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: 1743887
Sex: F
Age:
State: PA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 09/29/2021
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: 20210311; Test Name: Body temperature; Result Unstructured Data: Test Result:fever low grade

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: I reported a itchy rash on my entire back, upper chest. The rash included some sparse spots on my right and left hand and arm. One spot on my left eye.; fever low grade; headache; dizziness; body aches; fatigue; arm pain / Arm Soreness; This is a spontaneous report from a contactable consumer. This 73-year-old female consumer reported for herself that. A 73-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6203), dose 2 via an unspecified route of administration, administered in Arm Left on 10Mar2021 14:15 as (At the age of 73-years) dose 2, single for covid-19 immunisation. Medical history included hypothyroidism from an unknown date and unknown if ongoing, known allergies to Penicillin. The patient previously took first dose of BNT162B2 bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EL3247), dose 1 via an unspecified route of administration, administered in Arm Left on 17Feb2021 02:15 PM as (At the age of 73-years) dose 1, single for covid-19 immunisation. Concomitant medication included levothyroxine 75mcg taken for an unspecified indication, start and stop date were not reported; ascorbic acid 750mg (VIT C) taken for an unspecified indication, start and stop date were not reported; biotin 5000mcg (BIOTIN) taken for an unspecified indication, start and stop date were not reported. Patient was not pregnant at the time of vaccination. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. The patient experienced arm pain / arm soreness on 10Mar2021, patient experienced fever low grade, headache, dizziness, body aches, fatigue 11Mar2021 06:00 and patient experienced reported a itchy rash on my entire back, upper chest. the rash included some sparse spots on my right and left hand and arm.one spot on my left eye on 13Mar2021. It was reported that patient experienced Arm Pain 10Mar2021 arm Pain ended 12Mar2021 and the remaining AEs began on 11Mar2021 and ended on 12Mar2021. Arm Soreness 13Mar2021 ended 15Mar2021. Later reporter wanted to share that last evening 18Mar2021 reporter visited and reported a itchy rash on his entire back, upper chest. The rash included some sparse spots on his right and left hand and arm. One spot on his left eye. The physician there did take a picture of his back. The physician prescribed Methylprednisolone (Medrol Dosepack) for 6 days, Benadryl cream or OTC Hydrocortisone Cream as needed to the affected areas to reduce itch. The symptoms began on his lower back, Saturday, 13March2021. Patient had a few itchy areas on his hands which began on 15Mar2021 and then each day from the rash began on my upper back, shoulders until yesterday when his entire back was affected, and his chest became involved. It was reported that patient had follow up with my primary MD on Wednesday as I have an appointment at 8:15AM EST. It was reported that on 13Mar2021 patient experience a itchy rash on my entire back, upper chest. The rash included some sparse spots on my right and left hand and arm was awareness but was not possibly attributed to vaccine until patient went to the urgent care. Patients have a follow up visit with my primary MD tomorrow. The patient underwent lab tests and procedures which included body temperature: fever low grade on 11Mar2021. The outcome of event arm pain / arm soreness was recovered on 15Mar2021, outcome of, i reported a itchy rash on my entire back, upper chest. the rash included some sparse spots on my right and left hand and arm. one spot on my left eye was unknown and outcome of all other event was recovered on 12Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743888
Sex: F
Age:
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: still isn't feeling well; headache; fatigue/tired; dizzy; cough; body aches/really painful; but feels like something in her chest; This is a spontaneous report from a contactable consumer (Patient). This 46-years-old female consumer reported herself that she received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number, Expiry Date: not reported), via an unspecified route of administration on 05Mar2021 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 VACCINE, Solution for injection, Batch/Lot Number, Expiry Date: not reported), via an unspecified route of administration on an unspecified date as dose 1 single for covid-19 immunisation. The caller got her second dose 05Mar2021 (Friday) and since then, she had her 7th day of not feeling well. The caller was tired/fatigued, had a headache, was dizzy sometimes, and had a little cough, not a lot, but felt like something in her chest. The caller's body aches was still there, could not get out of the bed, somehow had made it to work the past few days but she still felt very tired. The caller wanted to know how long it would last, was it normal, and what she should she regarding the AE. Also, she wanted to know whether others have had prolonged side effects. The caller mentioned that it had gotten better, her husband was fine but its just in her case that it was really painful. The outcome of events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743889
Sex: M
Age:
State: FL

Vax Date: 02/25/2021
Onset Date: 03/07/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Muscle and joint pains; Muscle and joint pains; Hard time in opening and closing his hands/couldn't hardly carry a cup of coffee; Hurt so bad he couldn't even turn in bed; This is a spontaneous report from a contactable consumer (patient). A 65-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL9267, Expiration date: unknown) administered in left arm on 25Feb2021 10:00 (age at time of vaccination: 65 years) as, single dose for covid-19 immunisation in a clinic. The patient medical history was not reported, and concomitant medications was none. Family medical history was none. The patient did not receive previous immunization with the Pfizer vaccine considered as suspect. No Additional Vaccines Administered on Same Date of the Pfizer Suspect. On 07Mar2021, he suffers from side effects muscle, joint achiness and Hard time in opening and closing his hands/couldn't hardly carry a cup of coffee. Sunday night and Monday it was so bad, he couldn't hardly carry a cup of coffee. Since the muscle and joint achiness started it has improved, but now it has kind of stayed the same. It has levelled out. On Sunday and Monday, he hurt so bad he couldn't even turn in bed. He was not sure if he was going back for second one because of the achiness. The outcome of the events muscle and joint pains was not recovered and unknown for other events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743890
Sex: F
Age:
State: MI

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: One of her eyes were a little swollen; Eye is really swollen and puffy; Sweats off and on; Cold; Hot and cold flashes; Hot and cold flashes; She was 'tired and tired'; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received first dose of bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: E96199; Expiration Date: 30Jun, year not reported) administered in left arm via an unspecified route of administration on 09Mar2021 13:40-13:45 as dose 1, single for covid-19 immunization. It was reported that vaccine was not administered at facility. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient medical history included ongoing high blood pressure and family medical history included hot flashes (One of them had hot flashes but she was not sure if it was related to menopause, reporter clarified she was not sure if hot flashes were after a vaccine). On an unknown date, it was reported that the patient was diagnosed years ago for an unknown conditions. The patient's concomitant medications were not reported and denied for any other products. On 10Mar2021, the patient experienced hot and cold flashes, had sweats off and on began the day after she received the shot and still having them, pretty much the same, cold and she was 'tired and tired'. On 12Mar2021, she woke up and one of her eyes was swollen and puffy, right eye and she was asking is that normal. Patient denied for any visit to emergency room or physician office. Patient was told by HCP to make an appointment to come in on Monday if her symptoms persist. Patient was asking whether the 2nd dose of the covid vaccine is the same dosage as the 1st dose, how long side effects would last after receiving the covid vaccine, was asking if one gets more side effects after receiving the 2nd dose of the covid vaccine, and whether her side effects are normal after receiving the covid vaccine. The outcome of event for one of her eyes were a little swollen and sweats off and on was not recovered whereas for other remaining events it was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Blood pressure high

ID: 1743891
Sex: F
Age:
State: MI

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 09/29/2021
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: 20210312; Test Name: fever; Result Unstructured Data: Test Result:100.83

Allergies:

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

Symptoms: fever of 100.83; left arm pain; very slight swelling; This is a spontaneous report from a contactable consumer (patient) via regulatory authority. A 50-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 11Mar2021 16:30 (lot number: EN6199; expiry date: unknown) at the age of 50-years-old, as dose 1, single for Covid-19 immunisation. Medical history included Covid-19 (COVID prior vaccination: Yes) and arthritis (possible rheumatoid waiting for rheumatologist appointment). The patient was taking unspecified concomitant medications. The patient was not pregnant at the time of vaccination. The patient did not receive other vaccines four weeks prior vaccination. The patient previously took morphine and experienced allergies (known allergies: sensitive to morphine). On 12Mar2021, at 10 am, the patient experienced fever of 100.83, left arm pain, and very slight swelling. The patient did not receive treatment for the events. The patient underwent lab tests and procedures which included body temperature: 100.83 on 12Mar2021. Outcome of the events was unknown. The patient has not been tested for COVID-19 post vaccination. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743892
Sex: F
Age:
State: TX

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 09/29/2021
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: does not have tingling in her tongue but loss of taste; hurting hands; Chills; Feels Weak; Feels the same as when she had Covid in Dec.; This is a spontaneous report from a contactable consumer or other non hcp. A 50-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported) via an unspecified route of administration, administered in right arm on 07Mar2021 as dose 1, single for COVID-19 immunization (age at vaccination: 50-years). Medical history included covid-19 from unspecific date in Dec2020 to Dec2020.There were no concomitant medications. On 08Mar2021 the patient reports" does not have tingling in her tongue but loss of taste, hurting hands, chills, feels weak, and feels the same as when she had covid in December. The outcome of the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743893
Sex: F
Age:
State: MI

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: ultrasound; Result Unstructured Data: Test Result:No clot found; Comments: they did not see a blood clot.

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: This is a spontaneous report from a contactable consumer other non-health professional (patient). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot number: EN6202, Expiry Date: unknown) via an unspecified route of administration, administered on left arm on 04Mar2021 11:42 (at the age of 69-Year-old) as dose 1, single for COVID-19 immunization. Medical history included varicose veins from 1 Mar2021 and was ongoing. Blood pressure and COPD both are from an unknown date and unknown it was ongoing. Patient has no relevant family history. Concomitant medications include Olmesartan HTC 40/12.5mg once daily via orally for blood pressure taking for years, Advair 250/50mg inhaler; inhale twice daily for COPD, taking for years, Ventolin HFA 90 mcg; inhaler use as needed, using a long time. No History of all previous immunization with the Pfizer vaccine considered as suspect and no other additional Vaccines Administered on Same Date of the Pfizer Suspect. No other vaccines administered within 4 weeks Prior Vaccinations covid 19 vaccines. It was reported that patient received her first dose of the Pfizer-BioNTech Covid19 vaccine last Saturday, then on Tuesday 10Mar2021 She started to feel some pain in her varicose veins on her left leg right behind the left knee and it started to swell up; it was bulging; the pain started out just dull. It kept getting worse until she called her doctor on Thursday. They called her back on Friday and told her she might want to get it checked out at the emergency room, so she went to the emergency room. Lab test and procedures included ultrasound on an unspecified date, and they did not see a blood clot. They told her the swelling was just normal. It was still swollen now but mostly it was just red and there was still some pain behind the knee. It felt a little better today. She was concerned about getting the second shot, she wanted to know if this was a reported side effect, and She was scheduled to get the second dose on 27Mar2021.Patient visited emergency room for the events. Outcome of the event varicose veins behind the left knee swelling not recovered, outcome of the event pain in her varicose veins on her left leg right behind the left knee recovering, outcome of other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: EUA 027034

Current Illness: Varicose veins

ID: 1743894
Sex: F
Age:
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: the burning went down her biceps and triceps and hit her elbows and her wrists and she could not use her hands; she could not use her hands and could not even close her fingers and could not grip anything; her joints started actually burning; the soreness was only at the injection; This is a spontaneous report from a contactable consumer or other non-health care professional. A 73-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection), dose 2 via an unspecified route of administration, administered in arm left on 27Feb2021 08:00 AM (Batch/Lot Number: EN6202) as dose 2, single for covid-19 immunisation (at the age of 73-year-old). The patient medical history included, she had a some autoimmune issue and she is not taking anything for the autoimmune issue and clarifies to state it was Raynaud's syndrome and she was diagnosed probably from an unknown date in 2010 and it was ongoing. There was no concomitant medications. The patient received Synthroid for her thyroid because she has underactive thyroid and that was diagnosed in her 30's when she began taking Synthroid. The patient did not received any other vaccines within 4 weeks prior to the covid 19 vaccine. No additional vaccines was administered on same date of the bnt162b2 covid 19 vaccine. The patient had previously received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection), dose 1 via an unspecified route of administration, administered in left arm on 06Feb2021 08:00 AM (Batch/Lot Number: EL9262) as dose 1, single for covid-19 immunization. On 06Feb2021, the patient reported, within less than 2 hours after she had the first dose, within about 1.5 hours or 1hour and 45 minutes after the first dose, every joint in her body started hurting and she started hurting first in her back which she does not typically have pain in her back. Stated her elbows, wrists, shoulders, knees and feet and everything started aching like a terrible case of the flu and it came on like a slap. Patient reported this was not like a head cold and then her muscles started aching. she could not believe how everything hurt and that lasted for probably about 5 days at least and it was bad. The patient reported her muscles then started aching in her large muscles, in her biceps and the big muscles started aching too and the muscles were being sore and that only lasted a couple of days. she stated after the first dose, two weeks later the aching and soreness started easing and so she was just still have trouble with her hands and especially in her knees but it has eased a lot after the 2nd week after her 1st dose of the vaccine. The patient also experienced a sore arm and it took almost a week for the soreness to resolve. On 27Feb2021, within about an hour after 2nd dose of vaccine, her joints started actually burning; states she noticed it first in both her humerus heads and they were on fire and then it started down her arms and it was really strange; states the burning went down her biceps and triceps and hit her elbows and her wrists and she could not use her hands and could not even close her fingers and could not grip anything. The patient reported the joints burning and going down her arm and being not able to close her fingers and grip anything is not ongoing but has eased up and still has the symptoms and they did start easing up by this Sunday 07Mar2021. The patient reported, her arm was not as sore and it did not radiate and the soreness was only at the injection site and she thinks in part this has to do with the skill of the person who injects. The patient would not want a doctor to give her the shot and asked if the DSU agent saw # getting her shot and said don't let a doctor give you a shot but let a nurse give her the shot and stated her husband said she called it by stating to not let a doctor give the shot. The patient also stated the indication for the Pfizer COVID Vaccine is that it was the first available and she tried to get the vaccine since it came out due to her age group and tried really really hard to schedule it and two other times the appointments were cancelled, and she took what they wanted to give her. the patient not visited emergency room and physician office. The time frame between the event and vaccination was reported as an hour. The product complaint was reported. The outcome of the events was recovering. Description of Product Complaint: Vaccine Supplemental Form completed in Additional Context. Caller states she is calling about the Pfizer COVID Vaccine and states it was suggested for her to call because she is 73 years old and is pushing 74 years old and is very grateful to get the vaccine and is not complaining but had really severe responses to the Pfizer COVID Vaccine. Caller states within less than 2 hours after she had the first dose, within about 1.5 hours or 1hour and 45 minutes after the first dose, every joint in her body started hurting and she started hurting first in her back which she does not typically have pain in her back. States her elbows, wrists, shoulders, knees and feet and everything started aching like a terrible case of the flu and it came on like a slap. Caller states then when she got the 2nd dose of vaccine, her joints started actually burning; states she noticed it first in both her humerus heads and they were on fire and then it started down her arms and it was really strange. Caller states the first dose has lot number EL9269 and the second dose has lot number EN6202 and states her patient card has no expiry dates or NDC numbers to provide and the card has Spanish on the back and states it is COVID19 Vaccine HMSL. Caller states her patient card does not have the location of where she had the vaccines but there are stickers on there with her date of birth and her name on it No follow-up attempt are possible. No further information expected.

Other Meds:

Current Illness: Raynaud's syndrome (Verbatim: Raynaud's syndrome)

ID: 1743895
Sex: F
Age:
State:

Vax Date: 02/23/2021
Onset Date:
Rec V Date: 09/29/2021
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: Sciatic pain has returned and has continued to hurt everyday since that time; Intermittent pain that begins in her knee and travels down her leg; Intermittent pain that begins in her knee and travels down her leg; This is a spontaneous report from a contactable consumer (patient). A 67-year-old female consumer reported for herself who received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on 23Feb2021 (at the age of 67-year-old) as dose 2, single for covid-19 immunization. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. Medical history included sciatic pain has returned and ongoing. The patient's concomitant medications were not provided. After receiving the second dose of vaccination, patient reported that her sciatic pain has returned and continued to hurt everyday as intermittent pain that begins in her knee and travels down her leg on an unspecified date. The outcome of the event sciatic pain has returned and continued to hurt everyday was reported as not recovered and other events reported as unknown. No follow-up attempts are possible. Information about lot/batch number cannot be requested.

Other Meds:

Current Illness: Sciatica (Sciatic pain has returned)

ID: 1743896
Sex: F
Age:
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 09/29/2021
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: itching still a problem; Breakingout neck and back; This is a spontaneous report received from a contactable consumer or other non hcp. A 83-years-old female patient received 2nd dose of bnt162b2 (COMIRNATY,Batch/Lot Number: EM9810; Expiration Date: 02Nov2021), via an unspecified route of administration, administered in Arm Left on 11Feb2021,at the age of 83 years old, as Dose 2,single for covid-19 immunization.Medical history included psoriasis from an unknown date and unknown if ongoing,mother- only skin condition in family.The patient's concomitant medications were not reported.The patient experienced breakingout neck and back on 12Feb2021 08:00 and itching still a problem on 02Mar2021.Therapeutic measures were taken as a result of breakingout neck and back and itching still a problem.The patient previously received her 1st dose of Pfizer covid vaccine on 21Jan2021,07:41.The patient received treatment with Triamcinolone acetonide cream husband had this med.The patient was not admitted to the hospital due to this adverse events.There was no culture done.The outcome of the event breaking out neck was recovered and itching was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743897
Sex: F
Age:
State: MI

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 09/29/2021
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: hives; itchy; tired; achy; This is a spontaneous report from a contactable consumer. This consumer reported for a 88-year-old female patient (wife) in response to Non-HCP letter sent via follow-up letter. A 88-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL9267; Expiration Date: May2021) via an unspecified route of administration on 10Feb2021 (at the age of 88-years-old) as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history was not reported. Concomitant medications included warfarin sodium (COUMADIN), acetylsalicylic acid (ASPIRIN LOW), lisinopril (LISINOPRIL) and apixaban (ELIQUIS) taken for an unspecified indication. The patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EL3248; Expiration Date: Apr2021) via an unspecified route of administration on 20Jan2021 (at the age of 88-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Patient was not pregnant at the time of first dose vaccination. It was reported that, patient was tired plus achy the first 48hours on an unspecified date in Feb2021. Then became itchy on the third day she had red raised spots (Hives) on upper back on 12Feb2021. Treated with Benadryl and Calamine lotion. It did not help saw doctor after four days of hives prescribed seven days of prednisone. That helped, but as soon as regiment ended the hives spread over trunk of body. Doctor prescribed two weeks on prednisone. Her last dose will be 10Mar2021. She feel much better. Therapeutic measures were taken as a result of AEs. The outcome of events was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743898
Sex: M
Age:
State: OH

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Date: 2021; Test Name: fever; Result Unstructured Data: Test Result:99.1 Fahrenheit

Allergies:

Symptom List: Rash, Urticaria

Symptoms: fever 99.1 degree F.; Fatigue; felt sleepy; Chills; This is a spontaneous report received from a contactable consumer (patient) via Pfizer sponsored Program COVAX US Support. 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 11Mar2021 (last Thursday) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021, patient experienced fever 99.1degree F, fatigue, felt sleepy, chills and wanted guidance on what to do, specifically asked about if he can take Tylenol or Ibuprofen. The events were assessed as non-serious. On unspecified date in 2021, patient underwent lab tests and procedures which included fever: 99.1 Fahrenheit. The clinical outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743899
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date:
Rec V Date: 09/29/2021
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: felt like her chest had fluid and pressure; This is a spontaneous report from a contactable consumer (patient) via Pfizer. A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and expiration date not reported), via an unspecified route of administration on 25Feb2021 as dose 1, single for covid-19 immunization. The patient's medical history concomitant medications were not reported. Patient reported she had her first dose of the covid-19 vaccine on 25Feb2021, afterwards felt like her chest had fluid and pressure on an unspecified date inquiring if she should receive the second dose. 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: 1743900
Sex: F
Age:
State: LA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 09/29/2021
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: Large raised; Red at the site of the injection; Painful area at the site of the injection; This is a spontaneous report received from a contactable other healthcare professional (patient reported for herself). A 38-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm Left on 08Mar2021 10:15 (at the age of 38-years-old) as dose 1, single for COVID-19 immunisation. Medical history included hypothyroidism, attention deficit disorder, known allergies: penicillin, cephalosporins from an unknown date and unknown if ongoing. Concomitant medications included levothyroxine (LEVOTHYROXINE) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, was the patient did not diagnosed with COVID-19. Since the vaccination, did not patient been tested for COVID-19. Patient received vaccine facility in hospital. The patient experienced large raised, red at the site of the injection, painful area at the site of the injection on 08Mar2021 18:00. No treatment was received for the events. The outcome of the events was reported as not recovered. No follow up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743901
Sex: F
Age:
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 09/29/2021
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: My skin is itchy all over but not too itchy that it creates a rash. The itch is very slight but all over my body; This is a spontaneous report from a contactable consumer (patient). A 21-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in Arm Left on 09Mar2021 13:45 (at the age of 21 years old) as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. Concomitant medication received within two weeks of COVID vaccine included acetaminophen (ACETAMINOPHEN), etonogestrel (NEXPLANON), cyanocobalamin (VITAMIN B 12 [CYANOCOBALAMIN]), and iron supplements, all taken for an unspecified indication, start and stop date were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in Arm Left on 12Feb2021 16:45 (at the age of 21 years old) as single for COVID-19 immunisation. Patient did not received other vaccine within four weeks of COVID vaccine. Patient did not have COVID prior to vaccination. The patient experienced my skin is itchy all over but not too itchy that it creates a rash. the itch is very slight but all over my body on 09Mar2021 14:30. No treatment given for the event. Patient did not tested for COVID post vaccination. 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: 1743902
Sex: F
Age:
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 09/29/2021
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: Sore arm; sore shoulder; This is a spontaneous report from a non-contactable pharmacist (patient). A 29-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Formulation: solution for injection, Lot number: not reported) via an unspecified route of administration, administered in left arm on 06Mar2021 at 16:00 pm (at the age of 29-year-old) as dose 1, single for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Medical history included Hypothyroidism from an unknown date and unknown if ongoing. Patient had no known allergies. Concomitant medications included (within two weeks) Junel and Levothyroxine for unknown indication from an unknown date and unknown if ongoing. Prior to vaccination, patient was not diagnosed with COVID. Since the vaccination, the patient has not been tested for COVID-19. Patient administered no other vaccine four weeks prior to vaccination. It was reported that on 06Mar2021 22:00 patient experienced Sore arm and Sore shoulder. Patient did not receive any treatment for the events. Outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743903
Sex: F
Age:
State: IL

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Date: 20210303; Test Name: fever; Result Unstructured Data: Test Result:101.7; Comments: high fever of 101.7

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 61-years-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN6202; Expiration Date: Jun2021), via an intramuscular route of administration (at the age of 61-years), administered in arm left on 02Mar2021 at 14:00 as dose 2, single for COVID-19 immunization. Medical history included, none from an unknown date and unknown if ongoing. The patient had no family history. The patient concomitant medications were not reported. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EM9809; Expiration Date: Jun2021), via an intramuscular route of administration (at the age of 61-years), administered in arm left on 11Feb2021 as dose 1, single for COVID-19 immunization. No prior vaccinations (within 4 weeks) aside from first dose of covid vaccine. The vaccination facility type was reported as hospital. The patient did not receive any other products. On 03Mar2021, the patient experienced high fever, severe body aches, headache. It was further stated that She was calling about the covid vaccine. She received second Pfizer covid vaccine on 02Mar2021. 12 hours later she got a high fever of 101.7, which is a high fever for her. She had severe body aches and a headache. She still has symptoms and her doctor suggested to call. She was asking what she should do. She had a low-grade fever as of now, her severe body aches recovered within in 24 hours. Her headache is not as bad. She will let her doctor know that she called to report this. The treatment was received for all the adverse events. The duration of event severe body aches was reported as 1 day. The adverse events did not result in emergency room visit or physician office visit. The patient underwent lab tests and procedures which included body temperature: 101.7 on 03Mar2021 high fever of 101.7. The patient was taking the Covid vaccine as a preventative. The clinical outcome of the event severe body aches was reported as recovered on 04Mar2021 while for the events high fever, headache was reported as recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743904
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: aches and pains across shoulders and neck; aches and pains across shoulders and neck; periodic Headaches; In bed for 3 days; This is a spontaneous report from a contactable Nurse via Pfizer sales representative. A 65-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown), dose 2 via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient received historical first dose of (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown) for covid-19 immunisation. On an unspecified date, patient was in bed for 3 days with aches and pains across shoulders and neck, periodic headaches since the second dose. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1743905
Sex: F
Age:
State: IL

Vax Date: 02/28/2021
Onset Date: 03/04/2021
Rec V Date: 09/29/2021
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: rash from her head to toe that was itching; This is a spontaneous report from a contactable consumer. This 38-years-old female consumer (patient) reported for herself that: A 38-year-old female patient received first dose of bnt162b2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number: EN6200), via an unspecified route of administration on 28Feb2021 (at the age of 38 years old) as dose 1, single for covid-19 immunisation. Medical history included hypertension from an unknown date and unknown if ongoing Verbatim: High Blood pressure. Concomitant medication included esomeprazole sodium (NEXIUM [ESOMEPRAZOLE SODIUM]) taken for gastrooesophageal reflux disease, start and stop date were not reported. The patient previously took antibiotic as Bactrim and experienced allergic reaction to antibiotic, she broke out in hives. The patient previously took antihistamines and experienced hives (Was taking antihistamines when she broke out in hives). The patient experienced rash from her head to toe that was itching on 04Mar2021. Caller stated did not know if had actual possible side effects to the first Covid vaccine or that something else but caller was trying to find out who can speak to regarding this. When paraphrased the concern, Caller stated, "Correct, because of the situation that had with it could possibly be connected to the first shot but caller not sure." caller was calling because she wanted information on if it was safe to get her second vaccine. She concerned about getting the second dose. Wants to know who she could speak to see if it safe. Caller stated that she called earlier and spoke with Pfizer and reported this. Caller was unsure if it was her immune system or if had an allergy. Caller did not know if it was too soon after the allergic reaction to get the COVID vaccine and her immune system went into panic mode. Therapeutic measures were taken with antihistamines and steroid shot as a result of event.The outcome of event was unknown. Follow-up (10Mar2021): The initial case was missing the following minimum criteria: -Unspecified AE. Upon receipt of follow-up information on 10Mar2021, this case now contains all required information to be considered valid. This is a follow-up spontaneous report from a contactable consumer. This consumer (patient) reported for self that: event and case narrative was added. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743906
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: COVID-19; Result Unstructured Data: Test Result:positive

Allergies:

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

Symptoms: did not feel well; Cough; Sore throat; Low-grade fever; Little stuffy/runny nose; Little stuffy/runny nose; This is a spontaneous report from contactable consumer or other non-healthcare professional (patient).A 40-years-old female patient 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 12Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On unspecified date of Mar2021 patient experienced cough, sore throat, low-grade fever and little stuffy/runny nose. The patient did not feel well and is not sure if these are side effects to vaccine or covid symptoms. The reported stated that, may have been exposed to COVID prior to getting vaccine. The patient underwent lab tests and procedures which included sars-cov-2 test positive on unknown date. The outcome for the all events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743907
Sex: M
Age:
State: OR

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Low grade fever; headache; body aches; chills; nausea; Swollen lymph nodes; injection site pain; swelling 12 hours after injection; patient administered first dose on 03Feb2021 and second dose on 20Feb2021; This is a spontaneous report from a contactable consumer (patient). A 19-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6200) via an unspecified route of administration, administered in left arm on 20Feb2021 09:30 (at the age of 19-year-old) as dose 2, single for covid-19 immunisation. Medical history included Lichens Sclerosis and supraventricular tachycardia from an unknown date. Patient reported having known allergies from amoxicillin. Concomitant medications in two weeks included CLOBETASOL PROPIONATE and Paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. The historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EL1283) via an unspecified route of administration, administered in left arm on 03Feb2021 09:30 (at the age of 19-year-old) as single dose for covid-19 immunisation. The patient did not receive any other vaccines within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 20Feb2021 21:45 (same day of vaccination), the patient experienced low grade fever, headache, body aches, chills, nausea, swollen lymph nodes, injection site pain and swelling 12 hrs after injection, patient administered first dose on 03Feb2021 and second dose on 20Feb2021 was considered as Inappropriate schedule of vaccine administered. All symptoms subsided within 26 hrs. No treatment was given for the events. Outcome of the event Inappropriate schedule of vaccine administered was unknown and on an unspecified date in 2021, outcome of low grade fever, headache, body aches, chills, nausea, swollen lymph nodes, injection site pain and swelling 12 hrs after injection was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743908
Sex: F
Age:
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 09/29/2021
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: 20210305; Test Name: Saliva; Test Result: Negative

Allergies:

Symptom List: Unevaluable event

Symptoms: Foggy brain; fatigue; inability to concentrate; episodic racing heart; episodic breathing difficulty; muscle cramps in legs & feet despite drinking a lot of water; This is a spontaneous report from a non-contactable consumer (Patient). A 68-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN 6201, Expiry date was not reported), via an unspecified route of administration on 22Feb2021 09:30 (at the age of 68-years-old) in Arm Left as dose 1, single for COVID-19 immunization at hospital. The Patient Medical history and concomitant medications were not reported. Patient had no known allergies. The Patient did not receive other mediation in two weeks and in four weeks. Patient had no COVID-19 prior vaccination and tested COVID-19 post vaccination. On 22Feb2021 16:30, the patient experienced Starting 7 hours after vaccine & lasting for 2.5 more days. Foggy brain, fatigue, inability to concentrate, episodic racing heart, episodic breathing difficulty, muscle cramps in legs & feet despite drinking a lot of water. The patient did not take the treatment for the events and took the treatment for the event muscle cramps in legs & feet despite drinking a lot of water. The patient underwent lab tests and procedures which included saliva (sars-cov-2 test) : negative on 05Mar2021. The outcome for the events Foggy brain, fatigue, inability to concentrate, episodic racing heart, episodic breathing difficulty, muscle cramps in legs & feet despite drinking a lot of water was recovered on 25Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743909
Sex: F
Age:
State: OK

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 09/29/2021
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: nausea; HEADACHE; cough; muscle pain also at injection sight; exhaustion; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 56-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration date was not reported) via unspecified route of administration, administered in right arm on 06Mar2021 11:30 as dose 1, single for COVID-19 im-munization (age at vaccination: 56-years-old). Medical history included breast cancer. Concomitant medications included anastrozole (ARIMIDEX), boron, calcium, cimicifuga racemosa extract, folic acid, glycine max extract, magnolia officinalis, nicotinic acid, pyridoxine hydrochloride, riboflavin, selenium, thiamine, tocopherol, vitamin b12 nos (ESTROVEN) and meloxicam all were taken for an unspecified indication, start and stop date were not reported. On 06Mar2021 23:00 the patient experienced nausea, headache, cough, muscle pain also at injection sight and exhaustion. Patient not tested for covid post vaccination and no covid prior vaccination. The patient had no other vaccine in four weeks. Ther-apeutic measures were taken as a result of all events with rest, fluids and ibuprofen. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743910
Sex: F
Age:
State: CA

Vax Date: 03/08/2021
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: This is a spontaneous report from a contactable consumer (patient). An elderly non-pregnant female patient received bnt162b2 (BNT162B2 Solution for injection, Batch/Lot number was not reported) dose 2 via an unspecified route of administration, administered in right arm on 08Mar2021 13:30 as dose 2, single dose for covid-19 immunization. Patient had known allergies to penicillin. The patient's concomitant medications was not reported. Historical vaccine included BNT162B2 (solution for injection, Lot number: ELB8982) via an unspecified route of administration, administered in right arm on 15Feb2021 01:30 PM as dose 1 single for COVID-19 immunization. Patient has not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to the vaccination. The patient had been not tested for COVID-19 since the vaccination. On an unspecified date in 2021 the patient experienced face swollen under left eye second shot. 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: 1743911
Sex: F
Age:
State: NY

Vax Date: 03/06/2021
Onset Date: 03/09/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: covid test; Result Unstructured Data: Test Result:Negative

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Had a couple of little spots on my chest and on the top of my thighs, red spots; One or two red spots on my back; There are couple on my face, little red; I have Sulfur allergy and I was a baby and I broke out in rash; This is a spontaneous report from a contactable Consumer. A 73-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: EN6205), via an unspecified route of administration, administered in Arm Left on 06Mar2021 as SINGLE DOSE (at the age of 73-year-old) for covid-19 immunisation; sulfur (SULFUR), route of administration, start and stop date, batch/lot number and dose were not reported for an unspecified indication. Medical history included diabetes mellitus (Verbatim: Diabetic I am diabetic and I take a number of medications, I take some heart medication (not clarified further), I take a lot of medication). Reporter stated, patient had the Pfizer COVID shot on Saturday. Yesterday, Tuesday (09Mar2021) patient noticed that, had a couple of little spots on chest and on the top of thighs, red spots. Also, one or two red spots on back and on morning there were couple on the face, little red. And patient felt fine but did not know if it was something else or that needed to do anything or whatever. Patient did not know what to do. Patient did not feel funny, not itchy, it was just there and this was her first shot. Reporter stated, In the last two weeks like on March 1st, patient had Covid test and it was negative. Reporter stated, as treatment Last night patient took a Benadryl. Reporter further stated, her big question was, patient not sure this was related to the shot but it was one of the symptoms. And in two to three weeks she have second shot coming up. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743912
Sex: F
Age:
State: AL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 09/29/2021
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: Arm is hot, running fever in it, red, itchy; Arm is hot, running fever in it, red, itchy/ It is reddish in the area got the vaccine and down below where the the needle was stuck; Arm is hot, running fever in it, red, itchy; Nurse did not give the vaccine in the muscle, it was given in back of her arm; This is a spontaneous report from a contactable consumer (patient reported for herself). A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/lot number: EN6205 and expiration date: Jun2021) via intramuscularly, in left arm on 05Mar2021 at 09:04 AM (at the age of 62-year-old) as dose 2 0.3 ml, single for COVID-19 immunization. The patient had no medical history and concomitant medication. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EN5318 and expiration date: 31May2021) via an unspecified route of administration, in left arm on 12Feb2021 (at the age of 62-year-old) as dose 1, single for COVID-19 immunization. The patient had not received additional vaccines on same date of the Pfizer suspect. Patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient had no AEs following prior vaccinations. The patient went on Friday 05Mar2021 to take her second vaccine. However, the nurse did not give the vaccine in the muscle. It was given in the back of her arm. Now, on 06Mar2021, her arm was hot, running a fever in it, red, and itchy. She did not remember what time she noticed her arm was hot, running fever in it, red, and itchy. Patient confirmed all events still ongoing, but better. It did not itch as much. It was still warm, but better. That area was reddish. It was reddish in the area got the vaccine and down below where the needle was stuck. Patient indicated she was calling because she wanted to report these events. She never got these before. She did not see where she got the actual vaccine, where she was stuck because she turned her head because she did not want to see the stick. She just noticed later that the Band-Aid was on the back of her arm instead of on top where the muscle part is in the deltoid. The AEs did not require a visit to the Emergency Room or Physician's Office. The patient had no relevant tests. The outcome of the events arm was hot, running fever in it, red, and itchy was recovering. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness:

ID: 1743913
Sex: F
Age:
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 09/29/2021
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: her face was swollen; This is a spontaneous report from a contactable consumer. A 47-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EN6199, Expiration date was not reported), via an unspecified route of administration on 09Mar2021 (at the age of 47-years-old) as dose 1, single for COVID-19 immunisation. Medical history included leukaemia from Feb2016, stem cell transplant from Aug2017 and blood clot from an unknown date. Concomitant medications included rivaroxaban (XARELTO) taken for thrombosis and unspecified oral chemo, start and stop date were not reported. The patient experienced her face was swollen on 10Mar2021. It was further reported that the patient got the COVID vaccine yesterday. She was pretty okay yesterday and today she woke up and her face was swollen, and it was still swollen. The reporter was concerned that it could get worse with the patient's throat closing up since she was a cancer patient, had stem cell transplant 3 and a half years ago and takes oral chemo. The reporter clarified that the patient's throat was not closing up but that was a concern of his that he was afraid it could progress to that. The patient took BENDARYL at 11 something and her face was still swollen. The reporter was trying to see if there was anything he could do to help or if this was a normal thing, they have heard of people having. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743914
Sex: F
Age:
State: FL

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
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: Start to shows like a red part; itching; This is a spontaneous report received from a contactable consumer (patient). A 78-year old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/lot number and expiration date were not reported), via an unspecified route of administration on 25Feb2021 (at the age of 77-years-old) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that everything worked okay and patient did not have any reaction nothing, but on an unspecified date in Mar2021 (reported as 9 or 10 days later), the patient experienced started to showed like a red part and it was itching. The patient called the pharmacy and they don't have any information about that. They refer to her primary doctor and he does not know anything about that also. It was reported that the patient was supposed to go back there on 18th for the second one but doesn't know if she should get it or not as she was really afraid; she doesn't know what was going on. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743915
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
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: rashes all over me/ they are on both legs, and top of his head, arm, elbow, and his back (on the left side); This is a spontaneous report from a contactable consumer (patient) from a Pfizer Sponsored program. A male patient of an unspecified age received dose 1 and dose 2 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported), both given via an unspecified route of administration on an unspecified dates as dose 1, single and dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified dates, the patient had both of his Pfizer COVID-19 doses, but they left him with "rashes all over me" (as reported). The reporter stated that he's already being treated (unspecified treatment) for the rashes, but that they are on both legs, and top of his head, arm, elbow, and my back (on the left side). Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743916
Sex: F
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 09/29/2021
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: burning rash on her face and chin; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 77-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot number was unknown), via an unspecified route of administration on 09Mar2021 (at the age of 77-year-old) as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications was not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was unknown), via an unspecified route of administration on 16Feb2021 for as dose 1, single for COVID-19 immunisation. On 09Mar2021 (yesterday), the patient had a rash on her face and chin that burned and rashy looking. The patient questioned Pfizer to tell her what to do and wanted to know if Pfizer has any treatment recommendations for her condition. The clinical course reported as follows, caller took the Pfizer covid vaccine on the 16Feb2021 and had her last one 09Mar2021, yesterday but she seems to have a rash. Last Thursday on 04Mar2021, she noticed a rash, and yesterday when she got her second injection she had a rash on her face and chin that burned and rashy looking. And she has a rash on her stomach and back but it is not burning on her stomach or back. Can Pfizer tell her what to do. The outcome of the event was unknown. No follow up attempts are possible. Information about lot/batch number cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1743917
Sex: M
Age:
State:

Vax Date: 03/07/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
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: Swollen lymph nodes that hurt; Swollen lymph nodes that hurt; Little bit fever; This is a spontaneous report from a contactable consumer (parent). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number unknown), via an unspecified route of administration on 07Mar2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in Mar2021, the patient was having swollen lymph nodes that hurt and a little bit fever and stuff. The reporter stated that they got the vaccine three days prior. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743918
Sex: F
Age:
State: AZ

Vax Date: 02/26/2021
Onset Date: 03/08/2021
Rec V Date: 09/29/2021
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: Began having pain on right side of my neck (lymph node area); low grade fever; This is a spontaneous report from a contactable consumer reported for herself that. A 53-years-old female patient received BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 26Feb2021 18:30 (Batch/Lot Number: EN6202) as DOSE 1 SINGLE for covid-19 immunizations(Age at vaccination 53 years). The patient past Medical history included Hashimoto's Disease from an unknown date and unknown if ongoing, osteoporosis from an unknown date and unknown if ongoing and mitral valve prolapse from an unknown date and unknown if ongoing, rubber sensitivity from an unknown date and unknown if ongoing known allergies Latex. Concomitant medication(s) included l-thyroxine [levothyroxine] (L-THYROXINE [LEVOTHYROXINE]) taken for an unspecified indication, start and stop date were not reported; alendronate sodium (ALENDRONATE) taken for an unspecified indication, start and stop date were not reported; calcium (CALCIUM) taken for an unspecified indication, start and stop date were not reported; ascorbic acid, biotin, folic acid, iodine, pantothenic acid, pyridoxine hydrochloride, retinol, vitamin b12 nos, vitamin d nos, vitamin e nos, zinc (CENTRUM MULTIGUMMIES) 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 not been tested for COVID-19. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. The patient experienced began having pain on right side of my neck (lymph node area) and low-grade fever on 08Mar2021 07:00. The event outcome was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743919
Sex: U
Age:
State: MA

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
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: right leg swelled; difficulty in walking; This is a spontaneous report received from a contactable consumer (patient). A patient of an unspecified gender in 70s received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/lot number and expiration date were not reported), via an unspecified route of administration in the left arm (reported as left shoulder) on an unspecified date as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the next morning, patient experienced right leg swelled to point of difficulty in walking. Patient needed assistance. It was reported that the patient never had such a reaction to any vaccine ever in the past. Paracetamol (Tylenol) was taken for the events but seems to have done nothing for the swelling. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743920
Sex: F
Age:
State: IL

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: chills; fever; arm sore; mouth ache; tired; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 10Feb2021 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced chills, fever, arm sore, mouth ache, and tired. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743921
Sex: F
Age:
State: FL

Vax Date: 03/14/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
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: tingling sensation on left arm down the left arm and then itching on my back, on my front, and on my rib cage on the left/morning my face still feels funny on the left hand side. Still a little tingly; felt like her tongue was numb on the left side; itching through her arm, back, and left-hand side; feeling of numbness along the left side of her face; sore throat; normal pain in the arm; hard to swallow; Face felt funny upon leaving; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient reported had received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number, Expiration date and NDC number was not reported), via an unspecified route of administration, administered in left upper arm on 14Mar2021, dose 1, 0.3 mL single (at the age of 73-years-old) for COVID-19 immunization. The patient had no medical history and had not received any concomitant medication. On 14Mar2021, patient took COVID-19 vaccine, waited 15 minutes, as soon as the COVID-19 vaccine was put in her arm, patient had tingling and running down her arm and a few minutes later she had itching through her arm, back, and left-hand side and on the way to the restaurant, patient had a feeling of numbness along the left side of her face. Patient stated that something in her face was wrong. It felt funny and was getting numb. Patient stated that she was fine, and this was a side effect. On Mar2021, the left side of her tongue felt heavy as if she ate a lozenge for a sore throat that numbs it and hard to swallow. Patient took Zyrtec half when she got home, and it took 20 minutes to get relief from the itch and in an hour the itch was almost gone. On Mar2021, patient had normal pain in the arm, tingling sensation on left arm down the left arm and then itching on her back, on her front, and on her rib cage on the left. Patient drank water and stated this was probably something that happens. She came out of the restaurant and the feeling on her tongue went to the right side. Stated this feeling was too funny and told her husband to take her home because she did not have any antihistamines. Patient took half of an antihistamine when she got home, and it helped with the itch that was traveling all over her body. The effect on her tongue went away slowly and her face still feels funny. Patient woke up at 01:00 hours and the numbness in the tongue was better. On 15Mar2021 (this morning) her face still feels funny on the left-hand side and still little tingly. Patient asked if it was normal. The effect on her tongue started getting a little better at 01:00 on 15Mar2021. Patient was a little concerned with the way her face still feels funny. Stated it was like she passes her hand on her face and it does not feel nice and smooth. It was not as bad, but not perfect. It was from underneath her eyes, down her jaws, and down to the part of her gums. The gland underneath feels swollen and clarified it was just on the left side. Itching subsided. Patient was now scared to take number two COVID vaccine. Patient weight was provided 176lbs and 177lbs. The outcome of felt like her tongue was numb on the left side was recovering, itching through her arm, back, and left-hand side was recovered on 14Mar2021 and unknown for rest of the events No follow-up attempts are possible; information about Lot/Batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743922
Sex: M
Age:
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 09/29/2021
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: COVID test; Test Result: Negative ; Test Name: COVID test; Result Unstructured Data: Test Result:Unknown results; Test Name: skin test; Result Unstructured Data: Test Result:Unknown results; Comments: TB Serum. When he did the skin test for Tuberculosis he found out highly allergic to it; Test Name: chest-xray; Result Unstructured Data: Test Result:Unknown results

Allergies:

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

Symptoms: sick; wheezing; Gland on right side of throat area very swollen; Runny eyes, like with crying; could not breathe, shortness of breath; Headache; severe sore throat; Sweats like running a fever; Coughing; Left arm soreness; This is a spontaneous report from a contactable consumer or other non hcp. A 63-years-old male patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN5318), via an unspecified route of administration, administered in Arm Left on 04Mar2021 13:30 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing non-alcoholic fatty liver disease Verbatim: Fatty liver disease/Additional Information for other conditions: 2 yrs, from 2014 to an unknown date Verbatim: Surgery remove left colon/Patient history: Surgery remove left colon (From: 2014 To: Unspecified), ongoing type 2 diabetes mellitus Verbatim: Type II Diabetes/Patient history: Type II Diabetes (From: unspecified to: ongoing). Patient got the second dose in the afternoon as bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: ER8727), via an unspecified route of administration, administered in Arm Left on 24Mar at 1:30 as DOSE 2, SINGLE for covid-19 immunisation. Additional Information for other conditions: Patient was diagnosed ten years ago, probably in Jun, in the summer month. He was at a friend's mom/dad house and passed out. He woke up in the hospital. Blood was drawn and they asked if he was a diabetic after he woke up from a coma that he was in for six hours. He was informed he needed to see a diabetic doctor. A battery of test were done and was diagnosed as being a diabetic, blood cholesterol from an unknown date and unknown if ongoing, diabetes mellitus from an unknown date and unknown if ongoing, seizure from an unknown date and unknown if ongoing. Concomitant medications included metformin (METFORMIN) taken for diabetes mellitus from an unspecified start date and ongoing; insulin aspart (NOVOLOG) taken for diabetes mellitus from an unspecified start date and ongoing; triglycerides (TRIGLYCERIDES) taken for blood cholesterol from an unspecified start date and ongoing. The patient experienced left arm soreness on 04Mar2021 with outcome of unknown, could not breathe, shortness of breath on 05Mar2021 with outcome of not recovered, headache on 05Mar2021 with outcome of unknown, severe sore throat on 05Mar2021 with outcome of not recovered, sweats like running a fever on 05Mar2021 with outcome of not recovered, coughing on 05Mar2021 with outcome of not recovered, gland on right side of throat area very swollen on 10Mar2021 with outcome of not recovered, runny eyes, like with crying on 05Mar2021 with outcome of not recovered, sick on an unspecified date with outcome of unknown, wheezing on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on, sars-cov-2 test: unknown results, skin test: unknown results, TB Serum. When he did the skin test for Tuberculosis he found out highly allergic to it, x-ray: unknown results. Therapeutic measures were taken as a result of headache, coughing. The events left arm soreness, headache, sick, wheezing has outcome of unknown while other events were not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness: Nonalcoholic fatty liver disease (Verbatim: Fatty liver disease/Additional Information for Other Conditions: 2 yrs); Type II diabetes mellitus (Verbatim: Type II Diabetes/Patient history: Type II Diabetes (From: Unspecified To: Ongoing) Additional Information for Other Conditions: Patient was diagnosed ten years ago, probably in Jun, in the summer month. He was at a friend's mom/dad house and passed out. He woke up in the hospital. Blood was drawn and they asked if he was a diabetic after he woke up from a coma that he was in for six hours. He was informed he needed to see a diabetic doctor. A battery of test were done and was diagnosed as being a diabetic.)

ID: 1743923
Sex: F
Age:
State: WI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: Cold; Result Unstructured Data: Test Result:Rates it a four out of ten; Comments: Rates it a four out of ten; Test Name: Headache; Result Unstructured Data: Test Result:6; Comments: on a pain scale of 1 to 10 she would give it a 6.; Test Name: Severe chills; Result Unstructured Data: Test Result:5 out of a 10; Comments: on a pain scale; Test Name: Severe chills; Result Unstructured Data: Test Result:10 out of a 10; Comments: on a pain scale; Test Name: Severe chills; Result Unstructured Data: Test Result:back down; Comments: comes back down

Allergies:

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

Symptoms: pins and needles feeling; burning and tingling sensation in the legs and back; burning and tingling sensation in the legs and back; hands continue to turn red, at night they will swell up; hands ache and throb at night; hands ache and throb at night; cold; sunburn or a rugburn on the inside of her skin; very fatigued; felt feverish; severe chills; headache; when hands get really really red, I get cold; both of her hands turned beet red, they did not hurt, they were just very red; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 54-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: ENG202), via an unspecified route of administration, administered in Arm Left on 26Feb2021 at 14:15 (age at the time of vaccination was 54 years) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included severe covid from 05Oct2020 to an unknown date (In October, Level of severity diagnosed by doctor as severe COVID 19 virus. It was 17 days before she got out of bed, and 82 days in total). There were no concomitant medications and other Products were reported as unknown. History of all previous immunization with the Pfizer vaccine was reported as none. Additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as none. Prior Vaccinations within 4 weeks was reported was reported as none and AE(s) following prior vaccinations was reported as none. On 26Feb2021, the patient experienced both of her hands turned beet red, they did not hurt, they were just very red outcome of not recovered , very fatigued, felt feverish, severe chills, headache, when hands get really really red and i get cold. On 26Feb2021, the patient experienced sunburn or a rugburn on the inside of her skin. On 04Mar2021 the patient experienced hands ache and throb at night, hands ache and throb at night. On an unspecified date in Mar2021, the patient experienced cold. On an unspecified date, the patient experienced pins and needles feeling, burning and tingling sensation in the legs and back, burning and tingling sensation in the legs and back, hands continue to turn red, at night they will swell up. It was reported that the patient received her first dose on 26Feb2021. Within an hour of receiving the vaccine, both of her hands turned beet red, they did not hurt, they were just very red. Within four hours she was at home and was very fatigued, felt feverish, had chills, and a headache that lasted a couple of days. To the point, Saturday, she did not get out of her chair. She was too tired. She Stated that, she had severe covid in Oct and was expecting something different to happen than most people. She had checked in with her doctor via online messaging. She Stated her hands continued to turn red, at night they will swell up and throb so bad it wakes her up at night. She confirmed they hurt and keeps her up at times. She could feel they were hot. Whenever she went to bed they will be red and then through out the night they will get worse. Hands will throb at night and wake her up. She Stated one more symptom is that she feels like she has a sunburn or a rugburn on the inside of her skin, there was no redness anywhere else. There was no rash or anything, but it felt like that and burns. Sometimes it's on her quads or shins, sometimes on her back. Almost every day it's on her buttock, if she sits for to long it starts to get irritated and its like her nerves were getting mad. She had an appointment with her doctor today, last night was rough. She reported her symptoms in an app, but was not sure if it was a CDC or Pfizer app. Both of her hands turned beet red, they did not hurt, they were just very red. However the strange thing was, when her hands get fire engine red hot, really really red, once this starts to dissipate she gets cold. She does not think it is chills. She thinks it was the body's response trying to get rid of the heat or something. Six days later, they started to ache and throb at night. They are not as red all the time during the day, but her hands throbbing at night wakes up her up. She was able to move her hands around and then go back to sleep. Clarified that this is both of her hands, but her right hand seems to be worse. She was not in pain. Her hands are throbbing and it's as if she went to grab a tennis ball but she can't. It was not excruciating pain, but enough to wake her out of her sleep. She just wanted to grab a sweater. She was not shaking, just chilled. She had it right now, seems like it is the same. She said that the burning skin feeling on the inside, those are the two worst things. Sunburn or a rugburn on the inside of her skin started right away as more of a tingling at first, now it is a burning, feels like a sunburn on the inside. She stated this week it turned into more of a burning. When she first got it, her back would tingle like her body was responding to something. She was unsure if it was a intramuscular injection. The patient stated that the pins and needles feeling, and the red hands are ongoing since the first covid19 vaccine, on26Feb2021. She stated the burning and tingling sensation in the legs and back are ongoing since the first covid19 vaccine, and worsened since the second covid19 vaccine. She also stated the pins, needles, and burning sensation on the bottom of her feet started 3 weeks after the first covid19 vaccine, on 19Mar2021, and the sensation worsened after the second covid19 vaccine and was ongoing. Investigation Assessment was reported as no. Patient did not received any treatment, she spoke with her pharmacist and doctor to see what she should do. She is going to see her doctor today. Patient did not received any treatment, she spoke with her pharmacist and doctor to see what she should do. She is going to see her doctor today. On an unspecified date, the patient underwent lab tests and procedures which included Cold: rates it a four out of ten (Rates it a four out of ten), Headache: 6 (on a pain scale of 1 to 10 she would give it a 6), Severe chills: 5 out of a 10 (on a pain scale), Severe chills: 10 out of a 10 (on a pain scale), Severe chills: back down (comes back down). AE(s) did not require a visit to Emergency Room Physician Office. She was going to see her doctor today, she has been messaging him but has not seen physically seen him. The outcome of the events both of her hands turned beet red, they did not hurt, they were just very red, when hands get really really red, I get cold, headache, hands ache and throb at night, cold, sunburn or a rugburn on the inside of her skin, pins and needles feeling was not recovered. The outcome of the events very fatigued recovered on 01Mar2021, felt feverish recovered on 02Mar2021, severe chills recovered on 28Feb2021. The outcome of the events burning and tingling sensation in the legs and back, hands continue to turn red, at night they will swell up was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1743924
Sex: F
Age:
State: FL

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:99.8/100 Fahrenheit

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pain in my arm/ pain in the injection arm; 99.8 fever/ had fever about 100?F; Chills; pain in the injection arm like it was numb; This is a spontaneous report from a contactable consumer(patient). A 51-year-old female patient received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 04Mar2021 (Lot Number: EN6206, At the age of 51-year-old) as single dose for COVID -19 immunization. Medical history included Arthritis, sjogren's syndrome from an unknown date. Concomitant medication included methotrexate taken for an unspecified indication, start and stop date were not reported. Last Thursday, the patient got her first vaccine (Covid Vaccine) and she just have pain in her arm like they said and Friday, patient got a 99.8 fever and chills. One more thing, Yesterday, patient got chills again and it was just 99.8 fever but patient do not know if this thing is because of the vaccine, she do not know. The patient mentions that she need to get the second dose of the Pfizer covid vaccine and she would like to know which medication she can take since her physician told her that she cannot use Tylenol and she uses a lot of medications currently. She comments that after getting the first dose she had pain in the injection arm like it was numb and it went away next day. Next day she had fever about 100?F and it went away as well but this one came back 3 different occasions at the same time of the day after 3 days. She mentions that when she had this side effects she call Pfizer to report her experience and she had to talk with an agent but she doubts that everything she wanted to say was understood. Possible AE duplicate. The patient underwent lab tests and procedures which included Fever: 99.8/100 Fahrenheit on an unspecified date. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743925
Sex: F
Age:
State: MD

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Date: 20201210; Test Name: COVID-19; Result Unstructured Data: Test Result:Positive

Allergies:

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

Symptoms: not feel well; headache; nauseous; fever-elevated temperature; fatigue; body aches; her arm was sore after receiving the vaccine; daughter also felt very anxious; Felt like she had the flu; she experienced flu like symptoms; This is a spontaneous report from a contactable consumer or other non hcp. A 37-years-old female patient received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot Number: EN6200), dose 1 via an unspecified route of administration on 23Feb2021 as 1st dose, single for covid-19 immunisation. Medical history included ongoing tobacco user, covid-19 from an COVID-19 symptoms started on 08Dec2020, she tested positive for COVID on 10Dec2020. Concomitant medication(s) included ascorbic acid (VIT-C); ergocalciferol (VIT D). The patient previously took Lexapro for anxiety. It was reported that, The patient experienced she experienced flu like symptoms on 23Feb2021 with outcome of unknown, nauseous on 24Feb2021 with outcome of recovered , body aches on 23Feb2021 with outcome of recovered , fever-elevated temperature on 24Feb2021 with outcome of recovered , fatigue on 24Feb2021 with outcome of unknown , not feel well on an unspecified date with outcome of unknown , headache on 24Feb2021 with outcome of recovered , her arm was sore after receiving the vaccine on 23Feb2021 with outcome of unknown , daughter also felt very anxious on 23Feb2021 with outcome of unknown , felt like she had the flu on 23Feb2021 with outcome of recovered. The patient underwent lab tests and procedures which included covid-19: positive on 10Dec2020. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness: Smoker (Verbatim: Smoker. 1 or 2 cigarettes a day)

ID: 1743926
Sex: M
Age:
State: TX

Vax Date: 03/09/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
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: He felt tired and fatigued/ felt worn out; headache; Not been able to sleep at night; nose is just watering; didn't feel well, I just worn out; he had a runny nose; had a cough for awhile; stayed in bed; This is a spontaneous report from a contactable consumer (patient) via a COVAX US Support CEP 159558. A 59-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: unknown, NDC, Expiration date was unknown), via an unspecified route of administration in arm left (upper left arm) on 09Mar2021 (at the age of 59-years-old) as a dose 1, single for COVID-19 immunization. The patient's medical history included Stage 4 COPD. The patient's concomitant medications included alprazolam, when needed, meloxicam, trazodone, stated that, he take it at night, all were taken for an unspecified indication. Enquired, whether the interval between the first and second dose was longer than 21 days was that okay. It was reported that, call was transferred from Pfizer Medical Information. Stated that, the caller has had his first dose of the Pfizer Covid vaccine on 09Mar2021. Stated that, the day after receiving the first dose, the next day on 10Mar2021, he was tired and fatigued and got a headache that night and it was lasted for the 3 days. Stated that, he has had a headache for the past three days and hasn't been able to sleep at night. When paraphrased the above concern, consumer stated that, he got the shot on the night, as soon as he got the shot well he was in line and stated that, it felt like his nose was just watering, so he got the allergies and stuff like that but then, he got home and then the next day, he just didn't felt well, he just worn out but now he have got the little headache it's like 3 days and he was just kind of wondering what all of from this. The caller stated that, he has stage 4 COPD, using breathing machine and inhalers. The caller queried, was it potentially harmful to get the vaccine with stage 4 COPD. Caller was seeking assistance with rescheduling his second vaccine. Stated that, the consumer didn't have due date of second vaccination and they didn't gave him that. Stated that, swap from IBCC-patient had his first dose of the covid-19 vaccine on 09Mar2021, he would be leaving to go out of town on 28Mar2021, the patient inquired on what to do, he also stated the day of his first dose he had a runny nose, had a cough for a while and for the next 3 days felt worn out and stayed in bed. Stated that, this was at the clinic, it just lady give to me, there was no doctor at all, maybe nurse there was line. Stated that, he didn't have that information of mailing address and telephone with him. Stated that, he didn't have that card with him regarding LOT# and stated that, he can call back and provide the details. Stated that, he just dropped at clinic, he didn't see any expiration date, they just gave him the shot. Stated that, NDC# and UPC#: no, he never saw the UPC#. Stated that, further probing could not be done as consumer hung up the call abruptly. The outcome of the events was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1743927
Sex: F
Age:
State: IN

Vax Date: 02/19/2021
Onset Date:
Rec V Date: 09/29/2021
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: ringing in ears/tinnitus; they did it wrong, states that she had bruising because the person giving it to her was standing instead of sitting; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via unknown route at deltoid right on 19Feb2021 at 13:20 (lot number: EN6201) (age at vaccination 49-year-old) as dose 2, single for COVID-19 immunisation in hospital. The patient medical history included non-alcoholic fatty liver, obesity, restless leg syndrome, arthritis, chronic ear infections (as a kid), scarring, two sets of tubes put in and once a ruptured ear drum from an unknown date and ongoing. The patient received flu vaccine on 08Jan2021 within four weeks prior to the first administration date of the suspect vaccine. List all vaccines administered on same date with the Pfizer vaccine considered as suspect was reported as none. The patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via unknown route at arm right on 22Jan2021 around 09:00 in the morning (lot number: EL8982) (age at vaccination 49-year-old) as dose 1, single for COVID-19 immunisation. The patient concomitant medications included for mirapex for restless leg syndrome since years and voltaren for arthritis maybe from 4 months ago. The patient family medical history relevant to adverse events and relevant tests was none. The patient had experienced ringing in ears/tinnitus and they did it wrong, states that she had bruising because the person giving it to her was standing instead of sitting. The patient did not required to attend the physician office and emergency room. Treatment received was reported as none. The outcome of the event ringing in ears/tinnitus was not recovered and the event bruising was recovered on an unknown date. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, EUA 027034; Pfizer, EUA 027034

Current Illness: Non-alcoholic fatty liver; Obesity

ID: 1743928
Sex: F
Age:
State: TN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/29/2021
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: a lot of mucus in her nose/constantly blowing nose/mucous coming out; phlegm in nose/a lot of flem/flem was beige; mucous in her throat with beige black spots; headache; feels like a flu; coughing a lot; feeling "tired, and cold and hot".; feeling "tired, and cold and hot".; This is a spontaneous report from a contactable consumer (patient). The reporter also reports on her husband and her mother and husband's brother. A 65-year-old female patient received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number, Expiration and NDC number date was not reported), via an unspecified route of administration on 01Mar2021 as dose 1, single (at the age of 65-year-old) for COVID-19 immunisation. Medical history included spinal fusion (last year) from 2020 to an unknown date. The family history included husband was diabetic, has heart problems, Chronic Obstructive Pulmonary disease (COPD), and overweight. Historical vaccine included patient received flu shot (Influenza vaccine) (54 when she had to get the flu shot) on an unknown date for immunisation. The patient's concomitant medications were not reported. Patient was not a sickly person. On Mar2021, a week later, patient had chills, mucous coming out/a lot of mucus in her nose, phlegm in nose/phlegm in nose/a lot of flem/flem was beige and still has it, mucous in her throat with beige black spots, feeling tired, and cold and hot. Patient adds that she has not had any chills. On an unspecified date of 2021, patient had a headache, was probably coughing and feels like a flu. Phlegm was still coming out, mucous was still there. Patient was constantly blowing her nose and constantly hacking mucous. Patient does not have a primary care doctor, she does not go around, she keeps her mask on, and stays in the house. Patient adds that she thinks the thing was that she was scheduled to see her neurosurgeon today (19Mar2021), this morning but was going to cancel because even if this was a cold she does not want to go in there or give anybody anything. Patient adds that she does not have a fever, she just does not know. Patient talked to the secretary at the physician's office and did not want to go there and give them anything. Patient was scheduled for her second vaccination dose on Monday (22Mar2021) and she hopes that nobody tells her not to go because that means that her first dose will not work and she would have to start all over again. Patient adds that she would like to speak to somebody about if she should take the second vaccine. She adds it took her 50 years to get her flu shot, she was 54 when she had to get the flu shot. She did not want something to happen to her and then her family will not take the vaccine. She just wanted to know if something happens to her. The outcome of phlegm in nose/a lot of flem/flem was beige was not recovered and unknown for rest of the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743929
Sex: F
Age:
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: weight; Result Unstructured Data: Test Result:175; Comments: When querying weight she reports she has ballooned to 175 in this pandemic and at her age with no estrogen it's harder.; Test Name: weight; Result Unstructured Data: Test Result:ballooned; Comments: When querying weight she reports she has ballooned to 175 in this pandemic and at her age with no estrogen it's harder.

Allergies:

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

Symptoms: swelling and inflammation in neck; swelling and inflammation in neck; lethargic; Hot flash; This is a spontaneous report from a contactable other health care professional. A 64-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via intramuscular, administered in Arm Right on 05Mar2021 at 09:30 (at the age of 64-year-old) as single dose for covid-19 immunisation. Medical history included back injury (she had a prescheduled steroid pain injection for her back injury that she's had for 30 years), food allergy (she has a lot of food sensitivities). Concomitant medications included steroid injection. Patient historic vaccine included flu shot received on an unspecified date in Oct2020. History of all previous immunization with the Pfizer vaccine considered as suspect was reported as none. Additional vaccines administered on same date of the Pfizer Suspect was reported as none. Prior Vaccinations (within 4 weeks) was reported as none. On 05Mar2021 the patient experienced swelling and inflammation in neck, lethargic and hot flash. It was reported that She received her first injection on 05Mar2021 and that wasn't the problem. There really isn't a problem. She had a prescheduled steroid pain injection for her back injury that she's had for 30 years. She was told afterwards that the steroid injection may affect the vaccine effectiveness or outcome if steroids are added in to soon. Patient stated that She had no swelling, no pain, no discoloration and no warmth at the site. She had sensitivity approximately 24 hours after injection. Then she had typical responses. Friday night, 05Mar2021 to Saturday, 06Mar2021 night she took it easy. Her second Covid 19 vaccine is scheduled for 23Mar2021. She last had a steroid injection on 10Mar2021. That was in a series of 3 steroid injections that were spaced about a month apart. She won't have another steroid injection for about 6 months. Patient asked a question was the 5 days from when she had a steroid injection and the Covid 19 vaccine to close together. She has a lot of food sensitivities. They can give severe headaches and she does have a neck and back injury. She has inflammation in those areas and has a lot of swelling. It gave her a lot of discomfort, but she thinks that is secondary to her neck and back injury. She does report being lethargic and a hot flash. She doesn't think she had chills, not a fever. Clarified when discussing inflammation, she is speaking of her neck and discomfort that she's been dealing with for many years. She has a fusion in both her upper and lower back. It was reported that she had ballooned to 175 in this pandemic and at her age with no estrogen it's harder. She typically gets side effects, but she had minimal side effects. No worse than the annual flu shot. And she did get a flu shot in Oct2020. The patient underwent lab tests and procedures which included weight: 175 on unspecified date When querying weight, she reports she has ballooned to 175 in this pandemic and at her age with no estrogen it's harder, weight: ballooned on unspecified date reported that when querying weight she reports she has ballooned to 175 in this pandemic and at her age with no estrogen it's harder. Patient did not require to visit emergency room or physician office due to adverse events. No relevant test was performed. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743930
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
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: I have a large bump on my arm from my 2nd civic vaccination; Injection site is still hard and swollen and pain all way; Injection site is still hard and swollen and pain all way/pain running all the way down to my finger tips.; Injection site is still hard and swollen and pain all way; This is a spontaneous report from a contactable consumer or other non hcp (patient) received from a Pfizer.com-General Company Information (CEP ID 3110). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date at dose 1, single for covid-19 immunisation. Medical history and concomitant medications were not reported. On an unspecified date customer Verbatim: I have a large bump on my arm from my 2nd civic vaccination and pain running all the way down to my finger tips. Started shortly after injection and on day 4 sti the same. Injection site is still hard and swollen and pain all way down. Please advise. Cannot find any info on this anywhere. Outcome of the events was unknown. Information on the lot/batch number has been requested. Follow-up (13May2021): Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1743931
Sex: F
Age:
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/29/2021
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: covered in hives/ broke out in hives everywhere/hives developed the same day that the vaccine was given; This is a spontaneous report from a contactable consumer (patient). A 69-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6198, Expiration date not reported), via an unspecified route of administration on 26Feb2021 (at the age of 69 years old) as dose 1, single for COVID-19 immunization. The patient medical history included hands stinging and burning on 25Feb2021, on Thursday night (night before getting 1st dose of vaccine). Patient had no other medical history and received no concomitant medications. On 26Feb2021, same day after taking vaccine, the patient was covered in hives/broke out in hives everywhere. It was reported that, patient went to the emergency room and with the hives she did not think she got hives from the shot because she had the feeling coming on her hands that night before. Patient received treatment with steroids for the hives. At the time of reporting, the hives were gone and did not appear at all, but patient had to take steroids. Patient reported that, the doctor at the ER told her they didn't think it was from the shot itself, but she was concerned if she should take that next shot on 20Mar2021. The outcome of event was resolved on an unknown date in 2021. No follow-up attempts are needed. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743932
Sex: F
Age:
State: NV

Vax Date: 02/18/2021
Onset Date:
Rec V Date: 09/29/2021
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: had a little rashes in her lower eye that going to her cheek; This is a spontaneous report from a contactable consumer (patient). This is a report received from a Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number was not reported), via an unspecified route of administration on 18Feb2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient informed that she was fine after the 1st dose of the vaccine last 18Feb2021 and was scheduled for the 2nd dose tomorrow 11Mar2021. On an unspecified date, the patient experienced had a little rashes in her lower eye that going to her cheek. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1743933
Sex: M
Age:
State: CA

Vax Date: 03/03/2021
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:fever; Test Name: Covid-19 Nasal Swab Test; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Fever; Fatigue; Abdominal cramps; Diarrhoea; Sweating; shortness of breath came with the cough; shortness of breath came with the cough; elevated heart rate; cramping; This is a spontaneous report from a contactable consumer or other non-HCP. A 73-years-old female received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was EN6203) via intramuscular route of administration on 03Mar2021, as a single dose for COVID-19 immunization. The patient's relevant medical history included Parkinsons disease and Generic of Parcopa from an unspecified date. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced Fever, Fatigue, Abdominal cramps, Diarrhoea, Sweating, shortness of breath came with the cough and elevated heart rate. Additional Information: The reporter stated that she was actually calling about for husband. Well, the debate was the reporter wanted to get some advice about husband getting the second dose of the Pfizer vaccine for the COVID-19. She confirmed that it was the Covid19 vaccine of Pfizer. When probed for side effects, she stated that yes, began on the second day from the vaccine, the husband experienced fever, fatigue, abdominal cramps, diarrhea, sweating and also he had cough. Associated with the cough, had shortness of breath. He was sitting and not coughing he was okay, but the shortness of breath came with the cough. Also, he had somewhat elevated heart rate, it was not over a 100 but it was around 99 to a 100 and she did mentioned that, he had a fever right. She stated that he did not had any treatment. She stated that expiration date was not listed on their card. It just list the day that they received it but it did not have an expiration. She also stated that they did went and had the COVID-19 test, the nose swab that was negative. The patient underwent lab tests and medical procedures on an unspecified date which included Body temperature with unknown results and Covid-19 Nasal Swab Test which showed negative result. The clinical outcome of all the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained. .

Other Meds:

Current Illness:

ID: 1743934
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
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: Body pain; Joint pain; This is a spontaneous report from a contactable consumer (patient) via the Pfizer sponsored program. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (lot number and expiry date: unknown) as dose 1, single, for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, after first dose, the patient experienced body pain and joint pain. She was scheduled for the second dose today however she's was still experiencing the body pain. She then asked if she needs time or if she needs to consult a dose for today. Outcome of the event body pain was not recovered, while for joint pain was unknown. No follow-up attempts are possible; information on lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743935
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
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: headaches; fatigue; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient 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 (at unknown age) as single dose for COVID-19 immunisation; tofacitinib citrate (XELJANZ XR), via an unspecified route of administration from an unspecified date at 11 mg for an unspecified indication. The patient medical history and concomitant medications were not reported. During inbound call from the patient, the patient stated "I just got the COVID vaccine but I've been having headaches and fatigue". During inbound call from the patient, the patient has medical inquiry: If she should take the Xeljanz medication after getting the COVID-19 Vaccine. The action taken in response to the events for tofacitinib citrate was unknown. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1743936
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 09/29/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:99.8 Fahrenheit

Allergies:

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

Symptoms: fatigue; Very low grade fever 99.8; headache; 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 not reported) via an unspecified route of administration on an unspecified date, as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced fatigue, very low grade fever 99.8, and headache on an unspecified date. It was reported that the events took place after use of product. The patient underwent lab tests and procedures which included body temperature: 99.8 fahrenheit on an unspecified date. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am