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: 1752522
Sex: F
Age:
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: brief minor nosebleed several hours after shot; sore arm for several days; This is a spontaneous report from a contactable consumer (patient). A 69-years-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Unknown), via an unspecified route on 11Mar2021 at 16:15 (at the age of 69-years) as dose 1, single in the left arm for covid-19 immunisation. The patient medical history included diabetes, high blood pressure, asthma and had nosebleeds when taking Naproxen; depression worsened on anti-depressives. The patient concomitant medications were not reported. The patient did not receive any other vaccines within four 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 11Mar2021 at 20:00, the patient experienced brief minor nosebleed several hours after shot; sore arm for several days. Patient did not received treatment for events. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

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: 1752523
Sex: M
Age:
State: MI

Vax Date: 03/08/2021
Onset Date: 03/16/2021
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: Test Date: 20210316; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Unknown result; Comments: Covid test result=Pending

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever; Diarrhea; Chills; Headache; Sore Throat; This is a spontaneous report received from a contactable consumer or other non hcp. A 23-years-old male patient received 1st dose of bnt162b2 (COMIRNATY,Batch/Lot Number: EN6206), via an unspecified route of administration, administered in Arm Left on 08Mar2021 13:00,at the age of 23 years old, as Dose 1,single for covid-19 immunization.Medical history included none from an unknown date and unknown if ongoing.The patient's concomitant medications were not reported.The patient experienced fever, diarrhea, chills, headache and sore throat on 16Mar2021 12:00.The patient underwent lab tests and procedures which included sars-cov-2 test: unknown result on 16Mar2021 Covid test result=Pending.The patient had not received any other medication within 2 weeks.The patient had not diagnosed with covid prior to vaccination and was tested for covid post vaccination.The patient had not received any other vaccine within 4 weeks.The adverse event resulted in emergency room visit of patient.The outcome of the event was not recovered.The patient had not received any treatment for the event. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752524
Sex: F
Age:
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: little bit of rash on her legs and a tiny bit on her arms; slight burning sensation on her left breast; left shoulder pain; tired; Soreness in her arm; This is a spontaneous report from a contactable consumer (patient). A 72-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9265), via an unspecified route of administration in the left arm on 05Feb2021 at 10:00 (at the age of 72-years-old) as dose 1, single for COVID-19 immunization. Medical history included blood pressure abnormal and dermatitis from an unknown date and unknown if ongoing. Concomitant medication(s) included amlodipine besilate, valsartan (EXFORGE) taken for blood pressure abnormal from an unspecified start date and ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient clarified that she received the first dose of the Pfizer COVID 19 vaccine on 05Feb2021 at 10:00AM in the left arm. That day she noticed soreness in her arm. Mentioned she took two Tylenol and the soreness went away. The second day (06Feb2021) she got really tired and noticed a slight burning sensation on her left breast, also reported left shoulder pain. A week after the first dose (on 11Feb2021) she had a little bit of rash on her legs and a tiny bit on her arms, but it was not noticeable, it did not itch; and it went away. The events did not result in emergency or physician room visit. Therapeutic measures were taken as result of soreness in her arm. The clinical outcome for the events was recovered for little bit of rash on her legs and a tiny bit on her arms on an unspecified date in 2021 and soreness in her arm on 05Feb2021, slight burning sensation on her left breast and left shoulder pain on 06Feb2021 and tired on 08Feb2021. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752525
Sex: F
Age:
State: FL

Vax Date: 02/25/2021
Onset Date: 03/01/2021
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: a rash on her legs and it is almost like dermatitis; a rash on her legs and it is almost like dermatitis/; the rash is real light pale red bumps and itches like crazy from her knee cap; the rash is real light pale red bumps and itches like crazy from her knee cap; dry skin; This is a spontaneous report from a contactable consumer(Patient). A 73-years-old female consumer had receivedbnt162b2 (Pfizer-biontech COVID-19 vaccine, Solution for injection, Batch/lot number: EN6200) via an unspecified route of administration on25 Feb2021into left arm at 10:00 as DOSE 2, SINGLE for covid-19 immunization (at age of 72 years). The patient medical history had included blood pressure and concomitant medication involved Amlodipine besilate, valsartan (EXFORGE,5/160 mg; take once daily by mouth) for the blood pressure. It was reported that patient did not receive any vaccination within 4 weeks prior to vaccination. The patient did not have any family medical history. The patient previously took bnt162b2 (Pfizer-biontech covid-19 vaccine, Solution for injection, Batch/lot number: EL9265) via an unspecified route of administration on 05Feb2021at 10:00 AM (at 72-year-old) in the left arm as DOSE 1, SINGLE for covid-19 immunization and experienced rash(on11Feb2021), soreness in her arm (on 5Feb2021), slight burning sensation on her left breast(on 06Feb2021) left arm shoulder pain(06Feb2021) and tired(06Mar2021). On Mar2021 the patient had experienced a rash on her legs, and it is almost like dermatitis/the rash is real light pale red bumps and itches like crazy from her kneecap all the way down to the ankle on both legs/also peppered on her arms, a little on both top part of her arms and dry skin. Therapeutic measures were taken as a result of AE and treatment included with moisturising cream and dermatitis cream. The patient did not visit to physician office. The clinical outcome of the events were not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752526
Sex: F
Age:
State: CA

Vax Date: 03/13/2021
Onset Date: 03/01/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: rash at the injection site and today it is 2 inches in diameter and itchy; rash at the injection site and today it is 2 inches in diameter and itchy; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number and expiration date was not reported) via an unspecified route of administration on 13Mar2021 as dose 2, single for COVID-19 immunization. Patient historical vaccine included first dose of BNT162B2 (Lot number and expiration date was not reported) via an unspecified route of administration on an unspecified date for COVID-19 immunization and experienced sore arm. The patient's medical history and concomitant medications were not reported. The patient received second dose of vaccine on Saturday and experienced rash at the injection site and today it is 2 inches in diameter and itchy on an unspecified date in Mar2021. The outcome of the events was unknown. No Follow-up attempts are possible. Information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1752527
Sex: U
Age:
State:

Vax Date:
Onset Date:
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:

Allergies:

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

Symptoms: I had the pain from the back of my "neck (hip)" (not clarified) although the way down to my "toes" (not clarified) all, except my left arm where I got the shot; I had the pain from the back of my "neck (hip)" (not clarified) although the way down to my "toes" (not clarified) all, except my left arm where I got the shot; I had the pain from the back of my "neck (hip)" (not clarified) although the way down to my "toes" (not clarified) all, except my left arm where I got the shot; 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: unknown) via an unspecified route of administration, in arm left on unspecified date as DOSE 1, SINGLE for covid-19 immunization at hospital.. The patient medical history included hard of hearing problem and concomitant medications were not reported. On an unspecified date the patient had experienced the pain from the back of my "neck (hip)" (not clarified) although the way down to my "toes" (not clarified) all, except my left arm where got the shot .Therapeutics measures were taken with AE and treatment included two different pills one was stronger and one was like "buffers" (not clarified the name), they gave two different pills when patient got home It was okay. The clinical outcome of the events were recovered. No follow up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752528
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Chills; Myalgias/arthralgias; arthralgias; Headache; This is a spontaneous report from a Non-Contactable Other HCP (Patient). A 25-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection) via an unspecified route of administration, administered in Arm Right on 11Mar2021 at 08:00 (batch/lot number was not reported) as dose 2, single for covid-19 immunization (at the age of 25-years-old). The patient medical history was not reported. Concomitant medication(s) included ascorbic acid, betacarotene, biotin, calcium carbonate, calcium pantothenate, chromic chloride, colecalciferol, cupric oxide, cyanocobalamin, dl-alpha tocopheryl acetate, ferrous fumarate, folic acid, magnesium oxide, manganese sulfate, nicotinamide, phytomenadione, pyridoxine hydrochloride, retinol acetate, riboflavin, sodium selenate, thiamine mononitrate, zinc oxide (ONE A DAY WOMEN'S) and birth control taken for an unspecified indication, start and stop date were not reported. Patient had no known allergies. The patient previously received first dose of Covid 19 vaccine (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date, as single dose for COVID-19 immunization at hospital. The patient has not received any other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. It was reported that after receiving the second dose of vaccine on 11Mar2021 at 21:00 the patient experienced chills, myalgias/arthralgias and headache. No treatment was received in response to the adverse events. The patient was recovering from all the events at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752529
Sex: F
Age:
State:

Vax Date:
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: rash; numbness; This is a spontaneous report received from a non-contactable consumer via Health Authority. A female patient (reporter's mother) of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on an unspecified date in 2021 as a dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Enquired, the consumer called on behalf of her mother for information about whether a rash and numbness would be a side effect for the administration of the Pfizer's COVID-19 vaccine. The consumer reported that, the patient (mother) was administered with the first dose of the vaccine 3 weeks ago and she was feeling these symptoms since Sunday. On 14Mar2021, the patient experienced rash and numbness. 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: 1752530
Sex: F
Age:
State: SC

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever; This is a spontaneous report from a contactable consumer (husband) reported for a 57-years-old female patient (wife). A 57-year-old female patient received first dose of bnt162b2 (Pfizer Covid-19 Vaccine, Solution for injection, Batch/lot number: Unknown, Expiry date: unknown), via an unspecified route on 11Mar2021 (age at vaccination: 57-year-old) as a single dose for covid-19 immunization. Medical history included Multiple sclerosis and Sjogren's. The patient concomitant medications were not reported. On 12Mar2021, patient experienced fever. Reporter was requested to contact nearest Physician in case of any emergency. Patient did not receive any treatment for the event. The clinical outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number cannot been obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1752531
Sex: F
Age:
State: MI

Vax Date: 02/17/2021
Onset Date: 02/01/2021
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:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: severe itching; severe itching/affected every inch of her body; she doesn't sleep and can't sleep; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9265, Expiration date: 31May2021), via an unspecified route of administration in the left arm on 17Feb2021 at 10:20 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL3249, Expiration date: 31May2021), via an unspecified route of administration in the left arm on 27Jan2021 at 10:20 as dose 1, single for COVID-19 immunization and routine flu shot but that was much earlier and was last year she thinks in Oct2020. Patient stated that she had severe itching that occurred after her second Pfizer COVID injection which was administered on 17Feb2021 and the itching began two days after that injection on 19Feb2021, stated the itching was ongoing and very much current and the itching affects different parts of her body at different times and affected every inch of her body on her back, feet, head, arms, fingers and other personal parts of her body that you can use your imagination for and the itching is on every inch of her body. She stated that not everything itches at the same time but the itching is consistent and never stops and seems worse at night when she sleeps; caller states she doesn't sleep and can't sleep and is miserable due to the itching, states she has used over the counter topical solutions and different solutions and gets relief from the itching for maybe 20-30 minutes and the relief does not last. She stated if she was lucky, she has to use the solutions over each other just to get some relief and does not know if the solutions work or not because the relief was for a very short period of time, the topical solutions she administered, one was hydrocortisone cream with expiry date Dec2023 on the imprinted edge, NDC 67234-010-01 and states she was not sure what the lot number was on that tube. She also used Cortisone 10 and never used that before but has used it now and states the expiry date is Jul2022, the lot is B80599 on the side of the bottle and the UPC is on the box but she disposed of the box. She also used an old bottle of Triamcinolone Acetonide lotion 0.1% that is an old bottle that she had from a couple of years ago or longer and used to use it because she had an injection or something going on like a scalp infection and was given this and only used it as needed; stated the Triamcinolone lot number is 76245, expiry date Dec2015, NDC 52565-011-59. Also used Mometasone Furoate topical solution USP 0.1% with lot L131333, UPC code on the back of 45802-118-59, and expiry date Apr2021. Reporter stated, if the itching had happened after the 1st dose of the Pfizer COVID Vaccine, then she would not have had the 2nd dose and it is strange that this happened because if the doses are the same formula then why did the itching not happen with the first dose and then the itching happened three weeks later. She further, stated when she had the reaction of itching on her back, she was using a stick that looks like it had fingers on it and the back which has severe irritation and she gets relief of some kind but that has been going on for three weeks. She asked her pharmacist or HCP of where she gets medication and he suggested, Benadryl which she had never taken before and did not know what it was for and he explained what it was for and she got the tablets, she clarified to state it is not the brand Benadryl but the generic and she assumed it was the same kind. The first two times she took the generic Benadryl, Meijer brand, she took it three days apart and all it did was put her to sleep which was ok but she doesn't stay asleep and it made her feel hungover the next day and she decided she does not want to take that routinely but the last time she took it, it did not work at all and she was miserable all night long with the itching. She thinks the Meijer brand was still in the original packaging and it says it was allergy tablets. Patient stated for the Meijer brand of generic Benadryl, she does not know the lot number on the packaging, states she does see OLE2613, expiry date Jan2022 and the lot was not identified. The events did not result in emergency room or physician room visit. Therapeutic measures were taken as a result of severe itching (pruritus). The clinical outcome for events was unknown except not recovered for severe itching/affected every inch of her body. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752532
Sex: M
Age:
State: WI

Vax Date: 03/13/2021
Onset Date: 03/01/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: knee hurts; This is a spontaneous report from a Pfizer-sponsored program from a contactable male consumer reported for himself. A male patient of an unspecified age received bnt162b2 (PFIZER BIONTECH COVID-19 MRNA VACCINE Solution for injection Lot number was not reported) via an unspecified route of administration on 13Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date Mar2021, the patient experienced knee hurts and asked when he can take Ibuprofen after the dose 1 since his knee hurts. The clinical outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1752533
Sex: M
Age:
State:

Vax Date: 03/01/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: This is a spontaneous report received from a contactable (patient). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration on 01Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Caller states he has the 1st dose of the Pfizer COVID19 vaccine on 01Mar2021 and was supposed to go back next Monday for the 2nd dose; states his HCP just put him on an antibiotic regimen for something he just contracted, and he wants to know if there was information related to taking the antibiotic and receiving the Pfizer COVID Vaccine. He wants to know how this medication would affect the vaccine. The outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1752534
Sex: F
Age:
State: MT

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

Lab Data: Test Date: 20200526; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: I was suddenly hit with severe muscle and joint pain; I was suddenly hit with severe muscle and joint pain; Patient received first dose of vaccine on 01Mar2021 and received second dose of vaccine on 06Mar2021; This is a spontaneous report from a contactable consumer or other non hcp (patient, self-reported). A 79-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported) via an unspecified route of administration in Arm left, on 06Mar2021 at 12:00 PM, as a single dose for COVID-19 immunization at hospital (Age at vaccination was 79 years old). Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported) via an unspecified route of administration, on 01Mar2021 at 12:30 am, as a single dose for COVID-19 immunization at hospital. The patient was not pregnant at the time of vaccination. The patient medical history included RA (rheumatoid arthritis), ISBC (irritable bowel syndrome), GERD (gastroesophageal reflux disease) and moderately high blood pressure and allergies to codene. Concomitant medication included immunosuppresent SULFASALAZINE for RA (rheumatoid arthritis). On 06Mar2021, the patient had Inappropriate schedule of product administration. It was reported that patient received first dose of vaccine on 01Mar2021 and received second dose of vaccine on 06Mar2021 and stated that on 14Mar2021 at 12:00 PM, after second vaccination she was suddenly hit with severe muscle and joint pain. It lasted for 36 hours and then gradually began to improve and the only immunosuppresent patient take was Salfasalazine for RA. 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 been tested for COVID-19. The patient did not receive any treatment for the events. The patient underwent SARS-CoV-2 test Nasal swab with the result of negative on 26May2020. Outcome of the events muscle pain and joint pain was recovering and outcome was unknown for the event of inappropriate schedule of product administration. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752535
Sex: F
Age:
State: WV

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: joint pain /shoulders hurt; muscle pain; Achiness/moderate amount of pain; sore left arm/upper arms both really hurt; This is a spontaneous report from a contactable consumer (patient). A 53-year-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6208), via an unspecified route of administration, administered in left arm on 11Mar2021 at 10:00 A.M (at the age of 53-year-old) at single dose for COVID-19 immunisation. The patient medical history included high blood pressure and anxiety and known allergies included Peridium and Diflucan. Concomitant medications included amitriptyline and losartan (LOSARTAN). Patient did not receive other vaccine in four weeks. The patient was not diagnosed with COVID prior vaccination and was not tested for COVID since vaccination. The patient just had a bit of a sore left arm as with any other vaccine on 11Mar2021 when received the COVID vaccine. On 16Mar2021 at 09:00AM (day of report) both shoulders and upper arms both really hurt. It was like sore left arm, both of shoulders and upper arms both really hurt as well. The patient has not done any new exercise or heavy lifting recently. It felt like the joint pain and achiness that you have when you were sick with a virus. The patient does not have any other symptoms, except moderate amount of pain. The patient received ibuprofen, but it had not helped a lot. The clinical outcome of events was reported as not recovered. No follow-up attempts are Possible. No further information is expected.

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

Current Illness:

ID: 1752536
Sex: F
Age:
State: NJ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: Test Name: 101.6 temperature; Result Unstructured Data: Test Result:101.6; Test Name: Covid-19; Test Result: Positive

Allergies:

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

Symptoms: 101.6 temperature; My arm hurts a little; Chills; Weakness; This is a spontaneous report from a contactable consumer (patient herself). A 55-years-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: Pfizer Eng 205), dose 1 via an unspecified route of administration, administered in Arm Left on 15Mar2021 at 13:30 (at the age of 55-years-old) as a DOSE 1, SINGLE for covid-19 immunisation. The patient medical history included rash; known allergy from an unknown date and unknown if ongoing reported as, I had rashes with unknown cause but not from food. Patient reported that, I had Covid last year (2020). Other medical history was none. The patient's concomitant medications were not reported. No other vaccine was administered in four weeks of vaccination. Patient had covid prior vaccination and has not tested for covid post vaccination. On 15Mar2021 at 19:00, the patient experienced 101.6 temperature, my arm hurts a little, chills and weakness. Patient reported that, my arm hurts a little. The next day in the afternoon I had chills and feeling weak. About 7:00 pm has a 101.6 temperature. Patient said, I had Covid last year (2020) and still has antibodies present according to my last blood test. No treatment was received for the event. The patient underwent lab tests and procedures which included pyrexia that was 101.6 on an unspecified date and sars-cov-2 test that was positive on an unspecified date. Outcome of all the events were Resolving. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752537
Sex: F
Age:
State: KY

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

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

Lab Data:

Allergies:

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

Symptoms: fatigue; rib cage pain; joint pain; no appetite; dry eyes; mild sinusitis; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 23Feb2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Feb2021, consumer experienced fatigue, rib cage pain, joint pain, no appetite, dry eyes and mild sinusitis. Patient was scheduled on 16Mar2021 for her second dose. Patient asked if she can still take the second dose and what was the percentage that the vaccine will be effective. 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: 1752538
Sex: F
Age:
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: sustained high fever; swelling and itching at injection site; swelling and itching at injection site; loss of appetite; nausea; chills; fatigue; joint pain; wheezing and congestion; wheezing and congestion; headache; dizziness; shaking; This is a spontaneous report from a contactable other HCP (patient herself). A 45-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation, solution for injection, lot number: EN6208, expiry date: unknown) via unspecified route of administration, in left arm on 12Mar2021 13:45 (age at vaccination: 45-years) as dose 1, single for covid-19 immunisation. Patient was not pregnant at the time of vaccination. Patients medical history included covid 19 in Jun2020, asthma from an unspecified date and unknown if ongoing. Concomitant medications were not reported. Patient had been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. She did not take any other vaccines in four weeks, or medications in two weeks. On 13Mar2021 04:00, patient experienced sustained high fever, swelling and itching at injection site, loss of appetite, nausea, chills, fatigue, joint pain, wheezing and congestion, headache, dizziness, shaking. Treatment received due to the adverse events was not known. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752539
Sex: F
Age:
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: Leg feels heavy; Knee has throbbing type pain that comes in and out/; Pain in her arm; Little bruises on legs, mostly on thighs; Numbness in cheek; Tongue was a little bit numb; Cheek and face were a little bit swollen; Upper body itching; Cheek was very hot; Very strong headache; Left side of neck is stiff; This is a spontaneous report from a non-contactable consumer or other non hcp. A 49-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6202), dose 1 via an unspecified route of administration, administered in Arm Left on 11Mar2021 13:57 as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient has no known allergies. Patient did not receive other vaccine in four weeks of vaccination. Patient was not diagnosed with any event, prior vaccination. On 12Mar2021 the patient experienced pain in her, numbness in cheek on 11Mar2021, tongue was a little bit numb on 11Mar2021, cheek and face were a little bit swollen on 11Mar2021, little bruises on legs, mostly on thighs on 12Mar2021, leg feels heavy on 13Mar2021, knee has throbbing type pain that comes in and out on 13Mar2021, upper body itching on 11Mar2021, cheek was very hot on 11Mar2021, very strong headache on, left side of neck is stiff on 11Mar2021. The events little bruises on legs, mostly on thighs, leg feels heavy, knee has throbbing type pain that comes in and out, very strong headache were not recovered while all other events were recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752540
Sex: F
Age:
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: 20210312; Test Name: Fever; Result Unstructured Data: Test Result:102 Fahrenheit

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever 102 degrees Fahrenheit; nausea; heartburn; red at injection shot; swollen; itchy; Chills; This is a spontaneous report from a non-contactable consumer. A 41-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 11Mar2021 (at the age of 41 year) as dose number unknown, single for COVID-19 immunisation. The patient medical history was not reported. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. The patient's concomitant medications were not reported. Patient was not pregnant at the time of vaccination. On 12Mar2021, patient experienced fever 102 degrees Fahrenheit, chills, nausea, heartburn, red at injection shot, swollen, and itchy. It was reported that no therapeutic measures were taken for the events experienced. The patient underwent lab tests and procedures on 12Mar2021 which included body temperature: 102 Fahrenheit. The outcome of events was recovering. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752541
Sex: M
Age:
State:

Vax Date: 03/05/2021
Onset Date: 03/01/2021
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: Got very ill with this vaccine; Fever; Chills; This is a spontaneous report from a contactable consumer. This consumer reported for a male patient (husband). This is the second case out of two cases. A male patient of unspecified age had received BNT162B2 (Pfizer-biontech covid-19 vaccine, solution for injection) via an unspecified route of administration on 05Mar2021 (Batch/Lot number was not reported) as dose 1, single for covid-19 immunization. The patient's medical history included Covid-19 in the month of Oct 2020. The patient concomitant was not reported. Reporter stated that after receiving the dose of vaccine on an unspecified date in Mar2021 the patient got very ill with this vaccine and had fever and chills. The outcome of the events was unknown. No follow up attempts are possible; information on Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752542
Sex: F
Age:
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: Pain from shoulder to fingers in injected arm; Full-body itchy skin but no visible rash; This is a spontaneous report from a contactable consumer reported for herself. A 26-year-old non pregnant female patient received bnt162b2 (PFIZER BIONTECH COVID-19 MRNA VACCINE Solution for injection Lot Number: EN6208) via an unspecified route of administration in arm left on 10Mar2021 as dose 1, single (age at vaccination: 26 years) for COVID-19 immunisation. Medical history included none relevant history. Concomitant medications included spironolactone (SPIRONOLACTONE) taken for an unspecified indication, start and stop date were not reported. No other vaccine in four weeks. Other medications in two weeks were birth control and spironolactone. No COVID prior vaccination and did not tested COVID post vaccination. No known allergies. On 10Mar2021, the patient experienced full-body itchy skin but no visible rash, pain from shoulder to fingers injected arm. No treatment was received. The clinical outcome of the event was not resolved. No follow-up attempts are needed. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1752543
Sex: F
Age:
State:

Vax Date: 03/05/2021
Onset Date: 03/01/2021
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: Unevaluable event

Symptoms: Little headache; Sneezing; Runny Nose; This is a spontaneous report received from a contactable physician (Patient reported for herself). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on 05Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications. Patient stated she took first dose on 05Mar2021. In Mar2021 She has something in her arm and a little headache. The next day, her arm was getting better. After 2 days all were normal. Then in two days, which would be 5th day, she began having sneezing and runny nose for 2 days. This is not a common symptom that people who take the vaccine experience. She would like to know if this is something serious and if she should go to the doctor. The outcome of the event headache was reported as recovered on Mar2021 and while other events was unknown. No follow up attempts are possible. Information about Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752544
Sex: U
Age:
State:

Vax Date: 03/08/2021
Onset Date: 03/01/2021
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: could not walk; my legs started to hurt; my knees to the back top of my calf's that was horrible pain; slight sore throat; This is a spontaneous report from a contactable consumer or other non hcp. A patient of unspecified age and gender received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6203) via an unspecified route of administration on 08Mar2021 as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included guillain-barre syndrome from an unknown date and unknown if ongoing, Epstein Barr viraemia from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced could not walk on 11Mar2021, slight sore throat on Mar2021, my legs started to hurt on 11Mar2021, my knees to the back top of my calf's that was horrible pain on 11Mar2021. Limited information was provided by the caller. Therapeutic measures were taken as a result of could not walk, my legs started to hurt, my knees to the back top of my calf's that was horrible pain was pain medication. The outcome of the events oropharyngeal pain walking disability, pain in extremity, arthralgia was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752545
Sex: F
Age:
State: OH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Tightness in chest; Sore throat; Fatigue; This is a spontaneous report from a non-contactable consumer or other non hcp. A 27-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 13Mar2021 16:45 (age at vaccination: 27-Years-old) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Patient didn't had COVID-19 prior to vaccination. Patient didn't other vaccines within 4 weeks prior to vaccination, patient had received other medication was Daily multivitamin within 2weeks of vaccination. The patient medical history and concomitant medications were not reported. On 13Mar2021 18:00 the patient experienced tightness in chest, sore throat, fatigue. No therapeutic measures were taken for the events. Patient was not tested with COVID-19 to post vaccination. The outcome of the events chest discomfort, oropharyngeal pain, fatigue was unknown. No follow-up attempts are Possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752546
Sex: U
Age:
State: OH

Vax Date: 03/08/2021
Onset Date: 03/10/2021
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: I started getting a cough; I have been restless at sleeping at night when I lay down it's hard to breathe; I have been restless at sleeping at night when I lay down it's hard to breathe; This is a spontaneous report from a contactable consumer. A consumer (patient) of unknown age and gender reported that he/she received dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EN6204) via an unspecified route of administration on 08Mar2021 at 11:40 as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 10Mar2021 the patient started getting side effects, he/she started getting cough and had been restless at sleeping at night when he/she layed down it was hard to breathe and in the daytime it felt fine. Patient would like to know do you have any idea and how long these symptoms would last. The event outcome was unknown. No follow-up attempts were possible; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1752547
Sex: F
Age:
State: WI

Vax Date: 01/28/2021
Onset Date: 02/18/2021
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:

Allergies:

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

Symptoms: numbness/tingling in arms and legs; migraine; fever; chills; Extreme fatigue; SOB; numbness/tingling in arms and legs; This is a spontaneous report from a contactable other hcp. A 28-year-old non pregnant female patient received bnt162b2 (BNT162B2, solution for injection, Lot number was not reported) dose 1 intramuscular, administered in the left arm on 28Jan2021 18:30 (at the age of 28 years old) dose 1, single for COVID-19 immunisation at public health clinic/veterans. Patient was not pregnant at the time of vaccination. The patient's medical history included anxiety, and migraine. Patient had no known allergies. Concomitant medications included bupropion. No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 18Feb2021 at 12:00, the patient experienced extreme fatigue, SOB, numbness/tingling in arms and legs, migraine, fever, chills. No treatment was given. The clinical outcome of the events was reported as recovered on an unspecified date of 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752548
Sex: F
Age:
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: This is a spontaneous report from a contactable consumer or other non hcp (patient). A 74-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number was EN6200 and expiration date was not reported), via an unspecified route of administration, administered in right arm on 16Feb2021 at 14:45 (Age at vaccination was 74 years) as dose 2, single for covid-19 immunization. Medical history included knee arthroplasty on an unknown date. The patient was allergic to IV iodine. There were no concomitant medications. The patient did not have COVID-19 prior to vaccination. The patient did not take other vaccine within four weeks and other medication within two weeks. The patient also took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number was EL8982 and expiration date was not reported) via an unspecified route of administration, administered in right arm on 26Jan2021 at 14:45 (Age at vaccination was 74 years) as dose 1, single for covid-19 immunization. On 16Feb2021 at 20:00 the patient experienced terrible joint pain and patient stated that 6 hours after 2nd vaccination I could hardly walk as knees giving way. The patient did not tested COVID post vaccination. Adverse event resulted in doctor or other healthcare professional office. Physical therapy was taken as therapeutic measures for the events. The outcome of both the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752549
Sex: F
Age:
State: NY

Vax Date: 03/06/2021
Onset Date: 03/08/2021
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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills; tiredness; headache; feeling unwell; swelling & pain in right wrist; swelling & pain in right wrist; This is a spontaneous report from a contactable consumer(patient). A 78-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on 06Mar2021 at 10:15 AM (age at vaccination: 78-years-old), as dose 2, single for COVID-19 immunization. The patient's medical history included arthritis. Concomitant medications included atorvastatin. The patient was allergic to morphine, codeine and darvacet. The patient did not receive any vaccine within four weeks. The patient was not diagnosed with COVID prior vaccination. The patient was not tested for COVID post vaccination. On 08Mar2021, at 7:00 PM, the patient experienced chills, tiredness, headache, feeling unwell, swelling & pain in right wrist. The patient did not receive any treatment for the events. 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: 1752550
Sex: F
Age:
State: OH

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Chills; injection site pain/ache; fever; generally feeling unwell; This is a spontaneous report from a contactable consumer (patient herself). A 55-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EN6198), via an unspecified route of administration, administered in Arm Left on 12Mar2021 as dose 2, single for COVID-19 immunisation (Age at Vaccination was 55 years). The patient medical history included hypothyroidism. Concomitant medications included Cetirizine hydrochloride (ZYRTEC (CETIRIZINE HYDROCHLORIDE)) and Levothyroxine. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EN6198), via an unspecified route of administration, administered in Arm Left on 18Feb2021 10:15 as dose 1, single for COVID-19 immunization (Age at Vaccination was 55 years). It was stated that she was not a pregnant at the time of vaccination. She did not take any other vaccine in four weeks prior COVID vaccine. The other medications in two weeks include Zyrtec, Levothyroxine. She was not diagnosed with COVID-19 prior to vaccination, not been tested for COVID-19 since the vaccination and no known allergies. On 12Mar2021 21:15, the patient experienced chills, injection site pain/ache, fever, generally feeling unwell. No therapeutic measures were taken as a result of events. The outcome of events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1752551
Sex: M
Age:
State: LA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Nausea

Symptoms: 100 Degree Fever; Headache; This is a spontaneous report from a contactable consumer (patient himself). A 63-years-old male 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 Left on 12Mar2021 09:00 (at the age of 63-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included blood pressure increased, gout, cardiac disorder, hernia and COVID-19 from an unknown date and unknown if ongoing. Patient had not any known allergies. Other medications (concomitant medications) in two weeks was reported as yes (drugs not specified). The patient experienced 100 degree fever and headache on 12Mar2021 23:00. Patient did not receive any treatment for adverse event. The outcome of both the events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752552
Sex: F
Age:
State: HI

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Pain; redness; swelling to over 2in still after 60 hours; This is a spontaneous report from a contactable consumer (patient) via regulatory authority. A 31-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Left on 10Mar2021 09:00 (lot number: EN6206; expiry date: unknown) at the age of 31-years-old, as dose 1, single, for Covid-19 immunisation. Medical history included Covid. There were no concomitant medications. The patient was not pregnant at the time of vaccination. The patient did not receive other vaccines in four weeks. The patient was not diagnosed with Covid-19 prior vaccination. On 10Mar2021, at 15:00, the patient experienced pain, redness, swelling to over 2 in still after 60 hours. The patient did not receive treatment for the events. The event resulted in doctor or other healthcare professional office/clinic visit. Outcome of the events was not recovered. The patient has not been tested for Covid-19 post vaccination. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752553
Sex: F
Age:
State: WI

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

Lab Data:

Allergies:

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

Symptoms: Bad joint; muscle pain; there was some discomfort; a miserable case of the flu; This is a spontaneous report from a contactable consumer or other non-health care professional (Patient herself). A 76-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection Batch/Lot Number: EN6207 Expiration date: Unknown) via an unspecified route of administration, in Left arm on 11Mar2021 11:15 AM (at the age of 76-year-old) as dose 1, single for covid-19 immunization. Patients medical history included diabetes mellitus and covid-19 (prior vaccination) from an unknown date and unknown if ongoing. Patient does not have any known allergy and she was not tested for covid-19 post vaccination. If patient received other vaccine in four weeks was unknown and received any other medications in two weeks was unspecified (Too many for this space). On 12Mar2021 12.00 AM patient experienced Bad joint and muscle pain, Like a miserable case of the flu without the sour stomach. It was like this the day after the shot, On the next day, there was some discomfort, but not like the day after. Patient did not receive any treatment. Outcome of events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752554
Sex: M
Age:
State: PA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Strange zit feeling in nasal cavity that moves around; feel the inflammation then moves to another spot ever; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 51-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EL7261) via an unspecified route of administration, administered in arm left on 08Feb2021 12:00 (at the age of 51-year-old) at dose 2, single for covid-19 immunisation. Medical history included babesiosis and known allergies: Asprin. Patient did not have covid prior vaccination. Patient was not tested for covid post vaccination. Patient did not have other vaccine in four weeks. Concomitant medications included hydroxychloroquine sulfate (PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]); lisinopril (LISINOPRIL); fish oil (FISH OIL); colecalciferol (D3) all taken for an unspecified indication, start and stop date were not reported (other medications in two weeks). The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EL3249) via an unspecified route of administration, administered in arm left on 18Jan2021 17:00 (at the age of 51-year-old) at dose 1, single for covid-19 immunisation. On 15Feb2021 the patient experienced strange zit feeling in nasal cavity that moves around, feel the inflammation then moves to another spot ever since my second vaccination and continues to this day. Patient did not receive treatment for the adverse events. Outcome of the events was not resolved. No follow-up attempts are possible; No further information is expected.

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

Current Illness:

ID: 1752555
Sex: F
Age:
State: TX

Vax Date: 03/01/2021
Onset Date: 03/05/2021
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:

Allergies:

Symptom List: Tremor

Symptoms: Left side of face swollen, eyelid and nose; Left side of face swollen, eyelid and nose; Left side of face swollen, eyelid and nose; Under arm swollen knot; bad rash under arm; headaches; tiredness; This is a spontaneous report from a contactable consumer or other non hcp. A 64-years-old female non-pregnant patient received bnt162b2 (BNT162B2) formulation solution for injection, unknown (Lot Number: EN6202 expiry date was unknown) via an unspecified route of administration at arm left on 01Mar2021 15:00 as a single for covid-19 immunisation. The patient medical history and concomitant medication(s) included losartan, simvastatin, amlodipine. Prior to the vaccination the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. The patient experienced 05Mar2021 06:00 left side of face swollen, eyelid and nose. Under arm swollen knot, bad rash under arm, headaches, and tiredness. Outcome of the events was unknown. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1752556
Sex: U
Age:
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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 Date: 20210312; Test Name: Fever; Result Unstructured Data: Test Result:Low to medium grade fever

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Have a low to medium grade fever; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on 12Mar2021 at 10:00 as dose 1, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On 12Mar2021 patient stated "had my Pfizer Vaccine (Covid-19 Vaccine) today in the morning and just want to know that is it normal to have a low to medium grade fever, patient had it around 10:00 AM. So, is it normal for me to have fever like at night, started feeling this around at 08:30 or 9:00 I guess." In response to further probing, consumer stated, "No, I am at the bed right now and I need to sleep." The patient underwent lab tests and procedures which included body temperature with result low to medium grade fever on 12Mar2021. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752557
Sex: F
Age:
State: FL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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:

Allergies:

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

Symptoms: Rash/hives on back of neck; Rash/hives on back of neck; This is a spontaneous report from a contactable consumer. This 61-Years-old female consumer reported that: A 61-year-old (non-pregnant) female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EN6199), via an unspecified route of administration, administered in Arm Left on 06Mar2021 18:15 (at the age of 61 years old) as 1ST DOSE, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications was not reported. It was reported that no other vaccine was administered in four weeks. Patient had taken Other medications in two weeks. Patient did not have Covid prior to vaccination. Covid tested post vaccination was no. Patient had no known allergies.The patient experienced rash/hives on back of neck 06Mar2021 21:00. Therapeutic measure were taken as no as a result of events. The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752558
Sex: F
Age:
State: WI

Vax Date: 01/07/2021
Onset Date: 01/11/2021
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: Extreme itching and rash of bilateral upper extremities starting on arm of injection; Extreme itching and rash of bilateral upper extremities starting on arm of injection; This is a spontaneous report from a non-contactable nurse (patient). A 24-year-old female patient (age at vaccination: 24 years) received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL0142 and expiry date was not reported), via an unspecified route of administration, in Arm Right, on 07Jan2021, as a single dose for COVID-19 immunization and second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EL3248 and expiry date was not reported), via an unspecified route of administration, in Arm Right, on 25Jan2021, as a single dose for COVID-19 immunization at hospital. The patient was not pregnant at the time of vaccination. The patient's medical history included known allergies: pineapple. Concomitant medications included venlafaxine hydrochloride (EFFEXOR), methylphenidate hydrochloride (CONCERTA), buspirone, and birth control. Past drug included Dexamethasone (known allergies: Dexamethasone) and Bactrim (known allergies: Bactrim). The patient did not receive any other vaccine in four weeks. The patient was not diagnosed with COVID prior vaccination. The patient was not tested for COVID post vaccination. On 11Jan2021, the patient experienced extreme itching and rash of bilateral upper extremities starting on arm of injection and then moving lower. The adverse events were resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for the events. Outcome of the events was recovering. 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: 1752559
Sex: F
Age:
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: The entire left side of my body was effected with muscle aches; numbness; pain; fever; woke up with night sweats; left leg muscles were very sore; left side of my face was hot and the right side was cool; headache only on the left side; left side of my face (lips, eyelids, cheeks, gums...) was swollen and mildly numb in places; my face still a bit swollen and sensitive; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 47-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: not reported), via an unspecified route of administration in left arm on 04Mar2021 at 14:00 (at the age of 47-years-old) as dose 1, single for COVID-19 immunization. Medical history included known allergies to sulfa. Concomitant medications were not reported. Patient did not receive any other vaccine in four weeks. Patient did not receive any other medications in two weeks. Patient did not have COVID prior vaccination. Patient did not test COVID post vaccination. On 04Mar2021 at 20:00, the patient experienced the entire left side of body was effected with muscle aches, numbness, pain, and fever but only the left side. Patient woke up with night sweats but only sweating on the left side, left leg muscles were very sore. The left side of face was hot and the right side was cool. Patient had a headache only on the left side. The left side of face (lips, eyelids, cheeks, gums) was swollen and mildly numb in places. This all lasted for 5 days off and on, getting milder every day. By the 5th day, it was just face still a bit swollen and sensitive. Patient did not receive treatment for the events. Patient needed advice if patient should get the next shot, or if her body was having a weird neurological reaction that she should not get the next dose. Patient mentioned that it had been 1 week and patient felt back to normal. The outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752560
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: I am too sick; Lips are numb; Excruciating headache; Have rash on parts of my body; This is a spontaneous report from a contactable consumer (patient). A patient of an unspecified age and gender received unknown dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: unknown), via unspecified route of administration on an unspecified date as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, it was reported that patient was too sick, lips was numb, excruciating headache, had rash on parts of body. The clinical outcome of events were unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1752561
Sex: F
Age:
State: IN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: Fever; aches; chills; arm pain shoulder to wrist; general lethargy feeling of unwell; general lethargy feeling of unwell; This is a spontaneous report from a contactable consumer (patient) reported for herself that. A 53-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 10Mar2021 11:15 (Batch/Lot Number: EL9263) as DOSE 1 SINGLE for covid-19 immunizations (Age at vaccination 53 years). Facility type vaccine: Health Clinic. The patient past Medical history included PVCs (Premature ventricular contractions) from an unknown date and unknown if ongoing and covid-19 from an unknown date and unknown if ongoing if covid prior vaccination: Yes. Concomitant medication(s) included zinc (ZINC) taken for an unspecified indication, start and stop date were not reported; ascorbic acid (VIT C) taken for an unspecified indication, start and stop date were not reported; metoprolol (METOPROLOL XL SANDOZ) taken for an unspecified indication, start and stop date were not reported; fish oil (OMEGA 3 [FISH OIL]) taken for an unspecified indication, start and stop date were not reported. The patient previously took morphine and experienced drug hypersensitivity. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccine within 4 weeks prior to covid-19 vaccination. On 10Mar202116:00, the patient experienced fever, aches, chills, arm pain shoulder to wrist and general lethargy feeling of unwell. The event outcome 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

Current Illness:

ID: 1752562
Sex: F
Age:
State: GA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Vomiting; feeling flush; lips tingling; This is a spontaneous report from a contactable other health care professional (patient reported for herself). A 48-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6199) via an unspecified route of ad-ministration, in left arm on 12Mar2021 at 16:45 (at the age of 48-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included Hashimoto, known allergy to shell-fish, red Cedar, cat hair and seasonal allergies. The patient had received other medications in two weeks (not specified). The patient previously took tetracycline and had allergy. Patient had no COVID-19 prior to vaccination and had not been tested since the vaccination. On 12Mar2021 at 19:30 PM, the patient experienced vomiting, feeling flush and lips tingling. Patient did not receive any treatment for the events. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1752563
Sex: F
Age:
State: NC

Vax Date: 03/05/2021
Onset Date: 03/06/2021
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: This is a spontaneous report from a contactable consumer or other non-hcp (Patient). A 52-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection; Batch/Lot Number: Unknown, Expiration date: Unknown) via an unspecified route of administration (age at vaccination 52-year) in left arm on 05Mar2021 at 02:45 PM as dose 1, single for COVID-19 immunization. Medical history included depression and anxiety, diabetes, high cholesterol, Known allergies to Zpack, and Milk, all from an unknown date and unknown if ongoing. Concomitant medications included metformin; lisinopril; sertraline hydrochloride; simvastatin; all taken for an unspecified indication, start and stop date were not reported. As reported facility type Vaccine was hospital. Patient received no other vaccine in four weeks. Patient had no COVID prior vaccination. The patient not tested COVID post vaccination. On 06Mar2021 at 05:00 PM the patient experienced slight fever, sore throat, muscle and ligament pain like arthritis, low back pain, fatigue, headache, ringing in ears, vertigo. Therapeutic measures were taken as a result of the adverse events, the patient was treated with Aleve, Tylenol, zantac. The clinical outcome of the events was resolved on an unspecified date in 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

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

Current Illness:

ID: 1752564
Sex: M
Age:
State: MA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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:

Allergies:

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

Symptoms: Body aches; chills; fever; blurred vision; fatigue; This is a spontaneous report from a contactable consumer (patient himself). A 34-years-old male patient BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: unknown, expiry date: unknown) via unspecified route of administration in left arm on 12Mar2021 14:15 (age at vaccination: 34-years) as dose 1, single for covid-19 immunisation. Patients medical history and concomitant medications were not reported. Patient had no known allergies. No other vaccines were given to patient in four weeks. On 13Mar2021 2:15 patient experienced body aches, chills, fever, blurred vision, fatigue. Patient had been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. No treatment was given due to the adverse events. The outcome of events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1752565
Sex: F
Age:
State: PA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Extreme fatigue for 6 days; woke up with swollen face on left side; This is a spontaneous report from a contactable Consumer. This 56-Years-Old female Consumer (patient) reported. A 56-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EN6206), dose 1 via an unspecified route of administration, administered in Arm Left on 06Mar2021 14:30 (at the age of 56-years-old) as a single dose for covid-19 immunization. Medical history included arteriospasm coronary, asthma, congenital cystic kidney disease. Concomitant medication(s) in two weeks included fluticasone propionate, salmeterol xinafoate (ADVAIR); fexofenadine hydrochloride (ALLEGRA); isosorbide; nifedipine. The patient had allergies with sulfa, penicillin. The patient had no other vaccine within four weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 07Mar2021, the patient experienced extreme fatigue for 6 days, day number six woke up with swollen face on left side. Outcome of the event was not recovered, at the time of this report. No follow-up attempts are possible. No further information expected.

Other Meds:

Current Illness:

ID: 1752566
Sex: F
Age:
State: NY

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Immediate hot flashes after both shots; Chest pressure; palpitations and shortness of breath immediately after 2nd shot; palpitations and shortness of breath immediately after 2nd shot; extreme body aches; internal burning sensation while simultaneously freezing; uncontrolled shaking; throwing up; Pain was so bad; Fever; could not sleep; This is a spontaneous report from a non-contactable consumer (reported for herself). A 28-years-old female non-pregnant patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6206/Batch number was not reported), dose 2 via an unspecified route of administration, administered in arm left on 10Mar2021 (at the age of 28-years-old) as dose 2, single for covid-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing and drug hypersensitivity from an unknown date and unknown if ongoing. Concomitant medication(s) included ethinylestradiol, norgestimate (TRI-PREVIFEM) taken for oral contraception, start and stop date were not reported and fluticasone furoate (ARNUITY ELLIPTA) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to vaccination, it was unknown if patient diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient previously received amoxicillin and experienced drug hypersensitivity, azithromicin and experienced drug hypersensitivity, ceftin [ceftriaxone] and experienced drug hypersensitivity, sudafed [xylometazoline hydrochloride] and experienced palpitations, benzyol peroxide and flu vaccine preservative for immunization. The patient previously received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9266/Batch number was not reported), dose 1 via an unspecified route of administration, administered in arm left on 02Feb2021 at 08:15 AM (at the age of 28-years-old) as dose 1, single for covid-19 immunisation and experienced immediately painful as went into arm and hot flashes. On 10Mar2021 at 20:00, the patient experienced immediate hot flashes after both shots, chest pressure, palpitations and shortness of breath immediately after 2nd shot, extreme body aches, internal burning sensation while simultaneously freezing, uncontrolled shaking, throwing up, pain was so bad, fever and could not sleep. No treatment was given for the events. The outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.

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

Current Illness:

ID: 1752567
Sex: F
Age:
State: WI

Vax Date: 03/04/2021
Onset Date: 03/09/2021
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: Test Date: 20210308; Test Name: Covid test/saliva; Test Result: Negative

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: This is a spontaneous report from a contactable consumer (Patient). A 50-years-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: UNKNOWN), via an unspecified route of administration into left arm on 04Mar2021 17:00 (at the age of 50-years-old) as dose 1, single for covid-19 immunisation. Medical history included asthma from an unknown date and unknown if ongoing, drug hypersensitivity (Penicillin) from an unknown date and unknown if ongoing, covid-19 (Prior to the vaccination) from an unknown date and unknown if ongoing. It was reported that she was not a pregnant at the time of vaccination. No other vaccine received within four weeks. It was reported received other medications in two weeks. The patient reported all common side effects for 4 days then on 09Mar2021 17:00, developed productive seal cough, fever, swollen lymph nodes, unbearable body aches in all parts of body- eyes, bottom of feet, hands now going on 7 days after first dose with little improvement. Therapeutic measures were not taken. The patient underwent lab tests and procedures which included sars-cov-2 test (saliva test): negative on 08Mar2021. The outcome of productive seal cough, fever, swollen lymph nodes, unbearable body aches in all parts of body - eyes, bottom of feet, hands was not recovered. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752568
Sex: F
Age:
State: OH

Vax Date: 03/04/2021
Onset Date: 03/01/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Started itching and I got a rash around it like circular rash one below it one above it and it feels warm to touch and it itches like crazy; Started itching and I got a rash around it like circular rash one below it one above it and it feels warm to touch and it itches like crazy; Hold my hand on the spot it felt warm; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: EN6205, and Expiration date: 30Jun2021), via an unspecified route of administration on 04Mar2021 (at the age of 73-year-old) as dose 1, single for COVID-19 immunization. The patient medical history included Osteoporosis. The concomitant medications for patient were not reported. It was reported that, on 24Feb (the patient did not know how long it was) she had a bone density test (result unknown). The patient reported that, she received the first COVID Vaccine on 04Mar2021, which was a week ago and (yesterday) on an unspecified date in Mar2021, she noticed she "started itching and I got a rash around it (Clarification unknown) like circular rash one below it one above it and it feels warm to touch and it itches like crazy". The patient stated, "I did not have a fever generally but when I hold my hand on the spot it felt warm" and she was wondering if that was something she needed to be concerned about. At the time of report, the patient was scheduled for second dose on 25Mar2021. No treatment was given for the events. The patient reported that, she had not done anything in response to events, she was just worried about it or something else was happening or maybe they should not get the second one she was not sure. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Osteoporosis (Verbatim: Osteoporosis)

ID: 1752569
Sex: M
Age:
State: MA

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills/ Severe shivers which lasted about 4 to 5 hours, uncontrollable shivers; Joint pain; Nauseous; I had some swollen lymph nodes; My heart beat was going pretty fast and that lasted for about 40 hours; This is a spontaneous report from a contactable consumer (patient). A 73-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: unknown and Expiration date was not reported), via an unspecified route of administration in arm right on 09Mar2021 (at the age of 73-year-old) as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on an unspecified date as a dose 1, single for COVID-19 immunization. It was reported that, the patient wanted to report some adverse effects from the COVID 19. Stated that, the first shot was no problem, the second shot, he thinks 10 hours after he got the shot, on an unspecified date in Mar2021, the patient got the chills and severe shivers which lasted about 4 to 5 hours, uncontrollable shivers, joint pain, nauseous, he had some swollen lymph nodes and his heart beat was going pretty fast and that lasted for about 40 hours. Stated that, the patient just wanted to let them know what kind of effects that he had in case someone else had the same thing. Stated that, the chills weren't bad but when he started shivering that was the worst part and that have lasted for about 4 hours constantly. The consumer stated that, he took Tylenol and that knocked it down. But after about 3 to 4 hours after when Tylenol went off and he started getting the chills again. So, he took second dose of Tylenol and that was it after that. So, he took 4 Tylenol over a 12 hour period. Stated that, the patient just wanted to let them know what happened to him. Stated that, his wife had no problem and other people he knew don't have no problem but for some reason he just got nailed. On an unspecified date in Mar2021, the patient underwent lab tests and procedures which included My heart beat was going pretty fast and that lasted for about 40 hours (heart rate), resulted as increased. The outcome of the events for joint pain, nauseous and I had some swollen lymph nodes was unknown while for the other events was recovered on an unspecified date in Mar2021. No follow-up attempts are possible, information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1752570
Sex: F
Age:
State: TX

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

Lab Data: Test Name: discomfort; Result Unstructured Data: Test Result:about a 10; Comments: scale of 1-100 for discomfort, reports is about a 10

Allergies:

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

Symptoms: become red; it has gotten larger, longer and wider and was hot; not been able to sleep; On a scale of 1-100 for discomfort, reports is about a 10/ she had discomfort; her arm was uncomfortable, and swollen; her arm was uncomfortable, and swollen; This is a spontaneous report from a contactable consumer (patient). A 76-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EN6206) via an unspecified route of administration in left upper arm on 08Mar2021 (at the age of 76-year-old) as single dose for COVID-19 immunization. Medical history of the patient included urinary control, anxiety, digestive issues, energy loss, hair growth decreased/hair was falling out, hysterectomy, patient had COVID-19 starting on Christmas day. Patient and her husband were told that they should postpone the injection until 3 months after the virus. Reporter stated that after Covid and before receiving the Covid vaccine, she had a chest x-ray that showed Covid scarring from pneumonia, she was prescribed a Z pack by her doctor; she has an appointment with a pulmonologist. Blood test showed no Covid. All of this was way before the vaccine. Concomitant medications included vitamin b complex [Albaplex] started on an unspecified date two years and was ongoing for urinary control, unspecified medication for anxiety control takes one tablet orally over the counter-thing that nutritionist recommended, it has vitamin b6, magnesium oxide, gba, primrose flower powder, LGlutamine and LGlycine started on an unspecified date and was ongoing; Anxiety control indication: finally discovered panic attacks but they weren't panic attacks, she wore a heart monitor for month. The new doctor discovered it was related to the new uncontrolled large dog and stressing over it. Once she realized that she was not having anxiety, she was fine, wondering why she was still taking it. Lactoferrin taken for digestive issues, she wouldn't give it up for anything, it saved her life, rna taken for energy at a dose of 3 of those tablets by mouth-going to same nutritionist for years and each time discuss what's going on and how she was feeling, makes recommendations of supplement, turmeric forte at a dose of one tablet a day mouth- do not know start date, probably a year or two years ; around for awhile taken for general health kind of thing, joint health taken at a dose of one tablet a day by mouth, taking for one or two years. Build up condition of the bones, started taking between one and two years, she changes it as health change taken for general health, folate 400 at a dose of one capsule by mouth once a day; started recently last 2 months for hair growth, estrogens conjugated [PREMARIN] started years ago; taken for hysterectomy, partial 31 years old, when she started taking the medication she was on a larger dose. The amount was cut back at some point, she doesn't know. She tried getting off of it completely and had reactions. She doesn't remember all of them, her hair was falling out. When she stopped completely her hair fell out and this sounds absurd but it was a big deal, and she gets anxious. She confirms Premarin is in the pharmacy bottle caller does not have lot number to provide. On 08Mar2021 after receiving vaccination, as soon as patient left the waiting room, she had discomfort. The shot itself did not touch her. On the way to the car, she noticed that her arm was uncomfortable, and swollen, not at the injection site, but an inch below the injection site, and then extended down the arm. On a scale of 1-100 for discomfort, report was about a 10. It started to become red, bigger, and more swollen. It was better this morning it was less red and more pink. Patient reported that it has gotten larger, longer and wider and was hot. If she puts a cold pack on it takes just a second to heat the washcloth up. Then she turns it over to use the other side and it gets hot again. Used a cold pack, describes as a cloth in which she squeezes out the water and it covers the spot on her arm. Over this time, she has not been able to sleep. She has taken Tylenol and Advil. Advil: on the bottle was: PAA134471 and expiration was May2023. The area was 5 inches long and 4 inches wide on upper left arm. It covers her upper arm. Reporter stated that she went for yearly checkup from doctor and all of her numbers are excellent, blood pressure, cholesterol, are better and improved. Patient was wondering if this was normal for a few days. There was not a single place that defined a few days. Is that 3 days or 15 days reporter questioned. Outcome of the event her arm was uncomfortable and swollen was not resolved and for all other events were 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

Current Illness:

ID: 1752571
Sex: U
Age:
State:

Vax Date: 03/02/2021
Onset Date:
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: Burning up all over; Feet is red and my face is all red and it is blotched; Feet is red and my face is all red and it is blotched; This is a spontaneous report from a contactable consumer or other non hcp. A patient of unspecified age and gender received bnt162b2 (BNT162B2, formulation: solution for injection, lot number: not reported, expiry date: not reported), via an unspecified route of administration on 02Mar2021 as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced burning up all over, feet is red and my face is all red and it is blotched. Patient had no side effects as soon as patient took it. Clinical outcome of the events was reported as unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am