): This is a spontaneous report from a contactable consumer. This consumer (patient) reported that: no new information was added. No follow-up attempts are needed. No further information is expected.

Other Meds: SPIRIVA; PLAVIX; AVODART; ATORVASTATIN; LIPITOR [ATORVASTATIN]; LINZESS

Current Illness:

ID: 1718401
Sex: M
Age:
State: MO

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 09/21/2021
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: Headache; Severely swollen lymph node in left armpit; Pain radiating down inside of left arm; Pain radiating down inside of left arm; This is a spontaneous report from a contactable consumer or other non-HCP (patient himself). A 51-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN5381) via an unspecified route of administration in left arm on 16Feb2021 07:30 as dose 2, single (at the age of 51-years-old) for COVID-19 immunization. Vaccination facility type was reported as Workplace Clinic. Patient medical history was not reported. Patient received unknown concomitant medications in two weeks. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number- EN5381) via an unspecified route of administration in left arm on 26Jan2021 07:00 as dose 1, single for COVID-19 immunization and experienced sore arm and diarrhea. Patient did not receive other vaccine in four weeks. Patient had not COVID prior vaccination and was not tested post COVID vaccination. On 18Feb2021, the patient experienced headache, severely swollen lymph node in left armpit and pain radiating down inside of left arm. Patient did not receive any treatment for the reported events. The outcome of the events was not recovered. Follow-up (14May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718402
Sex: F
Age:
State: NY

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 09/21/2021
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: arm started hurting; body aches/aches are increasing; Headache; This is a spontaneous report from a contactable consumer (patient). A 56-years-old female patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection), dose 1 intramuscular, administered in Arm Left on 18Feb2021 14:00 (at the age of 56-years-old) (Batch/Lot Number: EL3302; Expiration Date: May2021) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included blood pressure high from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. It was reported that on an unspecified date, she had headache, body aches, her arm started hurting first when she got the vaccine. Through the evening, she started getting achy. Through the night, she had like feverish body aches that kept waking her up. Reporter clarified she was not experiencing any fever at this time. The aches was increasing. It was reported that patient did not receive any additional vaccines on same date of the Pfizer Suspect. Patient did not receive any prior vaccinations within 4 weeks. Reporter stated she hasn't had a vaccine in over 50 years. Patient did not have medical history including any illness at time of vaccination and did not underwent any relevant tests. Patient stated she was feeling achy and she had a headache. Is it okay to take Tylenol (reporter question). It was reported that they didn't have anything on the pamphlet that was given out about taking Tylenol. Outcome of all events were unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718403
Sex: F
Age:
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Heavy fatigue starting 4 hours after vaccine and lasting about 8 hours; This is a spontaneous report from a non-contactable consumer (patient herself). A 43-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EN6200, expiration date was not reported), via an unspecified route of administration, administered in left arm on 18Feb2021 (age at vaccination; 43-years-old) as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient was not pregnant at the time of vaccination. The patient had not received any other vaccine within 4 weeks. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. After 4 hours of vaccination on 18Feb2021, the patient had experienced heavy fatigue which lasted for about 8 hours. The patient received treatment for the event. The outcome of the event was recovered. No follow-up attempts are possible. Information about lot/batch number could not be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1718404
Sex: U
Age:
State:

Vax Date: 02/07/2021
Onset Date:
Rec V Date: 09/21/2021
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: Dizziness; Weakness; I experienced eight of the twelve affect you could have; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection and Lot number was not reported), via an unspecified route of administration on 07Feb2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced eight of the twelve affect you could have plus lot of the severe one it is dizziness and weakness. The outcome of the events was unknown. Information on lot/ batch has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1718405
Sex: F
Age:
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 09/21/2021
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: Altered taste/ eat a cookie everyday to test it, and it tasted terrible/ now its just bad; This is a spontaneous case received from a contactable consumer (patient herself). A female patient (age:83, Units: unknown) received second dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number was not reported), via an unspecified route of administration on 19Feb2021 at approximately 08:00 as SINGLE for COVID-19 immunization. The patient medical history included immunocompromised. The patient concomitant medications was not reported. The patient historical vaccine included first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number was not reported), via an unspecified route of administration on 22Jan2021 at approximately 08:00 for COVID-19 immunization and experienced altered taste/ metallic taste, also very hungry and tired. The following morning after second vaccination on 20Feb2021, the patient experienced altered taste. Also stated, I eat a cookie everyday to test it, and it tasted terrible. After second dose she ate a lot and slept. It was stated it was more metallic first time (after 1st dose), now its just bad (after 2nd dose). Caller stated she did rinse mouth with Listerine in the morning, and asking if that could affect the taste. Asking if this was a side effect from the vaccine. Made caller aware there is currently no information to provide on altered taste post vaccination. The outcome of the event was unknown. Follow-up attempts are completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1718406
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/21/2021
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: boiling blisters; This is a spontaneous report from a contactable consumer (Patient) based on the information reported to Pfizer by company, (Mfr. Report Number: LRN4255056). A female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Unknown), via an unspecified route of administration, on an unspecified date, as dose number unknown, single for COVID-19 immunization. The patient's medica history and concomitant medications were not reported. On an unspecified date, after vaccination, the patient experienced boiling blisters. The clinical outcome of the event was reported as unknown. No further information was reported. Information on lot/ batch has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718407
Sex: F
Age:
State: NY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/21/2021
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: diarrhea; Severe cramping; This is a spontaneous report from a contactable consumer (patient). A 47-Years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EN6200) via unknown route of administration in Left arm, on 20Feb2021 03:30 PM (at the age of 47 years old), as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history included MCTD, endometriosis and patient were allergic to Quetiapine. The patient's concomitant medications included hydroxychloroquine sulfate (PLAQUENIL), amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), ibuprofen and trazodone. On 20Feb2021 at 07:00 PM, the patient experienced severe cramping and diarrhea. The patient did not receive treatment for the event. The patient did not have COVID prior vaccination and not tested COVID post vaccination. At the time of this report the outcome of the event was reported as recovering. Follow-up attempts completed. No further information expected.

Other Meds: PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; ADDERALL; IBUPROFEN; TRAZODONE

Current Illness:

ID: 1718408
Sex: F
Age:
State: CT

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 09/21/2021
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: Body aches; hand plus thumb ache even stronger; This is a spontaneous report from a contactable consumer (patient). A 70-year-old non pregnant female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: not reported, Expiry date: not reported, age at of 70-year-old), via an unspecified route of administration, administered in left arm on 15Feb2021 13:00 as dose 2, single for covid-19 immunisation. Medical history included arthritis (diagnoses in the affected thumb and wrist). The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown, Expiry date: unknown, at age of 70-year-old), via an unspecified route of administration in left arm on 25Jan2021 16:00 as dose 1, single for covid-19 immunisation. The patient concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks to vaccine. It was unknown if patient received other medication in two weeks. On 16Feb2021, the patient experienced body aches, and hand plus thumb ache even stronger than body ache. The outcome of event 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: 1718409
Sex: F
Age:
State: NC

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 09/21/2021
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: Injection site pain; Tiredness/is just wiped out; Headache; has not been able to put anything in her stomach, as she runs straight to the bathroom; hurts so bad, her stomach and back; hurts so bad, her stomach and back; This is a spontaneous report from a contactable consumer (patient, self-reported). A 69-Year-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EM9810 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 16Feb2021 (age at vaccination: 69 years), as a single dose for COVID-19 immunization. The patient's medical history included high blood pressure. Concomitant medication included unspecified blood pressure medication. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a single dose for COVID-19 immunization and she was fine. The patient stated that on 16Feb2021, she received the second dose of the COVID vaccine. After this dose, about two hours after, she started feel ingtired. The patient stated that she hasn't been able to get straight. The patient was having injection site pain, tiredness, headache, all of these things were going on. The patient was wondering how long these side effects were supposed to last. She has not been able to put anything in her stomach, as she runs straight to the bathroom. The patient tried to eat twice, but she didn't like the feeling of diarrhea and it was constant. The patient stated that she tried to get up and move around, but she was just wiped out. The patient was wondering if these were normal side effects, like she hurts so bad, her stomach and back and she has not had food in a long time. The patient was wondering if she was supposed to be in this situation. The patient reported that all events were still ongoing. When queried for outcome, patient stated that she would feel like her symptoms have improved but then they come back with a vengeance. She gets up and tries to function, and her symptoms shoot her back down. The patient confirmed that she had no other vaccines on the same day as her COVID vaccine. The patient took an unspecified blood pressure medication, she confirms she took it the same day as her COVID vaccine, but she was unwell the next day and the day after, and she didn't get out of bed, so she forgot to take this medicine on those days. Outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718410
Sex: M
Age:
State: MO

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 09/21/2021
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: arms are aching; woke up yesterday and from his shoulder to his elbow on his left arm is sore; This is a spontaneous report from a contactable consumer. A 79-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was unknown, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 13Feb2021 13:15 (at the age of 79-years-old) as dose 1, single for covid-19 immunisation. Patient received second dose of BNT162B2 (Batch/Lot number was not reported) as dose 2, single for covid-19 immunisation on 06Mar2021. Family Medical History Relevant to AE was none, but patient stated that he had 2 sisters who died from cancer on an unspecified date. Patient stated he had blood work done prior to getting the vaccine. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient stated that he takes blood pressure medication, cholesterol medication, and fish oil and he wears a patch for his blood pressure (names of the products unknown).Vaccine administered at clinic. None of the vaccines was administered on same date of the Pfizer suspect vaccine. On 18Feb2021, patient stated that when he woke up yesterday morning his arms are aching and the left is the sorest, said he received the vaccine in the left arm also said that his right arm is sore at the elbow. Patient had no visit to emergency room or physician office. Outcome of the events was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718411
Sex: F
Age:
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 09/21/2021
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: Headache/ Tylenol (Treatment) back and forth, back and forth/ I get relief when I have it and then it come back again; 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, Lot number was not reported, Expiration date was unknown), via an unspecified route of administration on an unknown date in Feb2021 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On an unknown date in Feb2021, the patient received COVID vaccine, given last week Monday. So, from then I have been having this headache. So, I have taken Tylenol (Treatment) back and forth, back and forth. Is like I get relief when I have it and then it come back again. The outcome of event was unknown. Follow-up attempts are completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1718412
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/21/2021
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: arm soreness; This is a spontaneous report from a contactable consumer. This consumer reported similar events for two patients. This is the second of two reports. This consumer (husband) reported for a female patient (wife) that a female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number-Not reported) via an unspecified route of administration, administered on unspecified date as Dose 1, single for covid immunization. Patient medical history include Type 1 diabetic. Just wondering if there is a survey I could help with after receiving the first dose of the Pfizer vaccine for COVID. I had arm soreness for about a day, but that is it. The patient concomitant medication were not reported. Patient experienced arm soreness on unknown date. The outcome of event was unknown. Information about lot/batch number has been requested. Follow-up attempts completed. No further information expected. Sender's Comments: Linked Report(s) : US-PFIZER INC-2021213472 Same reporter/ drug/ event for different patients

Other Meds:

Current Illness:

ID: 1718413
Sex: F
Age:
State: ND

Vax Date: 01/12/2021
Onset Date:
Rec V Date: 09/21/2021
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: sore arm; This is a spontaneous report from a contactable consumer or other non hcp. A 20-year-old female patient received first dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number-Unknown),via an unspecified route of administration, administered in arm left on12Jan2021 19:30 (age at vaccination 20 years) as dose 1, single for COVID-19 immunization. The patient medical history was reported as none. The patient's concomitant medications were not reported. The patient experienced sore arm on an unspecified date in 2021. The outcome of event was recovered on an unspecified date in 2021. Information about lot/ batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718414
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 09/21/2021
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: she had a slight headache after the first dose; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date was not reported) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient wants to know how she can reschedule her second dose and mentioned she had a slight headache after the first dose on an unspecified date. The outcome of the event was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718415
Sex: F
Age:
State: CA

Vax Date: 02/24/2021
Onset Date: 02/01/2021
Rec V Date: 09/21/2021
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: slightly more tired than normal; the area of the area of the arm where administered was sore to touch/arm was extremely sore and couldn't lift above shoulder level; muscles were fatigued; muscles were fatigued and tightening considerably in shoulders and back, way beyond normal soreness; muscles were fatigued and tightening considerably in shoulders and back, way beyond normal soreness; muscles were fatigued and tightening considerably in shoulders and back, way beyond normal soreness; This is a spontaneous report from a contactable consumer (patient). A 47-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration in the left arm on 24Feb2021 at 14:45 (at the age of 47-year-old), dose 1, single for COVID-19 immunisation. The patient had no medical history and there were no concomitant medications. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive other vaccines four weeks prior. The patient was not pregnant at the time of vaccination. On 24Feb2021, the day of vaccination, the patient's area of the arm where vaccine administered was sore to touch. On 25Feb2021, next day, the arm was extremely sore and could not lift above shoulder level and she needed to rest and was slightly more tired than normal. On 26Feb2021, the patient resumed activities, and arm could raise to normal. From an unspecified date in Feb2021 (by the weekend and even the entire following week), the patient's muscles were fatigued and tightening considerably in shoulders and back, way beyond normal soreness. The patient received chiropractic care for the events. The patient had not been tested for COVID-19 since vaccination. The outcome of the events was recovering. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718416
Sex: F
Age:
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 09/21/2021
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: her back was bothering her/Back ache; Fever; Achiness; This is a spontaneous report from a contactable consumer (patient) via medical information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 04Feb2021 as dose 2, single for COVID-19 immunization. Medical history included Shingles. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. It was stated that patient realized, she came down with shingles probably the day before or the day of that she took the first shot. The patient's concomitant medications were not reported. The patient experienced her back was bothering her/back ache, fever, and achiness on 05Feb2021. Outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718417
Sex: F
Age:
State: MD

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 09/21/2021
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: Left eye drooping; numbness; tingling of nose and upper lip area and left side of face began about 30 post vaccine; tingling of nose and upper lip area and left side of face began about 30 post vaccine; tingling of nose and upper lip area and left side of face began about 30 post vaccine; This is a spontaneous report received from a contactable consumer or other non hcp. A 60-years-old female patient received 2nd dose of bnt162b2 (COMIRNATY,Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm Left on 27Feb2021 15:45,at the age of 60 years old,as Dose 2,single for covid-19 immunization. Medical history included interstitial cystitis and drug hypersensitivity from an unknown date and unknown if ongoing. There were no concomitant medications.The patient previously took tigan and experienced drug hypersensitivity, bnt162b2 for covid-19 immunization.The patient experienced left eye drooping, numbness, tingling of nose and upper lip area and left side of face began about 30 post vaccine on 27Feb2021 16:15.The outcome of the event was recovering.The patient had not received any other vaccine within 4 weeks.The patient was not diagnosed with covid prior vaccination and not tested post vaccination. Follow-up (12May2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1718418
Sex: F
Age:
State: FL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/21/2021
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: it was blotchy and turned red; it was blotchy and turned red; the area started to itch; soreness and warmth at the injections site; soreness and warmth at the injections site; This is a spontaneous report from a contactable nurse (patient) via medical information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 20Feb2021 as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced soreness and warmth at the injections site on 20Feb2021, the area started to itch on 22Feb2021, and it was blotchy and turned red on 01Mar2021. Patient reported that she experienced soreness and warmth at the injections site. Two days later the area started to itch, but she didn't bother with it, 9 days in and she rubbed the area but still didn't itch it, the whole are became red. And when it subsided, it left a blotch, with off and on itching. Patient reported that the blotch is really mild, it was fading, but it leaves her feeling uncertain. Outcome of event soreness and warmth at the injections site was unknown, the area started to itch was not resolved, Blotchy was resolving and Redness was resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718419
Sex: F
Age:
State: MI

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 09/21/2021
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: rash on her sides which speared through her entire body/broke out in a rash; This is a spontaneous report from a contactable consumer (patient) via Medical Information Team. A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6198), via an unspecified route of administration in the left arm on 25Feb2021 at 14:15 (at the age of 65-year-old), dose 1, single for COVID-19 immunisation. The patient had no medical history and there were no concomitant medications. The patient had no family history. The patient did not receive other vaccines four weeks prior. The patient did not underwent lab tests and procedures The event was reported as non-serious and resulted in emergency room visit and doctor or other healthcare professional office/clinic visit. On 28Feb2021, the patient noticed rash on her sides which speared through her entire body. The patient went to emergency and consulted a dermatologist. It was reported the patient broke out in a rash. Ended up going to the emergency room. Was only told to get on Benadryl. The rash spread all over her body and went to a dermatologist and was told it was definitely a reaction from the COVID-19 Shot. The rash appeared initially as long scratch marks or long stretch marks. Noticed it in the morning and thought it was strange. In the evening, the rash was all over her chest, neck, and top parts of arms. The rash was spreading all over her body as of the report. On 28Feb2021, the patient was discharged from emergency room. Stated it was after 23:00 and there was no urgent care open at that time. As of the reporting day, the rash on her sides still resembles scratch or stretch marks. On the rest of her body, it is just a blotchy rash. The patient had been taking Benadryl (lot number: SPF061, expiration date: Aug2022) three times a day (25mg in the morning, 25mg in the afternoon, 50mg at night) for five days. Dosing instructions provided by emergency room. The dermatologist advised to complete five days of Benadryl. Afterwards, begin taking Zyrtec in the morning and Benadryl at night. Would begin this regimen on Saturday (as reported). The patient's next dose was supposed to be 18Mar2021. The patient wanted to know if she was eligible to receive the second dose of the vaccine. The patient read on the fact sheet that one does not get the second dose if they had a severe allergic reaction to the first vaccine. The reporter also asked how long does rash last post vaccination. The patient stated she would see her physician and dermatologist a couple days before her second dose. The outcome of the event was not recovered. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness:

ID: 1718420
Sex: F
Age:
State:

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 09/21/2021
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: ache in my shoulder that goes down my arm; ache in my shoulder that goes down my arm; can't lift my arm past my shoulder; wiped out/very tired; like have no energy; This is a spontaneous report from a contactable consumer (patient) received via medical information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EL3302), via an unspecified route of administration on 27Feb2021 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced ache in my shoulder that goes down my arm, can't lift my arm past my shoulder, wiped out/very tired and like have no energy on 01Mar2021. It was asked long will these side effects last. Outcome of events was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1718421
Sex: F
Age:
State: NY

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 09/21/2021
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: colds; She is very frustrated; The initial case was missing the following minimum criteria: unspecified event. Upon receipt of follow-up information on 13May2021, this case now contains all required information to be considered valid. This is a spontaneous report from a contactable consumer (patient). A 84-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch / Lot Number: EN5318, Expiry date not reported), via an unspecified route of administration in left arm on 23Feb2021 (age at vaccination was 84 years) as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. On an unspecified date the patient experienced colds and, she was very frustrated. It was reported that called to ask whether she should pursue going to the facility for her second vaccine dose, 16Mar2021. She first received it last 23Feb2021. However, she developed colds in-between doses (started a few days before her second vaccine schedule). She was very frustrated because she has been trying to reach someone whom she can speak to, asking whether she should pursue taking her second dose of the vaccine scheduled tomorrow, but was only being put on hold for 3 hours. She was on the verge of giving up and not having the second vaccine tomorrow if and when she still did not feel good. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1718422
Sex: F
Age:
State: PA

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 09/21/2021
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: Breathing difficulty when standing; chest pain; sore throat; swollen gland; back ache; This is a spontaneous report from a contactable consumer (patient). A 75-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6198), via an unspecified route of administration in the left arm on 26Feb2021 at 10:15 (at the age of 75-year-old), dose number unknown, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19, did not receive other vaccines four weeks prior. The patient was not pregnant at the time of vaccination. The vaccine was administered at hospital. On 04Mar2021 at 00:00, the patient experienced breathing difficulty when standing, chest pain, sore throat, swollen glands, back ache. The events resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the events. The patient had not been tested for COVID-19 since vaccination. The outcome of the events was unknown. No follow-up attempts are possible; No further information is expected.

Other Meds: BREO ELLIPTA; SIMVASTATIN; LISINOPRIL

Current Illness:

ID: 1718423
Sex: F
Age:
State:

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: Body Temperature; Result Unstructured Data: Test Result:98 Fahrenheit; Test Date: 202103; Test Name: Body Temperature; Result Unstructured Data: Test Result:99.4 Fahrenheit; Test Date: 202102; Test Name: Mammogram; Result Unstructured Data: Test Result:Unknown Result; Comments: Came out great, they did not find anything

Allergies:

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

Symptoms: bad headaches; right arm swelling/side of injection/Right arm is swollen up, has a knot and is painful; feverish/Fever; chills; nauseous; Feels awful; Feels like her kidneys are gone because she is hurting back there; feeling cold; sore neck; This is a spontaneous report received from a contactable consumer (patient). A 66-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and batch no: not reported/lot number: EN6200) via an unspecified route of administration, in right arm on 04Mar2021at 13:30-14:00 (at the age of 66-years-old) as dose 2, single for covid-19 immunization. Medical history including diagnosed allergies, compromised immune status, respiratory illness, genetic / chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity and respiratory illness. Concomitant medications included Levothyroxine at 50 mg every day from on an unknown date (taking it so long, forever). Historical vaccine included as patient received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, batch no: not reported/lot number: EL9261) injection to left arm on 11Feb2021 at about maybe 13:30-14:00 (at the age of 66-years-old) as dose 1, single for covid-19 immunization and had bad headaches. The patient had not received any other vaccines within 4 weeks prior to the covid vaccine. Patient was administered the second dose of Pfizer-BioNTech COVID-19 on 04Mar2021. She sat for monitoring after being administered the second dose of the vaccine and had nothing, no reaction. When she woke up on 05Mar2021 morning she has bad headaches again; chills; fever; feels awful; nauseous; right arm is swollen up, has a knot and is painful; Feels like her kidneys are gone because she is hurting back there. The events after the second dose of the vaccine are worse than they were after the first dose of the vaccine. Bad headaches as she cannot stand the headaches; she gets migraines, but she cannot take a headache, it kills her. Her head hurting was bad. Fever feels feverish, hot all over. When she first checked her temperature, it was 98 degrees Fahrenheit, then when she checked her temperature again it was 99.4 degrees Fahrenheit. She has been drinking water and everything. She has chills and feels cold, her feet are cold, hands are cold. received second shot of pfizer covid vaccine yesterday and woke up with bad headaches, right arm swelling/side of injection, sore neck, feverish, in Mar2021 feeling cold. chills. states with the first injection, he woke up next day with headache only but now after the second dose he has extra side effects. The patient underwent lab tests and procedures which included body temperature was 98 fahrenheit on and body temperature: 99.4 fahrenheit, both on an unknown date in Mar2021, mammogram test was performed on Feb2021 and results were came out great, they did not find anything. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 1718424
Sex: F
Age:
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/21/2021
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: I experienced a headache; a few hours later my face swelled up; This is a spontaneous report from a contactable consumer. This 23-year-old female consumer (patient) reported for herself that: A 23-year-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 25Feb2021 at 07:00 (at the age of 23-year-old) as single dose for covid-19 immunisation at Hospital. Patient was not pregnant at the time of vaccination. Medical history and concomitant medication reported as none. Patient had no known allergies. Patient not diagnosed with covid-19 prior to vaccination. The patient's historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Left arm on 04Feb2021 at 07:00 as single dose for covid-19 immunisation. Patient was not received any other vaccine four weeks prior vaccination and patient did not receive any medication two weeks prior vaccination. Patient reported I experienced a headache and then a few hours later my face swelled up on 25Feb2021 at 18:00. Since vaccination patient not tested for covid-19. Event resulted to visit Emergency room/department or urgent care. This case assessed as non-serious by the reporter. Therapeutic measures were taken as a result of the events with steroids shot. Outcome of the events was reported as recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021251542 similar report from same reporter

Other Meds:

Current Illness:

ID: 1718425
Sex: F
Age:
State: CA

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 09/21/2021
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: areas on body that were inflamed; she felt more itchy; This is a spontaneous report from a contactable consumer or other non-HCP (patient herself) through a Pfizer-sponsored program via Medical Information Team. A female patient of unspecified age received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 23Feb2021 as dose 1, single for COVID-19 immunization. Patient relevant medical history included cut on fingers and insect bites. Patient experienced she had areas on body that were inflamed. Her cuts were inflamed on her fingers and she had insect bites that were inflamed. A few days after the shot it just seemed more inflammed and she felt more itchy but did not have a rash on an unspecified date in 2021. She was overall really itchy and things got more inflamed that were already inflamed but it has calmed down to where it was before. Patient stated she took the first dose of the vaccine and at that time it was very windy and the vials were blown away and were shaken but she did not confirm they were broken. She stated that shaken was not quite the right word and saw that it was important that the vials were not agitated. She stated that this happened right before she was going to get her shot. The entire cart blew over and she assumed the vaccine was on there. She stated that she had a side effect after the first dose. She stated she had areas on body that were inflamed. Her cuts were inflamed on her fingers and she had insect bites that were inflamed. A few days after the shot it just seemed more inflammed and she felt more itchy but did not have a rash. She was overall really itchy and things got more inflamed that were already inflamed but it had calmed down to where it was before. She asked about taking an anti-inflammatory patch for a knee. She stated a friend was saying something about not taking anti-inflammatories. She asked if it was okay to take anti-inflammatory vitamins like turmeric or an anti-inflammatory patch. She took the first dose last 23Feb2021. She would like to ask if it was ok to administer vials that were dropped on the floor. Any unaddressed medical questions were referred or forwarded to Medical Information. The outcome of the events was unknown. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718426
Sex: F
Age:
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 34-years-old non-pregnant female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6202, Expiration date was not reported), via an unspecified route of administration, administered in left arm on 03Mar2021 as dose 2, single (at the age of 34-years-old) for COVID-19 immunisation. Medical history included allergy to adhesive, ankle surgery (in January), post-traumatic stress disorder (PTSD), attention deficit hyperactivity disorder (ADHD) and anxiety (all from an unknown date and unknown if ongoing). Historical vaccine included patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN9581, Expiration date was not reported), via an unspecified route of administration, administered in left arm on 05Feb2021 at 11:00 hours as dose 1, single (at the age of 34-years-old) for COVID-19 immunisation. Patient had no other vaccine in four weeks. The patient's concomitant medications were not reported. Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for the COVID-19, post vaccination. On 04Mar2021, patient experienced stabbing sharp lower left back pain, it takes her breath away and gives her chills it hurts so bad. Patient received no treatment for the events. The outcome of all the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1718427
Sex: M
Age:
State: IA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 09/21/2021
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: Nausea; fatigue; a rash like redness appeared on the arm of injection from the wrist to elbow; muscle pain; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A 42-year-old male patient received bnt162b2 (COMIRNATY, Formulation: Solution for injection, Batch/Lot Number: FF4206), first dose via intramuscular, administered in upper left arm on 23Aug2021 at 14:30 (at the age of 42-year-old) as dose 1, 0.3 ml single for COVID-19 immunisation. Medical history included hospitalization from an unknown date and unknown if ongoing, exposure to sars-cov-2 from an unknown date and unknown if ongoing. Concomitant medications included vitamin c [ascorbic acid] (VITAMIN C [ASCORBIC ACID]) taken via oral for an unspecified indication from an unspecified start date and ongoing; vitamin d [vitamin d nos] (VITAMIN D [VITAMIN D NOS]) taken via oral for an unspecified indication from an unspecified start date and ongoing; ascorbic acid, biotin, calcium pantothenate, calcium phosphate, chromic chloride, colecalciferol, copper sulfate pentahydrate, cyanocobalamin, dl-selenomethionine, ferrous fumarate, folic acid, inositol, magnesium phosphate, manganese sulfate, nicotinamide, potassium iodide, potassium sulfate, pyridoxine hydrochloride, retinol acetate, riboflavin, sodium borate decahydrate, thiamine mononitrate, tocopheryl acid succinate, zinc sulfate (MULTI VITAMIN & MINERAL) taken via oral for an unspecified indication from an unspecified start date and ongoing. The patient previously took clopidogrel (CLOPIDOGREL), OBH syrup (OBH), warfarin (WARFARIN), levofloxacin (LEVOFLOXACIN), vitamin zinc (ZINC), and vitamin e [vitamin e nos] (VITAMIN E [VITAMIN E NOS]). The patient previously took clopidogrel, OBH, warfarin, levofloxacin. However, the patient informed that 2 (two) months ago the patient hospitalized because got infected with COVID-19. During hospitalization, the patient received anti-clotting drug clopidogrel for 5 (five) days, OBH syrup, warfarin with frequency of use twice a day for 7 (seven) days, antibiotics levofloxacin with frequency of use twice a day, vitamin c [ascorbic acid], vitamin d [vitamin d nos], vitamin zinc, and vitamin e [vitamin e nos]. The patient still regularly consumed vitamin c [ascorbic acid], vitamin d [vitamin d nos], and ascorbic acid, biotin, calcium pantothenate, calcium phosphate, chromic chloride, colecalciferol, copper sulfate pentahydrate, cyanocobalamin, dl-selenomethionine, ferrous fumarate, folic acid, inositol, magnesium phosphate, manganese sulfate, nicotinamide, potassium iodide, potassium sulfate, pyridoxine hydrochloride, retinol acetate, riboflavin, sodium borate decahydrate, thiamine mononitrate, tocopheryl acid succinate, zinc sulfate, via oral until now to maintain body resistance. However, the patient took the two vitamins as he could remember, usually once a week or every 4 (four) days. The physician had informed the patient that after got injection with bnt162b2 vaccine, the patient might felt pain and fever for 1-2 days. The patient also received 2 (two) tablets of paracetamol (PARACETAMOL) for anticipation in case the patient felt pain or fever. On 23Aug2021 at 22:00, the patient informed that he experienced stiff and pain in the injection site like the muscles were beaten. Those events still being felt until the time of reporting (24Aug2021). The patient did not take any medication to treat the side effects that occurred. The patient confirmed that all the side effects he experienced were not serious and did not cause him to visit the Emergency Room, Physician Office, or Intensive Care Unit (ICU) and no surgery was performed. The patient was also not hospitalized. The patient had no relevant drug history, history of drug or alcohol abuse, drug allergies, and family history of illness. The patient also did not undergo relevant tests to the side effects that occurred. The patient did not receive another vaccine within 4 (four) weeks before got injected against bnt162b2. The patient was healthy before vaccinated with bnt162b2. It was reported that the patient informed that he experienced sore which felt stiffness (previously it was informed as stiff in the injection site, and it was confirmed as a sore which felt stiffness) and pain in the injection site like the muscles were beaten on 23Aug2021 at 22.00. The patient had recovered from those events, but he forgot when the exact date. In about a week after vaccination, on 30Aug2021, the patient experienced pain in chest like being stabbed. Then the patient visit Physician Office and the physician diagnosed patient experienced gastroesophageal reflux disease (GERD). The patient was given an anti-GERD drug (magnesium hydroxide, aluminum hydroxide (ANTASIDA)) by the physician, and currently, the patient had recovered and did not have other complaints. But the patient forgot when the exact date he recovered from GERD. At the time when vaccinated with bnt162b2 on 23Aug2021, the patient was measured for his blood pressure with normal result which was 110/70. But when the patient went to the physician on 30Aug2021, his blood pressure became 130/80. The patient was ever positive of COVID about 2 (two) months ago, and at that time his cholesterol was increased, and his blood pressure also increased became 140. Hence the patient also received prescription of cholesterol drug by that physician. According to the patient, there was also a possibility that the event experienced by the patient a week after vaccination was also caused by bnt162b2. All events outcomes were reported as recovered on an unspecified date. According to the patient, there is a possible causal relationship between bnt162b2, and the side effects experienced by him. The patient said that the stiff and pain in the injection site were most likely caused by bnt162b2. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1718428
Sex: M
Age:
State: NV

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 09/21/2021
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 had some reaction to this, a little bit of pain at the injection site; I was tired; Very light headache; Little bit of muscle pain; Chills; Little joint pain; Fever; Little bit of nausea; I was feeling kind of unwell; soaking wet with sweat; This is a spontaneous report from a contactable consumer or other non hcp. A 74-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: unknown) via an unspecified route of administration on 03Mar2021 as single dose for covid-19 immunisation. Medical history included atrial fibrillation, blood pressure measurement, all from an unknown date and unknown if ongoing. Concomitant medication(s) included carvedilol (CARVEDILOL) taken for blood pressure measurement, start and stop date were not reported; apixaban (ELIQUIS); amiodarone (AMIODARONE); tamsulosin (TAMSULOSIN); nystatin (STATIN [NYSTATIN]) all taken for an unspecified indication, start and stop date were not reported. On 04Mar2021 the patient experienced I had some reaction to this, a little bit of pain at the injection site, I was tired, very light headache, little bit of muscle pain, chills, little joint pain, fever, little bit of nausea, I was feeling kind of unwell, soaking wet with sweat. Clinical course was reported as 03Mar he got Covid vaccine his first shot at the (state name) hospital in (state name). Okay, he had some reaction to this, a little bit of pain at the injection site, he was tired, a very light headed, little bit of muscle pain but it was not lot, some chills, a little joint pain, a fever, no swelling though at the injection site no redness at the injection site, a little bit of nausea but nothing serious and he was feeling kind of unwell, no swollen lymph nodes and no swelling at the face or no fast heart-beat, no rash and no dizziness a little bit of weakness. He feels great now it's been almost 48 hours since he had the shot so he pretty much over it, but it has I let you know, did have little bit reaction. The patient did not receive any treatment for the adverse events. The clinical outcome of the event was recovered on unspecified date in Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: ELIQUIS; AMIODARONE; CARVEDILOL; TAMSULOSIN; STATIN [NYSTATIN]

Current Illness:

ID: 1718429
Sex: F
Age:
State: AL

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I have a delayed rash, that may be related to the vaccine; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, administered in left arm on 16Feb2021 09:00 (Lot Number: Em9809) as dose number unknown, single for COVID-19 immunization. Medical history and concomitant medications were not reported; no known allergies. Prior to vaccination, the patient was not pregnant and did not have COVID-19. The patient reported that she had a delayed rash that may be related to the vaccine and was wondering if it was ok to take Benadryl. It was a rash that she has had for a couple weeks on her upper chest and neck from 25Feb2021. No treatment was received for the event. Outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1718430
Sex: M
Age:
State: FL

Vax Date: 02/02/2021
Onset Date: 02/01/2021
Rec V Date: 09/21/2021
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: Eyes Blurred vision; Ptosis; Eyes Irritation; Eyes Excretion; Blepharitis and dry eve disease, both minor but exacerbated after first vaccine/More intense after the second; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection) via an unspecified route, administered in Left Arm on 02Feb2021 at 12:00 (Lot Number: EL9263, 70-year-old at vaccination) as Dose 1, Single via an unspecified route, administered in Left arm on 23Feb2021 at 12:00 (Lot Number: EN6200, 70-year-old at vaccination) as Dose 2, Single, both doses for Covid-19 immunization. Facility type vaccine was reported as Other. The patient's medical history included blepharitis, dry eye. No known allergies. The patient's concomitant medications were not reported. The patient was not diagnosed with Covid prior vaccination. Since vaccination the patient was not tested for Covid. The patient had not received any other vaccine in four weeks prior to vaccination. On 04Feb2021 13:00, the patient experienced eyes blurred vision, ptosis, irritation, excretion, blepharitis and dry eye disease, both minor but exacerbated after first vaccine and more intense after the second. These AE resulted doctor or other healthcare professional office/clinic visit. The patient received Xiidra and lubricating drops as treatment medication for resulted events. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1718431
Sex: F
Age:
State:

Vax Date: 02/22/2021
Onset Date:
Rec V Date: 09/21/2021
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: head to toe/full body rash; This is a spontaneous report from a contactable nurse (patient). A 50-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number was not reported), via an unspecified route of administration on 22Feb2021 (Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced head to toe/full body rash on an unspecified date with outcome of unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718432
Sex: M
Age:
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shoulder pain that has persisted past 48 hours. Severe, aching pain has developed, and I can barely move my shoulder now; Bruising and swelling remain at the sight of the injection; Bruising and swelling remain at the sight of the injection; This is a spontaneous report from a contactable consumer or other non hcp. A 54-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot number was not reported) dose number unknown via an unspecified route of administration in Arm Left on 26Feb2021 15:30 (age at vaccination 54years old) as single dose for covid-19 immunisation. Medical history included cardiac disorder, drug hypersensitivity all from an unknown date and unknown if ongoing. 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 vaccine. Concomitant medication(s) included metoprolol (METOPROLOL); prasugrel (PRASUGREL) all taken for an unspecified indication, start and stop date were not reported. Since the vaccination, the patient had not been tested positive for COVID-19. On 26Feb2021 at 15:30 the patient experienced shoulder pain that has persisted past 48 hours. severe, aching pain has developed, and I can barely move my shoulder now, bruising and swelling remain at the sight of the injection. The patient received treatment with Ibuprofen for the adverse events. The clinical outcome of the event was not recovered. Therapeutic measures were taken as a result of shoulder pain that has persisted past 48 hours. severe, aching pain has developed, and I can barely move my shoulder now, bruising and swelling remain at the sight of the injection. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.

Other Meds: METOPROLOL; PRASUGREL

Current Illness:

ID: 1718433
Sex: M
Age:
State:

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 09/21/2021
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: very dry and itchy eyes, slightly painful to open; very dry and itchy eyes, slightly painful to open; very dry and itchy eyes, slightly painful to open; This is a spontaneous report from a non-contactable consumer (patient). A 43-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EN6202), via an unspecified route of administration, administered in left arm on 06Mar2021 15:45 (at the age of 43-years-old) as dose 1, single for COVID-19 immunization. Medical history included sleep apnea, and garlic and onion intolerance, from an unknown date and unknown if ongoing. There were no concomitant medications. The patient did not have any other vaccine in four weeks and no other medications in two weeks. The patient previously took Versed and experienced an adverse reaction of allergies. The patient reported that he woke up the next day with very dry and itchy eyes, slightly painful to open on 07Mar2021. The dry/itchy eyes lasted for about 8 hours. No treatment was received for the events. The patient has not been tested for COVID post-vaccination. Outcome of the events was recovered on 07Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1718434
Sex: M
Age:
State: NJ

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 09/21/2021
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: itchy rash on chest and abdomen; This is a spontaneous report from a contactable other healthcare professional (patient). A 67-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm on 03Mar2021 16:30 (Lot Number: EN6305) (at the age of 67-years-old) as dose 1, single for covid-19 immunisation. Medical history included heart ventricle fibrillation. The patient had no known allergies. Concomitant medications included atorvastatin; carvedilol; aspirin; all taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccine within four weeks of vaccination. The patient did not have Covid prior vaccination and was not tested for Covid post vaccination. On 03Mar2021 22:00, the patient experienced itchy rash on chest and abdomen. The patient did not receive any treatment for the event. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ATORVASTATIN; CARVEDILOL; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1718435
Sex: F
Age:
State: NY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 09/21/2021
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: bilateral forearm hives; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EN6202 and expiry date: 30Jun2021), via an unspecified route of administration, administered in left upper arm, on 05Mar2021 12:25 (at the age of 62-year-old), as dose 1, single, for COVID-19 immunisation in Department of Health. Medical history included Hashimoto's, heart arrhythmias, allergy to sulfa drugs, asthma, allergy to shellfish, blood pressure, thyroid, inhalation therapy. Concomitant medications included amlodipine taken for blood pressure; levothyroxine taken for thyroid disorder; albuterol sulfate taken for inhalation therapy; mometasone furoate (ASMANEX HFA) taken for an unspecified indication. The patient gets allergy shots for 30 years and would get puffy at the injection site. The patient gets the flu shot every year with no reaction. She doesn't have lot or expiry for any of the products she has received. The patient took bactrim and experienced hives all over and was reported that she might not be allergic anymore. Patient did not receive any other vaccine within 4 weeks prior to COVID vaccine. On 05Mar2021 evening, the patient noticed bilateral forearm hives. She had a long-sleeved shirt and didn't notice it until that evening. One was on the right arm and the rest were on the left arm. She got the injection in left arm. She was not sure if there was something in the vaccine causing the hives. Two of the hives went right way. The others lasted two days. It was reported that, the patient gets heart arrhythmia from Benadryl, so the doctor told her to get Zyrtec without the D. The reporter doesn't have the lot and expiry for the Benadryl that gave her heart arrhythmias. The patient called her primary care doctor and talked to the PA. The PA said to call the number, take antihistamine, and if she started to wheeze go to the hospital. The patient wants to know if she should get the second dose after this reaction. The patient took Zyrtec: expiry: Sep2022, lot: BDC033 due to the event. The outcome for the event was recovered in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: AMLODIPINE; LEVOTHYROXINE; ALBUTEROL SULFATE; ASMANEX HFA

Current Illness:

ID: 1718436
Sex: F
Age:
State: FL

Vax Date: 03/01/2021
Onset Date: 03/05/2021
Rec V Date: 09/21/2021
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: 20210305; Test Name: fever; Result Unstructured Data: Test Result:100.7

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills; severe diarrhea for 3 days; no appetite; fever of 100.7 for two days; neck pain; joint pain; migraine; severe fatigue/Exhaustion; increased sense of smell; This is a spontaneous report from a contactable other healthcare professional (patient). A 61-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 01Mar2021 13:15 (Lot Number: EL9262) (at the age of 61-years-old) as dose 1, single for covid-19 immunisation. Medical history included hypertension. Concomitant medications within two weeks of vaccination included venlafaxine hydrochloride (EFFEXOR); losartan potassium (LOSARTIN); both taken for an unspecified indication, start and stop date were not reported. The patient previously took sulfur and experienced drug hypersensitivity, cipro [ciprofloxacin] and experienced drug hypersensitivity, iodine and experienced drug hypersensitivity. The patient did not receive any other vaccine within four weeks of vaccination. The patient did not have covid prior vaccination and was not tested for covid post vaccination. On 05Mar2021 19:00, the patient experienced chills, severe diarrhea for 3 days, no appetite, fever of 100.7 for two days, neck pain, joint pain, migraine, severe fatigue, increased sense of smell, exhaustion. The patient did not receive any treatment for the events. The outcome of the events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds: EFFEXOR; LOSARTIN

Current Illness:

ID: 1718437
Sex: F
Age:
State: AK

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 09/21/2021
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: Swelling under left armpit; Very sore to the touch; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EN6205), via an unspecified route of administration, administered in arm left on 04Mar2021 11:00 (at the age of 58-years-old) as dose 2, single for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The patient medical history included osteoarthritis. The patient had also known allergy to ZPac. Concomitant medications included ibuprofen (ADVIL [IBUPROFEN]); paracetamol (TYLENOL ARTHRITIS); and acetylsalicylic acid, caffeine, paracetamol (EXCEDRIN MIGRAINE); all were taken for an unspecified indication, start and stop date were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL9265), administered in left arm on 13Feb2021 04:30 PM (at the age of 58-years-old) as dose 1, single for covid-19 immunisation. On 06Mar2021 03:00 PM, the patient experienced swelling under left armpit, and it was very sore to the touch. It was unknown if the patient received any treatment for the reported events. The events resulted in 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: ADVIL [IBUPROFEN]; TYLENOL ARTHRITIS; EXCEDRIN MIGRAINE

Current Illness:

ID: 1718438
Sex: F
Age:
State: NY

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 09/21/2021
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: This is a spontaneous report from a contactable consumer (patient). A 87-year-old (non-pregnant) female patient received unknown dose number of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, batch/lot# not reported), via an unspecified route of administration, on Feb 25, 2021, at 12:00, single dose, for COVID-19 immunisation. The patient's medical history not reported. There were no concomitant medications. No other vaccine in four weeks. No other medications in two weeks. The patient experienced swelling, redness and pain in Mar 2021 (two weeks later). The patient did not receive treatment for the events. No history of COVID prior to vaccination and has not been tested for COVID post vaccination. Outcome of the events: unknown. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1718439
Sex: M
Age:
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 09/21/2021
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: Knee pain; Fingers swelling/pain; Fingers swelling/pain; Cramps in left leg; This is a spontaneous report from a contactable consumer (patient). A 42-year-old male patient received bnt162b2 (BNT162B2, Lot Number: EN6199), dose 1 via an unspecified route of administration, administered in left arm on 02Mar2021 11:45 (at the age of 42-year-old) as dose 1, single for COVID-19 immunization. Medical history included hypothyroidism, metabolic myopathy and depression. Concomitant medications included levothyroxine sodium (SYNTHROID); cetirizine hydrochloride (ZYRTEC); fluticasone propionate (FLONASE); duloxetine; paracetamol (TYLENOL); and CBD (unspecified). No other vaccine in four weeks. No Covid prior vaccination nor tested Covid post vaccination. On 02Mar2021 15:00, the patient experienced knee pain, fingers swelling/pain, and cramps in left leg after 30 min of walking. The patient received no treatment for the events. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: SYNTHROID; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; FLONASE [FLUTICASONE PROPIONATE]; DULOXETINE; TYLENOL

Current Illness:

ID: 1718440
Sex: F
Age:
State: GA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 09/21/2021
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: Severe blinding headaches; dime sized rash on leg, & back; upset stomach; loose stool; This is a spontaneous report from a contactable consumer (patient). A 65-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EL3247, expiration date: not reported) via an unspecified route of administration, in right arm, on 02Feb2021 12:30 (at the age of 65-years-old), at dose 1, single as for covid-19 immunization from hospital. Medical history included known allergies to strawberries (hives). Concomitant medications included estradiol; montelukast; amlodipine; spironolactone. 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. The patient had her second dose of vaccination on 25Feb2021. The patient experienced severe blinding headaches, dime sized rash on leg, & back, upset stomach and loose stool on 02Feb2021 16:00. No treatment was administered for the events. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: ESTRADIOL; MONTELUKAST; AMLODIPINE; SPIRONOLACTON

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am