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: 1721983
Sex: F
Age:
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 20210228; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe migraine; body aches; fever; vomiting; diarrhea; nausea; exhaustion/ unable to leave bed; This is a spontaneous report from a contactable consumer (patient) received via COVID-19 Vaccine Adverse Event Reporting System. A 45-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6203), via an unspecified route of administration, administered in the left arm on 26Feb2021, at 11:30 (at the age of 45 years old) as dose 1, single for COVID-19 immunisation. The patient has no known allergies and other medical history. She was not pregnant at the time of report. She was not tested for COVID-19 prior to vaccination. The patient's concomitant medications were not reported. She did not receive any other vaccines within four weeks prior to the COVID vaccine and other medications in two weeks before the vaccination. On 27Feb2021, at 00:00, the patient experienced severe migraine, body aches, fever, vomiting, diarrhea, nausea, exhaustion, and unable to leave bed. The patient underwent lab tests and procedures which included nasal swab: negative on 28Feb2021. No therapeutic measures were taken as a result of the events. The patient recovered from the evens on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1721984
Sex: M
Age:
State: LA

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 09/22/2021
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: tiredness; headache; muscle pain; chills; joint pain; nausea; feeling unwell; This is a spontaneous report from a contactable consumer (patient) received via COVID-19 Vaccine Adverse Event Reporting System (COVAES). A 73-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6204), via an unspecified route of administration, administered in the right arm on 05Mar2021, at 16:30 (at the age of 72 years old) as dose 1, single for COVID-19 immunisation. Medical history included chronic obstructive pulmonary disease (COPD), failed back surgery, arthritis, and atherosclerotic cardiovascular disease (ASCVD). The patient has no known allergies. He did not receive other vaccines in four weeks before vaccination. The patient received other medications in two weeks prior to vaccination and he reported that they are too many to name. On 07Mar2021, at 18:00, the patient experienced tiredness, headache, muscle pain, chills, joint pain, nausea, and feeling unwell. The patient was not diagnosed with COVID-19 prior to vaccination and he has not been tested for COVID-19 since the vaccination. No therapeutic measures were taken as a result of the events. The patient has not recovered from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1721985
Sex: M
Age:
State: MA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 20210307; Test Name: Temperatures; Result Unstructured Data: Test Result:Elevated

Allergies:

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

Symptoms: Headache; Elevated temperatures; Joint pain; This is a spontaneous report from a contactable consumer (patient). A 32-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was not reported), via an unspecified route of administration in right arm, on 06Mar2021 at 12:00 PM (at the age of 32 years), as dose 1, single, for COVID-19 immunization. The patient had no medical history and concomitant medications. The patient had no known allergies. The patient was not diagnosed with COVID-19 prior vaccination. No other vaccine was administered in four weeks. On 07Mar2021 at 12:00 AM, the patient experienced headache, elevated temperatures, and joint pain. No treatment was received for the adverse events. The patient had not been tested for COVID-19 post vaccination. The patient recovered from the events in Mar2021. No follow-up attempts are possible; information about lot or batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1721986
Sex: F
Age:
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 20210113; Test Name: fever; Result Unstructured Data: Test Result:104 Fahrenheit; Comments: up to; Test Date: 2021; Test Name: Nasal Swab, COVID test; Test Result: Negative

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: severe headache; body aches; could not sleep; chills; dizziness; fever up to 104 Fahrenheit; This is a spontaneous report from a contactable nurse (patient) received via COVID-19 Vaccine Adverse Event Reporting System. A 21-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, administered in the left arm on 13Jan2021 (Lot Number: EL3302; at the age of 21 years old) as dose 2, single for COVID-19 immunisation. Medical history included mononucleus on an unspecified date in 2017. The patient has no known allergies. She was not pregnant and she was not diagnosed with COVID-19 prior to vaccination. Concomitant medication included spironolactone. She did not receive any other vaccines within four weeks prior to vaccination. The patient previously received the first dose of BNT162B2, administered in the left arm on 23Dec2020 (Lot Number: ENJ1685; at the age of 21 years old) for COVID-19 immunisation. About 12 hours after injection (on 13Jan2021, at 21:00), the patient got a severe headache, body aches, could not sleep, chills, dizziness, and fever up to 104 Fahrenheit. It was reported that the symptoms lasted for about 24 hours. The patient underwent lab tests and procedures which included body temperature: up to 104 Fahrenheit on 13Jan2021; and nasal swab, COVID test: negative on an unspecified date in 2021. The patient recovered from the events on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: SPIRONOLACTONE

Current Illness:

ID: 1721987
Sex: F
Age:
State: AR

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 20210306; Test Name: temperature; Result Unstructured Data: Test Result: Low grade

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 38-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 vaccine), via an unspecified route of administration and administered in the right arm on 05Mar2021 at 11:00 (lot number was not reported) as dose 1, single for COVID-19 immunization. The patient did not have any medical history. The patient had no known allergies. The patient did not have COVID prior to vaccination. The patient's concomitant medications were not reported. On 06Mar2021 at 09:30 the patient experienced Chills (Freezing), Low grade temperature, Body aches, Headache and Muscle aches. The patient did not receive treatment for the events. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1721988
Sex: F
Age:
State: MD

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 09/22/2021
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: Headache; Right neck got stiff; Felt shaky; Felt little nauseous; Itchy all over; Tired; This is a spontaneous report from a contactable consumer (patient's sibling). A non-pregnant 53-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was not reported), via an unspecified route of administration, on 06Mar2021 (at the age of 53 years), as dose 1, single, for COVID-19 immunization. The patient's medical history included allergies to sulpha. The patient's concomitant medications were not reported. The patient previously took amoxicillin and experienced allergies. The patient was a little nervous about getting her second shot due to experienced adverse events. Probably will take off. Immediately after vaccination (06Mar2021), the patient got a headache and right neck got stiff and felt shaky. Within 15 minutes (06Mar2021), the patient felt little nauseous. The patient didn't get rash but after a few hours (06Mar2021), she started feeling itchy all over and tired. The patient also indicated that she feels fine today (08Mar2021). No treatment was received for the adverse events. The patient recovered from the events in Mar2021. No follow-up attempts are possible; information about lot or batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1721989
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: pain around his lower waist, by his hips; pain around his lower waist, by his hips/couldn't move his hips due to the pain; This is a spontaneous report from a contactable consumer and a Non- contactable Nurse. These two reported similar events for 2 patients. This is 2nd of 2 reports. These two reported for a male patient that: A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced pain around his lower waist, by his hips, couldn't move his hips due to the pain. Stated that she only had a sore arm. His physical therapist came that day and he was fine. On Wednesday, he could not hardly stand the pain around his lower waist, by his hips and could not move his hips due to the pain, and he just hollers when he tried to move them. Caller states that he has fought 2 injuries since Jul2020. He broke his left leg, and then broke his right leg up by where the bone connects to the hip. So, he had been in therapy. States that he was in a rest home for 3 months and he has been home for 4 months. Patient home physical therapy and a home care nurse that comes. At first they thought that the pain may have just been from the physical therapy on Wednesday, but when the in home nurse came on Thursday, she said that therapy wouldn't have done that and she thought it was a side effect of the vaccine. The nurse also said that her dad complained of the same thing after getting the vaccine. The clinical outcome of events were unknown. No follow-up attempts are possible. No further information is expected; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021244776 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1721990
Sex: F
Age:
State: TX

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 09/22/2021
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: heart beat; Result Unstructured Data: Test Result:was up to 94 then 91; Comments: fast heart beat; Test Date: 20210304; Test Name: heart beat; Result Unstructured Data: Test Result:89

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: severe vomiting; Weakness in legs; Weakness; Headache; Muscle pain; Joint pain; nausea; feeling unwell; fast heart beat; Injection site pain; felt like a large marble under the skin that was red and real hard; redness at injection site; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient received BNT162B2 (Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Left arm on 01Mar2021 12:00 (at the age of 72 year old) as dose 2, single for COVID-19 immunisation. Medical history included, she was paralyzed and had to learn to walk again, where she has been having ongoing physical therapy for a year and a half and had weakness all the time, pain, Indigestion, Constipation, Cholesterol, Depression, Blood pressure high, Asthma, Neuropathy from the waist down from a spinal cord injury, blood thinning, mild signs of osteoporosis, bladder control, shrinking and Joint pain all from an unknown date. Concomitant medications included aspirin [acetylsalicylic acid] for blood thinning from 2016; calcium carbonate for mild signs of osteoporosis from 2016; hydrochlorothiazide, lisinopril (LISINOPRIL/HCTZ) for Blood pressure high; magnesium citrate for constipation from 2017 ; naproxen for pain; omeprazole for Indigestion; fish oil for cholesterol; paracetamol (TYLENOL) for pain from 2020; codeine phosphate, paracetamol (TYLENOL W/CODEINE NO. 3) for pain from 2020, probiotics for constipation; sertraline for depression from 1996; metformin for diabetes mellitus from 2013; tolterodine for bladder control from 2013; verapamil for blood pressure from 2013; salbutamol sulfate (VENTOLIN HFA) for asthma from 2011; cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]) for neuropathy from 2020, unspecified multivitamins, and unspecified supplements. No history of previous immunisation and patient did not receive any other vaccines within 4 weeks prior vaccination. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number: EN5318, via an unspecified route of administration in left arm, on 29Jan2021 (at the age of 72 year old), as single dose for COVID-19 immunization and the patient experienced no side effects. On 02Mar2021, after the vaccination, she had pain at the injection site and she felt like as she had a large marble under the skin, that was red and real hard. It was smoothing out. She reported as she was fine on that day. On 03Mar2021, at 5:00 am, she woke up with severe vomiting, and also she had weakness in her legs, headaches, muscle pain, joint pain and nausea and was feeling unwell. It was reported that, she had weakness all the time but it was really bad after the shot. On the same day, 03Mar2021, she experienced fast heart beat. It was up to 94 then 91. At the time of report, her heart beat is 89. She did not have chills, fever or swollen lymph nodes. The outcome of the events severe vomiting was recovered on 03Mar2021, and headache, joint pain, nausea was recovered on 04Mar2021 and of other events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]; CALCIUM CARBONATE; LISINOPRIL/HCTZ; MAGNESIUM CITRATE; NAPROSYN [NAPROXEN]; OMEPRAZOLE; FISH OIL; TYLENOL; TYLENOL W/CODEINE NO. 3; PROBIOTICS; SERTRALINE; METFORMIN; TOLTERODINE; VERAPAMIL; VENTOLIN HFA; VIT

Current Illness:

ID: 1721991
Sex: F
Age:
State: MI

Vax Date: 02/25/2021
Onset Date:
Rec V Date: 09/22/2021
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: hair loss; This is a spontaneous report from a contactable other health care professional (patient). A 88-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration (at the age of 88-years), administered in arm left on 25Feb2021 as dose 1, single for COVID-19 immunization. Medical history included hypothyroidism (Caller was diagnosed when she was 18 years old), high blood pressure (Caller was diagnosed in her 50s) and covid-19 from Nov2020 to an unknown date. Concomitant medications included levothyroxine sodium (SYNTHROID) taken for hypothyroidism as 0.150mg once daily by mouth, lisinopril (LISINOPRIL) taken for hypertension as 10mg once daily by mouth, start and stop date were not reported. The patient was taking the other products. On an unspecified date, the patient experienced hair loss. It was further stated that she was calling regarding the Pfizer BioNTech COVID Vaccine. She was having a side effect she would like to report. She stated that she did have COVID in the middle of Nov2020, but she got her first shot of the vaccine two weeks ago, and she is having hair loss. She was wondering if this is a side effect of the product. She stated that she noticed there might have been some hair loss in with the COVID Virus, when she had that back in Nov2020, but there was more with this. She had the COVID vaccine two weeks ago, and she started noticing she was having to take hair out of her brush more, and today, she went to the hairdresser and the hairdresser noticed it as well. She stated that it was just a concern of hers, that it will get worse with the second shot. The patient was taking Pfizer BioN-Tech COVID Vaccine because her doctor told her to. She stated that the lot number on her card was covered with a sticker saying Pfizer BioNTech. She wanted to know if hair loss is a reported AE associated with the Pfizer COVID-19 vaccine. If it is, how often is it reported. She had a prior COVID-19 infection and is experiencing hair loss after the first dose of the Pfizer COVID-19 vaccine. She mentioned that she had heard other people who are having this adverse event. Her friend saw on TV that a per-son was having clumps of her hair were coming out after having the COVID-19 vaccine but she was not sure which vaccine the news is pertaining to. She wanted to know if she should get the second dose of the vaccine considering her AE. Considering she had prior COIVD-19 infection and got the first dose of the Pfizer COVID-19 vaccine, how much is the protection. The study excluded participants who were immunocompromised and those who had previous clinical or microbiological diagnosis of COVID-19. The clinical outcome of the events was reported as not recovered. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: SYNTHROID; LISINOPRIL

Current Illness:

ID: 1721992
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: knot and redness at the injection site (right arm); knot and redness at the injection site (right arm); It was extremely itchy; required icing to bring down the swelling and to make it feel less hot.; required icing to bring down the swelling and to make it feel less hot.; This is a spontaneous report from a non-contactable consumer (patient). A non-pregnant 68-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, administered in right arm on an unspecified date in Feb2021 (Batch/Lot Number: EN6198), at the age of 68 years old, as dose 2, single for covid-19 immunisation. Medical history included Type II diabetes, known allergies: sulpha drugs, shellfish. No COVID prior to vaccination and was not tested for COVID post vaccination. The patient's concomitant medications were not reported. No other vaccines in four weeks. The patient previously received dose 1 of BNT162B2 administered in left arm in Feb2021 10:45, at the age of 68 years old, for covid-19 immunisation, codeine and experienced allergy/bad reaction. On an unspecified date in Feb2021, the patient had a knot and redness at the injection site (right arm), which lasted for a week. It was extremely itchy and required icing to bring down the swelling and to make it feel less hot. The patient recovered from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1721993
Sex: F
Age:
State: NY

Vax Date: 03/03/2021
Onset Date: 03/08/2021
Rec V Date: 09/22/2021
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: Bruising on calf of left leg; This is a spontaneous report from a contactable consumer (patient). A 44-year-old non-pregnant female patient received bnt162b2 (BNT162B2, Lot Number: EL3248), dose 1 via an unspecified route of administration, administered in arm left on 03Mar2021 14:15 (at the age of 44-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced bruising on calf of left leg on 08Mar2021. The adverse event resulted in Doctor or other healthcare professional office/clinic visit. The patient received no treatment for the event. The outcome of the event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1721994
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 09/22/2021
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: Had a baby 4 months ago; Hair loss; Scalp feels tingly; This is a spontaneous report from a contactable other HCP. This other HCP (Mother) reported events for two patients (herself and baby). This is mother report. This 30 years old female other HCP (mother) reported for Herself. A 30-year-old (non-pregnant) female patient received a dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: unknown, Expiration date: unknown), via unspecified route, administered in left arm on 12Mar2021 11:30 AM (at the age of 30-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 14Mar2021 12:00 AM, after the vaccination, the patient experienced Hair loss and Scalp feels tingly. Patient also experienced maternal exposure during vaccination. No other vaccines taken in four weeks, no other medications taken in two weeks, covid was not diagnosed prior vaccination and covid was not tested post vaccination. No allergies reported. The outcome of the events alopecia and paraesthesia was not recovered. Outcome of the event maternal exposure was unknown. No follow-up attempts possible. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021296513 same product, different pt.

Other Meds:

Current Illness:

ID: 1721995
Sex: U
Age:
State: MI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 09/22/2021
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: blister on the elbow of the same arm in which the vaccine was administered; This is a spontaneous report received from RA. A contactable pharmacist reported on behalf of an unknown consumer (patient). A patient of unspecified age and gender received BNT162B2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 25Feb2021 10:00 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had developed a blister on the elbow of the same arm in which the vaccine had been administered on 25Feb2021 14:00. The blister resolved prior to the patient's appointment with a physician, which was approximately one week after the vaccine dose. The outcome of the event was recovered on an unknown date in Mar 2021. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1721996
Sex: M
Age:
State:

Vax Date: 03/14/2021
Onset Date:
Rec V Date: 09/22/2021
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: his voice changed; pain in his left kidney; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot number was not reported), dose 1 via an unspecified route of administration on as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Caller stated that he got his first dose of the Pfizer Covid vaccine on Sunday, 14March2021 and said that his voice changed and experienced pain in his left kidney. Asking if these are side effects of the vaccine and if he should be concerned about it. The outcome of the events was unknown. Information on lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1721997
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: sore; This is a spontaneous report from a contactable consumer (patient herself) via Pfizer-sponsored program. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unknown date, the patient was sore after the first dose. The reporter wanted to know if the vaccine will still take effect if it was placed really high up near her rotator cuff and it bled a lot. The outcome of the event was unknown. Information on Lot/Batch number has been requested Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1721998
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: soreness; This is a spontaneous report received from a contactable consumer or other non hcp. A patient of unspecified age and gender received 1st dose of bnt162b2 (Pfizer-BioNTech Covid-19 Vaccine,Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as Dose 1, single for covid-19 immunization.The patient medical history and concomitant medications were not reported.The patient experienced soreness on an unspecified date.Caller was asking if the of use CVD Topical Ointment, the medical marijuana ointment for soreness is excluded from the medications you're not supposed to use before or after getting vaccinated.The outcome of the event 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:

ID: 1721999
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 09/22/2021
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: The place where they put the vaccine in the left arm is aching; Next day morning it is reddish and the side of a quarter; This is a spontaneous report from a contactable consumer (reported for herself). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration, administered in arm left on 11Mar2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, on an unspecified date as dose 1, single for covid-19 immunisation. On an unspecified date, the consumer stated that, she received her second dose of the Covid 19 vaccine on 11Mar2021 and last night the place where they put the vaccine in the left arm was aching and that morning it was reddish and the side of a quarter. Patient requesting, what she should take or what she needs to do. The case assessed as non-serious. The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722000
Sex: F
Age:
State:

Vax Date: 03/10/2021
Onset Date: 03/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: INR; Result Unstructured Data: Test Result:6.20

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: she had an INR test performed on her and she had a level of 6.20, the professionals that performed the test in the Hospital advised her that she should be at a level of 2.3; This is a spontaneous report from a contactable consumer or other non-healthcare professional reported for herself (patient) via Medical information team. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 Vaccine, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 10Mar2021 as dose 1, single for covid-19 immunisation. The patient's Medical and concomitant medications were not reported. On an unspecified date on Mar2021, the patient had an INR test performed on her and she had a level of 6.20, the professionals that performed the test in the Hospital advised her that she should be at a level of 2.3, she wants to know if it is safe to receive the second dose of the vaccine considering these lab results, she is not sure if she experienced some type of reaction to the vaccine. The response included Response: When vaccinating Persons with Increased Bleeding Risk, providers often avoid giving intramuscular injections (not just this vaccine) or choose alternative routes because of the risk for hematoma formation after injections. The Pfizer-BioNTech COVID-19 Vaccine can only be administered as an intramuscular injection. As per PI, 4 CONTRAINDICATIONS, Revised: 25 February 2021, LAB-1457-6.0. No specific contraindications for patients with an INR level of 6. Referred to her HCP for additional information. The patient underwent lab tests and procedures which included INR test (international normalised ratio): 6.20 on an unspecified date on Mar2021. The outcome of the event 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:

ID: 1722001
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: I had diarrhea; I was a little sick when I got the first vaccine; I wasn't able to go to the bathroom; I have things going on with my organs; This is a spontaneous report from a contactable consumer. A 69-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE: Solution for injection; Batch/Lot number was not re-ported), dose 1 via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. Medical history included neoplasm malignant (cancer survivor) from an un-known date and unknown if ongoing. The patient's concomitant medications were not reported. The consumer stated I was a little sick when I got the first vaccine, I wasn't able to go to the bathroom, then I had diarrhea. I'm a cancer survivor. I have things going on with my organs. The outcome of the events was unknown. Information on LOT/BATCH number has been requested. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1722002
Sex: U
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: Low potassium levels; This is a spontaneous report from -sponsored program Support received via a contactable HCP reported for a patient. A patient of unspecified age and gender 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 HCP reported that, the patient experienced medical complication after first dose of vaccine. Low potassium levels. HCP wanted to know when his patient should get second dose. Was advised by HCP to wait 90 days because of medical history. The outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722003
Sex: F
Age:
State: CT

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 20210322; Test Name: fever; Result Unstructured Data: Test Result:at or above 100F; Comments: at or above 100F; Test Date: 20210323; Test Name: nasal swab; Result Unstructured Data: Test Result:Unknown; Comments: Unknown

Allergies:

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

Symptoms: Fever/Prolonged (15 days) of fever at or above 100F; Chills; Headache; Sore throat; Exhausted; This is a spontaneous report from a contactable consumer, the patient. A 53-years-old non-pregnant female patient received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6298), via an unspecified route of administration, administered in Leg Left on 20Mar2021 16:30 as DOSE 1, SINGLE for covid-19 immunisation (at the age of 53 years old). Medical history included psoriatic arthritis, chronic back pain and allergies to sulfur and morphine from an unknown date and unknown if ongoing. Concomitant medications included cymbalta, ambien, gabapentin, vitamin D taken for an unspecified indication, start and stop date were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. Patient did not receive other vaccine in four weeks prior to COVID vaccine. The patient experienced fever/ prolonged (15 days) of fever at or above 100F, chills, headache, sore throat, exhausted on 22Mar2021 at 10:00 am. Events led to Physician office visit. The patient did not received treatment for the events: chills, headache, sore throat, exhausted and unknown for fever/ prolonged (15 days) of fever at or above 100F.The patient underwent lab tests and procedures which included body temperature: at or above 100 F on 22Mar2021, sars-cov-2 test: unknown on 23Mar2021. The patient had no COVID prior vaccination and was not tested COVID post vaccination. The clinical outcome of the event fever/ prolonged (15 days) of fever at or above 100F was recovering and not recovered for chills, headache, sore throat, exhausted.

Other Meds: CYMBALTA; AMBIEN; GABAPENTIN; VITAMIN D [VITAMIN D NOS]

Current Illness:

ID: 1722004
Sex: F
Age:
State: OH

Vax Date: 02/28/2021
Onset Date: 03/02/2021
Rec V Date: 09/22/2021
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: hair loss; This is a spontaneous report from a contactable consumer or other non hcp (patient) from a Pfizer sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 28Feb2021 at dose 1, single for covid-19 immunisation. Medical history and concomitant medications were not reported. On 02Mar2021 the patient experienced hair loss. Reporter received first CoVax 28Feb2021, reported experiencing continuous hair loss 2 days later through now. Confirmed reporter did receive both CoVax doses. Outcome of the event was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722005
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: thinning of her hair; This is a spontaneous report from a non-contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unknown date, the patient experienced thinning of her hair following the vaccine doses. The outcome of event was unknown. No follow-up attempts are possible. information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1722006
Sex: F
Age:
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: Blood pressure; Result Unstructured Data: Test Result:Elevated; Test Date: 202103; Test Name: Heart rate; Result Unstructured Data: Test Result:163, and it reached 174; Comments: It took 3-4 days for her resting heart rate to go back down even to the 120s.

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Heavy metal taste in her mouth; Heart rate of 163, and it reached 174; Elevated blood pressure; This is a spontaneous report from a contactable consumer or other non hcp and from a Pfizer sponsored program. A female patient of an unspecified age (46 Unit not given) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on Mar2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. Medical history included cardiac murmur, hypothyroidism, migraine from an unknown date and unknown if ongoing. Concomitant medication(s) included levothyroxine sodium (LEVOTHYROXINE SODIUM) taken for an unspecified indication, start and stop date were not reported. On Mar2021, the patient experienced heavy metal taste in her mouth, heart rate of 163, and it reached 174, elevated blood pressure. It was reported Caller, female, aged 46, received first dose of Pfizer BioNTech Covid 19 vaccine, the first week in March, not sure of the exact date. Within 30 seconds she developed a heavy metal taste in her mouth, and started having a heart rate of 163, and it reached 174. She was monitored for one hour for pulse and blood pressure. It took 3-4 days for her resting heart rate to go back down even to the 120s. She has a past medical history of heart murmurs, hypothyroidism and migraines. She currently takes 175mcg of levothyroxine. When she consulted her HCP they said just to monitor but that they didn't feel comfortable advising one way or another whether she should receive the second dose. The patient underwent lab tests and procedures which included blood pressure measurement: elevated on Mar2021, heart rate: 163, and it reached 174 on Mar2021 It took 3-4 days for her resting heart rate to go back down even to the 120s. The outcome for event Heart rate of 163, and it reached 174 was recovering while rest was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: LEVOTHYROXINE SODIUM.

Current Illness:

ID: 1722007
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: I am losing my hair; This is a spontaneous report received from a contactable consumer (patient) reported for self. A 85-years-old patient of an unspecified gender received an unknown dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unspecified date (age at vaccination was unknown) as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had just taken the Pfizer-BioNTech COVID 19 vaccine and was just looking at the side effects. On an unspecified date, the patient was losing hair. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722008
Sex: F
Age:
State: MD

Vax Date: 03/27/2021
Onset Date: 04/01/2021
Rec V Date: 09/22/2021
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: Hair loss; This is a spontaneous report from a contactable other hcp. A 53-years-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: ER8732), dose 1 via an unspecified route of administration, administered in Arm Left on 27Mar2021 12:45 PM as DOSE 1, SINGLE for covid-19 immunisation. Medical history included multiple sclerosis from an unknown date and unknown if ongoing, drug hypersensitivity from an unknown date and unknown if ongoing known allergies: Sulfa. Concomitant medications included natalizumab (TYSABRI) taken for an unspecified indication from 31Mar2021 to an unspecified stop date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 01Apr2021 09:00AM patient experienced hair loss. The patient did not received treatment. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was not recovered. No follow-up attempts are needed; No further information expected.

Other Meds: TYSABRI

Current Illness:

ID: 1722009
Sex: M
Age:
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 09/22/2021
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: sweating but wasn't running a fever; really tired; in bed for 8 days and couldn't get out of bed/was in bed for a week; having a hard time breathing; in bed for 8 days and couldn't get out of bed; couldn't hardly eat, and had no appetite; really bad headache, a prickly headache; no appetite; This is a spontaneous report from a contactable consumer or other non hcp. A 70-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported), via an unspecified route of administration on 23Feb2021 at 11:00 (at the age of 70-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included ongoing COPD (diagnosed at least 10 years ago), ongoing high blood pressure (diagnosed maybe 15 years ago). The patient concomitant medications included felodipine at a dose of 5 mg once a day taken for high blood pressure; procaterol hydrochloride (PRO-AIR) at a dose of 90 ug (rescue inhaler as needed; been on for at least 5 years) taken for COPD; tiotropium bromide monohydrate (SPIRIVA) at a dose of 2.5 ug two times a day (been on for at least 5 years) taken for COPD; albuterol (SALBUTAMOL) at a dose of 0.083%, four times a day (0.083% use 1 vial, up to 4 times a day as needed; Nebulizer; stated usually does once a day but right now he does it more because he can't breathe) taken for COPD; breo (been on for at least 5 years) taken for unspecified indication, all drugs start and stop date were not reported. The patient did not receive any other vaccine prior vaccinations within 4 weeks. On 23Feb2021, the patient experienced having a hard time breathing, in bed for 8 days and couldn't get out of bed, couldn't hardly eat, and had no appetite, really bad headache, a prickly headache, no appetite, really tired, in bed for 8 days and couldn't get out of bed/was in bed for a week. On 24Feb2021, the patient experienced sweating but wasn't running a fever. Reporter stated she is calling about the Vaccine; confirmed Pfizer Covid Vaccine. Stated her husband has gotten 2 shots of the vaccine and he has respiratory issues and he is having pretty bad side effects, asks what type of research was done on people with respiratory issues that received the vaccine. Adverse Events following First Dose: Patient had his first dose on 23Feb2021 and then later that day he had a really bad headache, a prickly headache. Stated on 24FEB2021 he was sweating but wasn't running a fever and that ended 24FEB2021, states then he was in bed for 8 days and couldn't get out of bed, couldn't hardly eat, and had no appetite. Stated she said she needs to take him to the hospital. Stated he was also having a hard time breathing, he does have COPD. Stated knowing how men are, he didn't want to go. Stated she called the health line on their insurance care and the nurse there said yes, he should go, so the patient said maybe in the morning he would go. The next morning, he felt a little better but he was still really tired and had the headache for 8 days and then it subsided. Stated she asked him if he was going to feel okay for the second dose. Stated for about two weeks he was feeling better and now he is not feeling good again. Event Information: Event experienced: was in bed for a week Date started: 23Feb2021; Date stopped: 3Mar2021. Admission to the hospital due to event: unknown. Any treatment received: unknown. Still experiencing: recovered. Reporter is asking if there is any specific data, research done by Pfizer on people with respiratory disease and does this population have more severe side effects. My husband has COPD. He received the 2nd Pfizer dose on 16Mar21 and his breathing is worse and has been in bed x16 days. The reporter stated he was in bed for a week with the 1st vaccine dose. Outcome of the events no appetite was not recovered; sweating but wasn't running a fever was recovered on 24Feb2021; outcome of remaining events was recovered on 03Mar2021. Information on the lot/batch number has been requested. Follow-up (PRD/SRD 11May2021): Follow-up attempts completed. No further information expected.

Other Meds: FELODIPINE; PRO-AIR; SPIRIVA; ALBUTEROL [SALBUTAMOL]

Current Illness: Blood pressure high (Diagnosed maybe 15 years ago); COPD (Verbatim: COPD, Diagnosed at least 10 yrs ago)

ID: 1722010
Sex: F
Age:
State:

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 09/22/2021
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: soreness at the injection site; Cough; This is a spontaneous report from a contactable consumer. This 71-year-old female consumer (patient) reported in response to the consumer follow-up letter sent in cross reference case, which included that. A 71-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in Deltoid Left on 21Jan2021 06:00 as a single dose for covid-19 immunization and received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EL9264), dose 2 via an unspecified route of administration, administered in Deltoid Left on 11Feb2021 as a single dose for covid-19 immunization. Medical history included diabetes mellitus from 2000 and ongoing, hypertension from 2000 and ongoing, blood cholesterol increased from 2000 and ongoing, transient ischaemic attack from 2006 and ongoing No lasting effect. The patient's concomitant medications were not reported. Time the vaccination was given: Jan2021 6:00 (24 hour clock). On an unspecified date in 2021, the patient experienced soreness at the injection site, cough. No adverse reaction noted at either vaccination other than slight soreness at the injection site. The patient was no admitted to hospital due to the event. No illness at the time of vaccination, no diagnostic tests/imaging needed. Outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness: Diabetes mellitus; High cholesterol; Hypertension; Transient ischemic attack (No lasting effect.)

ID: 1722011
Sex: F
Age:
State: TN

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 09/22/2021
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: Hives around mouth; swelling of lips; dizziness; anxiety; sever chills; moderate fatigue; arm pain; severe stomach cramps; diarrhea; This is a spontaneous report received from a contactable consumer or other health care professional (patient). A female patient (non-pregnant) of unknown age received bnt162b2 COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection; Batch no: not reported /Lot number EN8727, expiry date not reported) via an unspecified route of administration, administered in Arm left on 29Mar2021 11:00 AM as dose 1, single for covid-19 immunization at Workplace clinic. Medical history and concomitant medications were not reported. Patient had known Allergies with insect stings. Patient did not receive other vaccines within 4 weeks prior to the COVID vaccine and no other medications received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID 19. Since the vaccination, the patient has not been tested for COVID 19. On 29Mar2021 05:00 PM, the patient experienced with hives around mouth, swelling of lips, dizziness, anxiety, sever chills, moderate fatigue, arm pain, severe stomach cramps, diarrhea. Seriousness was reported as No. No treatment was received for the events caused. The outcome of the events was recovered on an unknown date in 2021. Follow-up attempts are completed. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1722012
Sex: F
Age:
State: FL

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 09/22/2021
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: Also i woke up in the middle of the night unbalanced and shaking; Also i woke up in the middle of the night unbalanced and shaking; been sick till this morning which is about 30 hours with fever chills sweating muscle pain and dizziness; been sick till this morning which is about 30 hours with fever chills sweating muscle pain and dizziness; been sick till this morning which is about 30 hours with fever chills sweating muscle pain and dizziness; teeth chattering; been sick till this morning which is about 30 hours with fever chills sweating muscle pain and dizziness; been sick till this morning which is about 30 hours with fever chills sweating muscle pain and dizziness; This is a spontaneous case received from a contactable consumer (patient herself). This Case AER#2021368558 created is for mother and split into AER# 2021369292 for baby, E2B linked with these two cases. A 28-year-old non-pregnant female patient received first dose of bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot/batch number was not reported) via an unspecified route of administration on 30Mar2021 11:30 (age at vaccination 28-year-old) as single dose for COVID-19 immunization. The patient medical history included Allergy to pennicilian. Concomitant medications were not reported. On 31Mar2021 12:00 the patient stated that she woke up in the middle of the night unbalanced and shaking with her teeth chattering. It lasted for about 2 hours. She had also been sick till the morning which is about 30 hours with fever chills sweating, muscle pain and dizziness. Therapeutic measures were taken as a result of the events which included treatment with advil for every 4-6 hours. The outcome of the event was reported as recovering. No follow-up attempts possible. No further information expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021369292 mother and baby case

Other Meds:

Current Illness:

ID: 1722013
Sex: M
Age:
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Sore arm; fever; chills; flu-like symptoms; This is a spontaneous report received from contactable consumer. A 39-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EP6955), via an unspecified route of administration in left arm on 31Mar2021 at 18:00 (at the age of 39-year-old) as dose 2, single for COVID-19 immunisation at pharmacy or drug store. The patient medical history and concomitant medications were not reported. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EP6955), via an unspecified route of administration in left arm on 08Mar2021 (at the age of 39-year-old) as dose 1, single for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 01Apr2021 at 10:30, the patient experienced sore arm and had fever, chills, flu-like symptoms. The patient did not receive any treatment for the events. The outcome of the events was reported as resolved on an unknown date. No follow-up attempts needed. No further information expected.

Other Meds:

Current Illness:

ID: 1722014
Sex: M
Age:
State: MS

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 09/22/2021
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: Chills; Fever; sick all night; him not feeling well; This is a spontaneous report from a contactable consumer or other non health care professional. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration on 01Apr2021 (Batch/Lot number was not reported) as dose 2, single for covid-19 immunisation. Medical history included illness from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. On an unspecified date, the patient experienced chills, fever, sick all night and was not feeling well. The clinical outcome of the events were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722015
Sex: U
Age:
State: MD

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

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

Lab Data:

Allergies:

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

Symptoms: I have gotten a rash on both of my lower legs; it itches quite badly; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Unknown), via an unspecified route of administration, on unspecified date, as dose 2, single for COVID-19 immunization and also received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Unknown), via an unspecified route of administration, on unspecified date, as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced i have gotten a rash on both of my lower legs, it itches quite badly. The events resulted physician office visit. Therapeutic measures were taken with an ointment at 45.00 a tube that has helped decrease the itching over a weeks time. The clinical outcome of event i have gotten a rash on both of my lower legs was unknown and it itches quite badly was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722016
Sex: M
Age:
State: NY

Vax Date: 03/30/2021
Onset Date:
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Date: 2021; Test Name: coronavirus laboratory test; Test Result: Negative

Allergies:

Symptom List: Tremor

Symptoms: bone pain/ bone pain is very severe; feeling his bones boiling; damages his stomach; sweating; headache; fever; muscle pain; This is a spontaneous report from a contactable consumer (patient). A 53-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was not reported) via an unspecified route of administration on 30Mar2021 as a single dose for covid-19 immunization. The patient's medical history was not reported. Concomitant medication included paracetamol (TYLENOL) taken for bone pain, headache, pyrexia, hyperhidrosis, myalgia, feeling abnormal, start and stop date were not reported. The patient experienced bone pain, headache, fever, sweating, muscle pain and the bone pain was very severe leading him to feel his bones boiling on an unknown date in 2021. He reported that as a result of symptom's intensity he went to emergency service on 04Apr2021, and they prescribed Tylenol for the symptom management. He reported that Tylenol did not work well on him and damaged his stomach. During his stay in the emergency service, patient underwent lab tests and procedures which included coronavirus laboratory test and the result was negative on an unknown date in 2021. The patient called to request information about whether the symptoms experienced after the administration of first dose of the Pfizer covid-19 vaccine could occur again after the administration of second dose. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: TYLENOL

Current Illness:

ID: 1722017
Sex: F
Age:
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 09/22/2021
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: severe rash on the face; allergic reaction; face is really itchy and has little tiny bumps; face is really itchy and has little tiny bumps; This is a spontaneous report from a contactable consumer or other non hcp (patient reported for herself). A 30-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on 05Apr2021 at 11 am or 12 pm (Batch/Lot number was not reported) as dose 1, single for covid-19 immunization (at the age of 30-years-old). The patient medical history and concomitant medications were not reported. It was reported by the patient that after receiving the first dose of vaccine on 06Apr2021 she experienced allergic reaction, had a severe rash on the face, her face is really itchy and has little bumps; got a little worse since yesterday, got more bumps since yesterday. She stated that she has not spoken with her Physician. Caller wants to know if there is anything, she can buy for this. The outcome of the events was unknown. Information about lot/batch number cannot be obtained. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722018
Sex: M
Age:
State: CT

Vax Date: 03/26/2021
Onset Date: 03/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Test Name: physical tests; Result Unstructured Data: Test Result:there is nothing wrong with the rotator cuff or; Comments: there is nothing wrong with the rotator cuff or anything like that; Test Name: x rays; Result Unstructured Data: Test Result:there is nothing wrong with the rotator cuff or; Comments: there is nothing wrong with the rotator cuff or anything like that

Allergies:

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

Symptoms: Very significant what felt like nerve pain; vaccine was injected into the bursa instead of the muscle; General shoulder soreness; Very localized muscle pain inside shoulder; Bursitis in the shoulder; Diagnosed him with SIRVA; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: ER8730, Expiration date: unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 26Mar2021 17:40 (at the age of 51-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Facility where COVID-19 vaccine was administered at hospital. Patient vaccine was not administered at military facility. Patient did not have any history of all previous immunization with the Pfizer vaccine and not received any additional vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the vaccination. The patient experienced general shoulder soreness on 26Mar2021, very significant what felt like nerve pain on 28Mar2021 17:00, very localized muscle pain inside shoulder on an unspecified date in Mar2021. Patient stated that he received the first dose of the Pfizer covid vaccine and was diagnosed with SIRVA and has bursitis in the shoulder due to the vaccine (2021). Patient stated that the vaccine was injected into the bursa instead of the muscle (26Mar2021 17:40). Stated his HCP told him he needed to repeat the first dose because it was given inappropriately. Patient wanted to know what information he needed to provide to Pfizer to prove he needs the dose repeated. Patient wanted to know if he did have to get three doses, how safe and effective was it. Patient stated he had other symptoms and was asking if these symptoms would indicate he did get the vaccine asking specifically how he can tell if he actually got a dose. Patient again stated had some really bad shoulder issues following it where he had never had shoulder issues before on that side. States that on 26Mar2021 he had general shoulder soreness like would with any injection for about 24 hours and then that went away. Stated he was fine on the 27Mar2021 and the morning of 28Mar2021 but in the afternoon into evening around 17:00 he started to experience very significant what felt like nerve pain all the way down from neck through shoulder into his bicep on the side he got his shot. Stated it was a very nasty pain, general nerve pain and was unrelenting for another 36 hours through late Monday, 29Mar2021. Then Tuesday through Thursday the nerve pain went away but it felt like a pulled muscle inside shoulder, a very localized shoulder pain and it has slowly improved, but it is still there today. Stated certain movements were painful. Patient clarified nerve pain went away late on 29Mar2021. Stated yesterday he went to orthopedist, and the orthopedist diagnosed him with SIRVA that caused bursitis and basically the shot was not administered correctly. Stated the orthopedist did x rays as well as physical tests and there was nothing wrong with the rotator cuff or anything like that. Stated the orthopedist felt that the injection hit the bursa and said it was a mild case and will go away. Stated the orthopedist prescribed Aleve and physical therapy but right now he was only taking Advil. patient stated he did not talk about the vaccine to the orthopedist. Stated he did talk to his general practitioner and asked him what he should do. Stated his general practitioner told him he should repeat the first dose because due to diagnosis the injection did not enter the muscle and he will not receive the benefit from the shot, stated this was what he has been told. Stated his main question was did he have to start over and repeat the first dose and how did he trust this. Stated he did have an X-ray and physical tests at the orthopedist. Stated he did not have results but the orthopedist had them. Patient visited physician office and did not emergency room for adverse events. The events were assessed as non-serious. There was investigation assessment. The patient underwent lab tests and procedures which included physical tests and X rays: there is nothing wrong with the rotator cuff or anything like that on an unspecified date. Therapeutic measures were taken as a result of bursitis in the shoulder, diagnosed him with SIRVA. The clinical outcome of event general shoulder soreness was recovered on 27Mar2021, event very significant what felt like nerve pain outcome was recovered on 29Mar2021, event very localized muscle pain inside shoulder outcome was recovering and another events outcome was unknown. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1722019
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: His wife had an allergic reaction after second shot that lasted 3-4 days.; This is a spontaneous report from a non-contactable consumer or other non hcp (reporter's wife). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for Injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient experienced his wife had an allergic reaction after second shot that lasted 3-4 days. on an unspecified date. Description of Event: (Withheld) put in a message that his wife had an allergic reaction after second shot that lasted 3-4 days. He did not specify which vaccine she received. Name of Product: Covid vaccine. Event took place after use of product. Outcome of the event was unknown. No follow-up attempts are possible. Information on lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722020
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: fleeting chest pain; sore arm; Normal flu like symptoms; This is a spontaneous report from a contactable consumer. A male patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced fleeting chest pain, sore arm, Normal flu like symptoms. It was reported that with this first dose he had just a fleeting chest pain, sore arm, the normal flu like symptoms along with that. He just called me, he had it yesterday, and he had low grade fever and the tiredness which was expected, so this morning he went in to work, it started with a headache and he said he is having some chest pain again, is that one of the normal side effects?" The outcome of events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722021
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: having some chest pain again; he had low grade fever; tiredness; headache; This is a spontaneous report from a contactable consumer or other non hcp. A male patient of an unspecified age received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization with adverse event of sore arm and normal flu like symptoms. On an unknown date, Consumer stated, "I tried calling different places and they finally said why don't you check with Pfizer, this is actually in regard to my son, he got the second dose with Pfizer yesterday. He just called me, he had it yesterday, and he had low grade fever and the tiredness which was expected, so this morning he went in to work, it started with a headache and he said he was having some chest pain again, was that one of the normal side effects. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number.

Other Meds:

Current Illness:

ID: 1722022
Sex: U
Age:
State:

Vax Date: 03/28/2021
Onset Date:
Rec V Date: 09/22/2021
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: Soreness of the arm; Fatigue; Feeling kind of feverish; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), dose 1 via an unspecified route of administration on 28Mar2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced soreness of the arm, fatigue, feeling kind of feverish on an unspecified date. It was reported that patient had taken the Pfizer shot on Sunday, 28th March and patient was in the first day, He noticed soreness of the arm and now he was feeling kind of feverish. Patient was feeling kind of fatigued, tired. Patient was just wanting to know - are those okay symptoms? The outcome for all events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722023
Sex: F
Age:
State:

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: She had body aches all day; she had nausea too/ nausea; Headache; She is feeling little clumsy; she had a mild like a low grade fever; she couldn't really walk very well, it's weird she was almost falling; she almost fell; She couldn't get out of bed; She was very clumsy like her equilibrium fall; This is a spontaneous report from a contactable consumer (daughter of the patient). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE, formulation: solution for injection and lot number: ER8733) via an unspecified route of administration on 31Mar2021 as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient historical vaccine included first dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE) for COVID-19 immunization. The patient got her second Pfizer shot yesterday on 31Mar2021 and on 01Apr2021 she was feeling little clumsy, she had a mild like a low grade fever. She woke up in the middle of the night and she couldn't really walk very well, it was weird she was almost falling and the reporter had to walk her out to the living room and get her in the recliner and she had body aches all day, low grade fever and headache all day, nausea, she had nausea too. It was also reported that she walked but she couldn't get out of bed. The reporter helped her up. She was very clumsy like her equilibrium fall. The patient she almost fell. The outcome of all the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722024
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: Got redness and itch for 11 days in my arm; Got redness and itch for 11 days in my arm; This is a spontaneous report received from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and batch no: not reported/lot number: not reported) via an unspecified route of administration, on an unknown date as dose 1, single for covid-19 immunization). The patient's medical history and concomitant medications were not reported. On an unknown date, patient got redness and itch for 11 days in my arm. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722025
Sex: U
Age:
State: MN

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: I got reddish; itch; This is a spontaneous report from a contactable consumer (patient) reported for himself/herself that. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6204, UPC, NDC number and Expiry date: Unknown), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Two weeks ago, the patient got Pfizer vaccine (further not clarified hence, captured as unspecified vaccine) first time and then after few days on an unspecified date, my body changed, I got reddish, I was itch for three weeks maybe, I am also itching. The patient was asking to get a second vaccine. The patient think it was a side effect because patient don't have any food allergy or medicine allergy. The patient went to the hospital to ask to Doctor, doctor told patient it's normal side effect over vaccine the patient not assure. The patient was worry, little bit worried and didn't get a fever. Outcome of the events was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722026
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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 all over; They have been getting worse in the past two hours; This is a spontaneous report received from a contactable consumer (patient) reported for herself. A 40-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6206, Expiration date: unknown) via an unspecified route of administration, administered in right arm on an unspecified date (age at vaccination was unknown) as dose 1, single for COVID-19 immunization. The patient did not have any medical history. The patient's concomitant medications were not reported. The patient was calling because she had the Pfizer vaccine that day (reported as yesterday) and she did not have a rash but she was itchy all over on an unspecified date. The patient had no rash, but it was getting more itchy. The patient started experiencing the problem that day (reported as today). The patient was still experiencing the problem. The patient stated that the events had been getting worse in the past two hours on an unspecified date. The patient did not take any treatment for the events and had not done anything. The outcome of the events was not resolved. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722027
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: chills and fever after the second dose; chills and fever after the second dose; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 30 year old female patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration on 07Apr2021 15:18(Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient also has Downs syndrome being treated with Besponsa for leukemia and bridging until patient can have CAR T-cell therapy. Patient has low blood cell counts, low neutrophils, but no signs of infection. The patient previously took bnt162b2 for covid-19 immunisation. The patient experienced chills and fever after the second dose on an unspecified date with outcome of unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722028
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I felt little intoxicated; Headache; Difficulty breathing; Tired; I was sensitive to light; It was little hard to hold my head up; Pain in my back between my shoulder blades like from muscle spasms; Severe pain in my lower back, in fact for most of the day I was unable to sit properly; This is a spontaneous report from a contactable consumer (Patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced felt little intoxicated, headache, difficulty breathing, tired, sensitive to light, it was little hard to hold my head up, pain in my back between my shoulder blades like from muscle spasms, severe pain in my lower back, in fact for most of the day was unable to sit properly. Patient stated, i just have couple of questions I got the Covid 19 injection on Monday the Pfizer medicine. So, I want to be talk to you for that there might be a reaction or not or I don't know. About an hour and half afterwards I had symptoms that I was almost expecting, little, tiny bit of difficulty breathing not that much. it was little hard to hold my head up, so I laid down but it only lasted two hours, after two hours I felt good. And that was on Monday and now on Tuesday I felt just fine all day long, I had been lying down his wife rubbed back few times. Here I have a question could it be some sort of reaction to my body due to vaccine in my body. The outcome of events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722029
Sex: U
Age:
State:

Vax Date: 03/29/2021
Onset Date:
Rec V Date: 09/22/2021
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: Rashes all over my body; it's very itchy; Rashes all over my body; it's very itchy; Allergy; This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration on 29Mar2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine includes first dose of BNT162B2 administered on an unspecified date for COVID-19 immunization. On an unspecified date the patient experienced rashes all over the patient's body; it's very itchy, and allergy. It was reported that consumer stated, "Patient got second dose of COVID-19 vaccine last Monday, the 29th. This morning when the patient woke up, patient got lots of rashes all over the body and it's very itchy, Patient tried to call the doctor and patient's doctor told that whoever gave the shot, the patient need to call. So, patient asked if that was the right number to call for the shot because patient know, the patient guess, this rashes that the patient had allergy from the adverse reactions from COVID." The clinical outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722030
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: While administering vaccine had patient with bleeding "more than usual"; This is a spontaneous report from a contactable primary reporter. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. Patients medical history and concomitant medications were not reported. While administering vaccine had patient with bleeding "more than usual". Patient wanted to know if it effects the vaccine effectiveness. The outcome of event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1722031
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: she got a rash on her face; This is a spontaneous report from via a contactable consumer (patient) reported for herself. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unspecified date (age at vaccination was unknown) as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient wanted to report a reaction from the first dose of COVID-19 vaccine. On an unspecified date, the patient got a rash on her face a week after first dose. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1722032
Sex: F
Age:
State: WA

Vax Date:
Onset Date:
Rec V Date: 09/22/2021
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: Hyperventilating; This is a spontaneous report from a Pfizer sponsored Support program. A contactable consumer reported for his elderly female neighbour that: An elderly female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Consumer called in on behalf of his elderly neighbour he stated that she had her first dose and had an adverse reaction to it did not state what it was, only that she was hyperventilating he said. The Vaccination centre advised his neighbour not to take the second shot. He wanted to call for her to get additional information. The outcome of the events was reported as unknown. No follow-up attempts are needed. Information on lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am