VAERS 2021 Database www.vaers.hhs.gov

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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

Date Died: 07/01/2021

ID: 1756109
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/02/2021
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: declined fast mentally and physically and died in July; declined fast mentally and physically and died in July; he was a downward slope cognitively; weight loss; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Per reporter, "mother's boyfriend was better than her cognitively and would get them to events and meals etc. They were both vaccinated the same days with Pfizer. From about that time, he was a downward slope cognitively like mini strokes often and declined fast mentally and physically and died in Jul2021. Very, very odd. I hope things like that get studied as well. A few weeks ago, I was pondering the unusual occurrences in my head and then dawned on me to perhaps report. Maybe nothing, but could be studied in Real World Data. Not sure the medical diagnosis since my mother's boyfriend was not our family, but talking to him there was an obvious and rapid change. He used to be the first to the musical events at their facility as he loved to sing and dance and would get my shy mother up there with him harmonizing and dancing with him. The facility would often make sure (Name) would participate because he added to the entertainment with his singing and dancing. He just declined so fast. First, I noticed the weight loss, but when we could finally get inside the facility and actually have real visits he was so "out there" the few months before he died". The patient died on Jul2021. It was unknown if autopsy was performed. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.; Reported Cause(s) of Death: he was a downward slope cognitively; weight loss; declined fast mentally and physically and died in July; declined fast mentally and physically and died in July

Other Meds:

Current Illness:

ID: 1756110
Sex: F
Age:
State: NJ

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 10/02/2021
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 Name: Blood pressure; Result Unstructured Data: Test Result:200/110; Comments: Blood pressure it was 200/ 110.; Test Name: pulse rate; Result Unstructured Data: Test Result:112

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Blood pressure it was 200/ 110 pulse was 112; pulse was 112; Pains in my chest; Left arm is tingling and numb at times; Left arm is tingling and numb at times; This case was initially received on 12Jul2021 and it was previously submitted under the incorrect Sender's (Case) Safety Report Unique Identifier JE-PFIZER INC-2021881208. The information for this patient is now filed under US-PFIZER INC- 02101295783. All subsequent follow-u p information will be reported under this manufacture number. This is a spontaneous report from a contactable consumer (patient). A 41-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) dose 2 via an unspecified route of administration, administered in Arm Left on 01Jun2021 10:00 (at the age of 41-year-old) (Batch/Lot Number: Ew0178) as single dose for covid-19 immunisation. Medical history included hypertension, pain, post laminectomy syndrome, arthritis. Concomitant medications included oxycodone hydrochloride (OXYCONTIN) taken for an unspecified indication, start and stop date were not reported; oxycodone taken for an unspecified indication, start and stop date were not reported; diazepam (DIAZEM) taken for an unspecified indication, start and stop date were not reported; metoprolol taken for an unspecified indication, start and stop date were not reported; ondansetron (ZOFRAN) taken for an unspecified indication, start and stop date were not reported; certolizumab pegol (CIMZIA) taken for an unspecified indication, start and stop date were not reported; amlodipine taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 11May2021 (lot number Ew0182. Vaccine location=Left arm) for COVID-19 immunization. The patient received the second shot at 10am. At 3 pm, had pains in her chest, took blood pressure it was 200/ 110 pulse was 112. called Dr they sent her to ER; she still have chest pains and have to see a heart doctor. She has never had any heart issues. She had 4 back surgical procedures done. Her left arm was tingling and numb at times. Events onset date was 01Jun2021; outcome was not recovered.

Other Meds:

Current Illness:

ID: 1756111
Sex: F
Age:
State: IL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 10/02/2021
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: immune thrombocytopenia; bleeding out of right nostril like a fountain; sore arm; This is a spontaneous report from a contactable nurse. A 70-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number EN6199, Expiry date not reported) dose 1 via intramuscular route of administration in left arm on 03Mar2021 (at age of 70-years-old) as single dose for COVID-19 immunisation. Patient medical history include blood pressure, cholesterol. Patient previously took historical vaccine include the flu vaccine, tetanus booster and shingles vaccine experienced sore arm. The patient's concomitant medications were not reported. Patient reported that she had severe reaction to Bactrim. She broke out in hives and had anaphylactic shock. She had to get 2 injections with a hypo, a big needle, they gave her a big needle in the butt. NDC, lot, expiry for Bactrim unknown. She reports the first 2 times she was administered Bactrim, for a bad UTI (urinary tract infection) the first 2 times she didn't have any problems. It was the 3rd time she took the Bactrim her lips swelled, her face swelled, she had itching and heat. It was years apart that she took the third dose of Bactrim from the second dose of Bactrim. Patient concomitant medications were not reported. She reported that she had some over the counter supplements. She takes her cholesterol medication every other day. Patient did not receive any other vaccine within 4 weeks prior vaccinations. Caller reported that she had her first vaccine on 03Mar2021. On 09Mar2021 06:30 (6 days 6 hrs 30 min after vaccination) Patient experienced she started bleeding out of her right nostril like a fountain. This has never happened before. The bleeding lasted about 4-5 minutes. She used compression and leaned her head back. Her sister looked it up and found immune thrombocytopenia. The caller is asking if the Covid 19 vaccine has attacked her blood platelets. Her sister looked it up and there was one person who had this and they died, they hemorrhaged. Caller reports she is shaking, she is fearful. She reached out to her primary health care doctor, and they want her to come to the office to get a blood test. They would know immediately if it was affecting her platelets. The nosebleed could have been just dry air. Her eyes were dry this morning, but it never happened before it happened, and she couldn't believe her eyes it was running out of her nose. She states she had a sore arm. Her arm hurt for a day maybe an afternoon. Patient received treatment for nosebleed by compression and leaning head back. Patient was supposed to get her 2nd Covid 19 vaccine on 23Mar2021 and that's something else she needs to know, about getting the second vaccine. When querying seriousness, states she is concerned about getting the second vaccine. It was reported that the relatedness of Covid 19 Vaccine for bleeding out of right nostril like a fountain was unknown; sore arm was related through primary source of reporter by global introspection. The Outcome of the events was nosebleed was recovered on 09Mar2021; sore arm recovered on 04Mar2021; Immune thrombocytopenia was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.; Sender's Comments: Based on the information currently available,The casual association between the reported event "Immune thrombocytopenia " and suspected vaccine BNT162B2 cannot be completely excluded, but consider also possible contributory effects from the confounding factors of patient medical history and/or concomitant medications and being geriatric age group. 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: 1756112
Sex: F
Age:
State: CA

Vax Date: 02/13/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: Large bullseye rash on upper left arm - other side of elbow; This is a spontaneous report from a contactable consumer or other non hcp. A 75-years-old female non pregnant patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: UNKNOWN), via an unspecified route of administration, administered in Arm Left on 13Feb2021 10:30 (at the age of: 75-years-old) as dose 2, single for covid-19 immunisation. Medical history included systemic lupus erythematosus from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported.The patient previously took tetracycline, neurontin and experienced drug hypersensitivity. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: UNKNOWN), via unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccine with in 4 weeks prior to covid vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 12Mar2021 the patient experienced large bullseye rash on upper left arm - other side of elbow. The event resulted in physician office visit. Therapeutic measures were taken as a result of large bullseye rash on upper left arm other side of elbow with antibiotics. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was recovered with sequelae. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1756113
Sex: F
Age:
State: IL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: Raynaud's attack in finger about 5 minutes after injection; Raynaud's attack in finger about 5 minutes after injection; This is a spontaneous report from a contactable consumer, the patient. A 63-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: unknown), dose 1 via an unspecified route of administration, administered in arm left on 12Mar2021 12:15 as dose 1, single (at the age of 63-yaers-old) for covid-19 immunisation. Medical history included rheumatoid arthritis, raynaud's disease, autoimmune dysfunction and bee allergy. It was unknown if patient had covid prior to vaccination. Concomitant medications included levothyroxine sodium and cyclobenzaprine. The patient did not receive any other vaccine in four weeks. On 12Mar2021 at 12:15, the patient experienced raynaud's attack in finger about 5 minutes after injection. The patient did not visit the emergency room and physician office. Patient did not receive treatment for adverse event. The patient did not test for covid post vaccination. The outcome of the event was recovered in Mar2021. No follow-up attempts were possible; information about lot/batch number could not been obtained

Other Meds:

Current Illness:

ID: 1756114
Sex: F
Age:
State: WA

Vax Date: 03/09/2021
Onset Date: 03/01/2021
Rec V Date: 10/02/2021
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: Felt achy all over; splitting headache day after vaccine. Like I'd been hit by a bus; Exhausted on day 2; rash on both of my lower legs; healing scabbed over rash on both of my lower legs; This is a spontaneous report from a contactable consumer (patient). A 61-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6208, Expiration date not reported), via an unspecified route of administration, administered in left arm on 09Mar2021 11:45 (at the age of 61 years) as dose 2, single for covid-19 immunization. Medical history included known allergies to nickle, ampicillin and Thimerosal. Other medical history was reported as none. The patient's concomitant medications were not reported. The patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EN6201), via an unspecified route of administration, administered in left arm on an unknown date in Feb2021 10:15 (at the age of 61 years) for covid-19 immunization. Patient did not take other vaccine in four weeks and other medications in two weeks of vaccination. Prior to vaccination patient did not have covid and not covid tested post vaccination. On an unknown date, the patient felt achy all over. On an unknown date in Mar2021, patient experienced splitting headache day after vaccine, like she had been hit by a bus, was exhausted on day 2, and on day 3 she noticed a healing scabbed over rash on both of her lower legs. Patient did not receive any treatment for events. The outcome of all the events was recovering. No follow-up attempts were possible. No further information was expected.

Other Meds:

Current Illness:

ID: 1756115
Sex: F
Age:
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 10/02/2021
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: Headache; Achy hips; Achy lower back shoulders; Achy neck; sore arm; fatigue; insomnia from pain; This is a spontaneous report from a contactable consumer (patient). A 56-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: El9267) via an unspecified route of administration, administered in Arm Left on 11Mar2021 at 10:30 as dose 1, single for COVID-19 immunisation. Medical history included covid-19. Concomitant medication included citalopram (CITALOPRAM) taken for an unspecified indication. Patient known allergies reported as none. On 11Mar2021 at 14:00 the patient experienced headache, achy hips and lower back shoulders and neck, sore arm, fatigue, insomnia from pain. Patient was not received treatment for the events. Outcome of the events was not recovered. No follow up attempts are Possible. No further information is expected

Other Meds:

Current Illness:

ID: 1756116
Sex: F
Age:
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 10/02/2021
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: Tightness in chest; Nauseous; Headaches; Achiness; This is a spontaneous report from a non-contactable consumer or other non hcp. A 52-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration, administered in Arm Right on 05Mar2021 11:45 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included gluten sensitivity from an unknown date and unknown if ongoing, Amoxicillin, Sulfa drugs (drug hypersensitivity) from an unknown date and unknown if ongoing. There were no concomitant medications. The patient previously took amoxicillin and experienced drug hypersensitivity. On 05Mar2021 at 12:00 the patient experienced tightness in chest, nauseous, headaches and achiness. Patient was not pregnant at the time of vaccination. Patient did not receive other vaccine in four weeks of vaccination. Patient did not receive other medications in two weeks of vaccination. Patient was not diagnosed with COVID, prior vaccination. Patient has not been tested for COVID, post vaccination. No other medical history was given. The outcome for the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1756117
Sex: M
Age:
State: WI

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: joint/muscle pain; Severe weakness; chills; joint/muscle pain; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 77-year-old male patient received bnt162b2 (BNT162B2, Formulation: solution for injection, Lot number: EN6207, Expiry date: unknown) via an unspecified route of administration, administered in arm left on 11Mar2021 at 11:00 (age at vaccination 77-years-old) as DOSE 1, SINGLE for COVID-19 immunisation. Medical history included diabetes, heart disease, parkinson's disease and allergies to latex from an unknown date and unknown if ongoing. The patient previously took morphine and cyclosporine and experienced drug hypersensitivity. Concomitant medications were not reported. The patient had known allergies. The patient was tested positive for COVID-19 prior to vaccination and had not been tested post vaccination. Patient did not receive any other vaccines within 4 weeks prior and patient was on other medications 2 weeks prior to the COVID vaccine. On 12Mar2021 at 12:00, the patient experienced severe weakness, chills, joint pain and muscle pain on an unspecified date. No treatment was received as a result of events. The outcome of the event muscle pain was unknown and all other events were recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756118
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 10/02/2021
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: sore arm/arm was achy; headaches; muscle ache; she "couldn't move" it; area was shinny with the little bumps; hypochondriac; difficulty breathing; developed "blister bumps" on her "back, between her shoulders close to [her] neck/another "blister 2 inches" below the initial ones, on her back; when she scratched it and "clear liquid came out/oozed out of it/a clear liquid in it; it was "red, itchy and burning as acid"; it was "red, itchy and burning as acid"; it was "red, itchy and burning as acid"; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: not reported, Expiry date: not reported), via an unspecified route of administration on 12Mar2021 as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced sore arm/arm was achy, headaches, muscle ache, she "couldn't move" it, area was shinny with the little bumps, hypochondriac and difficulty breathing. On 13Mar2021, developed "blister bumps" on her "back, between her shoulders close to [her] neck/another "blister 2 inches" below the initial ones, on her back, when she scratched it and "clear liquid came out/oozed out of it/a clear liquid in it, it was "red, itchy and burning as acid". Caller stated she received the first dose of the bnt162b2 vaccine last Friday (unspecified date). She explained she had "a sore arm, headaches, and muscle ache", but they all "gone". She described her "arm was achy and said she "couldn't move" it. She added last night (before day of reporting) she developed "blister bumps" on her "back, between her shoulders close to [her] neck". She explained when she scratched it and "clear liquid came out/oozed out of it". She mentioned it was "red, itchy and burning as acid". She explained she put "hand sanitizer" on it and it relived her symptoms. She then said she asked someone to take a picture of the area and she noted the "area was shinny with the little bumps". She added she woke up this morning with another "blister 2 inches" below the initial ones, on her back". She specified it also: "itches and has a clear liquid in it". She mentioned her daughters who were nurses said she was hypochondriac, and she should only go to the ER as she has difficulty breathing. She asked what should she do, if the blisters were reported as side effect to the vaccine, if her reaction to the second dose will be worse than the first and if she should put alcohol/hand sanitizer on the second spot where she has a blister. She mentioned she had an appointment with her HCP this coming Tuesday (unspecified date). Caller asked if she should pursue with the second dose of the bnt162b2 vaccine given her reaction to the first dose. Therapeutic measures were taken as a result of the events developed "blister bumps" on her "back, between her shoulders close to [her] neck/another "blister 2 inches" below the initial ones, on her back, when she scratched it and "clear liquid came out/oozed out of it/a clear liquid in it, it was "red, itchy and burning as acid". The outcome of the events she "couldn't move" it, developed "blister bumps" on her "back, between her shoulders close to [her] neck/another "blister 2 inches" below the initial ones, on her back, when she scratched it and "clear liquid came out/oozed out of it/a clear liquid in it, it was "red, itchy and burning as acid" (pruritus), it was "red, itchy and burning as acid" (skin burning sensation), area was shinny with the little bumps, hypochondriac, difficulty breathing was unknown while the events sore arm/arm was achy, headaches, muscle ache, it was "red, itchy and burning as acid" (erythema) recovered on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1756119
Sex: F
Age:
State: FL

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: chills; cough; Short of breath; sore throat; fatigue; loss of taste/smell & appetite; Loss of taste/smell & appetite; Loss of taste/smell & appetite; muscle & joint aches; muscle & joint aches; swollen lymph nodes; hoarseness; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 71-year-old non- pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EN6200) via an unspecified route of administration, administered in Arm Left on 05Mar2021 14:00 as DOSE 2, SINGLE (at the age of 71-years-old) for covid-19 immunisation. The patient's medical history included diabetes, hypothyroidism, fibromyalgia, neuropathy, and known allergies: penicillin all from an unknown date and unknown if ongoing. There were no concomitant medications. The patient was not tested to COVID prior and post vaccination. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: EL3246) via an unspecified route of administration, administered in Arm Left on 10Feb2021 02:00 PM as DOSE 1 SIINGLE for covid-19 immunisation. The patient was not tested to COVID prior and post vaccination. The patient experienced chills, cough, short of breath, sore throat, fatigue, loss of taste/smell & appetite, muscle & joint aches, swollen lymph nodes, hoarseness all on 12Mar2021 10:30. Patient had not taken any other vaccines in four weeks. Patient had not received any treatment for the events. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756120
Sex: F
Age:
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Date: 20210304; Test Name: Fever; Result Unstructured Data: Test Result:100.2

Allergies:

Symptom List: Rash, Urticaria

Symptoms: severe body aches; 100.2 fever; chills; sweating; fatigue; generalized weakness; This is a spontaneous report from a contactable other hcp (patient). A 23-years-old female patient reported for herself that she received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6205), via an unspecified route of administration, administered in arm left on 04Mar2021 at 08:45 AM (age at vaccination was 23 years) as DOSE 2, SINGLE for covid-19 immunisation at public health clinic/veterans administration facility. The patient was not pregnant at the time of the vaccination. Medical history was reported as none. No known allergies was reported. No other vaccines were received within four weeks of vaccination. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken within two weeks for an unspecified indication, start and stop date were not reported. Historical vaccine included bnt162b2 (Batch/Lot Number: EN6201), via an unspecified route of administration, administered in arm left on 11Feb2021 at 10:00 AM (age at vaccination was 23 years) as DOSE 1, SINGLE for covid-19 immunisation. On 04Mar2021 at 05:00 PM, the patient experienced severe body aches, 100.2 fever, chills & sweating, fatigue, generalized weakness. The patient underwent lab tests and procedures which included body temperature: 100.2 on 04Mar2021. Therapeutic measures were taken as a result of events. Treatment included 400 mg ibuprofen. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. The outcome of the events was recovered on an unspecified date. No follow-up attempts are possible. No further information is expected.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1756121
Sex: M
Age:
State: NV

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Date: 20210312; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: loss of taste; loss of smell; This is a spontaneous report from a contactable consumer (patient). A 35-year-old male patient received bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, Solution for injection, Batch/Lot Number: EN6206), via an unspecified route of administration, administered in left arm on 10Mar2021 07:00 (at the age of 35-years-old) as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient had no known allergies. Patient did not receive any other vaccines within 4 weeks to the COVID vaccine and other medications within two weeks to the COVID vaccine was NA. The patient did not have COVID prior vaccination, and the patient had tested for Covid-19, post vaccination. The patient experienced loss of taste and loss of smell on 12Mar2021 09:00. The patient underwent lab tests and procedures which included (Nasal Swab) sars-cov-2 antibody test: negative on 12Mar2021. The adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive treatment for the adverse events. The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756122
Sex: F
Age:
State: OH

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: Headache; joint pain; nausea; fatigued; fever; felt strange; low blood sugar( weak); This is a spontaneous report from a contactable consumer (patient) reported for herself. A 52-years-old non-pregnant female patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, Solution for injection, batch/lot number: unknown), via an unknown route of administration in right arm on 12Mar2021 at 15:15 (at the age of 52-years-old) as dose 2, single for COVID-19 immunization at workplace clinic. The patient's medical history included type 2 diabetes. She had allergy from bee stings and sulfa. Concomitant medication included metformin and Osteo Bioflex taken for an unknown indication from an unknown date (these medications in two weeks). No other vaccine in four weeks. The patient received succinylcholine and sulfamethoxazole as past drug and developed allergy. The patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, Solution for injection, batch/lot number: unknown), via an unknown route of administration in left arm on 18Feb2021 at 15:15 (at the age of 52-years-old) as historical vaccine as dose 1, single for COVID-19 immunization. On 12Mar2021 at 15:15, the patient experienced headache, joint pain, nausea, fatigued, fever for 2 days. On third day still had a headache but no fever. About 20 minutes after the injection the patient felt strange, like a feeling like low blood sugar (weak). She was ok enough to drive home. She slept for about 15 hours. No COVID prior vaccination. No COVID tested post vaccination. No treatment for event. The outcome of the event fever was recovered, while the outcome of remaining events was recovering. No follow-up attempts are possible. Information about lot or batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1756123
Sex: F
Age:
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 10/02/2021
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: Dizziness; weakness; felt like I was going to pass out/I felt a little crummy for about the first 24 hours/I felt like my blood sugar was low/vasovagal response; an allergic reaction; This is a spontaneous report from a non-contactable other health care professional (Patient). A (Age: 44; Unit: Unknown) female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date were not reported) via an unspecified route of administration on 23Feb2021 as dose 1, single for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On 23Feb2021, patient experienced dizziness, weakness, a vasovagal response, my blood sugar was low, i felt a little crummy for about the first 24 hours/i felt like i was going to pass out, but didn't, an allergic reaction. Caller read that dizziness and weakness was an allergic reaction. She experienced dizziness and weakness a minute after the vaccine. Caller stated that the patient had received many vaccines, practiced blood draws and never had a vasovagal response from a needle or shot. The patient felt like my blood sugar was low, felt a little crummy for about the first 24 hours and thought that was normal. The patient concerned because they talked about these symptoms as an allergic reaction. It was not severe, it lasted a long time, felt like was going to pass out, but did not and was very dizzy and weak. Caller wanted to know if this was an allergic reaction or not.The outcome of all events was unknown. No follow-up attempts are possible. Information about Lot/Batch number cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1756124
Sex: F
Age:
State: IN

Vax Date: 03/08/2021
Onset Date: 03/01/2021
Rec V Date: 10/02/2021
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: This is a spontaneous report from a contactable consumer (patient). A 45-year-old (non-pregnant) female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection, batch/lot# EN6198, expiration date: unknown), at the age of 45, via an unspecified route of administration, left arm, on Mar 8, 2021, at 16:45, single dose, for COVID-19 immunisation. Medical history included COVID-19 from Mar 2020 to Mar 2020. There were no concomitant medications. She has not tested for COVID-19 post vaccination. She did not receive any other vaccine in 4 weeks. She was not on medications in the last two weeks. She had COVID-19 in Mar 2020. She didn't know if this was why she was still experiencing side effects from her first vaccine. The patient experienced migraine and fatigue on Wednesday, Mar 10, 2021, at 6:00 pm, she had really bad nausea; stomach cramping on Friday Mar 12, 2021 for most of the day; really sore lymph nodes under her arms and on her neck on Monday, Mar 15, 2021; and her joints ached on an unspecified date in Mar 2021. The outcome of the events: recovering. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1756125
Sex: F
Age:
State: NY

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Date: 20210314; Test Name: Fevers; Result Unstructured Data: Test Result:103.5; Comments: high fevers 103.5 at 11:00 hours

Allergies:

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

Symptoms: Chills; high fevers 103.5; achy joints; headache; This is a spontaneous report from a contactable consumer (patient). A 54-years-old non-pregnant female patient received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: EN6206 and Expiration date was not reported) via an unspecified route of administration, administered in left arm on 14Mar2021 at 08:00 hours as dose 2, single (at the age of 54-years) for COVID-19 immunisation. Medical history included Acquired Immunodeficiency Syndrome (AIDS), Non-cirrhotic hyper portal tension, low platelets and known allergies: penicillin (all from an unknown date and unknown if ongoing). Patient was not diagnosed with COVID-19, prior to vaccination and had not been tested for COVID-19, since the vaccination. Historical vaccine included patient received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number: EN6198 and Expiration date was not reported) via an unspecified route of administration, administered in left arm on 21Feb2021 at 08:15 hours as dose 1, single (at the age of 54-years) for COVID-19 immunisation. Concomitant medication(s) included cobicistat, darunavir ethanolate (Prezcobix) taken for an unspecified indication from an unspecified start date to 14Mar2021; nadolol (Nadol), valacyclovir, levothyroxine and PRA (all taken for an unspecified indication, start and stop date were not reported). Patient had no other vaccine in four weeks. On 14Mar2021 11:00, patient experienced chills, high fevers 103.5, achy joints, headache, the patient has not been tested. On an unspecified date the patient underwent lab tests and procedures which included body temperature result was high fevers 103.5. Therapeutic measures were taken as a result of all events. The outcome of the events was not resolved. 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: 1756126
Sex: F
Age: 28
State: IL

Vax Date: 09/30/2021
Onset Date: 10/01/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Currently pregnant. Baby movement has decreased some since injection. Sore throat followed 1 day after injection

Other Meds: None

Current Illness: None

ID: 1756127
Sex: F
Age: 31
State: NC

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I was fine until almost twelve hours after my shot. Then I woke up sweating with a fever and chills to the point I was shaking uncontrollably. I was so dizzy I couldn?t open my eyes. I vomited four times. This episode lasted approximately three hours. I took some ibuprofen for my fever. I had a sore arm for about seven days after. Since the vaccine I have experienced constant tenderness on lymph nodes in my underarms. Every three weeks or so I get dizzy spells that last for a few hours. I have had consistent pain in my right ear and neck tenderness since the second dose. Nothing seems to help any of these symptoms.

Other Meds:

Current Illness:

ID: 1756128
Sex: F
Age: 36
State: CA

Vax Date: 08/01/2021
Onset Date: 09/02/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: My period was longer and heavier than it usually is, now it?s just brown blood coming out consistently but not as heavy as before

Other Meds: None

Current Illness: None

ID: 1756129
Sex: F
Age: 43
State: TX

Vax Date: 12/21/2020
Onset Date: 12/31/2020
Rec V Date: 10/02/2021
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: 12/31/2020 - rushed to ER - they did an EKG, blood work, Benedryl IV, Steriod injection, IV fluids. MD prescribed epi-pen if I did the second injection but advised not too. Second injection never completed.

Allergies: Severe rash and hives with Flu vaccine. Morphine

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

Symptoms: Swelling of the lips, mouth, tongue, itching of left side of face, itching of arms and chest, drop of heart rate to the 40's per ER MD, rash all over arms and chest, face

Other Meds: none

Current Illness: no

ID: 1756130
Sex: F
Age:
State: NJ

Vax Date: 01/18/2021
Onset Date:
Rec V Date: 10/02/2021
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: achy deltoids for a day or so; This is a spontaneous report from contactable consumer. This consumer reported similar events for 2 patients. This report is for 2nd of 2 patients. A female patient (reporter's wife) of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Lot Number: EL8982) via an unspecified route of administration on 18Jan2021 as dose 1, single and received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Lot Number: EM9809) via an unspecified route of administration on 08Feb2021 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 achy deltoids for a day or so, otherwise no adverse reactions after receiving both doses of the Pfizer COVID-19 vaccine on 18Jan and 08Feb2021 (Batches EL8982 and EM9809, respectively). The events were non-serious. The clinical outcome of the events were not reported. No follow-up attempts are possible. No further information is expected. ; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021283957 Same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1756131
Sex: F
Age:
State: NC

Vax Date: 03/11/2021
Onset Date: 03/01/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: fever; Result Unstructured Data: Test Result:101.7

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Headache; Was real sleepy, I slept for all the night and then next day I slept, although I was awake with a headache about midday; Had a fever of a 101.7; This is a spontaneous report from two contactable consumers. Both consumers (Husband and wife) reported for female patient (Wife) that: A 67-year-old female patient received bnt162b2 PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Batch/Lot number was not reported) dose 1 single via an unspecified route of administration on 11Mar2021 (at the age of 67-year-old) as single dose for COVID-19 immunisation. Medical history included diabetes mellitus and hypertension from an unknown date and unknown if ongoing. Patient reported that she does not take diabetes medication. Concomitant medications included lisinopril (LISINOPRIL) taken for high blood pressure, start and stop date were not reported. On 11Mar2021, the patient had headache. On an unspecified date in Mar2021, the patient had a fever of 101.7 and was really sleepy, slept for all the night and then next day she slept, although she was awake with a headache about midday. That was all the side effects the patient had. The patient underwent lab tests and procedures which included body temperature: 101.7. The patient took Ibuprofen for headache. The clinical outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1756132
Sex: F
Age:
State: NY

Vax Date: 03/01/2021
Onset Date: 03/11/2021
Rec V Date: 10/02/2021
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: swollen lower inside lip; I have a petrolium reaction; I am allergic to plastic in my mouth; This is a spontaneous report from a contactable consumer (patient) reported herself. A 69-years-old non-pregnant female patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Batch/Lot Number: EN6203), via an unknown route of administration in left arm on an unknown date in Mar2021 at 12:00 as dose 1, single for COVID-19 immunization. Facility type vaccine was reported as other. The patient's medical history included high BP, diabetes, high cholesterol, heart bypass surgery and 2 cancers. She had known allergies of plastics adhesives. Concomitant medication was not reported. No other vaccine in four weeks. Yes, other medications in two weeks. The patient received Augmentin (amoxicillin; clavulanate potassium) as past drug and develop augmentin allergy. On 11Mar2021, the patient experienced swollen lower inside lip, I have a petroleum reaction I am allergic to plastics in my mouth, causes this same issue. Yes, COVID prior vaccination. No COVID tested post vaccination. No treatment received. The outcome of the events was recovered on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756133
Sex: F
Age:
State: CT

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 10/02/2021
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: Throat swelling; This is a spontaneous report from a contactable consumer (Patient). A 61-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection, Lot Number: EN6206, expiration date: unknown) via an unspecified route of administration in arm left on 15Mar2021 10:00 as dose 1, single for COVID-19 immunization. Medical history included high blood pressure. Patient was not pregnant at time of vaccination. No other vaccine in four weeks, no COVID prior vaccination and not tested COVID post vaccination. The patient received concomitant therapy (unspecified) in two weeks. The patient previously took Naprosyn/Naproxen and Sesame and experienced allergies. On 15Mar2021 10:15, the patient experienced throat swelling. Patient received treatment with Benadryl orally for the event throat swelling. On an unspecified date in 2021, the event throat swelling was resolved. No follow-up attempts were possible. No further information was expected.

Other Meds:

Current Illness:

ID: 1756134
Sex: F
Age:
State: FL

Vax Date: 01/16/2021
Onset Date:
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Name: Sjogren's test; Test Result: Negative ; Comments: Sjogren's test came back negative

Allergies:

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

Symptoms: My arm hurt after first shot; dry mouth; swollen and numb lips; swollen and numb lips. Even my cheeks felt numb; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 67-years-old female patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Batch/Lot Number: unknown), via an unknown route of administration on 16Jan2021 as dose 1, single and on 06Feb2021 as dose 2, single for COVID-19 immunization. The patient's medical history included psoriasis on scalp and eyes. Concomitant medication included estradiol (ESTRACE) vaginally was taken for an unknown indication from an unknown date. The patient received Itraconazole as past drug and experienced contact dermatitis diagnosis. In Sep2020, the patient suffered a scratch from a rose bush and was prescribed itraconazole x 9 days for contact dermatitis diagnosis. On an unknown date in 2021, the patient experienced her arm hurt after first shot. Also, after first shot, she started experiencing very dry mouth and swollen and numb lips. Even her cheeks felt numb. There was no saliva in her mouth so bought some Biotene and a spray for mouth and gel for tongue. She had no other symptoms, no dry eyes, no joint pain. Sjogren's test came back negative. Tomorrow would be 2 months from the first shot and the dry mouth and swollen and numb lips were still a concern and ongoing. When she touches lips and cheeks, it feels like the numbness feeling after going to the dentist when you are waiting for the Novacaine to wear off. The last couple of days, the dry mouth was a little better due to gargling and sucking on candy so there was a little saliva, but lips were so dry they were stuck like a bandaid to teeth and have to pull them away from her teeth. She was not on any other medications besides Estrace cream, applied vaginally a couple of times/week. She was very active; walk and bike. In Sep2020, I suffered a scratch from a rose bush and was prescribed itraconazole x 9 days for contact dermatitis diagnosis. Perhaps it was related to her taking itraconazole since she read that product has many side effects. She had an appointment with an internist tomorrow, 16Mar2021, for further evaluation. The outcome of event ?My arm hurt after first shot' was unknown. The outcome of the event dry mouth was recovering, while the outcome of remaining events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1756135
Sex: F
Age:
State: NC

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 10/02/2021
Hospital:

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

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

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: rash-throat & chest; prickly sensation; slight wheeze cough; slight wheeze cough; Flu; fever; chills; diarrhea; weakness; dizzy; no appetite; tender beneath ears; tiredness; This is a spontaneous report from a contactable consumer (patient). A 63-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EN6203, Expiry date: not reported), via an unspecified route of administration, administered in left arm on 11Mar2021 14:00 as dose number unknown, single for covid-19 immunisation at Clinic. Medical history included asthma, allergies, high blood pressure, high cholesterol, overweight, migraines. Concomitant medications included hydrochlorothiazide, meloxicam, loratadine (lorat), metoprolol taken for an unspecified indication, start and stop date were not reported. The patient previously took valtrex, cortisone, prednisone, codeine, feldene, prilosec, femhrt, nasacort, statins, breo and experienced drug hypersensitivity. 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. Post vaccination, the patient has been tested for COVID-19. On 11Mar2021 14:15, the patient experienced rash-throat & chest, prickly sensation, slight wheeze cough, flu, chills, diarrhea, weakness, dizzy, no appetite, tender beneath ears, fever, tiredness. All symptoms continued for 3 days. Afterwards, continued cough, low fever & tiredness. The patient underwent lab tests and procedures which included sars-cov-2 test (nasal swab, rapid test): negative on 15Mar2021. The outcome for rash-throat & chest, prickly sensation, slight wheeze cough, flu, chills, diarrhea, weakness, dizzy, no appetite, tender beneath ears was recovering; for slight wheeze cough, fever, tiredness was not recovered. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness:

ID: 1756136
Sex: F
Age:
State: AZ

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

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

Lab Data: Test Date: 20210217; Test Name: Body temperature; Result Unstructured Data: Test Result:101.7

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: got 101.7 fever; headaches; bodyaches; Joint pain; stomachache; sick; have not felt well since; This is a spontaneous report from a contactable consumer. This 60-year-old Female consumer (Patient) received bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: EL9267, Expiry date: Unknown) (age at vaccination: 60years-old) via an unspecified route of administration, administered in Arm Left on 17Feb2021 07:20 as dose 2, single for COVID-19 immunisation. Patient medical history included Gamma globulin anaemia and do infusion once a week 9 grams of Hizentra subq, Autoimmune disease and Connective tissue disease from 01Mar2013. Patient already had COVID and hospitalized in July2020 got out, went back 14 days later left lung collapsed. Patient previously took dose 1 BNT162B2(Lot number: EL9263) on 25Jan2021 for COVID-19 immunisation. The patient concomitant medications were not reported. On 17Feb2021 20:00 the patient experienced got 101.7 fever, bodyaches, joint pain, stomachache, sick and have not felt well since. The patient underwent lab tests and procedures which included body temperature: 101.7 on 17Feb2021. The outcome of the event fever was recovered on 19Feb2021, have not felt well since was unknown and all other events were recovered on 21Feb2021. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021132518 Same patient/ drug and different dose/event.

Other Meds:

Current Illness:

ID: 1756137
Sex: F
Age:
State: NY

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

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

Lab Data: Test Name: digestive issues; Result Unstructured Data: Test Result:lower; Test Name: fever; Result Unstructured Data: Test Result:99 degrees; Comments: 99 degrees

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: lower digestive issues; She did not sleep at all that night; she was not hungry all day; a slight fever; joint pain; headache; Sick; Muscle hurt in her left arm after injection administered; This is a spontaneous report from a contactable consumer (Patient). A 65-years-old 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 09Mar2021 (at 08:15-08:20) as dose 1, single (at the age of 65-years-old) for COVID-19 immunization. Medical history included parkinson's disease from 2014 and ongoing, onset date about 7 years ago. She just has slight tremors in her left arm and hypothyroidism from 2003 and ongoing, onset date about 18 years ago. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was reported as None. No Additional vaccines administered on same date of Pfizer suspect and prior within 4 weeks. Her whole family had diabetes but she does not have diabetes, she skipped it. Concomitant medication(s) included carbidopa, levodopa (CARBIDOPA/LEVODOPA) 100mg taken 3 times daily and amantadine (AMANTADINE), 100mg taken once daily both taken for parkinson's disease from an unspecified start date to 11Mar2021; levothyroxine sodium (LEVOTHYROXINE SODIUM), 112mcg taken once daily taken for an unspecified indication from an unspecified start date to 11Mar2021. All taken when vaccine administered. Has not taken since 11Mar2021 because medication was not staying in anyway. On 09Mar2021, the patient experienced sick and muscle hurt in her left arm after injection administered. On 10Mar2021, headache, on 11Mar2021, joint pain but no fever, on 12Mar2021 a slight fever and she was not hungry all day, did not eat dinner. She had really bad joint pain, a pounding headache and a slight fever around 99 degrees, on 13Mar2021, she felt better that morning. She got up, had a little bit of breakfast and went out shopping. She came home and said maybe she did too much because her muscles were aching, her joints were hurting, and she had a bad headache again. That night around 21:00 she had onset of lower digestive issues, going to the bathroom constantly; she has never gone to the bathroom like that in her whole life. She was in and out of the bathroom until 14Mar2021 around 07:00. She did not sleep at all that night of 13Mar2021-14Mar2021. She had a raging headache, it was horrible. She switched between Advil and Tylenol for the headache. 14Mar2021, morning all she wanted to do was sleep. She slept until almost 15:00 and had a headache still. She mentioned being slow. Outcome described as she thought she was done with being sick but this morning, 15Mar2021 she has the headache again and is back in the bathroom. She felt like she has a really bad case of the flu. She has not had any shortness of breath or anything like that. On an unspecified date the patient underwent lab tests and procedures which included digestive enzyme test result was lower and fever 99 degrees. Patient did not visit to Emergency Room/ Physician Office or hospitalized for AE. Treatment was received for headache. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

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

Current Illness: Hypothyroidism (Verbatim: Hypothyroid); Parkinson's disease (Verbatim: Parkinson's disease)

ID: 1756138
Sex: M
Age:
State:

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Date: 20210315; Test Name: Fever; Result Unstructured Data: Test Result:Low grade fever

Allergies:

Symptom List: Nausea

Symptoms: Swelling of his right, upper eyelid; Low grade fever; Fatigue; Right eye swelled up; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on 14Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 15Mar2021, at 09:00 hours, patient had all the common symptoms included swelling of his right, upper eyelid, right eye swelled up, low grade fever and fatigue. Patient reported that it was because he did not see it in any of the material he had, or online. The outcome of all the events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1756139
Sex: M
Age:
State: IL

Vax Date: 02/07/2021
Onset Date: 02/01/2021
Rec V Date: 10/02/2021
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: red blister like eruptions on the right side of my torso (about 10 sites); Itching; swelling; hives; rash on my torso; cough; muscle weakness; This is a spontaneous report from a contactable consumer (patient). A 77-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Lot Number: EM9810, Expiry Date: Not reported) via an unspecified route of administration, administered in arm left on 07Feb2021 at 12:15 (at the age of 77-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history included hypertension from an unknown date and unknown if ongoing. The patient concomitant medication included benazepril, baclofen, hydrochlorothiazide, cyanocobalamin (B-12) and nicotinic acid (B3 NIACIN) taken for an unspecified indication, start dates and stop dates were not reported. The patient previously took diphenhydramine and experienced drug hypersensitivity. The patient did not receive other vaccine in four weeks. The patient was not diagnosed with COVID prior vaccination. The patient was not tested for COVID post vaccination. On day 10 after the first shot (07Feb2021), the patient began taking cholecalif 25 mcg as prescribed by VA doctor. Then on an unspecified date in Feb2021, the patient experienced a rash on torso, cough, muscle weakness and was advised to stop on day 12. All reactions ceased by day 15. However, on day 24 from 1st shot, on 02Mar2021 at 7:00 the patient developed red blister like eruptions on the right side of his torso (about 10 sites). The PA dermatologist thought hives, recommended zyrtec. Itching and swelling began to cease immediately. The adverse events resulted in physician office visit. The patient received treatment for hives and did not receive treatment for rest all events. Outcome of event rash on my torso, cough, muscle weakness was recovered on 22Feb2021 for all other events outcome was recovering. No follow-up attempts are needed. No further information is expected.

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

Current Illness:

ID: 1756140
Sex: F
Age:
State: NY

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 10/02/2021
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: 202102; Test Name: COVID-19 Virus Test; Test Result: Negative ; Comments: Covid test name post vaccination: Pooled testing

Allergies:

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

Symptoms: Very painful; not just sore arm; Fever; bad chills; COVID-like fatigue; headache; This is a spontaneous report from a contactable consumer (patient reported for self). A 60-years-old (non-pregnant) female patient received bnt162b2 (PFIZER-BIONTECH COVID-19mRNA VACCINE, formulation: Solution for injection, Batch/Lot Number: EN6207, Expiry date: not reported), dose 1 via an unspecified route of administration, administered in left arm on 14Mar2021 02:45 (at the age of 60-years-old) as dose 1, single for covid-19 immunisation. Medical history included asthma, covid-19, Known allergies: scallops (allergy to animal). Concomitant medication included fluticasone propionate, salmeterol (WIXELA INHUB) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was taking probiotic 1xday, Wixela 2xday within 2 weeks of vaccination. Prior to vaccination, the patient was diagnosed with COVID-19. Post vaccination, the patient has been tested for COVID-19. On 15Mar2021 07:00, the patient experienced very painful, not just sore arm, fever, bad chills, covid-like fatigue, headache (reported as, Very painful, not just sore arm. Fever and bad chills, COVID-like fatigue the whole next day with headache. Day two after (today) all better!!). No treatment received for adverse event. The patient underwent lab tests and procedures which included COVID-19 Virus Test (sars-cov-2 test): negative on Feb2021 Covid test name post vaccination: Pooled testing. The outcome of events had recovered on 16Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756141
Sex: F
Age:
State: NM

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 10/02/2021
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: Pt has history of a reaction with the 1st dose of COVID 19 Vaccine with c/o SOB 4 hours after receiving the primary dose of COVID 19 Vaccine, and hives x 4 days after vaccination.; Pt has history of a reaction with the 1st dose of COVID 19 Vaccine with c/o SOB 4 hours after receiving the primary dose of COVID 19 Vaccine, and hives x 4 days after vaccination.; This is a spontaneous report from a contactable other hcp. A 21-years-old female patient received bnt162b2 (BNT162B2) (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, (Batch/Lot number was not reported)), via intramuscular on Jan2021 (at the age of 21 years-old) as, Single for covid-19 immunisation. The patient medical history was not reported. Concomitant medication(s) included medroxyprogesterone acetate. It was unknown If COVID prior vaccination. Unknown If COVID tested post vaccination. Patient stated that she had received her Depo-Provera injection the day before vaccine. Pt given second (2nd) dose today4:50. at15:30 Pt denies any signs and symptoms and plan of care was to have patient's boyfriend come and pick up patient to ensure that she was with someone to ensure if she had onset of SOB she could have someone call or take her to receive follow up care. On Jan2021, the patient experienced pt has history of a reaction with the 1st dose of covid 19 vaccine with c/o sob 4 hours after receiving the primary dose of covid 19 vaccine, and hives x 4 days after vaccination. The patient had 5:20 pt still denies any s/sx of allergic reaction. Patient would take second dose on 18Feb2021 on 03.00 PM by intramuscular route with Lot no EN6198. The outcome of the event was recovered on an unspecified date. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: Pfizer, Inc. EUA 027034

Current Illness:

ID: 1756142
Sex: F
Age:
State:

Vax Date: 02/25/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: rash/redness with slight skin swelling; rash/redness with slight skin swelling; rash/redness with slight skin swelling; This is a spontaneous report from a non-contactable consumer (Patient). A 67-year-old non-pregnant female patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6198), via an unspecified route of administration, administered in left arm on 25Feb2021 16:00 (at the age of 67-year-old) as dose 1, single for covid-19 immunisation. Patient was not pregnant at the time of vaccination. Medical history included allergy to PCN, Morphine, Demerol on an unknown date and unknown if ongoing. Other medical history none. No Concomitant medication in two weeks. Prior to vaccination, patient was not diagnosed with COVID. Since the vaccination, the patient has not been tested for COVID-19. Patient did not receive any other vaccine in four weeks. It was reported that on 12Mar2021 07:15 (15 days after injection) developed large area-1 1/4 inch wide-of rash/redness with slight skin swelling. Started at 1/2in and over next 24 hrs increased to 1 1/2 in. Patient did not receive any treatment for the event. Outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756143
Sex: F
Age:
State:

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

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:Good

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: This is a spontaneous report from a contactable consumer. This consumer reported for a female patient (mother) that a female patient of unspecified age received bnt162b2 (PFIZER Covid 19 vaccine mRNA, Solution for injection, Batch/Lot number- unknown Expiry Date-Unknown) via an unspecified route of administration on unknown date around 04:00 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medication were not reported. On an unspecified date patient experienced Headache, Body aches, Pain on the back of the shoulders and diaphragm, Lot of pressure on the stomach. It was reported that patient is 86 (not clarified) took the first dosage of the vaccine (Covid vaccine) on Thursday around 4 o'clock and she was fine for first 24 to 36 hours and then she started getting a little bit of headache and body aches, no fever. But today, most of the last night and today she has a little bit of, she is complaining of the pain on the back of the shoulders and diaphragm, a lot of pressure on the stomach, she still has no fever, her blood pressure is good. I gave her two Tylenol (treatment) at about 11:15 in the morning central time. I just want to make sure that even though it has been more than 48 hours that these are still could be fine side effects from the vaccine. "Patient received two Tylenol (treatment) at about 11:15 in the morning central time. Reporter just want to make sure that even though it had been more than 48 hours that these are still could be fine side effects from the vaccine. Patient underwent lab test and procedures include blood pressure result good on an unspecified date. The outcome of event were unknown. No follow-up attempts are possible. Information about Lot/Batch number cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1756144
Sex: U
Age:
State:

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 10/02/2021
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: I started feeling kind of sinus congestion with my ears pretty congested and hurting; I definitely felt under the weather almost like feverish; Feeling like a bad sinus cold; I started feeling kind of sinus congestion with my ears pretty congested and hurting; I started feeling kind of sinus congestion with my ears pretty congested and hurting; I definitely felt under the weather almost like feverish; 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: EN6206, Expiry date: unknown), via an unspecified route of administration on 12Mar2021 as dose number unknown, single for covid-19 immunisation. The medical history and concomitant medications were not reported. The patient experienced kind of sinus congestion with the ears congested and hurting, felt under the weather almost like feverish, did not have a fever but felt like a bad sinus cold on an unspecified date. So, was wondering if it was safe, can take Ibuprofen but can decongestant be taken. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756145
Sex: F
Age:
State:

Vax Date: 03/09/2021
Onset Date: 03/01/2021
Rec V Date: 10/02/2021
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: Dizziness; headache; body ache; extreme fatigue; mild soreness at vaccination site; fever; This is a spontaneous report from a contactable consumer (patient). A 39-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection) via unknown route of administration at right arm on 09Mar2021 at 09:45 am (Batch/Lot Number: El3248) (age at vaccination 39-year-old) as dose 1, single for COVID-19 immunisation at workplace clinic. The patient was allergy to clindamycin. The patient received other vaccine on same date 09Mar2021. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received other medications in two weeks. The patient medical history included asthma from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. After 36 hours, the patient had began with mild symptoms after vaccine, dizziness, headache, body ache, extreme fatigue and mild soreness at vaccination site on 10Mar2021. Symptoms became progressively worse and fever developed 3-4 days after vaccine administered on Mar2021. The patient did not received any treatment for the events. The event mild soreness at vaccination site was resolved in 24-36 hours on Mar2021 and the outcome of the other events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756146
Sex: F
Age:
State:

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Name: low grade fever; Result Unstructured Data: Test Result:99 to 100

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Low grade fever 99 to a 100; Chills; No appetite; Aches and pains; aches and pains was severe; Body rash; bright red rash, it's 'fluffy' on the thighs, the legs, the back; Headache; Terrible joint pain, severe joint pain; This is a spontaneous report from a non-contactable other healthcare professional (Nurse). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: ENN6204, Expiration date: unknown), via an unspecified route of administration on 04Mar2021, as dose 2, single for covid-19 immunisation. The patient medical and concomitant medications were not reported. The patient received historical vaccine bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EM9810, Expiration date: Unknown), via an unspecified route of administration on 11Feb2021 as dose 1, single for covid-19 immunisation. she had no reaction. She got the second shot on 04Mar2021 and had like a two day delay in reactions. She had no soreness at the site. She just felt a low grade fever 99 to a 100, chills, no appetite, aches and pains, the whole nine yard. She was a retired registered nurse. So, she knew the something wasn't right, because she had pretty good tolerance so she knew that couple of days feeling a little bit off would last for days. But she did go to the hospital here and they check me out. They really didn't see anything specific and she went home. She wasn't any better and then yesterday she woke up with a total body rash. She went to hospital for check up. The next day she woke up with a total body rash. She had not seen so she took a shower because she can go hospital. It's not like they are bright red rash, it's fluffy on the thighs, the legs, the back. But it's not in her arm. A total body rash, no itching, very strange and the doctor did gave her a steroid shot (captured as unspecified medication) and when she woke, after that she start having aches and pains now she having headache and pain all along with the shot, the second shot. She had this overall and she just done with it. But this time the aches and pains was severe. Her back would almost double over and hip would almost go, her knees would go. So, She was ready to eat some breakfast and she was going to take her ibuprofen which she had been taking because she just want this thing to go it's course but it was not. And she was very afraid because she was not stupid, she have never been this not go through this. She have never been sick for this long and she told her doctor that she was not going to take anything, she just saying she knew I can't be weak like this for day after day, after day. You can gave me anything, She never got an appointment. So, she took herself to the emergency room, and then yesterday she gave up going to the doctor because she was getting no better and then she got that rash and now today there was a terrible joint pain, severe joint pain. The patient underwent lab tests and procedures which included body temperature 99 to 100 on an unspecified date. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756147
Sex: M
Age:
State:

Vax Date: 02/25/2021
Onset Date: 02/01/2021
Rec V Date: 10/02/2021
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: low grade fever; fatigued; out of sorts; This is a spontaneous report from a contactable consumer or other non hcp (patient). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration on 25Feb2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 on an unspecified date for covid-19 immunization and experienced sore arm for a day and a half. On an unknown date in Feb2021, 12 hours or so after the shot the patient experienced low grade fever, fatigued and was out of sorts and that lasted about 1.5-2 days. At the time of this report, the outcome of events was recovered on an unknown date in Feb2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1756148
Sex: F
Age:
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 10/02/2021
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: After first shot, experienced a mild rash on stomach and back; This is a spontaneous report from a contactable consumer or other non hcp (the patient reported for self). A 65-years-old (non-pregnant) female patient received first dose of (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE; formulation: Solution for injection, Lot Number: EL9266), via an unspecified route of administration, administered in arm left (left arm) on 05Feb2021 09:30 (age at vaccination 65-years-old) as dose 1, single for COVID-19 immunisation. The patient medical history was not reported and no Known allergies. 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 concomitant medications included sertraline hydrochloride (ZOLOFT), lorazepam (ATIVAN), vitamins all for unknown indications from unknown dates and unknown if ongoing. it was reported that the patient was not a pregnant at the time of vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced after first shot, experienced a mild rash on stomach and back on 06Feb2021. The clinical outcome of the events was reported as recovering. No follow-up attempts are possible. No further information is expected.

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

Current Illness:

ID: 1756149
Sex: U
Age:
State:

Vax Date: 03/07/2021
Onset Date: 03/14/2021
Rec V Date: 10/02/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:99.8; Comments: Fever is 99.8 last when I checked

Allergies:

Symptom List: Pain in extremity

Symptoms: Fever is 99.8 last when I checked; Severe stomach ache; Nauseous; Pressure in my back, kind of mid to higher back, so there is a lot of pressure; Very tired; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Unknown), via an unspecified route on 07Mar2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 14Mar2021, the patient experienced very tired and on 15Mar2021 fever is 99.8 last when checked, severe stomach ache, nauseous, pressure in back, kind of mid to higher back, so there is a lot of pressure. Consumer stated, "So I received my first vaccine a week ago on Sunday, so then today is the eighth day and I didn't have any side effects on the first day but I was just very tired yesterday. Today I have a slight fever. I think it is 99.8 last when I checked and I am having a such a severe stomach ache, I am nauseous which I know that is common but I am feeling a lot of pressure like the stomach ache is not, doesn't feel like a normal stomach ache, it's kind of pressure is very high. I feel like some pressure in my back, kind of mid to higher back. So there is a lot of pressure." The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1756150
Sex: M
Age:
State: FL

Vax Date: 03/08/2021
Onset Date:
Rec V Date: 10/02/2021
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: his shoulder is bothering him; inflammation on the arm; his arm is sore; This is a spontaneous report from Pfizer Sponsored Program with Regulatory Authority Support via contactable male nurse (patient reported for self). A male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot number was not reported), via an unspecified route of administration on 08Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took Advil [ibuprofen] (he also mentioned that he's been taking Advil even before when he's getting a flu shot for years). On an unspecified date, the patient experienced his shoulder was bothering him, inflammation on the arm and his arm is sore. Nobody in their hospital could answer his question. He read on the CDC guidelines that a person shouldn't take an Advil prior to getting the first dose. To his knowledge, he was confident that he did not take Advil a night before his scheduled first dose. But after he got the first dose on 08Mar, he took Advil because his shoulder was bothering him and inflammation on the arm because his arm was sore. He wanted to make sure that he did not render the effectiveness of the vaccine and asked how long he needed to wait before taking Advil after getting the vaccine. Therapeutic measures were taken as a result of his shoulder is bothering him, inflammation on the arm and his arm is sore which included Advil. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1756151
Sex: F
Age:
State: PA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 10/02/2021
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: Nose bleeds; Right arm sore at injection site; This is a spontaneous report from a contactable consumer. This consumer reported for a 57-year-old female patient (wife). A 57-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6208, Expiry date: unknown), via an unspecified route of administration, administered in Arm Right on 12Mar2021 08:25 (at the age of 57-year-old) as dose number unknown, single for COVID-19 immunisation. Medical history included Diabetic/diabetes mellitus (diagnosed 5 years ago), blood pressure abnormal and blood cholesterol abnormal (She was taking blood pressure medication, diabetes medication and cholesterol medication). There were no concomitant medications reported. Vaccination facility type was Hospital and not a military facility. No history of previous immunization with the Pfizer vaccine. No additional vaccines administered on same date of the Pfizer suspect. NO ER or physician's office required. No Prior Vaccinations (within 4 weeks). No AE following prior vaccinations. No family medical history. The patient experienced right arm sore at injection site about 10 hours after receiving vaccine on 12Mar2021 17:00-18:00 and had a nosebleed for 2 days. It was very light, like a drip and started noticing the nosebleed on 13Mar2021 19:00-20:00. It had improved since then. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756152
Sex: F
Age:
State: NY

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 10/02/2021
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: Chills; Fever; This is a spontaneous report from a contactable consumer or other non-health professional (patient boy friend). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown) via an unspecified route of administration on 14Mar2021 as DOSE 2, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: not reported) via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for COVID-19 immunisation. The patient experienced chills and fever on 15Mar2021. Reporter stated that patient had the shot yesterday and she got a fever next day and we are wondering what we can do about it. She had gotten chills with fever and he was calling to see if there was something they should do about the fever, was there something patient should take, what should patient do with it and want to know what steps patient should take. 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: 1756153
Sex: F
Age:
State: TX

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 10/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210310; Test Name: blood tests; Result Unstructured Data: Test Result:Unknown result; Test Date: 20210310; Test Name: CAT scan; Result Unstructured Data: Test Result:swollen jaw

Allergies:

Symptom List: Vomiting

Symptoms: Parotitis; little soreness and a little swelling at that right side of her jaw and near where her ear is/ had some swelling in her jaw; entire jaw was swollen and very painful; started to feel ill; she was in a lot of pain; This is a spontaneous report from a contactable consumer, the patient. A 89-years-old female patient received second dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE, formulation: solution for injection, lot number: EN6206) via an unspecified route of administration, in arm right on 05mar2021 in early afternoon as dose 2, single (age at the time of vaccination 89 years) for covid-19 immunisation. Medical history included ongoing ankylosis spondylosis, the patient was real young, a kid, first time it was noticed was when she was a child, exercising in PE she could not touch her toes, states it's autoimmune, ongoing GERD since 30-40 years, ongoing hiatus hernia since 30-40 years, gradually gotten worse, has a lot of pain and restrictions with food intake, she should have had an operation, arthritis since childhood, ongoing enous insufficiency since at least 25-30 years where her veins leak in her lower legs, ongoing high blood pressure since she was in her 20s, ongoing blood clotting since 30-35 years, is in a blood thinner for a long time, ongoing autoimmune since childhood, goes along with ankylosing spondylosis. The patient reported that she had been on all her regular medications for years .The patient took second vaccine on 05Mar2021 and on Sunday, 07Mar2021 she started to feel ill and she was in a lot of pain and she had some swelling in her jaw/ she could feel a little soreness and a little swelling at the right side of her jaw and near where her ear is. Since she had an appointment with her primary care doctor on Tuesday, 09Mar2021, she didn't report this. She went to see her doctor on Tuesday, 09Mar2021 and the doctor saw that her jaw was swollen and she told the doctor how painful it was and it had gotten worse overnight. The doctor prescribed her Clindamycin. She is elderly and most antibiotics she takes give her a side effect. So she tried clindamycin. She went to the emergency room on Wednesday, 10Mar2021, she had a CAT scan and the emergency room doctor saw that her jaw was quite swollen. The emergency room doctor decided it was a parotid gland on the right side and she had received the Covid 19 vaccine on the right side. The gland there and down to her lower ear and down to her mouth, the entire jaw was swollen and very painful. The emergency room doctor gave her the same clindamycin but he increased the dose. She was discharged from the emergency department. She reports she has Parotitis on 10Mar2021. The patient received first dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE, formulation: solution for injection, lot number: EN6201) via an unspecified route of administration, in left arm on an unknown date in middle afternoon as dose 1, single (age at the time of vaccination 89 years) for covid-19 immunisation and experiences body pain and had pain that day afterwards and on the whole left side where she had the first shot. It would ache in one spot then another spot, then another, then another. It was like if her left hip hurt then her right hip would start hurting. She reported that she had body aches and that it hurt more at the shot site with the first Covid 19 vaccine. Her body aches have improved. Her body aches could be from the 4 different types of arthritis that she has or the ankylosing spondylitis. The patient underwent lab tests and procedures which included blood test: unknown result on 10Mar2021, computerised tomogram: swollen jaw on 10Mar2021. Therapeutic measures were taken as a result of parotitis. On 10Mar2021 the patient was prescribed Clindamycin 300mg. 1 capsule every 8 hours for 21 days by her primary care doctor. The emergency room doctor prescribed Clindamycin 150mg capsules, 3 capsules every 8 hours for 7 days. She was slow to get better so the emergency room doctor increased the dosage. No Additional were administered on same date with the Pfizer vaccine. Prior to vaccinations within 4 weeks, the patient received the flu vaccine in September. The outcome of all the events she was in a lot of pain, started to feel ill and parotitis was unknown and for rest of the events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness: Ankylosis; Arthritis; Autoimmune disorder; Blood pressure high; Clot blood; GERD; Hiatal hernia (Verbatim: hiatal hernia); Venous insufficiency

ID: 1756154
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/02/2021
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: ongoing should pain; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number: not reported), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunisation. Medical history included shoulder injury. The patient's concomitant medications were not reported. Patient has received her first Pfizer Covid vaccine dose. Patient has an ongoing shoulder injury (from before the vaccine and opposite arm of the vaccine injection arm) that she has been taking pain medication to treat. She wants to know if it's ok to continue taking Tylenol to treat her ongoing should pain. The outcome of the events was not recovered. No follow-up attempt are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Shoulder injury

ID: 1756155
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/02/2021
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: Cold; Coughing; Sore throat; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number, NDC number, UPC number and expiry date were reported as unknown) via an unspecified route of administration on an unspecified date as a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced cold, coughing, and sore throat, no fever on an unknown date in 2021 over the weekend. The patient wanted to get the second dose on 18Mar2021. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1756156
Sex: F
Age:
State: PA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 10/02/2021
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; Arm ache; Vivid dream; Body aches; Head ache; Joint pain; This is a spontaneous report from a contactable consumer (patient). A 52-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 18Mar2021 16:00 (at the age of 52-year-old) (Lot Number: EN6203) as dose 2, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. The patient medical history and known allergies were none, and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 25Febr2021 16:00 (at the age of 52-year-old) (Lot Number: EN6203) as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccine within 4 weeks prior to COVID vaccine. On 19Mar2021 01:00, the patient experienced chills, arm ache, vivid dream, body aches, head ache, joint pain. The patient did not receive 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: 1756157
Sex: F
Age:
State: MN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 10/02/2021
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: Itchy eye; Swollen; Red; Itchy; Shot site is itchy and red and hot; Shot site is itchy and red and hot; Shot site is itchy and red and hot; Red sore by her right eye/ It was super red; Red sore by her right eye; Her arm was sore a little bit; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in left arm on 11Mar2021 15:10 (at the age of 65-year-old) (Lot Number: EN6206) as dose 1, single for COVID-19 immunization. Medical history included none. There were no concomitant medications. Historical vaccine included shingles vaccine 4 years ago and experienced a scar (a red mark and a scar, about 6 inches below where the needle should have gone). The patient did not receive any other vaccination prior to COVID vaccine. The patient experienced her arm was sore a little bit, nothing more than any other shot and then by Monday, 15Mar2021, nothing hurt, it was nothing. On 18Mar2021, patient got a red sore by her right eye and she thought she might have scratched her eye. On 19Mar2021, the shot site was itchy and red and hot. It was not painful but it was itchy and hot and reported it was totally gone a couple of days ago. Patient reported she did try a new undereye care cream for wrinkles that she started maybe Monday, 08Mar2021, of last week. She was thinking maybe that was associated with her eye. She thought it might be a sty. She has been using warm compresses on her eye and reported that it was improving. On an unknown date, patient reported swollen, red, itchy and eye was itchy. The outcome of swollen, red, itchy and eye was itchy was unknown. The outcome of event eye pain was improving and outcome of shot site itchy and red and hot was recovered and outcome of all other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1756158
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/02/2021
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: fever; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced fever on an unspecified date. Patient stated that she has a fever as a side effect after getting the first dose of the Pfizer Covid 19 vaccine. The outcome of the event was unknown. No follow-up attempts are possible; information about batch/lot 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