VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 0980881
Sex: F
Age:
State: FL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: a little sore on site on the first day; This is a spontaneous report from a contactable nurse (patient). An 81-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EH9899, expiry date: 31Mar2021), via an unspecified route of administration on 21Dec2020 at a single dose for covid-19 immunization. Medical history included colitis, diverticulitis and allergies. Concomitant medications included chlordiazepoxide hydrochloride, clidinium bromide (LIBRAX [CHLORDIAZEPOXIDE HYDROCHLORIDE;CLIDINIUM BROMIDE]) for colitis, omeprazole (PROTONIX [OMEPRAZOLE]), cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) for allergies, and cyanocobalamin, folic acid (VITAMIN B12 & FOLIC ACID) for colitis. The patient experienced a little sore on site on the first day on 21Dec2020. Outcome of the event was recovered on 22Dec2020.

Other Meds: LIBRAX [CHLORDIAZEPOXIDE HYDROCHLORIDE;CLIDINIUM BROMIDE]; PROTONIX [OMEPRAZOLE]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; VITAMIN B12 & FOLIC ACID

Current Illness:

ID: 0980882
Sex: M
Age:
State: IL

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: fever; chills; severe body aches; This is a spontaneous report from a contactable physician (patient). A 45-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date unknown) intramuscular at the right arm on 13Jan2021 14:30 at single dose for Covid-19 immunization in a hospital. Medical history and concomitant medications were none. Historical vaccines included first dose of BNT162B2 on 23Dec2020 for Covid-19 immunization and with a week (30Dec2020 16:15) he developed COVID positive test, had a mild to moderate illness. The patient received second dose and developed fever, chills and severe body aches on unspecified date in Jan2021. The outcome of the events fever, chills and severe body aches was unknown. Follow-up activities are possible, information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 0980883
Sex: F
Age:
State: OK

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: felt really tired; eyes has a burning feeling behind them; joint pain; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date unknown) via unspecified route of administration on 13Jan2021 at single dose for Covid-19 immunization. Medical history and concomitant medications were not reported. The patient received her first dose of the COVID-19 vaccine yesterday, 13Jan2021. The patient informed that she felt really tired now, and her eyes has a burning feeling behind them, and she has joint pain (Jan2021). The patient wanted to know how long do the side effects last. The outcome of the events felt really tired, eyes has a burning feeling behind them, joint pain was unknown. Follow-up activities are possible, information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 0980884
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: Extreme fatigue; Malaise; chills; Injection site pain and tenderness; muscular pain; This is a spontaneous report from a non-contactable physician (reporting for herself). A non-pregnant 34-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration in the left arm on 13Jan2021 6:00 PM at a single dose for COVID-19 immunization. Medical history included: COVID-19 (prior to the vaccine). The patient's concomitant medications were not reported. The patient had no known allergies. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), on 24Dec2020 3:00 PM in the left arm, at 34 years old for COVID-19 immunization. The patient experienced extreme fatigue, malaise, chills, injection site pain and tenderness and muscular pain on 14Jan2021. Therapeutic measures were taken as a result of the events which included ibprophen (ADVIL). The outcome o the events was recovered in Jan2021. No follow-up attempts are possible; information about batch/lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 0980885
Sex: M
Age:
State: TX

Vax Date: 12/28/2020
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
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: Tested positive for COVID; Tested positive for COVID; This is a spontaneous report from a contactable consumer (patient's daughter) via the Pfizer sponsored program Pfizer First Connect. An 88-year-old male patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration from 28Dec2020 to 28Dec2020 at SINGLE DOSE for covid-19 immunisation. Medical history included was reported as none. There were no concomitant medications. The reporter stated that the patient had tested positive for covid on 11Jan2021. Outcome of the event was unknown. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980886
Sex: F
Age:
State: NC

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
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: hasn't slept all night; Itching; This is a spontaneous report from a contactable consumer (patient). An 84-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number unknown and has been requested), via an unspecified route of administration on 10Jan2021 at single dose because COVID is getting worse and she is in a home. Medical history included 17 back surgeries, has lost a good bit of weight, ongoing pain, ongoing arthritis and ongoing sleep disorder. Concomitant medication included hydrocodone bitartrate, paracetamol (manufacturer unknown) from an unknown date and unknown if ongoing and morphine pump (manufacturer unknown) for pain which she has had for eight years that is right under the skin. The patient was also taking something (unspecified) for arthritis and they give her something (unspecified) to help her sleep. The patient got her first shot on Sunday, 10Jan2021. She has not had effects or anything. However on 13Jan2021, she started itching. She stated that honest to God she hasn't slept all night on an unspecified date. She is itching all over. She wanted to know if this was something that comes with the vaccine. She thought if she would have something it would have happened on Monday or Tuesday and at the time of the report it was Thursday. She stated that she was not that concerned. She was just calling to pass this along. She added that she is in good shape structurally. She was not worried as someone might have the same effect. This could just be side effects. The outcome of the event itching was recovering while the outcome of the event hasn't slept all night was unknown. Information on the Batch/Lot number has been requested.

Other Meds: HYDROCODONE/ACETAMINOPHEN; MORPHINE

Current Illness: Arthritis; Pain; Sleep disorder

ID: 0980887
Sex: F
Age:
State: NM

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: tired; slept most of the day; Headache; Chills; Joint pain; Sore throat; muscle pain/muscle ache; arm was hurting more than sore/arm pain at injection site; Nausea; Loose stools; Left eye twitching; feeling pretty ill/ under the weather; a little short of breath/shortness of breath; Metal taste in her mouth; Itchy everywhere; asthma has flared up a little bit; This is a spontaneous report from a contactable consumer (patient). A 37-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EH3246, expiry date unknown), intramuscular (right arm), on 08Jan2021, at single dose, for covid-19 immunization. Medical history included asthma since 2004 (diagnosed about 17 years ago). Concomitant medication included formoterol fumarate, mometasone furoate (DULERA) (has been on this for about 2 months) for asthma. The patient previously took formoterol and budesonide (SYMBICORT) for asthma. The patient stated she was a technician and she has a couple of questions about the Covid vaccine. She got the vaccine on 08Jan2021. Since she got the vaccine, papers said she would feel under the weather for a few days but she was still feeling pretty ill; she wanted to know if this was normal and when should she be concerned, wondering if she should call her doctor. She was encouraged to reach out to her HCP for any medical advice. She also stated that 5-10 min after the vaccine on 08Jan2021, she started to feel a little short of breath/shortness of breath but that resolved. Also, afterwards on 08Jan2021 she had a metal taste in her mouth and was itchy everywhere on that day. She went home and around 9PM on the day of the vaccination, she started to feel under the weather on 08Jan2021. Then she woke up on Saturday 09Jan2021 with headaches, chills, joint pain, sore throat, muscle pain/muscle ache, arm was hurting more than sore/arm pain at injection site, nausea, loose stools, and left eye twitching. On Sunday 10Jan2021, she was very tired and slept most of the day. She added that she has been reporting this to the link that was provided to her. She has been taking Tylenol and ibuprofen to treat these symptoms and; was also using her inhaler because it seemed like asthma has flared up a little bit on Jan2021. No other vaccines administered on the same date with the Pfizer vaccine. The adverse events did not require a visit to the emergency room or physician office. No prior vaccinations within four weeks. The outcome of the events feeling pretty ill/ under the weather, slept most of the day and, asthma has flared up a little bit was unknown. The outcome of events a little short of breath/shortness of breath, metal taste in her mouth, and itchy everywhere was recovered on 08Jan2021. The outcome of joint pain was recovering. The outcome of arm was hurting more than sore/arm pain at injection site was recovered on 13Jan2021. The outcome of the other remaining events was not recovered.

Other Meds: DULERA

Current Illness:

ID: 0980889
Sex: F
Age:
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
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: Muscle pain; Chills; Nausea; This is a spontaneous report from a contactable consumer. A 60-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), via an unspecified route of administration in left upper arm on 11Jan2021 around 3:45-4:00pm at a single dose for COVID-19 vaccination. Medical history included hypothyroidism. Concomitant medication included levothyroxine from 2006 for hypothyroidism. The patient was administered the first dose of Pfizer-BioNTech COVID Vaccine on 11Jan2021 at work. On 12Jan2021, the patient experienced muscle pain, chills, nausea. The outcome of the events was not recovered. The patient underwent rapid COVID-19 nasal swab test and the result was negative on 12Jan2021. Second dose scheduled to be administered on 01Feb2021 with no dose change made. Information on the Lot/batch number has been requested.

Other Meds: LEVOTHYROXINE

Current Illness:

ID: 0980890
Sex: F
Age:
State: NY

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: right side of her face swollen; extreme fatigue; This is a spontaneous report from a contactable consumer (patient). An 86-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EL3246, expiration date not reported), intramuscular on the upper left arm, on 12Jan2021 at a single dose to develop immunity for Covid 19 virus. The patient has no medical history. Concomitant medication included ongoing levothyroxine sodium (SYNTHROID). The patient stated she got Pfizer Covid 19 vaccine two days ago at a hospital in the city and right side of her face was swollen and had extreme fatigue on 14Jan2021. Stated she is resting now and is feeling fine. She stated that it happened this morning. Stated that she waited for 15 minutes after the vaccine and had no side effects. She stated that her next dosage is 02Feb2021. There was no treatment received for right side of face swelling. Outcome of the events was recovering.

Other Meds: SYNTHROID

Current Illness:

ID: 0980891
Sex: F
Age:
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
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: Right arm killing her through the night; Little Achy; Headache; This is a spontaneous report from a contactable consumer (patient herself). A 71-year-old female patient received bnt162b2 (BNT162B2 also reported as Pfizer COVID Vaccine, lot EL3247), intramuscular in the right arm on 13Jan2021 18:00 at SINGLE DOSE for Covid-19 immunisation (reported as prevention for age group). She received the vaccine in a hospital. Medical history included a Covid-19 patient on Mar2020, hypothyroidism and normally had headaches. No other vaccines taken prior to vaccination. There were no concomitant medications. On 13Jan2021 03:00, she had arm pain that was killing her through the night. She was a little achy, had a headache, but no fever. The outcome of events was recovering.

Other Meds:

Current Illness:

ID: 0980892
Sex: M
Age:
State: TN

Vax Date: 01/08/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: really tired; This is a spontaneous report from a contactable consumer (patient's sister). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number unknown), via an unspecified route of administration on 08Jan2021 at a single dose for COVID-19 immunization. The patient's medical history included parkinsons. Concomitant medications were not reported. The patient was having a hard time right now. He was really tired on Jan2021 and does not know if he has any other symptoms. Outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0980893
Sex: M
Age:
State: OK

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
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: Bruise where he got the shot; Arm soreness; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/lot number: EK9231, expiry date: unknown), via an unspecified route of administration on 07Jan2021 at single dose (left arm) for COVID-19 immunization (Over 65 years old; 2nd group to receive in state). The patient medical history was not reported. There were no concomitant medications. Patient got the COVID Vaccine last Thursday (07Jan2021). He had soreness in his arm, which is fine, but when he took the Band-Aid off he had a bruise where he got the shot (13Jan2021). His wife told him he should call and report this. About the arm soreness, it was really sore the first couple of days. The nurse said if he moves his arm and works it, it would help. It was sore for about 2-3 days. Sore to the touch, but not painful. There were no treatment given. They were asking if they should contact his physician, if this is normal. He has had vaccines before, but never had a bruise. The outcome of the event Bruise where he got the shot was not recovered, while for other event was unknown.

Other Meds:

Current Illness:

ID: 0980894
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: headache; This is a spontaneous report from a Pfizer sponsored program Pfizer First Connect from a contactable consumer reporting on herself. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number /expiration date: not provided), via an unspecified route of administration, on an unknown date as a single dose for COVID-19 vaccination. Relevant medical history and concomitant medication were not provided. On the same date that evening, the patient experienced headache. The patient received treatment for the event which included 2 aceteminophen (TYLENOL). The outcome of the event headache was unknown. Information on the Lot/Batch number has been requested

Other Meds:

Current Illness:

ID: 0980895
Sex: F
Age:
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: migraine from sinuses; migraine from sinuses; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a 39-year-old female patient received BNT162B2, via an unspecified route of administration on 16Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications was not reported. It was reported that the patient got the vaccine on 16Jan2021, and she experienced migraine from sinuses. She asked if it is okay to take Migraine medicine while she had her vaccine. The outcome of the events was unknown. Information about Lot/Batch number is requested.

Other Meds:

Current Illness:

ID: 0980896
Sex: M
Age:
State: NC

Vax Date: 01/14/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: runny nose; sneezing; don't feel right; This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored program. An 82-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, unknown lot number and expiration), via an unspecified route of administration on 14Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced side effects after receiving the COVID-19 vaccine on 14Jan2021. The patient experienced runny nose, sneezing and he don't feel right in Jan2021. He is also concerned about his wife if there is a possibility of infecting her since she doesn't have received the COVID-19 vaccine yet. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980897
Sex: F
Age:
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
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: Chills; Extreme fatigue; This is a spontaneous report from a contactable physician (sister in law). A 32-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 11Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization and did not experienced adverse side effects. On 11Jan2021, the patient experienced chills and extreme fatigue (developed 12 hours after injection). The patient outcome of the events was recovered on 12Jan2021 (after a night of rest). The information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 0980898
Sex: F
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
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: fever; injection site reaction; flulike symptoms; This is a spontaneous report from a contactable Other HCP via Pfizer Sales Representative. A 32-years-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 07Jan2021 at single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On 16Jan2021, the patient developed injection site reaction, fever, and flulike symptoms after being administered the second dose of the Pfizer/BioNTec COVID-19 vaccine. The patient's symptoms have since resolved on Jan2021. No follow-up attempts are Possible; Information about batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0980899
Sex: U
Age:
State: MI

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 01/28/2021
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: lips, mouth and tongue were numb; This is a spontaneous report from a contactable nurse (patient) via a Pfizer sponsored program. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 06Jan2021 at single dose for COVID-19 immunization. Medical history included diagnosed with COVID on 03Nov2020. Ever since the patient had had COVID. The patient had a terrible burning sensation in mouth and tongue. The patient's concomitant medications were not reported. Immediately after the vaccine, the pateint's lips, mouth and tongue were numb and felt full, lasted for approx 2 hours. Later that evening the burning the patient had since recovering from covid had stopped. The outcome of the event was unknown. Information on the lot/batch number had been requested.

Other Meds:

Current Illness:

ID: 0980900
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: fever; chills; This is a spontaneous report from a contactable consumer. A 60-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on an unspecified date as the second single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced fever and chills on an unspecified date. The outcome of fever and chills was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0980901
Sex: M
Age:
State: AR

Vax Date: 12/31/2020
Onset Date:
Rec V Date: 01/28/2021
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: It's really itchy on my back; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (Patient) A 77-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on 31Dec2020 at single dose via an unspecified route of administration for COVID-19 immunization. Relevant medical history and concomitant medications were not reported. Patient informed that since an unspecified date it was really itchy on my back, it was no terrible hype but really for the last 3 days (as reported). Patient also mentioned that she should get her booster this coming week (as such). At the time of the reporting event outcome was unknown. The information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980902
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
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: Enlarged lymph nodes surrounding the area where it was injected, one of the lymph nodes is right on my clavicle bone in close proximity; I am also feeling swelling under my armpit and up my neck; This is a spontaneous report from a contactable consumer reported for self. This 38-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose for covid-19 immunisation. Medical history included asthma. Concomitant product included vortioxetine hydrobromide (TRINTELLIX). The patient previously the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for covid-19 immunisation. The patient got the COVID Vaccine second booster on Sunday and was having enlarged lymph nodes surrounding the area where it was injected. The patient stated, "No, it's not at the site of injection, I have one so it's on, I got the shot in my left shoulder and one of the lymph nodes is right on my clavicle bone in close proximity and I am also feeling swelling under my armpit and up my neck." Treatments included Tylenol and Advil. Outcome of the events were unknown. Information about lot/batch number has been requested.

Other Meds: TRINTELLIX

Current Illness:

ID: 0980903
Sex: F
Age:
State: WA

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Arm soreness; This is a spontaneous report from a contactable pharmacist (patient). A 43-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), via an unspecified route of administration on 23Dec2020 12:30 at a single dose for COVID prevention. Medical history included diabetic (On insulin only. Diabetic for six to seven years and have had no hypoglycemic events). There were no concomitant medications. It was reported that the patient experienced arm soreness on an unspecified date. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 0980904
Sex: F
Age:
State: MD

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
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: Lymphadenopathy; mild fatigue; Myalgia; This is a spontaneous report from a contactable physician (patient). A 52-year-old female patient received the second dose of BNT162B2 (Pfizer-BIONTECH Covid-19 Vaccine), intramuscular in the left arm on 12Jan2021 at 16:30 as a single dose to prevent COVID. The patient's concomitant medications were not reported and it was reported that she had no relevant medical history. The patient previously received the first dose of BNT162B2 on 22Dec2020 at 14:00. The patient did not receive any other vaccine/s on the same date as BNT162B2, did not have prior vaccination within four weeks of receiving BNT162B2, and did not experience any adverse event following prior vaccinations. The patient experienced mild fatigue and myalgia on 13Jan2021, and lymphadenopathy on 14Jan2021. Seriousness for the events was reported as serious (medically significant). The patient received her second dose of the Pfizer Covid Vaccine on 12Jan2021 at 16:30. She experienced mild fatigue and myalgia after 24 hours which has improved. She clarified that the mild fatigue and myalgia resolved by this morning. She felt lymphadenopathy in her lower neck and supraclavicular area. Stated it was almost fullness she can feel, there was no redness and it was not tender. She was hoping this was related to the vaccine that she got in her left upper arm. She went to the CDC and Pfizer website and saw that lymphadenopathy was mentioned but it was a small percentage. The patient declined any treatment. The events did not require a visit to the Emergency Room of Physician's office. Outcome of the events fatigue and myalgia was recovered on 15Jan2021, while for the event lymphadenopathy was not recovered. The reporter's causality assessment between the events and BNT162B2 for the events fatigue and myalgia was related, while for the event lymphadenopathy was unknown. Information about the lot/batch number has been requested.; Sender's Comments: Based on the compatible time association and drug's safety profile, the events fatigue, myalgia and lymphadenopathy are possibly related to suspect BNT162B2 administration. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0980905
Sex: F
Age:
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
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: three nights of very vivid nightmares; waking up with Panics with worm head; This is a spontaneous report from a contactable pharmacist (patient). A 54-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on the left arm on 11Jan2021 at 13:15 at a single dose in the hospital for COVID-19 immunization. The first dose was received on 19Dec2020 at 13:15 on the left arm for COVID-19 immunization. The reaction with the first dose was losing taste and smell for two days. Medical history included sulfa allergies. Patient is not pregnant at the time of vaccination. The patient's concomitant medications were not reported. The reaction with the 2nd dose was three nights of very vivid nightmares to the point of waking up with panics with worm head. This is not usual and happened the night of the vaccination (11Jan2021) and subsequent two nights. The patient did not receive treatment for the events. Outcome of the events was unknown. No follow-up attempts are possible, information about batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 0980906
Sex: F
Age:
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
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: chills; dizzy; body aches; fever 99.5; fatigue; joint aches; jaw hurts more on Rt side (lower behind12 yr molars); Slept a lot so far; injection arm very sore; This is a spontaneous report from a contactable other healthcare professional (patient). A 52-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EL1283), intramuscular on 13Jan2021 09:30 AM at single dose on the right arm for COVID-19 immunization. Patient is not pregnant. The patient medical history was not reported. Concomitant medications included tocopherol (VITAMIN E [TOCOPHEROL]), colecalciferol (D3), estradiol (ESTROGEN), progesterone, "bioidenticle" and multivitamin, reported as "Other medications in two weeks: Multi vitamin, vitamin E, D3, bioidenticle estrogen/progesterone"). The patient previously took iodine, metronidazole (FLAGYL), doxycycline and telithromycin (KETEK) and experienced allergies to all. No other vaccine in four weeks. Facility type vaccine was hospital. The patient received the first dose on 23Dec2020 04:45 PM (lot number: EL0140), intramuscular on the right arm and patient felt slightly light headed. Within 5 minutes right (Rt) hand got red & hot, numb, heat in Rt arm and Rt side of jaw felt numb as if blew up balloons. Blood pressure went up to something over 90. Patient took benadryl. Next few days was reported as "v fatigued & on p.m. of 24th it hurt to open my mouth (gland by Rt ear felt swollen). I got a line of inflammation in my Rt inside cheek & a tissue mound that has not gone away". On 14Jan2021 (reported as today), the patient experienced chills, dizzy, body aches, fever 99.5, fatigue, joint aches, injection arm very sore (started yesterday on 13Jan2021), jaw hurts more on right (Rt) side (lower behind12 yr molars). Patient took Tylenol and slept a lot so far. No treatment was received (If treatment AE: No) - pending clarification. Outcome of the events was recovering. Patient has no COVID prior vaccination. Patient was not tested for COVID post vaccination.

Other Meds: VITAMIN E [TOCOPHEROL]; D3; ESTROGEN; PROGESTERONE

Current Illness:

ID: 0980907
Sex: F
Age:
State: OK

Vax Date: 01/10/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: Vertigo/dizzy/room spins starting; dizzy/room spins starting; Fatigue; Sore body; HA (headache); Nausea; Racing thoughts; trouble sleeping; This is a spontaneous report from a contactable nurse (patient). A 43-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular in left arm on 10Jan2021 14:45 at single dose for COVID-19 immunization. Medical history included seasonal allergies, anxiety, depression, high cholesterol, tinnitus and GERD; all from an unknown date and unknown if ongoing. Concomitant medication included valaciclovir hydrochloride (VALTREX), omeprazole magnesium (PRILOSEC), iron, atorvastatin (LIPITOR), melatonin and BCP. The patient was previously vaccinated with first dose of BNT162B2 via unspecified route in left arm on 20Dec2020 15:00 for COVID-19 immunization and experienced vertigo/dizzy/room spins starting on 08Jan2021 23:30. The patient was not pregnant. The experienced vertigo/dizzy/room spins starting 1-2 days prior to 2nd vaccine 10Jan2021 then it was worsened in Jan2021 after 2nd vaccine. The patient experienced fatigue, sore body, HA (headache), nausea, racing thoughts and trouble sleeping in Jan2021. No treatment was given to the patient for the events. The outcome of the events was not recovered. The facility where the most recent COVID-19 vaccine was administered was in the hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds: VALTREX; PRILOSEC [OMEPRAZOLE MAGNESIUM]; IRON; LIPITOR [ATORVASTATIN]; MELATONIN

Current Illness:

ID: 0980908
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
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: Covid positive; Covid positive; This is a spontaneous report from a Pfizer-sponsored program Pfizer First Connect via a contactable consumer (patient). This reporter reported similar events for 2 patients (reporter and reporter's husband). This is 1st of 2 reports reported for the reporter. A female patient of an unspecified age received first dose of BNT162B2 via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient and her husband both had vaccine on Friday and they discovered that they both were Covid positive on Monday. Patient did not have symptoms but her husband did, the question was whether they should still get the second shot. Events outcome was unknown. Information on the Lot/Batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021049698 Same reporter, same drug, different patient

Other Meds:

Current Illness:

ID: 0980909
Sex: F
Age:
State: MD

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/28/2021
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: Continuous headache since first dose .; This is a spontaneous report from a contactable nurse (patient). A 53-years-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), unspecified route of administration on 22Dec2020 13:30 in right arm (at the age of 53-years-old) at SINGLE DOSE , second dose via an unspecified route of administration on 12Jan2021 16:30 in right arm (at the age of 53-years-old) at SINGLE DOSE for COVID-19 vaccination. Medical history included migraine from an unknown date and unknown if ongoing. The patient did not have any allergies. The patient's concomitant medications were not reported. The patient did not receive other vaccines in four weeks. The facility where the most recent COVID-19 vaccine was administered was at a hospital. 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 23Dec2020, the patient experienced continuous headache since first dose. The patient did not receive treatment for the continuous headache since first dose. Outcome of the event continuous headache since first dose was not recovered.

Other Meds:

Current Illness:

ID: 0980910
Sex: F
Age:
State: MN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
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: Fever; Headache; body aches; Sore arm; This is a spontaneous report from a contactable healthcare professional (patient). A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 14Jan2021, at 18:30 as single dose for COVID-19 immunization. Medical history included hyperthyroidism and known allergy to latex. Concomitant medication included St. John's wort (MANUFACTURER UNKNOWN), elderberry (SAMBUCUS NIGRA), cetirizine hydrochloride (ZYRTEC). The patient experienced fever, headache, body aches and sore arm on 15Jan2021, at 04:30. No Covid prior vaccination was noted; the patient has not been tested for COVID post vaccination. No treatment was given for the events. The outcome of events was recovered in Jan2021. The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds: ST JOHN'S WORT; ELDERBERRY [SAMBUCUS NIGRA]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0980911
Sex: F
Age:
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
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: bilateral eye irritation; edematous right eyelid since day of 2nd vaccine; This is a spontaneous report from a contactable nurse reported for herself. This 44-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular at single dose in the left arm on 12Jan2021 10:15 for Covid-19 immunisation. The patient medical history was not reported. Concomitant medication included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), paracetamol (TYLENOL). Previously the patient received the first dose of BNT162B2, intramuscular in the left arm on 24Dec2020 02:00 PM for Covid-19 immunisation. On 12Jan2021 12:00 PM, the patient experienced bilateral eye irritation, edematous right eyelid since day of 2nd vaccine. No treatment was performed. The outcome of the events was not recovered. The vaccine was administered at Hospital Facility. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 post the vaccination. Information on the lot/batch number has been requested.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; TYLENOL

Current Illness:

ID: 0980912
Sex: F
Age:
State: MA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
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: Myalgias; dizziness; headache; fever; chills; This is a spontaneous report from a contactable Physician reporting for herself. A 50-years-old non-pregnant female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot EL1284), intramuscular in the left arm on 15Jan2021 15:00 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 (lot SK5730) on 23Dec2020 at 09:30 AM intramuscular in left arm. The patient experienced myalgias, dizziness, headache, fever and chills on 16Jan2021 12:00 with outcome of recovered in Jan2021. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 0980913
Sex: F
Age:
State: WA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
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: Nausea; Fatigue; Muscle/joint aches; Muscle/joint aches; Unusually sour taste in saliva in the mornings; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: 3302), via an unspecified route of administration on 15Jan2021 07:30 in Left arm at single dose at Workplace clinic for COVID-19 immunisation. Medical history included Rhinosinusitis, Thoracic Outlet Syndrome, Polycystic ovarian syndrome (irregular menstrual cycles) and CBC issues: low white blood cell count, low lymphocyte count, high MCV (Mean cell volume) (under current care), all from an unknown date. Concomitant medication included Multivit, ergocalciferol (VIT D), folic acid (FOLIC), fish oil, magnesium, biotin. There was no other vaccine in four weeks. The patient did not have COVID prior vaccination and not had COVID tested post vaccination. The patient experienced Nausea, fatigue, muscle/joint aches and unusually sour taste in saliva in the mornings on 15Jan2021 11:00. The patient did not receive treatment for the events. The outcome of the events was recovering.

Other Meds: VIT D; FOLIC; FISH OIL; MAGNESIUM; BIOTIN

Current Illness: Lymphocyte count low; Mean cell volume high; White blood cell count low

ID: 0980914
Sex: F
Age:
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: weakness; confusion; dizziness; headache; hypotension; diarrhea; fatigue/lethargy; fatigue/lethargy; nausea; unilateral pain; photophobia x 3 days; Vomiting; This is a spontaneous report from a non-contactable Other HCP (patient). This 40-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, on 14Jan2021 at single dose for COVID-19 immunisation. Vaccine location was left arm. The patient was vaccinated at hospital, age at vaccination was 40-years-old. No other vaccine was received in four weeks. Medical history included migraines, IgM, and MGUS. Historical vaccine included first dose of BNT162B2 in left arm for COVID-19 immunisation. Concomitant medications included fremanezumab (AJOVY), escitalopram oxalate (LEXAPRO), and NURTEC (as reported). On 14Jan2021, the patient experienced vomiting, nausea, hypotension, weakness, unilateral pain and weakness, dizziness, confusion, headache, fatigue/lethargy, diarrhea, photophobia x 3 days. Events were recovering. No treatment was received for the event. No follow up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: AJOVY [FREMANEZUMAB]; LEXAPRO

Current Illness:

ID: 0980915
Sex: F
Age:
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: swelling at injection site; pain, itching, redness, warmth at injection site; pain, itching, redness, warmth at injection site; pain, itching, redness, warmth at injection site; pain, itching, redness, warmth at injection site; body aches; fatigue; fever 100.2; This is a spontaneous report from a contactable Nurse. A 27-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# EL3249), intramuscular on 13Jan2021 10:45 at single dose for covid-19 immunisation. Vaccine location was left arm. Medical history included covid-19. Historical vaccine included first dose of BNT162B2 lot number EK5730 on 22Dec2020 10:15 AM. Concomitant medications included multivitamins, ascorbic acid (VITAMIN C), cetirizine hydrochloride (ZYRTEC). The patient experienced body aches on 14Jan2021 05:00, fatigue on 14Jan2021 05:00, fever 100.2 on 14Jan2021 05:00, pain, itching, redness, warmth at injection site on 15Jan2021. The patient underwent lab tests and procedures which included body temperature: 100.2 on 14Jan2021, and 99.8 on 15Jan2021. No treatment received. The events recovered in Jan2021.

Other Meds: MULTIVITAMINS [VITAMINS NOS]; VITAMIN C [ASCORBIC ACID]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 0980916
Sex: F
Age:
State: WI

Vax Date: 12/19/2020
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Diarrhea; headache; chills; Extreme fatigue; This is a spontaneous report from a contactable nurse reporting for herself. A 25-year-old female patient received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), intramuscular in arm left, on 19Dec2020 at 12:00, at single dose, for COVID-19 immunisation. Medical history was none. Patient was not pregnant and was not pregnant at time of vaccination. Concomitant medications included cannabidiol (CBD OIL) and unspecified birth control. The patient experienced diarrhea, headache, chills and extreme fatigue all on 09Jan2021 at 16:00 with outcome of recovered in Jan2021. Extreme fatigue recovered after 36 hours. Patient did not have COVID-19 prior vaccination and was not tested for COVID-19 after vaccination. The information on the lot/batch number has been requested.

Other Meds: CBD OIL

Current Illness:

ID: 0980917
Sex: M
Age:
State: TN

Vax Date:
Onset Date: 12/24/2020
Rec V Date: 01/28/2021
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: sinus infection; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received the first dose of BNT162B2 via an unspecified route of administration on 2020 at a single dose for COVID-19 immunization. There were no medical history and no concomitant medications. The patient, who worked in a hospital laboratory, stated that after the first dose, he got a sinus infection on 24Dec2020. He went through antibiotics for a week for the sinus infection which was completed by the second dose. The outcome of the event was recovered on 31Dec2020. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980918
Sex: M
Age:
State: TX

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: site was sore; Brain fog; Fatigue; rash on his hand; Extreme anxiety; Headache; This is a spontaneous report from a contactable consumer (patient). An adult male patient with age at vaccination of 33-years-old received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EJ1685), via an unspecified route of administration, on 30Dec2020, at single dose for covid-19 immunization. The patient had no medical history. There were no concomitant medications. The patient stated he got the shot on 30Dec2020. There was no allergic reaction however, the site was sore, sore for a couple of days from an unspecified date. The patient added that from an unspecified date, he did have kind of brain fog, fatigue, and headache for 3 days. Those symptoms subsided after 3 days. Additionally, 2 or 3 days ago in Jan2021, he started getting a rash on his hand and have also now been suffering from extreme anxiety, fatigue and brain fog. He informed that he went to the emergency room yesterday and he was prescribed some Xanax for the anxiety and a steroid for the rash. The patient was currently taking those now. He also did some basic lab testing yesterday, 13Jan2021, and all his labs were pretty much okay. The outcome of the events site was sore, and headache was recovered on an unspecified date; the outcome of event rash on his hand was unknown; while the outcome of the other remaining events was not recovered.

Other Meds:

Current Illness:

ID: 0980919
Sex: F
Age:
State: SC

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 01/28/2021
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: Bruise; Pain; Have horrific pain in back of my neck and head into my neck and not a headache; I can't turn my neck; Have horrific pain in back of my neck and head into my neck and not a headache; I can't turn my neck; wondering hurts to open my mouth and swallow; wondering hurts to open my mouth and swallow; swollen lymph nodes; This is a spontaneous report from a contactable consumer (patient). A 72-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), intramuscular on 23Dec2020 at a single dose on upper left arm for COVID-19 immunization. Medical history included Heart stents, Lupus, Type II Diabetes, rheumatoid arthritis (Autoimmune disease), anticoagulant therapy, cardiac disorder. Concomitant medication included clopidogrel for "My heart, it's a blood thinner", carvedilol, lisinopril, and amlodipine besilate all for heart related, hydroxychloroquine sulfate (PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]) for rheumatoid arthritis, rosuvastatin, semaglutide (OZEMPIC) for type II diabetes, citalopram, cyanocobalamin (VITAMIN B12 [CYANOCOBALAMIN]), moringa oleifera (MORINGA [MORINGA OLEIFERA]), and unspecified blood thinners. The patient stated, "I received the Pfizer immunization for COVID-19 on 23Dec2019 (later confirmed), and I am due to have my second dose this week and I was fine and I had just some size a small bruise. But I'm on blood thinners (further clarified and captured in medical history, hence not captured as suspect product in the tab), so I didn't think anything of it and a little pain but it went away. And then, this past Monday, which is into my third week, I have a horrific pain in the back of my neck and head into my neck and it's not a headache. It's pain and it's in the back of my head and into my neck and I can't turn my neck, right or left or up or down. It hurts to open my mouth, and it almost hurts to swallow and I am wondering if this is a reaction, so they have a delayed reaction. Is this swollen lymph nodes?" The patient stated, "I had lab work done this past Monday. I have no results yet." Therapeutic measures were taken as a result of bruise, pain, have horrific pain in back of my neck and head into my neck and not a headache; I can't turn my neck, wondering hurts to open my mouth and swallow which included ice packs and Aspirin. The outcome of the events was unknown.

Other Meds: CLOPIDOGREL; CARVEDILOL; LISINOPRIL; AMLODIPINE BESILATE; PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; ROSUVASTATIN; OZEMPIC; CITALOPRAM; VITAMIN B12 [CYANOCOBALAMIN]; MORINGA [MORINGA OLEIFERA]

Current Illness:

ID: 0980920
Sex: U
Age:
State:

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: Headache; Chills; Nauseous; Not feeling well; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), via an unspecified route of administration on 10Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced headache, chills, nauseous, and was not feeling well on 14Jan2021. The patient stated "I am curious I just had the vaccine on Sunday. It's Pfizer obviously and today I have been experiencing this side effects. Now, I had headache, chills, no fever, nauseous and just not feeling well. I missed like, I missed a week of work. Do you think I should be tested for Covid itself or it's just an allergic reaction and not worry about it?" The patient was informed about Pfizer Department. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980921
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: Feeling weak; dizzy; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EL3249), via an unspecified route of administration on 13Jan2021 at a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced feeling weak and dizzy in the morning of14Jan2021. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0980922
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
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: Swollen lymph nodes in arm pits and they are painful; Swollen lymph nodes in arm pits and they are painful; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection lot no. and expiry date not reported) , via an unspecified route of administration on unspecified date at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Consumer stated, "I am just calling because I have like swollen lymph nodes in my arm pits and they are like really painful. I think it's a reaction to the vaccine. I got not this on Monday but just the past, the Monday before (incomplete sentence and further not clarified) I got it, that's when I got it. I don't know if I should go see my doctor or not. It's like normal or it's like I should go see someone?". Outcome of the events was unknown. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 0980923
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
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: Felt like revved up/Revved up, like a little hyper; This is a spontaneous report from a contactable consumer. A 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Medical history included palpitations from unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient was not pregnant. The patient stated, "I did have the first injection this past Sunday. What I felt was like, I felt like I was just revved up a little bit. They had us sit for half hour and because of what I was feeling they had me to sit another 10 minutes and it pretty much passed. I did feel a little bit later that day, even up till today, just once in a while during the day. I am concerned about the second injection with that concern. And I am hearing things like we all do. I don't know what you know whether it's your drug or (other vaccine branded) that I am hearing conversation about, the second injection creating more of a reaction possibly even COVID like with fever or nausea or aching. What can I expect and is there anything I should do or be aware of with the feeling that I had of this revving up a little bit? I don't know if you, when I say revved up, like it wasn't quite palpitations because I have had that before but just revved up, I don't know how else to describe it. It didn't last very long. It just passes. Revved up, like a little hyper. I just calm myself, try to relax and calm myself." The outcome of the event was unknown. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0980924
Sex: F
Age:
State: IL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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: Low grade fever/fever; Chills; Body ache/whole body aches; Nausea/I am getting nauseated; Not feeling well; This is a spontaneous report from a contactable nurse (patient). A 64-year-old female received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) , via an unspecified route of administration on 13Jan2021 at a single dose as patient works in a Healthcare Facility, also under the recommendation of her physician (COVID-19 immunization). Medical history included cardiomyopathy and patient has pacemaker defibrillator. Concomitant medication included sotalol. The patient had the injection (patient described the product as Pfizer EL3246) yesterday, the first dose and about 2 o'clock this morning (14Jan2021) she woke up and have been having symptoms, the side effect symptoms, she had fever, the chills, the body ache, the nausea and just not feeling well at all. The patient was still experiencing the events. The patient stated that they are actually kind of getting worse, she was getting nauseated, her entire whole body aches, not feeling well at all, she had a fever, she just took temp of herself and she has a low grade fever. No treatment was administered for the events. The outcome of the events was not recovered. Information on lot number has been requested.

Other Meds: SOTALOL

Current Illness:

ID: 0980925
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 01/28/2021
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: Unbearable pain in her right thumb; This is a spontaneous report from a contactable pharmacist. The pharmacist reported same events for two patients. This is second report for his wife's client. A female patient of an unspecified age received her second dose BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The reporter's wife was at work (she was a hair stylist) and was talking with one of her clients. Her client (the patient) who was a nurse said recently she had also taken the vaccine (2nd shot) and said the weirdest thing had happened. She told that she can't hold anything in her right hand and she had been experiencing unbearable pain in her right thumb when she used it for anything. The reporter still spoke with the lady who had pain too and she said the same thing and they knew it came after the second shot of the vaccine. The outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021045702 same reporter/product/event, different patient

Other Meds:

Current Illness:

ID: 0980926
Sex: F
Age:
State: TX

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
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: Fever was 99.9; Flu symptoms; Muscle aches; runny nose; diarrhea; This is a spontaneous report from a contactable consumer, the patient. This 47-year-old female patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration in the left arm on 13Jan2021 at 1715 (at the age of 47-years-old) as a single dose for COVID-19 vaccination. The patient's medical history included type 1 diabetes mellitus from an unknown date and unknown if ongoing and food allergy from an unknown date and unknown if ongoing (allergies: shell fish). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient was not pregnant at the time of vaccination. Concomitant medication included insulin lispro (HUMALOG), insulin glargine (BASAGLAR), cetirizine hydrochloride (ZYRTEC), montelukast sodium (SINGULAIR), gabapentin (GABAPENTIN). On 21Jan2021 at 11:00, 8 days later, the patient experienced fever was 99.9, flu symptoms, muscle aches, runny nose and diarrhea a couple times. Things tasted and smelled different or oddly before the senses going away. No therapeutic measures were taken as a result of the events. The clinical outcome of fever was 99.9, flu symptoms, muscle aches, runny nose and diarrhea a couple times was not resolved. It was also reported that since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: HUMALOG; BASAGLAR; ZYRTEC; SINGULAIR; GABAPENTIN

Current Illness:

ID: 0980927
Sex: F
Age:
State: GA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I was swimming which I do every day and then when I got out of the pool was when I became dizzy and it bothered me walking; I was swimming which I do every day and then when I got out of the pool was when I became dizzy and it bothered me walking; This is a spontaneous report from a contactable consumer (patient). An 87-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL0140), via an unspecified route of administration on 11Jan2021 at 11:45 at a single dose for COVID-19 immunization. The patient's medical history included high blood pressure. Concomitant medications included metoprolol for high blood pressure and rosuvastatin calcium (CRESTOR). On 13Jan2021, the patient stated, "I was swimming which I do every day and then when I got out of the pool was when I became dizzy and it bothered me walking". The patient wanted to know if the vaccine could have been the cause. The patient did not receive any treatment for the reported events. The patient recovered from the events on 13Jan2021.

Other Meds: METOPROLOL; CRESTOR

Current Illness:

ID: 0980928
Sex: U
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
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: Dizzy; Nausea; Tired; Headache; arm got a little bit tender; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number: EL3302, via an unspecified route of administration on 13Jan2021 at a SINGLE DOSE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 13Jan2021 towards the end of the day, the patient's arm got a little bit tender. It was fine, a little bit tender but nothing to worry about. But today (14Jan2021), later in the morning the patient started getting dizzy and had some nausea, was tired and had headache. The outcome of events was unknown. No follow-up attempts are possible. No further information is expected. Information on the lot/batch number has been obtained.

Other Meds:

Current Illness:

ID: 0980929
Sex: M
Age:
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: Fatigue; Joint pain; He felt too warm; Nausea; This is a spontaneous report from a non-contactable nurse (patient). A male patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration in Jan2021 at a single dose for COVID-19 immunization. There were no medical history and concomitant medications. Patient had the first dose of COVID 19 vaccine (BNT162B2; reported as Pfizer) on an unknown date. Patient apparently received his second dose in Jan2021 (reported as looked like he got second dose on the 11th and the following days of 12th, he began experiencing symptom), he said it's been 24 hours he experienced fatigue, mild joint pain and he felt too warm, he then 4 to 8 hours he experienced nausea. No treatments were received in response to the events reported; reported as no medical treatment basically, just staying in bed. The outcome of the events fatigue, mild joint pain, he felt too warm and nausea was recovered in Jan2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0980930
Sex: F
Age:
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash across face, part of her cheeks over her nose; Arm sore; Received two vaccine within 10 minutes of each other and now to be re-vaccinated again the second dose; not enough research can guarantee if that's safe; This is a spontaneous report from a contactable consumer. A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EL0140, expiry:Mar2021), intramuscular on 12Jan2021 at a SINGLE DOSE then intramuscular on 12Jan2021 at a SINGLE DOSE for covid-19 immunisation. Medical history included blood cholesterol increased, fistula, surgery on 18Dec2020. It was stated, "Sure, I am hoping you can help me. I am one of the legal guardians for our younger sister who has special needs. She is residing in a group home, group home in the city area she is currently been out of it because she has surgery. They have made arrangements for them to still ask for them to receive the first Pfizer Covid 19 Vaccination just this past Tuesday so I go from up there from my home in city and we had a problem in there they screwed up and ended up vaccinating her twice within 10 minutes. I asked the pharmacist, there I asked the RN what does that mean for her I mean I didn't know what that meant but normally we would sat for 15 minutes, they made her sat for 30 minutes. The nurse was there from the group home monitored her blood pressure and temperature and then we got in the car proceeded to drive 3 and half hour. They said just watch for temperature, labored breathing, take her to the emergency room call 911, the only thing she did have about an hour after she broke out that was "malar" (not clarified) rash across her face part of her cheeks over her nose that lasted for about 30 minutes. The next day her arm was sore which was going to happen but here is my question though she received two vaccine within 10 minutes of each other and now they are wanting her to be re-vaccinated again which would have been the second dose, supposedly on 02Feb2021. Nobody can tell me if that's safe or if that's okay, they can't guarantee, they all kept telling me, the nurse says, I called the pharmacist kept saying there's not been enough research to know if it's safe for her to get that next vaccine, so I don't know what to do." The reporter also stated, "IM, Both went for IM, first one went into her left arm and second shot was given in her right arm." The patient underwent lab tests and procedures which included blood pressure measurement: unknown result on an unspecified date, blood test: unknown result on 05Jan2021, body temperature: unknown result on an unspecified date, sars-cov-2 test: unknown results pre-surgery and post-surgery. The outcome of the event rash across face, part of her cheeks over her nose was recovered and arm sore was unknown.

Other Meds:

Current Illness:

ID: 0980931
Sex: F
Age:
State: CA

Vax Date: 12/27/2020
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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: Rashes; I developed some lump on my neck and then my left ear; Shingles; Pain; Headache; This is a spontaneous report from a contactable nurse (patient). A 43-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number, expiration date unspecified), via an unspecified route of administration on 27Dec2020 at 16:25, at single dose for COVID-19 immunization. The patient had no medical history. The patient's concomitant medications were not reported. On 02Jan2021, the patient experienced shingles. On 06Jan2021, the patient developed some lump on neck and then on left ear. On 07Jan2021, the patient experienced rashes. The patient reported that she got her first shot 27Dec2020 and after six days she developed Shingles. She was a healthy person and then after four days, she developed some lump on her neck and then on left ear and then the next day she developed some rashes. After that, she talked to her doctor, for shingles, she gave her acyclovir medication and then she was recovering right now. According to the infection control doctor, they never heard that was the side effect. In Jan2021, the patient experienced pain and headache. Nurse stated that the primary doctor just prescribed last Friday Acyclovir, 1 gm tablet, three times a day. When she talked to her doctor, she stated that shingles was dormant, virus from the spine and when she got the vaccine, it woke up the virus from her body. It's like virus in your body, and she thought the virus reacted to this. Outcome of event shingles was recovering; and outcome of the rest of events was unknown. Information on the Lot/Batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm