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: 1752472
Sex: F
Age:
State: OR

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: This is a spontaneous report from a contactable consumer or other non hcp (patient). A 79-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6206) via an unspecified route of administration, administered in arm left on 08Mar2021 15:05 (at the age of 79-year-old) at dose 1, single for covid-19 immunisation. Medical history was reported as none and concomitant medications were not reported. Patient did not have prior vaccinations within 4 weeks. Patient did not have previous immunization with the Pfizer vaccine considered as suspect. None of the additional vaccines were administered on same date of the pfizer suspect. On 08Mar2021 20:00 the patient experienced itchy rash that started on her feet and then went all over. Additional Context: Consumer mentioned that she is calling to report she had to go to emergency room because she got rash. Clarifies she received the first dose of the Pfizer COVID 19 vaccine 08Mar2021 at 15:05PM in the left arm. That evening 20:00 PM she noticed an itchy rash that started on her feet and then went all over. She went to the emergency room on 10Mar2021. They treated her with Zyrtec 10mg. She just had the one dose, and the rash is getting better now. It is not on her arms anymore and mentions it was on half of her tongue. Product: Pfizer COVID 19 vaccine; treatment 08Mar2021; provides lot number from vaccination card but does not see NDC or expiration date. Patient did go to the emergency room but not admitted to the hospital. Outcome of the event was resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752473
Sex: M
Age:
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 10/01/2021
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: High Fever; body aches; muscle pain; headache; tired; This is a spontaneous report from a non-contactable consumer (Patient). A 23-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration on 10Mar2021 at 11:00(at the age of 23-years-old) administered in Arm Left as a single dose for COVID-19 immunisation. The patient had received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number was not reported), via an unspecified route of administration on 18Feb2021 at 12:00 PM administered in Arm Left as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 10Mar2021 at 21:00 PM, the patient experienced High Fever, body aches, muscle pain, headache, tired. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. No treatment was given for the events. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752474
Sex: M
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
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: got very cold; Fever; This is a spontaneous report from a contactable consumer. A male patient (Reporter's husband) of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as 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 got very cold, fever. Reported that her husband had a fever but decided to go out and mow the grass. He's a marine and he just works it out. The outcomes of events were 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: 1752475
Sex: F
Age:
State: NJ

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 10/01/2021
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: headache; fatigue; cough; vertigo; This is a spontaneous report from a contactable consumer (patient). A 41-year-old non pregnant female patient received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number and Expiration date was unknown), via an unspecified route of administration, administered in right arm on 07Mar2021 at 09:45 hours as dose 2, single (at the age of 41-year-old) for COVID-19 immunisation. The patient medical history was not reported. Historical vaccine included patient received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number and Expiration date was unknown), via an unspecified route of administration, administered in right arm on 14Feb2021 at 10: 30 hours as dose 1, single (at the age of 41-year-old) for COVID-19 immunisation. Patient had no other vaccine in four weeks. Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for COVID-19, since the vaccination. Concomitant medication(s) included thyroid (Armour Thyroid) taken for an unspecified indication, start and stop date were not reported. On 07Mar2021, patient experienced headache, fatigue, cough and vertigo. Patient received no treatment for the events. The outcome of all the events was recovering. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752476
Sex: M
Age:
State: NJ

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

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:100 degree Fahrenheit; Comments: 100 degree temp; Test Name: Body temperature; Result Unstructured Data: Test Result:102 degree Fahrenheit; Comments: rise to 102 stayed all day

Allergies:

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

Symptoms: Night of 2am Very painful arm; whole body sore; next am, 100 degree temp, rise to 102, stayed all day; felt really bad; have hives; itchy ears, face, head, neck, constant; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 69-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number EN6205), via an unspecified route of administration, administered in left arm on 03Mar2021 15:00 as dose 1, single (at the age of 69 years) for covid-19 immunization. Medical history included restless legs syndrome (RLS), hypertension, coronary disease from unknown dates and unknown if ongoing. Concomitant medications included buprenorphine hydrochloride, naloxone hydrochloride (SUBOXONE), losartan, clonidine, furosemide, metoprolol taken for unspecified indication, start and stop dates were not reported. The patient previously took pantoprazole sodium sesquihydrate (PROTONIX) and experienced allergy. Prior to vaccination, the patient was diagnosed with COVID-19. Post vaccination, the patient was not tested for COVID-19. On unspecified date, night of 02:00 AM patient experienced very painful arm, whole body sore, next AM 100-degree temperature, rise to 102 stayed all day and into evening, felt really bad, next AM gone, now have hives, itchy ears, face, head, neck, constant. On unspecified date, the patient underwent lab tests and procedures which included body temperature: 100-degree Fahrenheit and 102-degree Fahrenheit. The patient was not received treatment for adverse events. The outcome of the events was 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; Pfizer, Inc. EUA 027034; Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752477
Sex: F
Age:
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 10/01/2021
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: Test Name: ultrasound; Result Unstructured Data: Test Result:both breast were affected; Comments: but only the right breast was hurting.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (Patient). A 50-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: unknown), via intramuscularly, in left arm on 05Mar2021 12:00 (at the age of 50-year-old) as a dose 1, single for COVID-19 immunization. The patient medical history included diagnosed allergies, compromised immune status, respiratory illness, genetic / chromosomal abnormalities, endocrine abnormalities ((including diabetes), obesity and hemochromatosis diagnosed two years ago. The concomitant medication of the patient was not reported. Family medical history none.Patient had not taken any vaccination prior within 4 weeks. On 05Mar2021 the patient experienced right breast milk ducts inflamed. On 06Mar2021 patient had rash on right breast. On 08Mar2021 patient reported that rash was going down chest, on both breast and front of neck. Patient reported that she had a very strange side effect. Patient right breast, in the milk ducts, are inflamed. Patient was in 50 and not breast feeding, and they should not be active. Patient stated that breast is inflamed, have a rash and are sensitive to touch. This occurred a few days after patient got the shot. The rash was going down the front of chest, on both breast and up to front of neck. Her right breast was engorged and painful. Patient stayed and was very painful and did not start to go down until Sunday evening.Then, it had a large rash around it, but patient could feel the lump. Patient went to her breast doctor and she said it was a cluster of milk ducts, so that area around it was large and inflamed and had a large circle red rash around them. Patient took Aleve and it helped. No details for the Aleve provided. By Monday, Patient breast improved and patient could still feel the ducts, but the overall size and swelling went down. Her breast doctor did an ultrasound and said both breast were affected, but only the right breast was hurting.The rash was there but patient hoped it would go away.Patient took a picture on Sunday to show her doctor and at that point, where it was inflamed, was the actual redness of the rash. It was the bottom part that was inflamed and had a lump and redness. The redness could have been from the area that was like engorged. Patient enquired if this happened to anyone else. Patient took Claritin yesterday and the rash on her chest started to really go away. No further details provided for the Claritin. The rash did not go anywhere behind her. Patient saw her doctor for her annual gynecologist on Tuesday and told her to go see her breast doctor. Patient saw her breast doctor and her opinion was that it may have triggered glands that would make milk. Therapeutic measures were taken as a results of events right breast milk ducts inflamed, patient had rash on right breast ,patient reported that rash was going down chest, on both breast and front of neck. The Outcome of the reported events for the right breast milk ducts inflamed, rash on right breast and rash going down chest, on both breast and front of neck was recovering and unknown for all other events. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752478
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Last night on the left side of my body by my ear and down in my neck, I began that an itching going on; Last night on the left side of my body by my ear and down in my neck, I began that an itching going on/woke up several times during the night itching; scratching; There is a red site and it seems to be possible by moving little bit down into the neck area again on the left side; I described it as a rash or hives; There is a red site and it seems to be possible by moving little bit down into the neck area again on the left side; I described it as a rash or hives; There is a red site and it seems to be possible by moving little bit down into the neck area again on the left side; I described it as a rash or hives; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got his second vaccination a week ago today and he had absolutely no problem but last night on the left side of his body by his ear and down in his neck, he began that an itching going on and he woke up several times during the night itching, scratching and then today there is a red site and it seems to be possible by moving little bit down into the neck area again on the left side, more like he do not know if he described it as a rash or hives. The outcome of the events was unknown. QR Comment: Appropriate response could not be provided for MI because of the technical issue. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752479
Sex: F
Age:
State: IL

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 10/01/2021
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: Left side of face is puffy, swollen, and tight; Left side of face is puffy, swollen, and tight; Tightness in left eye/eyebrow, lip, nose, and cheek; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 65-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6199), first dose via an unspecified route of administration, administered in left arm on 08Mar2021 at 18:15 (at the age of 65-year-old) as dose 1, single for COVID-19 immunisation at hospital. No medical history was reported (Caller stated she never had the measles, chicken pox, none of that stuff. She was a healthy kid. Caller mentioned she almost did not get the Covid shot but her mom convinced her to. She got it because she does not want to expose anyone or anyone to expose her). No Family Medical History Relevant to adverse events was reported. There were no concomitant medications. No investigation assessment was reported. No vaccine was administered at facility. No previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Caller stated she never had a flu shot, nothing. No adverse event following prior vaccinations. On 11Mar2021 at 05:00, the patient experienced left side of face is puffy, swollen, and tight, tightness in left eye/eyebrow, lip, nose, and cheek. It was reported that, this morning (on 11Mar2021 at 05:00) when she woke up, the whole left side of her face was puffy, swollen, and tight. Caller clarified she felt tightness in her left eye/eyebrow, lip, nose, and cheek. Caller described it looks like she has food stuck in one side of her mouth. Caller reported she can feel it and see it too; it's not bad but she can see the difference. Caller reported she did not go to the doctor's, but she did call the doctor. Caller reported she does not know if it was necessary to see the doctor because it was not painful. Caller stated she noticed it when she got up to walk her dog this morning at about 05:00. Caller stated that she guesses her events are persisting, it was getting a little bigger, it was not painful, but it was tight. It was the same as it has been, but it was noticeable. Caller was scheduled to go back 29Mar2021 for her second dose. Caller stated that she was pretty healthy. No adverse event required a visit to emergency room or physician office. No Relevant Tests were performed. The outcome of the events was reported as not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752480
Sex: F
Age:
State: FL

Vax Date: 02/17/2021
Onset Date: 03/11/2021
Rec V Date: 10/01/2021
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: dry tongue; dry mouth; (right eye) very red; (right eye) very itchy; (right eye) very swollen; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 80-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, Solution for injection, Lot Number: EN9267, Expiry date: unknown) via an unspecified route of administration, administered in left arm on 17Feb2021 09:30 as dose 1, single for COVID-19 immunization (age at Vaccination: 80-years-old) for COVID-19 immunization. Medical history included ongoing anxiety, diabetes mellitus from 1958, hypertension (diagnosed 10 or 13 years ago) and high cholesterol (diagnosed since the patient was in her 40's). Her mother had glaucoma. There were no concomitant medications. Additional vaccines are not administered on same date of the Pfizer suspect. The patient had not received other vaccines within 4 weeks prior to the vaccination, and no AE(s) following prior vaccinations. She had got a flu shot last September, she hadn't gotten any other vaccines since, she also got the shingles vaccine before. On 11Mar2021 the patient experienced (right eye) very red, (right eye) very itchy, and (right eye) very swollen. On unspecific date the patient experienced dry tongue and dry mouth. She had not visited the Emergency room or Physician's office for the events. Patient was using refresh eye drops for her eyes but she stopped using them. She had some condition where she thought her eyes were closed but they weren't but this was from a medication which she stopped taking and it hasn't happened since, she was given the wrong medication for her illness. No investigation assessment done in lab for medical history and, she got her blood test about 2.5 months ago but that was before she received the vaccines. States she cares about her health and sees how many people are dying, and she's older and lives by herself. The disease is very painful and sad and it attacks the lungs, she sees how many people don't care about using protection and it's a mistake, it's a very sad disease. The outcome of the events dry tongue and dry mouth was unknown and rest events outcome was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Anxiety (Verbatim: Anxiety); Diabetes (Verbatim: Diabetes); High cholesterol (Verbatim: High cholesterol); Hypertension (Verbatim: Blood pressure high)

ID: 1752481
Sex: F
Age:
State: KS

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Date: 20210306; Test Name: Fever; Result Unstructured Data: Test Result:101

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My ribcage below my breasts on both side became very sore; after rubbing the area it began to itch; I had 101 fever; Felt very foggy for several days; This is a spontaneous report from a contactable consumer (patient). A 76-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 06Mar2021 11:00 (at the age of 76 years old) as dose 1, single for COVID-19 immunisation. Medical history included high blood pressure from an unknown date and unknown if ongoing, diabetes from an unknown date and unknown if ongoing, covid-19 from an unknown date and unknown if ongoing (if covid prior vaccination: yes). No known allergies. Concomitant medications taken within two weeks included patient blood pressure medicine. Patient did not received other vaccine within four weeks of COVID vaccine. The patient experienced my ribcage below my breasts on both side became very sore, after rubbing the area it began to itch, i had 101 fever, felt very foggy for several days on 06Mar2021 17:00. Adverse event reported as, patient ribcage below his breasts on both side became very sore. Like someone beat him up and after rubbing the area it began to itch she used some ointment she had for pain and it helped. She had 101 fever and many other listed side effects. Felt very foggy for several days after. Now she was concerned about taking shot two. Therapeutic measures were taken as a result of after rubbing the area it began to itch. No treatment received for other events. The patient underwent lab tests and procedures which included body temperature: 101 on 06Mar2021. Patient did not tested for COVID post vaccination. Outcome of all the events were recovered with sequel on Mar2021. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752482
Sex: F
Age:
State: GA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Name: weight; Result Unstructured Data: Test Result:220 lbs; Comments: she thinks 220 pounds maybe but she is unsure

Allergies:

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

Symptoms: feels tired; Wheezing; Coughing; rattling in her throat; This is a spontaneous report received from a contactable consumer or other non hcp. A 87-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number was not reported) via an unspecified route of administration on 08Mar2021 at 11:00 (age at vaccination 87years old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced wheezing, coughing, rattling in her throat on 09Mar2021, feels tired on an unspecified date. She originally provides her name as (patient name) and then says that is actually her sister's name that she gave because her sister got the COVID vaccine. She confirms that the number provided, and populated in formal field, is her own. She was reporting on her sister, says that her sister woke up wheezing and coughing and she is 87 years old. The caller is wanting to report this, so it is put on the list of things that have happened after the COVID vaccine. The caller does not know if it is from the COVID vaccine, but her sister has not ever wheezed before. Her sister was wheezing Tuesday morning, 09Mar2021, and then again, this morning, 11Mar2021. The caller says that she had already had both of her COVID vaccines, and she is calling for her sister. Their other sister had tried to call yesterday, but it said that there were 18 people ahead of her, so she got discouraged and hung up. The patient underwent lab tests and procedures which included weight: 220 lbs on unspecified date she thinks 220 pounds maybe, but she is unsure. The clinical outcome of the event feels tired was unknown and other events wheezing, coughing, rattling in her throat was recovered on 11Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752483
Sex: F
Age:
State: MI

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 10/01/2021
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: 20210309; Test Name: fever; Result Unstructured Data: Test Result:102 degree Fahrenheit

Allergies:

Symptom List: Rash, Urticaria

Symptoms: 102 degree F fever; severe pain and aches; swollen lymph nodes; nausea; This is a spontaneous report from a contactable Consumer, reported for herself. A 21-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: UNKNOWN), dose 1 via an unspecified route of administration, administered in Arm Right on 09Mar2021 15:15 (at the age of 21-years-old) as a single dose for covid-19 immunization. Medical history included covid-19- covid prior vaccination. Concomitant medication(s) in two weeks included escitalopram oxalate (LEXAPRO); paracetamol (TYLENOL); marijuana. The patient had no other vaccine within four weeks. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 09Mar2021 19:00, the patient experienced 102 degree F fever, severe pain and aches, nausea, swollen lymph nodes. The patient did not receive any treatment. Outcome of the event was recovering, at the time of this report. No follow up attempts are possible; information on Lot/batch number cannot be obtained.

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

Current Illness:

ID: 1752484
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Name: heart rate; Result Unstructured Data: Test Result:High; Comments: higher than normal heart rate

Allergies:

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

Symptoms: I had a pretty high fever for 24 to 36 hours; feeling a high heart rate, higher than normal heart rate; 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) via an unspecified route of administration on an unspecified date (Batch/Lot Number: EN6202) as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was reported by the patient that after receiving the second dose of vaccine on an unspecified date (on Saturday) around 1 pm and for 6 or so hours he/she was feeling okay and then had a pretty high fever for 24 to 36 hours and now that he/she was like 5 or so days out have like pretty, still feeling a high heart rate, higher than normal heart rate and was curious if there was any sort of advice about how to handle that, can he/she certainly go to the emergency room. The patient underwent lab tests and procedures which included heart rate which was higher than normal heart rate on an unspecified date. The outcome of the events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752485
Sex: U
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
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: a couple of people he knew with psoriasis experienced a flare-up after receiving the COVID-19 vaccine; This is a spontaneous report from a contactable other health professional. This Other HCP reported similar events for two patients. This is the first of two reports. This Other HCP reported for a patient. A patient of unspecified age and gender received bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number- Unknown) via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was unknown whether patient received any other vaccine in four weeks or other medications in two weeks. Covid prior vaccination and covid tested post vaccination was reported as unknown. It was reported that consumer was calling to see if he can get a COVID-19 vaccine while on Ilumya therapy. Consumer stated that he has heard of other patients taking Ilumya and other psoriatic treatments also taking the COVID-19 vaccine and experiencing "bad reactions" afterwards. When asked to elaborate, they had stated that a couple of people he knew with psoriasis experienced a flare-up after receiving the COVID-19 vaccine and another person developed shingles. No additional information known by patient. It was unknown whether patient received any treatment for the adverse event. It was unknown if patient recovered from the event. The outcome of the event psoriasis flare up was unknown. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021285797 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1752486
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
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: trouble breathing all day after first vaccine, shortness of breath; strange flavor in her mouth; pain in her left hand/pain in both legs; very tired; Also puffiness and redness after vaccine; Also puffiness and redness after vaccine; This is a spontaneous report from a contactable consumer reported for herself. A 6-decade-old female patient received first dose of bnt162b2 (Pfizer Covid-19 vaccine, Solution for injection, Batch/lot number: Unknown, Expiry date: Not Supplied), via an unspecified route in the left arm on an unspecified date as a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unknown, patient experienced trouble breathing all day after first vaccine, shortness of breath. 15 minutes after the vaccine, she had problems the whole day. She had a very strange flavour in her mouth. She had pain in her leg and her hand. It was her left hand on the side of the injection and both legs. And she had very strange flavour in her mouth for few days after she ate. And also, she was very tired. Also, puffiness and redness after vaccine, injection was already prepared ahead of time, and she doesn't know how long it had been there. With the first vaccine she doesn't have any bottle. It was a lot of people, and it was very crowded. The vaccine was there, it was already there, and she didn't know how long it stood there. She wants to know if it's ok if its prepared ahead of time. She usually sees them pull it out from a bottle, but it was already prepared, and she doesn't know if that's ok. How long was it there. The clinical 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: 1752487
Sex: F
Age:
State: OK

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 10/01/2021
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: peristent cough that is lasting and causing urine incontinence; Low grade fever; nervousness &anxiety (abnormal); nervousness &anxiety (abnormal); eye dryness; severe fatigue; dry-mouth; lethargy; intense headache; loss of appetite; peristent cough that is lasting and causing urine inconstinence; This is a spontaneous report from a contactable consumer. A 68-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Arm Right on 27Feb2021 at 12:30 (at the age of 68 year) as dose number unknown, single for COVID-19 immunisation at Other. Medical history included controlled hypertension & cholesterol both in normal range from routine Prescriptions. Patient had known allergies to codeine. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. The patient was not pregnant at time of vaccination. Concomitant medication(s) included benazepril; ezetimibe; triamterene. The patient previously took codeine and experienced drug hypersensitivity. On 28Feb2021 at 10:00 patient experienced Low grade fever, nervousness & anxiety (abnormal), eye dryness, severe fatigue, dry-mouth, lethargy, intense headache and loss of appetite (which has not currently retuned) persistent cough that is lasting and causing urine incontinence. The patient received treatment for events which included OTC anti-inflammatory/Tylenol 500mg. The outcome of events was recovered with lasting effects. No follow-up attempts are possible. No further information is expected.

Other Meds: Benazepril; Ezetimibe; Triamterene

Current Illness:

ID: 1752488
Sex: U
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: A couple of people he knew with psoriasis experienced a flare-up after receiving the COVID-19 vaccine; This is a spontaneous report received from a contactable other healthcare professional. This other healthcare professional reported similar events for 2 patients. This is the 2nd of two reports. A patient of unspecified age and gender received unknown dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient was calling to see if he can get a COVID-19 vaccine while on Ilumya therapy. Patient stated that he has heard of other patients taking Ilumya and other psoriatic treatments also taking the COVID-19 vaccine and experiencing bad reactions afterwards. When asked to elaborate, patient had stated that, on unknown date a couple of people he knew with psoriasis experienced a flare-up after receiving the COVID-19 vaccine and another person developed shingles. No additional information known by patient. Unknown treatment was received for the event. The outcome of the event was reported as unknown. No follow up attempts are possible, information about Lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021285660 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1752489
Sex: F
Age:
State: AR

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 10/01/2021
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: runny nose; slight chest tightness; wheezing; face flushed red; face flushed red; headache; chest skin got itchy; stomach cramps; bouts of diarrhea; This is a spontaneous report from a contactable consumer (patient). A 69 years old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6205) via an unspecified route, administered in Left Arm on 02Mar2021 at 16:30 (69-year-old at vaccination) as Dose 1, Single for Covid-19 immunization. The patient was non-pregnant at time of vaccination. The patient's medical history included stage 1 breast cancer IDC, diagnosed in Oct20219, seasonal allergy, dust allergy, avocado allergy, some food allergies, sensitive to many foods, known allergies to sulfa drugs. The patient's concomitant medication(s) included exemestane, docosahexaenoic acid, eicosapentaenoic acid (OMEGA 3), pravastatin, ergocalciferol (VIT D), ascorbic acid (VIT C), calcium carbonate (CALCI) within two weeks of vaccination. The patient previously took ciprofloxacin (CIPRO), MACRODANTIN and experienced allergy. The patient had not received any other vaccine in four weeks prior vaccination. On 02Mar2021 (after first dose of vaccination), the patient had experienced with headache at 16:45 after vaccination; chest skin got itchy, 55min; face flushed red, 120 min; runny nose and slight chest tightness and wheezing began. Most symptoms went away within 5-6 hrs. No injection site pain at all, but stomach cramps and bouts of diarrhea lasting a week. She was advised by her allergist not to get dose 2 of vaccine. The outcome of the events was recovered on an Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752490
Sex: F
Age:
State: NY

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Date: 20210310; Test Name: Fever; Result Unstructured Data: Test Result:99.8; Test Date: 20210311; Test Name: Fever; Result Unstructured Data: Test Result:100

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever; Chills; Aches & pains in legs; Headache; This is a spontaneous report from a contactable consumer. A 54-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6205; Expiration Date: 30Jun2021, at the age of 54 years), dose 1 via an unspecified route of administration, administered in Arm Left on 08Mar2021 10:15 as 1st dose, single for COVID-19 immunisation (age at vaccination: 54-year-old). Medical history included blood pressure and cholesterol abnormal. Concomitant medications included rosuvastatin calcium, lisinopril, triamterene taken for blood pressure abnormal from an unspecified start date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 08Mar2021 the patient experienced headache. On 09Mar2021 aches & pains in legs, fever, chills. It was reported that has been taking Tylenol every four hours and that seems to help, and her legs aren't as bad now as she has been staying off of them. Clarified she received the first dose of the Pfizer COVID 19 vaccine 08Mar2021 at 10:15AM in the left arm. States she had a little headache Monday afternoon and then it was a steady headache on Tuesday; Tuesday her legs started to ache; then at 15:30 in the afternoon after work she was getting the chills and she took her temperature, and it was 99.8. Today she had to stay home from work; her temperature is 100.0; she was wearing long pajamas with a blanket as she was still cold. on 10Mar2021 the patient underwent lab tests and procedures which included body temperature: 99.8. on 11Mar2021 body temperature: 100. The outcome of the events headache was reported as recovered on 10Mar2021, Aches & pains in legs was recovering and fever and chills was not recovered. No follow-up attempts are possible; No further information expected.

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

Current Illness:

ID: 1752491
Sex: M
Age:
State: MN

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills; Fever; I threw up; Diarrhea; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: EN6199 FHN 6-21 not clarified further), via an unspecified route of administration on an unspecified date as single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient was calling to report a few side effects from the first shot patient had. When probed for the side effects, patient stated, "patient had chills, fever, threw up and diarrhea on an unspecified date. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752492
Sex: F
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 10/01/2021
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: Face is kind of a little bit swollen, more like in the down area below the nose like her mouth and her chin that's where the most swelling is; This is a spontaneous report from a non-contactable consumer or other non-health care professional. This consumer reported for a female patient (Aunt of reporter). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, batch/lot number was not reported) via an unspecified route of administration on 09Mar2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Reporter stated that the patient had the Pfizer vaccine two days before the time of reporting, and she was having a lot of the side effects. On 11Mar2021, the day of reporting, the patient experienced "face was kind of a little bit swollen, more like in the down area below the nose like her mouth and her chin that's where the most swelling was". The reporter read that it was normal, but the patient wanted to make sure that it was okay. The reporter further stated that the swelling was more like in the down area, below the nose like her mouth and her chins that's where the most swelling was, just a little bit". The patient was worried that whether she should get the second dose. The reporter wanted to know whether experienced people in Pfizer recommend something to make this feel better with symptoms that the patient was experiencing. The clinical outcome for the events was unknown. Limited information was available over the call. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752493
Sex: M
Age:
State:

Vax Date: 02/22/2021
Onset Date: 03/15/2021
Rec V Date: 10/01/2021
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: 20210315; Test Name: endoscopy; Result Unstructured Data: Test Result:found ulcers; Comments: at 12:00

Allergies:

Symptom List: Unevaluable event

Symptoms: COPD exacerbation; did an endoscopy and found ulcers; bloating; shortness of breath; This is a spontaneous report from a contactable nurse (reporting for husband). A male patient of an unspecified age (Age: 67; unit: unknown) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and expiration date was not reported), dose 1 via an unspecified route of administration on 22Feb2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included chronic obstructive pulmonary disease and pulmonary fibrosis (got sick with pulmonary fibrosis and COPD, for which he currently required prednisolone) and difficulty breathing (Even if lying down, he had difficulty breathing and he takes SYMBICORT). Concomitant medication(s) included budesonide, formoterol fumarate (SYMBICORT) taken for an unspecified indication, start and stop date were not reported and prednisolone for COPD. The patient experienced received his 1st dose on 22Feb2021. For his COPD exacerbation (start date: unspecified), he was taking prednisolone to lessen the inflammation. Now, he was okay. She read on the prednisolone information that it diminished vaccine efficacy. In 2021 (last weeks), he had complaints of bloating and shortness of breath which was observed until Sunday (unspecified date). Even if lying down, he had difficulty breathing and he takes the SYMBICORT. Reporter rushed him to the emergency on 15Mar2021 (this morning) at 12:00, although he has had similar complaints before, they still did an endoscopy and found ulcers. The 2nd dose of the covid vaccine was supposed to be on 15Mar2021 (today) but was moved. Outcome for COPD exacerbation was recovering, for bloating and shortness of breath was recovered in 2021; and for rest all events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752494
Sex: F
Age:
State: PA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 10/01/2021
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: Red, itchy rashes; Red, itchy rashes; This is a spontaneous report from a non-contactable consumer (patient herself). A 43-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number and expiration date was not reported) via an unspecified route of administration, administered in Arm Right on 03Mar2021 (at the age of 43-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Medical history included Crohn's disease, COVID-19 from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient previously took humira and purinethol and experienced drug hypersensitivity. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced red, itchy rashes (rash pruritic and rash erythematous) on 04Mar2021. Patient did not receive any treatment for adverse event. Since the vaccination, patient has not been tested for COVID-19. The outcome of both the events was recovered on an unspecified date in Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752495
Sex: F
Age:
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 10/01/2021
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: Soreness at injection site; rash on neck; scratchy and itchy throat; itchy lips; itchy skin; This is a spontaneous report from a contactable other healthcare professional (patient). A 36-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: ENG 6199, Expiration date: not reported), via an unspecified route of administration in arm left on 06Mar2021 at 13:45 (at the age of 36-year-old) as a dose 1, single for COVID-19 immunization. The patient's medical history included Hypothyroidism, ADHD, GAD. The patient had no known allergies. The patient's concomitant medications in two weeks included lisdexamfetamine mesylate (VYVANSE), guanfacine hydrochloride (INTUNIV), escitalopram, levothyroxine sodium (SYNTHROID), vitamin, all were taken for an unspecified indication. It was reported that, the patient was not pregnant at time of vaccination. No other vaccine in four weeks. No covid prior vaccination and no covid tested post vaccination. On 06Mar2021 at 18:00, the patient experienced soreness at injection site, rash on neck, scratchy and itchy throat, itchy lips, itchy skin. Treatment was not received for the events. The outcome of the events was recovering. 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: 1752496
Sex: F
Age:
State: PA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache; Fever; Chills; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 58-years-old female patient (patient was not pregnant at the time of vaccination) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6203, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 10Mar2021 at 13:00 pm (age at vaccination was 58 years) as dose 2, single for COVID-19 immunization. The patient did not have any medical history. The patient did not have any known allergies. The patient did not receive any concomitant medications or other vaccine in two weeks. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EL3247, Expiration date: unknown) via an unspecified route of administration, administered in left arm on 17Feb2021 at 10:00 am (age at vaccination was 58 years) as dose 1, single for COVID-19 immunization. The facility where the most recent COVID-19 vaccine was Workplace clinic. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. On 11Mar2021 at 05:00 am, the patient experienced headache, fever and chills. No treatment was received for the adverse events. The outcome of the events was resolved on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752497
Sex: U
Age:
State:

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

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

Lab Data: Test Date: 202103; Test Name: Heartbeat; Result Unstructured Data: Test Result:Rapid

Allergies:

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

Symptoms: Redness in face; Flush hot face and neck; Rapid heartbeat; minor allergic reaction to the vaccine; 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: EN6203, Expiration date: Unknown), via an unspecified route of administration on an unspecified date in Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Additional context stated that the patient received first dose of the Pfizer vaccine couple weeks ago within the Mar2021 and was scheduled to have the second dose next week reported as a week from today or tomorrow. When the patient was there, the patient had a minor allergic reaction to the vaccine about 3 to 5 minutes shortly after the shot in the arm. The patient had redness in face, flush hot face and neck and felt rapid heartbeat and it lasted for 3-10 minutes. The patient was monitored by a women, they didn't give any Epipen or any thing like that and was recommended that the patient should get some allergy testing before second dose. The patient had not done that and didn't really think all of that was necessary. The patient underwent lab tests and procedures which included heart rate: rapid on an unspecified date in Mar2021. The outcome of the events recovered on an unspecified date in Mar2021. No follow-up attempts are completed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752498
Sex: F
Age:
State: GA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 10/01/2021
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: Test Date: 20210310; Test Name: Blood drawn; Result Unstructured Data: Test Result:Unknown results; Comments: I went and had my blood drawn because I got to go to the doctor next Tuesday.

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Allergy reaction; Swelled face, from mouth line came all the way down under jaw, all the way down to my chin; face looking really bad; right side face swollen, all the way up and under to my chin; This is a spontaneous report received from a contactable consumer or other non-healthcare professional (patient). A 78-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6206), via an unspecified route of administration on 08Mar2021 (at the age of 78-years-old) as dose 1, single for COVID-19 immunisation. Medical history included contrast media allergy (allergic to IV dye), blood pressure abnormal from an unknown date and unknown if ongoing. Concomitant medications included vitamin d nos (VITAMIN D NOS) taken for an unspecified indication, start and stop date were not reported, water pill use for blood pressure. The patient experienced allergy reaction, swelled face, from mouth line came all the way down under jaw, all the way down to my chin; face looking really bad, right side face swollen, all the way up and under to my chin on 08Mar2021. Consumer stated, I had an allergy reaction. It swelled my face and right from your mouth that line came all the way down under my jaw, got my face you know how it was how clowns look with their mouth, you know with that frown mouth found on their mouth. I did not notice it until I got home later and I called my doctor about it and I got appointment with him next Tuesday. He told me to wait until then but I felt like I need to call you all because that got my face looking really, really, really bad. Side of my face was swollen, you know that long line from your lip come all down to under your chin, that's what I got these looking like how clown face look. I have had looking on my face. When probed for the expiration date, consumer stated, do not see no expiration date. I just see the date that I am supposed to take the shot, the second shot. That's all on here. When probed if still experiencing the problem, consumer stated, that's why I has been calling, so I could talk to someone, yeah my mouth feel like that. I did not really know my mouth like that till night I got ready to wash my face and saw my mouth all that long thing all, my mouth all down like that. I did not know it until I looked into mirror and then I read the paper work that said it will cause your face to swell and all my right side of my face was swollen, all the way up and under to my chin and that line was in my mouth all the way down to my chin. Consumer stated, No, I have not. I told you my doctor told me to wait until I come to his office, Tuesday. Well, I did not want to wait because its not getting any better. Scheduled second dose on 29Mar2021. The outcome of the event allergy reaction was reported as unknown and while for other No follow up attempts are needed. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752499
Sex: F
Age:
State: FL

Vax Date: 03/07/2021
Onset Date:
Rec V Date: 10/01/2021
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: have an Easter egg sized red painful swelling; have an Easter egg sized red painful swelling; have an Easter egg sized red painful swelling; This is a spontaneous report from a contactable Physician (patient). A 51-years-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6198), via an unspecified route on 07Mar2021 (at the age of 51-years) as dose 1, single in the left arm for covid-19 immunisation. The patient medical history included known allergies to skin allergies to fragrances and certain cosmetics. The patient concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications in two weeks prior to the vaccination. 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 unspecified date, the patient had an easter egg sized red painful swelling. It started within 12 hours. It was still there today 4 days later. Patient did not received treatment for events. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752500
Sex: F
Age:
State: MN

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 10/01/2021
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: cough; congestion; adema both legs and feet.; This is a spontaneous report from a non-contactable consumer. A 83-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: GL3246 and expiry date was not reported) via an unspecified route of administration, administered in Arm Left on 04Mar2021 18:00 (age at vaccination 83-years-old) as unknown, single for covid-19 immunisation. Medical history included chronic obstructive pulmonary disease from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. Patient has not taken any other vaccine with in four vaccines. On 07Mar2021 06:00 PM, patient experienced Cough, congestion, adema both legs and feet. No treatment taken for AE. Patient has stated that she had not been diagnosed with COVID -19 prior to vaccination and not been tested since the vaccination. Outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752501
Sex: M
Age:
State: WI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Name: culture; Test Result: Positive ; Comments: Organism: covid-19 culture source: Nasopharyngeal NAAT; Test Date: 20210222; Test Name: COVID-19 Antibody; Test Result: Negative

Allergies:

Symptom List: Nausea

Symptoms: covid-19-antibody; right subclavicular lymph nodes swelling; This is a spontaneous report from a contactable pharmacist (Patient himself). A 34-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection Batch/Lot Number: EL1283 Expiration date: Unknown) via an intramuscular route of administration, administered in deltoid right on 12Jan2021 15:00 (at the age of 34-year-old) as dose 2, single for covid-19 immunization. Patient is non-smoker. Patient medical history was not reported. Concomitant medications included bupropion taken for an unspecified indication, start and stop date were not reported and ibuprofen taken for an unspecified indication from 23Dec2020 to an unspecified stop date. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot/Batch number- EJ1685) via intramuscular route of administration, on right deltoid on 23Dec2021 (at the age of 34-year-old) as dose 1, single for COVID-19 immunization and experienced diarrhea 24 hours of diarrhea from 01Jan2021, was diagnosis with covid-19 through nasopharyngeal NAAT. The patient underwent lab tests and procedures which included culture resulted as positive on organism was covid-19 culture source was Nasopharyngeal NAAT, sars-cov-2 antibody test resulted as negative on 22Feb2021. The patient experienced right subclavicular lymph nodes swelling on 13Jan2021 and covid-19-antibody (negative) on 22Feb2021. Patient had not attended Emergency Room and physician Office for the events reported. it was reported that it should also be noted that patient COVID-19 antibodies were negative after a blood donation on 22Feb2021. Patient was not hospitalized and patient was not admitted to an Intensive Care Unit. Patient had not developed clinical sign at rest indicative of severe system illness. Patient not required supplemental oxygen (including high flow or ECMO) or receive mechanical ventilation for the events reported. patient not had any Multiorgan failure. Event had not required the initiation of new medication or other treatment or procedure. Patient was not taking any medication routinely prior to the event and not been treated with immunomodulating or immunosuppressing or receive any other vaccines around the time of COVID-19 vaccination. Outcome of events was unknown. No follow-up attempts are possible. No further information is expected

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

Current Illness:

ID: 1752502
Sex: F
Age:
State: PA

Vax Date: 02/13/2021
Onset Date: 03/09/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Date: 20210309; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown results

Allergies:

Symptom List: Injection site pain

Symptoms: After the second dose sweeping in glands in opposite side of neck, throat and up to ear/Swelling in lymph nodes in axillary; fever; sore throat; This is a spontaneous report from a contactable Nurse. A 38-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: En9581, Expiry date not reported) via unspecified route of administration, administered in left arm on 13Feb2021 (at age of 38-years-old) as dose 2, single for COVID-19 Immunisation. The patient medical history includes Polycystic ovaries (PCOS) and COVID-19. There are no known allergies reported. Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: El3248, Expiry date not reported) via unspecified route of administration, administered in left arm on 30Jan2021 at 09:00 (at age of 38-years-old) as dose 1, single for COVID-19 Immunisation and experienced swollen lymph nodes in arm of vaccine ancillary and basilic. Patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. Patient received Birth control within two weeks. The patient was diagnosed with COVID-19 prior to vaccination. The patient had tested for COVID-19 post vaccination with nasal swab. On 09Mar2021 at 12:00 (24 days 12 hrs after vaccination) After the second dose patient experienced sweeping in glands in opposite side of neck, throat and up to ear. Swelling in lymph nodes in axillary fever a month later and sore throat. Adverse Events resulted in doctor or other healthcare professional office/clinic visit. The Patient received treatment for adverse events with tested again and given Tamiflu. The Patient underwent lab test and procedures include nasal swab test result was unknown on 09Mar2021.The Outcome of the events was not recovered No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752503
Sex: F
Age:
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:low to mid 97 Fahrenheit; Comments: Her normal baseline body temperature is in the low to mid 97 degrees Fahrenheit range; Test Date: 20210307; Test Name: body temperature; Result Unstructured Data: Test Result:98.7 Fahrenheit; Test Name: Heart rate; Result Unstructured Data: Test Result:Increased; Test Date: 20210303; Test Name: foot x-ray; Result Unstructured Data: Test Result:Not broken;little inflamed from tight shoe laces; Comments: Not broken;little inflamed from tight shoe laces

Allergies:

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

Symptoms: after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; could sleep all day; feels spacey/feels very spacey; heart rate was faster; legs are weak/weak legs/Lethargic; feels just so tired; after the Pfizer-BioNTech COVID-19 Vaccine she had these effects more, breathing heavier and even more short of breath; strong nasal congestion; increased body temperature of 98.7 degrees Fahrenheit/body temperature has been in the high 98 degrees Fahrenheit range; arm began to hurt and was sore for 2.5 days but did not turn red at all; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6205; Expiration Date: Jun2021), via unspecified route of administration on 05Mar2021 (at the age of 65-year-old), as dose a in left arm, single for COVID-19 immunization. The patient's medical history included Sensitive to medications: ongoing, top of her foot swollen. Addition information for sensitive to medications included: Additional Information for Other Conditions: in general, she found she is very sensitive to medications; a lot of medications never worked for her because she finds she has to take medications at very low dosages because higher dosages she has terrible reactions with. She is getting ready with the new concierge doctor who agreed to find a pharmacogenomics lab to find which medications are or aren't good for her genetically. Further medication names/lots/ndcs/expiries not provided by caller during report, only generalized information provided. Additional Information for Top of her foot swollen: Annual podiatrist visit 03Mar2021 who took foot x-ray. Top of foot swollen, looks like a lump, foot x-ray showed not broken, just a little inflamed from tight shoe laces; wanted to give her cortisone shot she declined; has her in a boot for 3 weeks to relieve pressure. The concomitant medication(s) included Jardiance taken for diabetes mellitus from Dec2020 still ongoing. Jardiance: Her internist told her to stop it because she was getting leg events at the lowest dose; patient did not stop Jardiance as advised. She said she would check with the endocrinologist who told her to continue Jardiance anyway but patient thinks he is wrong. Jardiance is the only oral diabetic medication that she ever took and is not getting any other bad effects; with Jardiance she just has strong leg muscle effects and a few other minor ones. On an unspecified date patient experienced after the Pfizer-biontech Covid-19 vaccine she had these effects more, breathing heavier and even more short of breath, could sleep all day, feels spacey/feels very spacey, on 05Mar2021 patient experienced arm began to hurt and was sore for 2.5 days but did not turn red at all, on unspecified date heart rate was faster, on 07Mar2021 strong nasal congestion and increased body temperature of 98.7 degrees fahrenheit/body temperature has been in the high 98 degrees fahrenheit range, legs are weak/weak, feels just so, after the Pfizer-biontech covid-19 vaccine she had these effects more, breathing heavier and even more short of breath. The patient underwent lab tests and procedures which included body temperature: low to mid 97 fahrenheit on her normal baseline body temperature is in the low to mid 97 degrees Fahrenheit range, body temperature: 98.7 fahrenheit on 07Mar2021, X-ray: not broken; little inflamed from tight shoe laces on 03Mar2021 Not broken; little inflamed from tight shoe laces and heart rate: increased on an unknown date. Patient did not require visit to emergency room or physician office, patient was not hospitalized due to events. Investigation assessment was done. The clinical outcome of event arm began to hurt and was sore for 2.5 days but did not turn red at all was not recovered. The clinical outcome of all other events were unknown. No follow-up attempts are possible; No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness: Drug allergy (Verbatim: Sensitive to medications)

ID: 1752504
Sex: F
Age:
State: SC

Vax Date: 03/10/2021
Onset Date:
Rec V Date: 10/01/2021
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: Severe joint pain; Vertigo; muscle aches; This is a spontaneous report from a non-contactable consumer or other non hcp. A 37-years-old female patient received BNT162b2 (CONMINTARY, Solution for injection, Lot No: was not reported), via an unspecified route of administration, administered in Arm Left on 10Mar2021 16:00 as unknown, single for covid-19 immunisation (age at vaccination was 37 years). Patient was not pregnant at time of vaccination. Medical history included migraine from an unknown date and unknown if ongoing, motion sickness from an unknown date and unknown if ongoing. Concomitant medication(s) included gabapentin (GABAPENTIN) taken for an unspecified indication, start and stop date were not reported. The patient previously took reglan [metoclopramide] and experienced drug hypersensitivity, compazine [prochlorperazine maleate] and experienced drug hypersensitivity. The patient experienced severe joint pain, vertigo, muscle aches on an unspecified date. Therapeutic measures were taken as a result of vertigo (vertigo). 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: 1752505
Sex: F
Age:
State: LA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Date: 20210311; Test Name: Fever; Result Unstructured Data: Test Result: low.

Allergies:

Symptom List: Tremor

Symptoms: constant headache; Very tired; achy; low fever; injection site soreness; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 42-years-old female patient (non-pregnant) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, SINGLE dose, Lot number EN6199, Expiration date: unknown), via an unspecified route of administration, administered in Arm Right on 10Mar2021 12:00 (at the age of 42-years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient was not pregnant at the time of vaccination. The medical history included hypertension, blood cholesterol increased, and anxiety. Concomitant medication included (other medications in two weeks) HYRDOCHLOROTHIAZIDE, LISINOPRIL, AMLODIPINE, AND LISINOPRIL. The patient previously took CELEBREX. The Patient's allergies to Celebrex, erythromycin, and NSAIDs. The patient not covid vaccination prior. The patient not covid tested post vaccination. The patient experienced Headache started 13 hours after shot. Tylenol didn't help. Had constant headache for 20 hours, Very tired, achy, low fever, and injection site soreness on 11Mar2021, 01:00 AM. The patient did not receive treatment for events except headache. The outcome of the events were recovered on an unspecified date in Mar2021. 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: 1752506
Sex: F
Age:
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 10/01/2021
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: the top of my left hand (starting at the wrist and including the fingers) was very red, dry, slightly swollen, and itchy; the top of my left hand (starting at the wrist and including the fingers) was very red, dry, slightly swollen, and itchy; the top of my left hand (starting at the wrist and including the fingers) was very red, dry, slightly swollen, and itchy; the top of my left hand (starting at the wrist and including the fingers) was very red, dry, slightly swollen, and itchy; the top of my left hand (starting at the wrist and including the fingers) was very red, dry, slightly swollen, and itchy; It looked a bit like eczema; This is a spontaneous report from a contactable consumer or other non healthcare professional. A 66 year old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in Arm Left on 09Mar2021 09:15 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included goitre from an unknown date and unknown if ongoing, dermatitis contact from an unknown date and unknown if ongoing, drug hypersensitivity from an unknown date and unknown if ongoing have a sensitivity to penicillin, lanolin, toluene. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported; famotidine (FAMOTIDINE) taken for an unspecified indication and vitamins, start and stop date were not reported. The patient experienced the top of her left hand starting at the wrist and including the fingers was very red, dry, slightly swollen, and itchy causing erythema on 10Mar2021 10:00 with outcome of recovered, dry skin on 10Mar2021 10:00 with outcome of recovered, itchy and peripheral swelling on 10Mar2021 10:00 with outcome of recovered, the itchy and joint swelling on 10Mar2021 10:00 with outcome of recovered and it looked a bit like eczema on 10Mar2021 10:00 with outcome of recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752507
Sex: F
Age:
State: MI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Date: 20210218; Test Name: temperature; Result Unstructured Data: Test Result:100.3 Fahrenheit; Comments: temp was 100.3. The highest it got was 101.7; Test Date: 20210218; Test Name: temperature; Result Unstructured Data: Test Result:101.7 Fahrenheit; Comments: temp was 100.3. The highest it got was 101.7

Allergies:

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

Symptoms: felt chilled; temp was 100.3. The highest it got was 101.7; felt lethargic; achey; sore arm; fatigue; This is a spontaneous report from a contactable consumer (patient). A 71-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EL9267) (at the age 71-year-old), via an unspecified route of administration, administered in arm right on 17Feb2021 16:00 as dose 2, single for covid-19 immunization. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, lot number: EL9261), dose 1, on 27Jan2021 04.15 PM on right arm for covid-19 immunization. Patient known allergies includes daypro and morphine. The patient relevant medical history includes HTN, GERD, fibromyalgia, arthritis, history of Breast Cancer. The patient concomitant medications were not reported in two weeks. The patient was not pregnant at the time of vaccination. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was reported that about 22-23 hrs after her 2nd dose, (on 18Feb2021 at 14:30) the patient felt chilled and temperature was 100.3 and the highest it got was 101.7. The patient felt lethargic and achey. Except for a sore arm and fatigue the side effects was gone when the patient woke up the following morning. The patient underwent lab test on 18Feb2021: body temperature: 100.3 and 101.7 Fahrenheit. The patient did not received treatment for adverse event. The patient did not had prior vaccination for covid. The patient did not tested for covid post vaccination. The outcome of feeling cold, pyrexia, lethargic and pain was recovered on an unspecified date in 2021. The outcome of pin in extremity and fatigue was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752508
Sex: F
Age:
State: NY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen lips; Burning lips; the inside of her cheeks were swollen; Swelling of tongue; throat and the inside of her nose was burning; the inside of her nose was burning; This is a spontaneous report from a non-contactable consumer (patient). A 83-Year-Old female patient received BNT162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: EN6206, Expiration Date: 30Jun2021 and NDC number was unknown) via an unspecified route of administration, administered in left arm on 11Mar2021 at 17:30 hours as dose 1, single (at the age of 83-years-old) for COVID-19 immunisation. Medical history included nasal congestion (during the winter when the heat was on and she was not getting outside for fresh air), had very bad sinuses & used a humidifier in her room & the humidifier seems to help, lot of sinus allergies, had a condition where she was shrinking and bending over, and her current weight did not help. Patient said everyone keeps telling her that she has to lose weight. Patient does not take any medication, as she was very sensitive to medications and does not take any. She said the humidifier helps her. She said if she didn't use the humidifier, she would be so stuffed up that no one would be able to understand her when she talked. Patient previously took amoxicillin, at a dose of 500mg, three times a day, 2-3 years ago and experienced allergic reaction to amoxicillin. Patient stated that she had the exactly the same reaction in the past to amoxicillin (2-3 years ago). Patient stated that she never reported her reaction to the Amoxicillin manufacturer but told her doctor. She said her doctor took her right off of the amoxicillin and told her to not take amoxicillin anymore. She said at the time she was prescribed amoxicillin 500mg three times a day. Historical vaccine included patient received flu shot in Dec2020 for immunisation. Patient had no additional vaccines administered on same date of the Pfizer suspect. Patient had no prior vaccinations (within 4 weeks). Patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. Patient stated that her husband had not let her out of the house since the pandemic started. On 12Mar2021, patient found that this morning, about 12 hours later, that her lips were swollen and burning, and the inside of her cheeks and tongue were swollen. Patient said her throat and the inside of her nose was burning. Patient stated that her tongue and cheek swelling had gone down, but she still had the burning sensation, especially inside her nose. She said the inside of her nose was very tender and felt raw. She said the burning sensation was like if she had eaten a lot of cinnamon or hot sauce. She said her lip swelling had improved. Patient had no emergency room and physician office visit for all the events. No relevant tests were performed. Patient felt she had a very mild reaction to the COVID-19 Vaccine, but that her COVID-19 Vaccine reaction was a different kind of reaction. Patient stated that she was going to just wait a couple days, and her COVID-19 Vaccine reaction symptoms should be gone. Patient clarified that was what her doctor had told her to do with the amoxicillin reaction she had, and the amoxicillin reaction symptoms went away on their own. Patient said when she goes back for her second COVID-19 Vaccine, the COVID-19 vaccination facility will probably decide if they want to give her the second COVID-19 Vaccine or not. She said the COVID-19 vaccination facility seemed pretty fussy. The outcome of all the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752509
Sex: F
Age:
State: TX

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

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

Lab Data: Test Date: 20210315; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe chills; body aches; Low fever; Migraine; This is a spontaneous report from a contactable Consumer. This 48-Year-old Female Consumer (patient) reported A 48-years-old non-pregnant female patient (not pregnant at the time of vaccination) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6202), via an unspecified route of administration, administered in Left arm on 09Mar2021 14:45 (at the age of 48-years-old) as dose 1, single for covid-19 immunisation. The patient medical history included hypothyroidism from an unknown date and unknown if ongoing, Iron Deficiency woyh Anemia from an unknown date and unknown if ongoing. The patient had no known allergies. The patient concomitant medications included levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported, liothyronine (LIOTHYRONINE) taken for an unspecified indication, start and stop date were not reported, escitalopram (ESCITALOPRAM) taken for an unspecified indication, start and stop date were not reported and melatonin (MELATONIN) taken for an unspecified indication, start and stop date were not reported. The patient had not taken other vaccine in four weeks. The patient had not been tested for covid, prior vaccination. The patient had been tested for covid, post vaccination. On an unspecified date on Mar2021, the patient experienced Severe chills and body aches, Low fever and Migraine. Low fever, Migraine that does not respond to pain medication. The patient not received treatment for events severe chills and body aches. The events resulted in Emergency/urgent care visit. The patient underwent lab tests and procedures which included sars-cov-2 test (nasal swab) negative, on 15Mar2021. The clinical outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752510
Sex: M
Age:
State: TX

Vax Date: 02/23/2021
Onset Date: 03/06/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Two hands were swollen; both arms were redness; This is a spontaneous report from a contactable consumer (Patient). A 66-year-old male received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot number: EL9269-EN6203) via an unspecified route of administration, administered on left arm on 23Feb2021 11:00 AM as dose 2, single (at the age of 66-year-old) for COVID-19 immunization. Medical history included Placed stient on 02Nov2014 for an unknown indication, heart bypass surgery 02Apr2019 for an unknown indication, diabetes, high blood pressure and lipid disorder all were from an unknown date and unknown if ongoing. Concomitant medications include (within 2 weeks of vaccination) medications for High blood pressure, lipid disorder, Diabetes all are from an unknown date. Patient did not have any allergy to medications, food, or other products. Prior to vaccination, patient was diagnosed with covid. Since the vaccination, the patient has not been tested for COVID-19. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot number: not reported) via an unspecified route of administration, on an unspecified date as dose 1, single for COVID-19 immunization and Flu Vaccine via an unspecified route of administration, administered in left arm on 11Aug2020 11:00 as dose 1, single for immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Hospital was the Facility where the most recent COVID-19 vaccine was administered. It was reported that on 06Mar2021 after 2 weeks of vaccination of the second batch, two hands were swollen and both arms were redness. Patient received treatment for the events, therapeutic measures were taken as a result of the events and included Cortizone, levocetirizine 5 mg. Outcome of the event was Not recovered. No follow-up attempts are needed; No further information is expected

Other Meds:

Current Illness:

ID: 1752511
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
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: open sore; red rash on her skin; mild headache; This is a spontaneous report from Pfizer sponsor program. A contactable consumer (reported for herself). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced open sore, red rash on her skin and mild headache. 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: 1752512
Sex: F
Age:
State: AK

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 10/01/2021
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: Left breast pain and slight shortness of breath began on Sunday am, day after vaccine.; Left breast pain and slight shortness of breath began on Sunday am, day after vaccine.; chills; upset stomach; This is a spontaneous report from a contactable consumer (Patient) who reported for herself. A 63-years-old female received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 13Mar2021 at 04:45 (at the age of 63-years-old), administered in left arm as a dose number unknown, single dose for COVID-19 immunization. Medical history included allergy to Sulfa drugs, birch protein and pollen and epilepsy from an unspecified date. Concomitant medications included Levetiracetam from an unknown start date for unspecified indication. The patient had no other vaccine in 4 weeks. The patient did not have COVID prior to vaccination and was not tested for COVID post vaccination. On 14Mar2021 at 10:00, the patient experienced Left breast pain and slight shortness of breath began on Sunday am, day after vaccine. Also chills and upset stomach on 14Mar2021 at 10:00. No treatment was received for adverse events. The clinical outcome of all the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752513
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 10/01/2021
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: Chills; Achiness; Tiredness; Felt hot; Didn't feel good; I don't know if had fever I checked but I was sweaty; This is a spontaneous report from a contactable consumer, the patient. A 85-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EN6200), dose 2 via an unspecified route of administration on an unspecified date as dose 2, single (at the age of 85-year-old) for COVID-19 immunization. Medical history included ongoing hypertension, anaemia, blood cholesterol abnormal, cardiac disorder and stent placement. Concomitant medication included rosuvastatin calcium (CRESTOR) taken for blood cholesterol abnormal. Patient take unspecified high blood pressure medications. Patient was about to take Prolin shot for bones. but was advised to wait for 2 weeks. She asked if it was okay to take it afterwards. It was reported that the patient got the vaccine, second one on Monday. Monday, she felt okay and on Tuesday felt okay till the afternoon and then started getting the chills and achy and tired and then felt hot, did not know if had fever patient checked but she was sweaty when went back to lay down on bed so that lasted from about 3 o'clock in the afternoon and then the next morning which would have been Wednesday morning. The patient felt pretty good but not exactly like she should but then felt pretty good that day and then yesterday that was Thursday around 2 or 3 o'clock the same time patient started getting the same things, the chills and the achiness and tiredness and just did not feel good and then this morning patient was felt better but just tired. Patient reported vaccination date as The 8th, March 8th. Consumer stated, she think she was 5 feet 3 inches and 140 pounds. The patient did not receive any treatment for the events. The outcome of the events was unknown. No follow-up attempts were possible. No further information was expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness: Hypertension (Verbatim: Hypertension)

ID: 1752514
Sex: F
Age:
State: CA

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: right in the middle of sternum at the sternum side and pain was transferred to right and left shoulder area; right in the middle of sternum at the sternum side and pain was transferred to right and left shoulder area; really tired; She developed a very sharp pain on her sternum, which radiated from her right shoulder to the left. The pain increased and radiated to her left deltoid where she got injected; The pain increased and radiated to her left deltoid where she got injected; a little tight in her chest; arthritis pain; And even to swallow it bothers me too; But I went to bed, pain persisted that I could not get up, at midnight it got bad; it is severe if I have rough movement but it's not as bad if I am caseous to not to move too fast or raise my hand.; This is a spontaneous report from a contactable consumer(patient) via medical information team. A 78-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EN6200, expiry date: unknown) via an unspecified route of administration, administered in right upper shoulder, deltoid left on 12Mar2021 (at the age of 78-years-old) on Friday as dose 1, single for covid-19 immunisation. Medical history included ongoing osteoarthritis from an unknown date, ongoing pain from an unknown date, ongoing thyroid disorder from an unknown date and ongoing osteoskeletal problems. Concomitant medication included thyroxine sodium tablet taken for thyroid disorder at a dose of one a day, start and stop date were not reported, meloxicam taken for only when the pain was bad at a dose of 15 mg only one, start and stop date were not reported and it was reported that 15 mg only one, estradiol taken for an unspecified indication at a dose of 1 mg, daily, start and stop date were not reported, paracetamol (TYLENOL) taken for arthritis pain start and stop date were not reported and gabapentin for osteoskeletal problems not daily only when the pain was strong, start and stop date were not reported. Patient reported that she had vaccine on Friday and she experienced right in the middle of sternum at the sternum side and pain was transferred to right and left shoulder area yesterday afternoon at 15.00, after throwing a ball to her pet dog for 10-15 minutes with her right hand. After playing, she felt really tired and thought that it was maybe because of the weather but the pain never went away. Primarily stained on the left deltoid upper side, and it was severe if she had rough movement but it was not as bad if she was caseous to not to move too fast or raise her hand. She developed a very sharp pain on her sternum, which radiated from her right shoulder to the left. The pain increased and radiated to her left deltoid where she got injected. She had the pain yesterday afternoon about 15.00 but she suffered of osteoarthritis, and she did not like to take the medication, she would like to keep the pain. But it got worst time went by from 3 to 4, 5 o clock to bed, in bed the pain was bothering severely and the patient took TYLENOL that usually she took for arthritis, 650 mg only took 1. But she went to bed, pain persisted that she could not get up, at midnight it got bad and she had some pain medications because she already suffered from arthritis. And even to swallow it bothered her too. So, the patient took a Gabapentin for osteoskeletal problems and she was sitting here in the kitchen doing some paperwork because the pain was bothering her which she felt that probably the Gabapentin did not help her as usually it does. So, she just wanted to know what type of medication should she take just to minimize the pain. As of calling, she still had pain and mentioned that it was painful just holding the phone to her left ear. She could also feel that it was a little tight in her chest. She mentioned that she has bone pain because of arthritis. She was calling to report this and asked for any advice regarding this because none of her pain medications work and she did not want to mess up her vaccine. The patient reported that when she took Gabapentin and Tylenol as a treatment to subside pain but the pain came back and the consumer wanted to know what she can take, consumer stated. The outcome of the events was unknown. 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; Pfizer, Inc. EUA 027034

Current Illness: Musculoskeletal disorder; Osteoarthritis (Verbatim: Osteoarthritis); Pain; Thyroid disorder

ID: 1752515
Sex: F
Age:
State: ID

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data: Test Name: Height; Result Unstructured Data: Test Result:It is 5 and may be one quarter

Allergies:

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

Symptoms: My arm felt more sore; It is just pinky red and sometimes it feels warm/there is a rash around it is 3 inches now round; It is just pinky red and sometimes it feels warm/there is a rash around it is 3 inches now round; This is a spontaneous report from a contactable consumer (patient herself) . An 80-years-old female received bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: ENV202, Expiry Date-Unknown) via an unspecified route of administration on 04Mar2021 as DOSE 2, SINGLE (at the age of 80-years-old) for COVID-19 immunisation. The patient medical history and concomitant medication were not reported. On 10Mar2021 (6 days after the vaccination), patient experienced arm felt more sore, It is just pinky red and sometimes it feels warm/there is a rash around it is 3 inches now round. Patient got her second shot on 04Mar2021 and yesterday noticed that her arm felt more sore and there was a rash around it was 3 inches now round but today it was pink. Last night it was more red. Patient did not had a temperature and is this was normal reaction. Patient stated height was 5 and may be one quarter. Patient stated it does not hurt or anything. It is just pinky red and sometimes it feels warm. Otherwise it does not bother her but it is like okay. The outcome of arm felt more sore was recovered on an unspecified date in Mar2021 and remaining events outcome were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752516
Sex: F
Age:
State:

Vax Date: 03/10/2021
Onset Date:
Rec V Date: 10/01/2021
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: This is a spontaneous report from a noncontactable consumer (patient). A female patient, of an unspecified age, received the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, batch/lot# not reported), via an unspecified route of administration, on Mar 10, 2021, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. On an unspecified date, the side of her face became swollen with red spots. The outcome of the events: unknown. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752517
Sex: U
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I had hives and scratching all over; I had hives and scratching all over; This is a spontaneous report received from a contactable consumer or other non hcp. A patient of unspecified age and gender received bnt162b2 (Pfizer covid19 vaccine,Batch/Lot number was not reported), via an unspecified route of administration on 11Mar2021, as Dose number unknown,single for covid-19 immunization.The patient medical history and concomitant medications were not reported.The patient experienced hives and scratching all over on Mar2021.The Consumer was informed about Pfizer Medical information department and was provided with the number.Product details (LOT#, expiration date, NDC# and UPC#) and other details were unknown as the Consumer hung up the call abruptly.The outcome of the events was unknown. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752518
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: face tingle; little itchy; eyes were really red and watering; eyes were really red and watering; chest felt like I had bronchitis; fever; burning in her chest; arms are red; she has been scratching; my face was red and itching; eyes were really red and watering could feel as if she had a cold in her eye; This is a spontaneous report from a contactable consumer(patient). A female patient of an (Age:50, Unit: Unknown) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: not reported), via an unspecified route of administration on 11Mar2021 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included panic attack . The patient's concomitant medications were not reported. Patient got a shot on Thursday and had certain signs and symptoms, and this could just be side effects of getting the vaccine. Reporter states, when I got the shot and on an unspecified date in 2021, I felt my face tingle and it was a little itchy but I ignored it because I've had a panic attack in the past. Later my arms were red and itching and my face was red and itching. My eyes started watering later and yesterday my eyes were really red and watering could feel as if she had a cold in her eye. On Sunday my chest felt like I had bronchitis coming on. I had a fever. Caller states she was itching, said it started that she could feel a tingle on her face and then progressed, states her arms are red and she has been scratching. Stated she took Benadryl to treat it, noticed her eyes have been watering, states yesterday eyes were red and watering, could feel as if she had a cold in her eye, last night she had a fever and she was going to go to the doctor, also felt burning in her chest on Sunday. Caller is unsure if this has anything to do with the vaccine, states she wanted to call to see if anyone else had reported similar symptoms. Patient had burning in her chest. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752519
Sex: F
Age:
State: MO

Vax Date: 03/10/2021
Onset Date: 03/01/2021
Rec V Date: 10/01/2021
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: Test Date: 20210310; Test Name: Body temperature; Result Unstructured Data: Test Result:Low grade fever never about 99.3; Test Date: 202103; Test Name: rapid strep test; Test Result: Negative

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: severe chills; sore throat; low grade fever never about 99.3; extremely tired; still feeling not right really blah; pus pockets and red throat; pus pockets and red throat; both sides of the neck hurt; This is a spontaneous report from a contactable consumer (patient). This consumer reported two reports, This is first of two reports. A 56-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot Number: EN6206), via an unspecified route of administration, administered in left arm on 10Mar2021 at 08:54 (at the age of 56-year-old) as dose number unknown, single for COVID-19 immunisation. Medical history included asthma, fibromyalgia, osteoarthritis, atrial fibrillation, several known allergies and several more condition. The patient had unknown concomitant medication. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and Since the vaccination, the patient had not been tested for COVID-19. On 10Mar2021 at 17:30, by evening the patient had severe chills during the night sore throat started, low grade fever never about 99.3 and the patient was extremely tired. On Sunday 14Mar2021, it was the first full day without a fever. Sore throat did not stop, and the patient was still feeling not right was really blank. The patient saw the nurse practitioner on 16Mar2021. It was said that the patient had pus pockets and red throat, both sides of neck hurt in Mar2021. The patient was tested negative for rapid streptococcus test in Mar2021 and it was sent for culture. The patient did not receive any treatment for the reported events. The outcome was not recovered for the reported events. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021301225 Same reporter/product, different patient

Other Meds:

Current Illness:

ID: 1752520
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 10/01/2021
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: the roof of my mouth swelled and it went to my ears; her throat didn't close up; This is a spontaneous report from a contactable consumer (patient). A 74-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 25Feb2021 (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunization (age at vaccination 74-year-old). Medical history included historical allergy to IV dye (During this call she also mentioned having it) from an unknown date and unknown if ongoing and concomitant medications were not reported. The patient stated that she received her first Pfizer COVID vaccine dose on 25Feb2021 and 10 minutes afterwards the roof of my mouth swelled, and it went to her ears, her throat did not close up and so she did not go to get it checked out. But states that now she was due for her second shot, and she asked, should she take Benadryl beforehand to prevent a reaction, she spoke with her healthcare professional who was nonchalant about the whole thing, and he did not seem to care, she also asked her pharmacist who said there was not any contraindication to taking Benadryl prior to vaccination. She called now to get advice and guidance.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: 1752521
Sex: F
Age:
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 10/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm itchy; swelling in hands and arm; arm hurts; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 24-years-old female patient received first dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Right on 24Feb2021 14:00 as DOSE 1, SINGLE for covid-19 immunisation (age at vaccination 24 years). Medical history was none. Concomitant medication included ascorbic acid, betacarotene, biotin, calcium, chromium, colecalciferol, copper, eleutherococcus senticosus root, folic acid, iodine, iron, magnesium, manganese, nicotinic acid, pantothenic acid, potassium, pyridoxine hydrochloride, riboflavin, selenium, spirulina spp., vitamin b1 nos, vitamin b12 nos, vitamin e nos, zinc (WOMEN'S MULTI [ASCORBIC ACID;BETACAROTENE;BIOTIN;CALCIUM;CHROMIUM;COLECALCIFEROL;COPPER;ELEUTHEROCOCCUS SENTICOSUS ROOT;FOLIC ACID;IODINE;IRON;MAGNESIUM;MANGANESE;NICOTINIC ACID;PANTOTHENIC ACID;POTASSIUM;PYRIDOXINE HYDROCHLORIDE;RIBOFLAVIN;SELENIUM;) taken for an unspecified indication from an unspecified start date and ongoing; biotin (BIOTIN) taken for an unspecified indication from an unspecified start date and ongoing. The patient experienced swelling in hands and arm, arm hurts on 25Feb2021, arm itchy on an unspecified date. Caller stated, she had swelling in hands and arm. Also when she laid on her arm it hurt and she was itchy. Therapeutic measures taken as a result of events included treatment with Tylenol and Advil. The events resulted in physician office visit. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

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

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am