VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1774140
Sex: M
Age:
State:

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 10/09/2021
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: light fever; headache; body aches; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 35-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date was not reported), via an unspecified route of administration on 01Apr2021 (Age at vaccination was 35 years) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On 02Apr2021 the patient experienced headache, body aches and light fever, the patient also asks it would be possible to take over the counter (OTC) medications such as Tylenol to alleviate his symptoms. 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: 1774141
Sex: F
Age:
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data: Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: Test Result:103 degree Fahrenheit; Comments: 103 degree F fever

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: 103 degree F fever; chills; sweating; This is a spontaneous report from a contactable consumer (patient). A 62-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number was not reported) via an unspecified route of administration on 01Apr2021 10:30 as dose 2, single (at the age of 62years) for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Historical vaccine: On an unspecified date, patient received first dose of BNT162B2 for covid-19 immunisation. On an unspecified date in Apr2021, hours after vaccination patient experienced multiple AEs, she described it as having all the side effects, including 103-degree F fever, chills and sweating. To manage her symptoms, she was taking Tylenol 600mg every 4 hours, but was aware the dose is high and considers switching to Ibuprofen (Motrin, Advil). The patient underwent lab tests and procedures which included body temperature: 103-degree Fahrenheit on an unspecified date of Apr2021. At the time of reporting, 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: 1774142
Sex: F
Age:
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/01/2021
Rec V Date: 10/09/2021
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: Test Date: 202103; Test Name: fever; Result Unstructured Data: Test Result:102; Test Date: 202103; Test Name: fever; Result Unstructured Data: Test Result:99.2

Allergies:

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

Symptoms: low grade fever 99.2; sore arm; 2 cm supraclavicular node that she has developed; large node (developed quite large, visible to the naked eye, red 2 centimeters supra clavicular node); This is a spontaneous report from a contactable Nurse. A 28-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EN6203), via an unspecified route of administration on 06Mar2021 at 17:00 as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. It was reported that patient should not go through mammograms after receiving the vaccine, the location of the node as almost shoulder height, way above the clavicle, stated that it developed next day (after vaccination). Reported that a node gotten smaller but still easily palpable, it went probably from 2 centimetres down to 1 centimetre, so it was probably half the size. Caller (nurse) stated that she did not feel it today, but she palpated it yesterday. On an unspecified date in Mar2021, the patient experienced low grade fever 99.2, sore arm, 2 cm supraclavicular node that she has developed, large node (developed quite large, visible to the naked eye, red 2 centimetres supra clavicular node). No seriousness was reported. The patient underwent lab tests and procedures which included body temperature: 102 and 99.2 on an unspecified date in Mar2021. The outcomes of events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774143
Sex: F
Age:
State:

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 10/09/2021
Hospital:

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

Lab Data: Test Name: Body height; Result Unstructured Data: Test Result:lost 7 inches; Comments: 7 inches in height while on osteoporosis medication; Test Date: 20210324; Test Name: ultrasound; Result Unstructured Data: Test Result:unknown results

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: lips have been "scaly and very dry"; lips have been "scaly and very dry"; she has a "peely feeling" on her lips, at the edges, the top and bottom; heartburn; more episodes of acid reflux; This is a spontaneous report from a contactable consumer (patient). A female patient of an unknown age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 24Mar2021 as dose, 2 single for covid-19 immunisation. Medical history included She has had ongoing acid reflux for a while before getting the vaccine, she would stay away from certain foods, e.g. dairy. She had cirrhosis (liver problem that "was cured"), she has osteoporosis and osteopenia, she lost 7 inches in height while on osteoporosis medication on an unknown date. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) as dose 1, single on 03Mar2021 for covid-19 immunisation and she was bending down and had a heavy nose bleed from one nostril and lips and mouth were dry. Five years ago, patient took an infusion of zoledronic acid and experienced a side effect that was in the brochure about the drug- in the groin area she "had such pain", "like the veins in my legs were freezing up", it was "horrible", "a nightmare", she read she could get a groin fracture. Mentioned the product was not a Pfizer product and "Pfizer has nothing to do with it". The patient took calcium, only took vitamins and a Licorice product, plus eating a lot of vegetables. On an unknown date in 2021, she has "done very well" with the vaccine, "didn't seem to have any reaction", "had no symptoms", but her lips have been "scaly and very dry", she was using moisturizing lip balm and it's getting better. However she has a "peely feeling" on her lips, at the edges, the top and bottom. She thought it might be related to the heat and house dryness, like weather symptoms. She "listened to the radio", in the afternoon between 1-2 pm, was saying T cells work better than antibodies and T cells could be beneficial against COVID. After the COVID-19 vaccines in 2021, she did notice "a lot of heartburn", though it's a variable thing, and more episodes of acid reflux. The patient had an ultrasound on 24Mar2021 with an unknown results. Stated her doctor put wrong information on her medical chart, gave her a disease she didn't have. The patient asked question was the infusion different than an injection. She heard on tv, after 2 doses, the vaccine is supposed to be effective for 6 months after second dose, is this true?. What are the 6 months top line analysis results of the Pfizer-BioNTech COVID-19 Vaccine?. After getting both doses of the vaccine, would it be possible at some point not to wear masks, so she can wear make-up?. How long it would take for the vaccine's side effects to show up?. The outcome of the events of lips have been "scaly and very dry" was recovering; events of Peeling lips, Heartburn was unknown and other event of more episodes of acid reflux was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness: Acid reflux (oesophageal) (while before getting the vaccine)

ID: 1774144
Sex: U
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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: Fever; Migraine; Overheating; Fatigue; Loss of appetite; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: UNKNOWN), via an unspecified route of administration on an unspecified date as a dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced fever, migraine, overheating, fatigue, loss of appetite on an unspecified date. The clinical outcome for the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774145
Sex: M
Age:
State:

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 10/09/2021
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: Low grade fever; lethargy; This is a spontaneous report from a contactable consumer (patient). A 51-year-old male patient received second dose of bnt162b2 (Pfizer COVID-19 Vaccine, Solution for injection), via an unspecified route on 30Mar2021 approximately at 11:45, as a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 (Pfizer COVID-19 Vaccine, Solution for injection) as a single dose for covid-19 immunization. On 31Mar2021 around 12:30 when patient was going to bed, he experienced lethargy and a low-grade fever starting 12 hours after the injection. This experience was milder than from the first vaccination. Delay in reporting was due to the tiredness, travel (driving) to see his parents and he simply forgot because the symptoms were relatively mild. The clinical outcome of the events was recovered after 24 hours (01Apr2021). No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774146
Sex: F
Age:
State: GA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 10/09/2021
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: itching; This is a spontaneous report from a contactable consumer (patient's friend). A 55-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration on 27Mar2021 at 18:00 (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 reporter mentioned that she talked to her friend (patient) who got the vaccine on the same date and the patient says she is having itching. The patient had the first dose of the Pfizer COVID 19 vaccine on 27Mar2021 at 18:00 at unknown site. The patient started itching on Sunday, 28Mar2021. Therapeutic measures taken as a result of itching included Benadryl. The outcome of the event was not resolved. No follow-up attempts are possible; information about batch/lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774147
Sex: M
Age:
State: PA

Vax Date: 02/16/2021
Onset Date: 02/01/2021
Rec V Date: 10/09/2021
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: chronic fatigue; I have no energy don't wanna getup and and do anything; almost feels like my skull hurt and I don't really have, its not like that inside headache its like my skull hurt; leg pains radiating down to the legs from hips down to the ankles; leg pains radiating down to the legs from hips down to the ankles; general low grade headache; Nausea; This is a spontaneous report from a contactable consumer (patient). A 68-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EM9809, expiration date was not reported) via an unspecified route of administration, on 16Feb2021 (at the age of 68-years-old), at dose 2, single for covid-19 immunization. The patient had no medical history and was healthy. There were no concomitant medications. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, on 19Jan2021, at dose 1, single for covid-19 immunization. On Feb2021, a couple days after the vaccination, the patient experienced general low-grade headache, nausea; nausea again and dry heat on morning on the day of report; feeling nauseated for last 3 or 4 days, a month later (Mar2021), chronic fatigue/ or something like no energy, don't want to get up and do anything, almost feels like the skull hurt (as reported), leg pains radiating down to the legs from hips down to the ankles on both legs, not constantly so on and off, hurting again on walking. It was reported that the event nausea was constant, and the other events were reoccurring. Therapeutic measures were taken included: aspirin and Tylenol. There were no relevant test results. The outcome of the events was not recovered. No Follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774148
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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:Fever

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever; felt bad; This is a spontaneous report received from a contactable consumer (father). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date was not reported) via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the reporter says that his daughter also had a fever and felt bad a week after her shot. The patient underwent lab tests and procedures which included body temperature: fever on unspecified date. The outcome for the events was unknown. No Follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774149
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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: Rash all over; Itching; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on an unspecified date (reported as last week), as dose 1, single, for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that, the patient got her first Pfizer vaccine for COVID last week, 24 hours later she had rashes all over, much of her body and itching. The patient took Benadryl and Prednisone as treatment of the event, and it was keeping it under control. The reporter questioned if patient could go ahead with second vaccine which was scheduled for a couple of weeks from the time of report or was it possible that she had a bad allergic reaction and she should not get the second dose. The outcome for 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: 1774150
Sex: F
Age:
State: OK

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 10/09/2021
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: severe headache; muscle and bones and my back; muscle and bones and my back; felt a pressure on my chest; I would take a really deep breath it would hurt when I would exhale; it was difficult to stand; exhausting couple of days; feeling ill; muscle and bones and my back; muscle and bones and my back; This is a spontaneous report from a contactable consumer (Patient). A 67-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: ER8727), via an unspecified route of administration on 24Mar2021 at the age of 67-year-old as dose 2, single for covid-19 immunisation. Medical history included hypertension, overweight and Patient had breast cancer surgery in 2015 and she had went on the 5-year cancer pill (Unspecified Medication) for breast cancer. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6205), via an unspecified route of administration on 01Mar2021 as dose 1, single for covid-19 immunisation and had all of the symptoms that you list from the injection site, feeling ill, pretty high fever, shivering so bad i couldn't even type and went home to bed, all of the pain all of the muscle and bones and all of the other in the back. The patient's concomitant medications were not reported. On 24Mar2021, patient took the vaccination and the very next day she woke up and she had severe headache and muscle and bones and my back. Patient called her physician was she also felt a pressure on chest, not like, had feeling ill rt pain or anything like that, it was just a pressure and when she take a really deep breath it would hurt when would exhale and it was difficult to stand, to make something to eat because it seemed like as when she stood and feel the pressure more than when was sitting or kind of reclined. And it was just exhausting couple of days. She didn't go back to work for another 2 days. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774151
Sex: M
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: diarrhea; This is a spontaneous report from a contactable consumer or other non hcp. A 65-years-old male patient received first dose bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date (age at vaccination:65 Years) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated that the product complaint was diarrhoea started after receiving the first dose which lasted for 3 weeks that continued after the second dose. Reporter had undergone some blood work and stools results found to be normal. The patient experienced diarrhoea on 10Mar2021 with outcome of not recovered. Therapeutic measures were taken as a result of diarrhoea was Imodium. The outcome of the event diarrhoea was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774152
Sex: M
Age:
State: AL

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever; This is a spontaneous report from a contactable consumer (Patient). A male patient of an unspecified age received second dose of bnt162b2 (BNT162B2, solution for injection; Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 30Mar2021 as dose 2, single for covid-19 immunisation. Historical vaccine included received first dose of BNT162B2 (COMIRNATY, solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration as dose 1, single for COVID-19 immunization. Patient History, Other Products and Investigation Assessment was not provided. On 31Mar2021, the patient experienced fever. Adds he was scheduled to go to see the pain doctor today and he called them to let them know about the fever and the shot. The outcome of event was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774153
Sex: F
Age:
State: SC

Vax Date: 03/22/2021
Onset Date:
Rec V Date: 10/09/2021
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: After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; After the second injection, in her right arm: "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills.; it may have been a skin infection; This is a spontaneous report from a contactable consumer. A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), dose 2 via an unspecified route of administration administered on right arm on 22Mar2021 (Batch/Lot number was not reported) as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection), dose 1 on 17Feb2021 for COVID-19 immunisation and after first injection in her left arm, her left arm felt "a little bit sore, for about 2 days, had chills, fever, feeling unwell generally almost like the flu then it went away, in 3 or 4 days it was gone". Patient stated that after the second injection, in her right arm, "My right arm got a really big lump, that was hot and hard, and really really sore, had bad fever and chills. It took about 2 weeks to resolve, and I ended up having some antibiotics my Doctor said it may have been a skin infection? they did not clean it properly or something?, but I am better now." The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774154
Sex: F
Age:
State: OH

Vax Date: 03/10/2021
Onset Date: 03/30/2021
Rec V Date: 10/09/2021
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: experiencing diarrhea; fever; This is a spontaneous report from a Pfizer-sponsored program, via contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: was not reported), via an unspecified route of administration on 10Mar2021, as a single dose for COVID-19 immunization. The patient medical history and concomitant medication were not reported. On 30Mar2021, the patient experienced experiencing diarrhea, and fever. Patient took Imodium as a treatment for experiencing diarrhea. Patient was asking if she can still proceed on receiving the 2nd dose tomorrow, scheduled on 31Mar2021 (21 days apart). The outcome for all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774155
Sex: U
Age:
State: CA

Vax Date: 03/24/2021
Onset Date: 03/01/2021
Rec V Date: 10/09/2021
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: kind of drowsy; broke out in hives; coughing; feeling dizzy on one side of the body when wake up; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number was unknown and expiration date was not reported), via an unspecified route of administration on 24Mar2021 as dose 1, single for COVID-19 immunization. Medical history included medical illness. The patient's concomitant medications were not reported. The patient experienced kind of drowsy on 24Mar2021, broke out in hives, coughing and feeling dizzy on one side of the body when wake up on an unspecified date in Mar2021. It was reported that patient was kind prepared but he/she does not have any COVID symptom before prior to the shot when had the shot, patient was kind of drowsy but had someone in the car with him/her, but it wasn't to that sick where patient could not drive but now patient started to feel dizzy. Patient was wondering, the question was for lymphedema patient a person who have had a radical cut and swelling in the part of their body with because the Covid symptom because prior to the shot, patient did not feel anything, patient was broke out in hives, coughing and at the time of this report, patient was feeling dizzy on one side of the body when wake up this form of is that normal, patient was trying to figure while he/she have these symptoms and if so how long. Outcome of event kind of drowsy was unknown; outcome of remaining events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774156
Sex: F
Age:
State: KY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 10/09/2021
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 Name: Iron profile; Result Unstructured Data: Test Result:anaemic; Test Name: Iron profile; Result Unstructured Data: Test Result:okay; Test Name: Hemoglobin; Result Unstructured Data: Test Result:Unknown result; Test Name: Red blood count; Result Unstructured Data: Test Result:Unknown result; Test Name: Rheumatoid factor; Result Unstructured Data: Test Result:Unknown result; Test Name: White blood count; Result Unstructured Data: Test Result:low side; Comments: my white blood count for 5 or so years has always been on the low side

Allergies:

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

Symptoms: It really hurts to even wear a bra because of the elastic and the skin feels hot.; It really hurts to even wear a bra because of the elastic and the skin feels hot.; Around my waistline and the tops of my legs I have been breaking out in hives and it just worse around my waistline, my bra line; it's big red; it was itching around my waist and tops of my legs.; Around my waistline and the tops of my legs I have been breaking out in hives and it just worse around my waistline, my bra line; it's big red; it was itching around my waist and tops of my legs.; Around my waistline and the tops of my legs I have been breaking out in hives and it just worse around my waistline, my bra line; it's big red; it was itching around my waist and tops of my legs; Sore arm that day; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 20Mar2021 14:30 (at the age of 61-year-old) (Lot Number: EN6208) as dose 1, single for COVID-19 immunization. Medical history included epilepsy and hives (4 or 5 years ago). Concomitant medication(s) included phenobarbital (PHENOBARBITAL) taken for epilepsy, start and stop date were not reported; phenytoin (DILANTIN [PHENYTOIN]) taken for epilepsy, start and stop date were not reported. The patient experienced sore arm on 20Mar2021 and around her waistline and the tops of her legs she has been breaking out in hives and reported that it just got worse around her waistline, her bra line. The patient reported that it was big red; it was itching around her waist and tops of her legs on 28Mar2021. The patient reported that it really was hurting to even wear a bra because of the elastic and the skin felt hot. The patient's arms, face and neck were not swollen, and did not have a fever. The patient reported it was really around the tops of her legs. Patient stated that on 26Mar2021, she was outside in the sun and was molding grass and after that she went inside and took her shower, cleaned up, changed clothes all that kind of stuff and then nothing happened on 27Mar2021. The patient stayed inside on same day and on 28Mar2021. When patient woke up, she reported that she felt she can feel them, the little red places around the tops of her leg, and felt like it was more than usual around her breast and around her waistline. The patient reported that events started on the night of 28Mar2021. The patient has put cold compresses on it and had on a loose gown. The patient reported that she could feel the red bulbs rubbing against her paint and her pants were not tight or elastic but they were soft cotton pants but the patient could feel the heat on her skin around waistline. No follow-up attempts are possible. No further information is expected.

Other Meds: PHENOBARBITAL; DILANTIN [PHENYTOIN]

Current Illness:

ID: 1774157
Sex: F
Age:
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: muscle pain; nausea; muscle weakness/no muscles strength at all; completely lethargic no energy; she now has bone pain; joints are having pain in them comes sometimes and goes sometimes; pain; She has not been able to sleep; Flu-like Symptoms; Running a fever; hot Chills/cold chills; This is a spontaneous report from a non-contactable consumer. A 79-years-old female patient received bnt162b2 (COMIRNATY PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Strength: unknown, Batch/Lot Number: unknown), dose 2 intramuscular on 16Feb2021 as Dose 2 SINGLE for covid-19 immunization (Age at vaccination: 79-Years-old). The patient medical history and concomitant medications were not reported. On 16Feb2021, the patient had Running a fever, Chills/cold chills, on 17Feb2021, the patient had Flu-like Symptoms and on an unspecified date, the patient had muscle pain, nausea, bone pain and sleeplessness. Her mother said she had flu-like symptoms: the mother reported for the 1st week and a half she had hot chills, cold chills, nausea, muscle weakness, completely lethargic no energy, no nothing. Now she is reporting no muscles strength at all and muscle pain. Just reporting she now has bone pain, muscle pain. All her joints are having pain in them comes sometimes and goes sometimes. In some places it stays with her all the time. She had not been able to sleep and has pain for 6-8 weeks. Patient was asked to take Tylenol. The events were assessed as Non serious. Outcome of event sleeplessness and pain was not recovered, and other events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774158
Sex: F
Age:
State: NC

Vax Date: 03/29/2021
Onset Date: 03/01/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever; Headache; This is a spontaneous report from a contactable consumer or other non hcp (patient mother). A female patient of an unspecified age received BNT162b2 (Pfizer BioNTech Vaccine, Solution for injection, Lot No, Expiry Date, NDC number, UPC number was not reported), via an unspecified route of administration on 29Mar2021 as 2nddose, single for covid-19 immunisation. Historical Vaccine was a female patient of an unspecified age received BNT162b2 (Pfizer BioNTech Vaccine, Solution for injection, Lot No, Expiry Date, NDC number, UPC number was not reported), via an unspecified route of administration on unspecified date as 1stdose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced fever, headache on Mar2021.Reason for no lot number of Pfizer BioNTech Vaccine other reporter stated that don't have it. Expiry Date of Pfizer BioNTech Vaccine was unknown. Reporter stated about mother. She has received the Pfizer BioNTech Vaccine, she received the second dose of vaccine yesterday. She has nothing remarkable, she has like a fever, headache and she wanted to take a Tylenol, but the packet said that it didn't give any information whether she can take Tylenol or not, they just gave this number. Is there anything preventing someone who can otherwise take Tylenol from taking a Tylenol in 24-48 hours after the vaccine and got it yesterday at 4:30 PM and has a fever and a headache. She just wants to know if she can take the Tylenol. The clinical outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. .

Other Meds:

Current Illness:

ID: 1774159
Sex: F
Age:
State: FL

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data: Test Date: 20210329; Test Name: Body temperature; Result Unstructured Data: Test Result:higher temperature

Allergies:

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

Symptoms: I started feeling chills; right now still feeling chills; slight fever; higher temperature; This is a spontaneous report from a contactable consumer (patient). A 58-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 28Mar2021 11:45 (Lot Number: ENU198) 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 mRNA VACCINE), via an unspecified route of administration on 7Mar2021 (Lot Number: EN6200) as dose 1, single for covid-19 immunisation. The patient stated that a day before reporting she took a second shot of vaccine, it was about 11:45 AM and on the day of reporting on 29Mar2021 at about 11 in the morning, she started feeling chills, slight fever and at the time of reporting still feeling chills and higher temperature. She just wanted to know was this only expected for like one day and she should be ok. The patient took Tylenol on the day of reporting as treatment. The patient had no lab work done. The outcome of the events was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774160
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; This is a spontaneous report from a contactable consumer (patient's husband). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on 29Mar2021 as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient got a shot (COVID Vaccine) on 29Mar2021(yesterday) and started running a fever on same day (29Mar2021) . Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774161
Sex: M
Age:
State: TX

Vax Date: 02/20/2021
Onset Date: 03/27/2021
Rec V Date: 10/09/2021
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: 20210327; Test Name: TEMPERATURE; Result Unstructured Data: Test Result:103 egree Fahrenheit; Test Date: 20210329; Test Name: Platelets; Result Unstructured Data: Test Result:Low;91,000

Allergies:

Symptom List: Unevaluable event

Symptoms: Low platelets; Rash all over his torso and neck; Fever that is close to 103 degrees Fahrenheit; rash all over his torso and neck was reported as worsened; This is a spontaneous report from a contactable consumer (patient). A 54-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EN6198), via an unspecified route of administration in the left arm (shoulder) on 20Feb2021 at 11:00 (at the age of 54-years-old) as dose 2, single for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EL9265), via an unspecified route of administration in the right arm (shoulder) on 30Jan2021 at 13:00 as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient reported that he had the 2nd dose maybe 5-6 weeks ago and that past week he was experiencing some unusual things and did not know if they were related to the vaccine. Patient stated that out of nowhere he had that fever that was close to 103 degrees Fahrenheit and the fever began on 27Mar2021, he had low blood platelets and the test was done on 29Mar2021 with his platelet count 91,000. Patient further stated he had a rash all over his torso and neck and stated those were the main things and rash all over his torso and neck was reported as worsened (2021). The events resulted in physician, emergency room and urgent care visit. The patient underwent lab tests and procedures which included body temperature: 103 degree fahrenheit on 27Mar2021 and platelet count: low;91,000 on 29Mar2021. The clinical outcome for the events, rash all over his torso and neck and fever that is close to 103 degrees Fahrenheit was not recovered and unknown for low platelets and rash all over his torso and neck was reported as worsened. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774162
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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 Name: temperature; Result Unstructured Data: Test Result:99

Allergies:

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

Symptoms: His current temperature is 99; Diarrhea; Fatigue; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (wife) reported for a male patient (husband) of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: unknown, Expiry date: unknown), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. Medical history included cancer. The patient concomitant medications were not reported. The patient experienced diarrhea, fatigue and his current temperature is 99 on an unspecified date. The patient underwent lab tests and procedures which included body temperature: 99 on an unspecified date. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774163
Sex: F
Age:
State: MA

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 10/09/2021
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: rash on her lower arm, rash around her right ankle; Several red lines 3-4 on lower left leg going up towards towards knee; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A female patient of unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot was not reported), via an unspecified route of administration, administered anatomical location not reported, on 24Mar2021 as dose 1, single for COVID-19 immunization. The patient medical history was not reported. The patient concomitant medications were not reported. The patient stated she had her first dose but experienced an allergic reaction like rashes after the first dose. The patient stated she had a rash on her lower arm, several red lines, about 3-4, on her lower left leg going up towards her knee. The patient stated she had a bit of a rash around her right ankle. The patient stated she was unsure about her left ankle. The patient stated she was not sure when these symptoms began. The patient wanted to know if she should get her second shot because she heard that with the second shot the reactions might be worse. The outcome of events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774164
Sex: F
Age:
State: NJ

Vax Date: 03/15/2021
Onset Date:
Rec V Date: 10/09/2021
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: cold; cough; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 15Mar2021 as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient called in and took her first dose on 15Mar2021 and she was experiencing a cold and cough (on an unspecified date in 2021). She wanted to know if she would continue the second shot which is on 02Apr2021. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774165
Sex: F
Age:
State: CA

Vax Date: 03/16/2021
Onset Date: 03/27/2021
Rec V Date: 10/09/2021
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: CT Scan; Result Unstructured Data: Test Result:Unknown Result; Test Name: cbc; Result Unstructured Data: Test Result:2; Comments: A fresh CBC indicated platelets at 2.A fresh CBC indicated platelets at 2.; Test Name: cbc; Result Unstructured Data: Test Result:50; Comments: Post transfusion platelet indicated at 50; Test Date: 20210329; Test Name: cbc; Result Unstructured Data: Test Result:unknown result; Test Date: 20210330; Test Name: CBC; Result Unstructured Data: Test Result:16(k)

Allergies:

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

Symptoms: platelet count of 16 (k)/A fresh CBC showed my platelets at 2; blood blister on my tongue; red rash on my feet & lower legs; bruises; This is a spontaneous report from a contactable consumer or other non hcp. A 60-years-old female (Non Pregnant) patient received bnt162b2 (Formulation: Solution for injection in pre-filled syringe, Batch/lot number : EN6208), dose 1 via an unspecified route of administration, administered in Arm Left on 16Mar2021 09:15 AM as DOSE 1, SINGLE for covid-19 immunization. Medical history included migraines from an unknown date and unknown if ongoing. Concomitant medication(s) Centrum Silver; Jarro-Dophilus+FOS. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient not diagnosed with COVID-19, since the vaccination, the patient did not tested for COVID-19. The patient not had allergies to medications, food, or other products. On 27Mar2021, the patient reported that, I noticed a small blood blister on my tongue, further exploration indicated 2 more blood blisters. Later in the evening I noticed red rash on my feet & lower legs. In the morning, my mouth had erupted in 9 blood blisters and the rash was brighter. I had a phone visit with a Kaiser doctor on 28Mar2021) who ordered a blood test for the following morning. On 29Mar2021, I had a CBC, no results that day. On 30Mar2021 at 5:40 I got a call from my blood test indicated a platelet count of 16 (k) and I needed to go to the Emergency Department. My CBC Tuesday morning came back with a platelet count of 2. I was given steroids, a CT scan, platelet transfusion & and infusion of something to keep my antibodies from consuming my new platelets. A post transfusion blood test had my platelets at 50. When the infusion finished i was discharged. The patient treated with ivig, platelets and steroids and Just finishing a one-week course of pr (as reported). The patient underwent lab tests and procedures which included on 29Mar2021, had a CBC, no results that day, On 30Mar2021 Platelet count 16(k). On an unknown date. A fresh CBC indicated platelets at 2. Post transfusion platelet indicated at 50and CT scan was done on unknown date as unknown result. The outcome of the events bruises was unknown, and rest of all events were recovering. No follow up attempts are needed. No further information is expected.

Other Meds: CENTRUM SILVER +50; JARRO DOPHILUS

Current Illness:

ID: 1774166
Sex: F
Age:
State:

Vax Date: 03/16/2021
Onset Date: 03/01/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: her lips were "tingling"; she had one hive appear where she received her shot but it disappeared within a minute; gastrointestinal issues such as diarrhea; terrible headache; Rash; non-severe allergic reactions; Itching; really sick a few days right after; This is a spontaneous report from a contactable consumer (patient). A 37-year-old female patient reported for herself that she received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL9267, NDC number: Not Provided, expiry date: Unknown) via an unspecified route of administration on 16Mar2021 (age at vaccination was 37 years) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient normally takes Zyrtec for seasonal allergies but states she did not take it before her first dose of the vaccine because patient was worried about a potential reaction. The patient states that when she received her first dose, within 25 minutes on an unspecified date in Mar2021, her lips were "tingling" but states that went away after a minute. on an unspecified date in Mar2021, the patient then reports that 30 hours later she had one hive appear where she received her shot but it disappeared within a minute. The patient then reports that 48 hours later another hive appeared on the shoulder of the same arm that she received her shot in, but states that it also went away in a minute. on an unspecified date in 2021, she also had GI issues such as diarrhea for like five days afterwards and also had a "terrible headache" but states she was more so concerned about her symptoms with the lips and the hives. The patient knows that things such as rash, itching, and hives were reported after a dose of the vaccine on an unspecified date in 2021 and were considered to be non-severe allergic reactions. The patient called the third day after the shot as she was really sick a few days right after the shot. The report was non-serious. Outcome of the event her lips were "tingling" and Vaccination site urticaria was resolved on an unspecified date in Mar2021 and outcome was unknown for remaining events. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774167
Sex: F
Age:
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 10/09/2021
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: 202007; Test Name: Mammogram; Result Unstructured Data: Test Result:Clear

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: possible lymphatic system issue; bartholin cyst on right side and severe swelling in surrounding area; severe swelling in surrounding area; painful; sore arm; headache; fatigue; This is a spontaneous report from a contactable consumer or other non hcp. A 68-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Right on 31Mar2021 11:45 (at the age of 68 years) (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation at Pharmacy or Drug Store. The patient was not pregnant at the time of vaccination. Medical history included breast cancer, Allergies to Hazelnut, Lumpectomy from an unknown date and unknown if ongoing (I had breast cancer removed by lumpectomy twice on left breast with 1 sentinol node removed), targeted radiation from 03Feb2020 to an unknown date. The patient's concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient stated, ''24 hours later I Developed Bartholin cyst on right side and severe swelling in surrounding area. I had breast cancer removed by lumpectomy twice on left breast with 1 sentinol node removed. Last treatment with targeted radiation was 03Feb2020, clear mammogram Jul2020. I was concerned about possible lymphatic system issue but was surprised by this reaction. I never had a cyst before, and it was very painful, and I was still trying to resolve. I had normal reaction otherwise sore arm, headache, and fatigue. I was concerned about my next injection in 4 weeks. What was your recommendation''. The events resulted in visit to doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included mammogram: clear in Jul2020. The patient received the treatment for adverse events as Antibiotic. The clinical outcome of the events was recovering at the time of report. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774168
Sex: M
Age:
State:

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever; Shortness of breath; Just didn't feel right.; This is a spontaneous report from a contactable consumer. This consumer reported for a male patient (Husband). A male patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: Unknown, and Expiration date: Unknown), via an unspecified route of administration on 27Mar2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that, the patient got his second shot of Pfizer COVID-19 vaccine on Saturday, 27Mar2021. On 30Mar2021, (in afternoon) the patient experienced fever, shortness of breath and just didn't feel right. The reporter was curious could this be a side effects of the vaccine. Reporter was informed about Pfizer Medical Information Department and was also informed about safety report. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch no cannot be obtained.

Other Meds:

Current Illness:

ID: 1774169
Sex: M
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Fever and chills; Fever and chills; This is a spontaneous report from Pfizer sponsored program. A contactable consumer reported for a male patient (Son). A male patient of an unknown age received bnt162b2 (BNT162B2, solution for injection, Batch/Lot number: not reported) via an unknown route of administration in Mar2021 as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced fever and chills. The consumer reported that her son has experienced fever and chills after getting the 1st dose a week ago. She cannot remember the exact date of the first dose. Caller wants to know if it is safe for her son to take the 2nd dose. The outcome of the events was reported as unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774170
Sex: F
Age:
State:

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 10/09/2021
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: Bad joint and muscle pain; Bad joint and muscle pain; Get a pins and prickling sensation on her left shin; This is a spontaneous report from a contactable consumer (patient). A 51-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number was unknown) via an unspecified route of administration, administered in left arm on 27Mar2021 (at the age of 51 years) as a single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received the first dose of the Pfizer COVID vaccine on 27Mar2021, ten minutes after receiving the first dose of the vaccine she started to get a pins and prickling sensation on her left shin and she received the vaccine on her left arm. She rubbed her leg, and it went away but it still comes back off and on, three days later (30Mar2021) she had really bad joint and muscle pain. Caller would like to know if these side effects are normal and what she should do about her side effects if they don't go away. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774171
Sex: M
Age:
State:

Vax Date: 03/24/2021
Onset Date:
Rec V Date: 10/09/2021
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: Covid test; Result Unstructured Data: Test Result:Negative; Test Name: Covid test; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: still not feeling well; chills in the hands; low grade fever; general tiredness/after sleeping all night he still wakes up feeling tired; muscle aches in the legs; he nevere takes naps but has had to take anaps; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 45-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19mRNA VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 24Mar2021 (at the age of 45-Years-old) as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient was still not feeling well, experienced chills in the hands, low grade fever, general tiredness and muscle aches in the legs. He stated he never took naps but has had to take a naps, and after sleeping all night he still woke up feeling tired. He had two Covid tests, and both were negative. At the time of this report outcome of still not feeling well was not recovered and other events was captured as unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774172
Sex: U
Age:
State:

Vax Date: 03/30/2021
Onset Date:
Rec V Date: 10/09/2021
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: Mild fever; Aches; This is a spontaneous report from a non-contactable consumer (patient). A patient of an unspecified age and gender received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 30Mar2021 as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. On unknown date in 2021, the patient experienced mild fever and aches. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1774173
Sex: M
Age:
State: NC

Vax Date: 03/01/2021
Onset Date: 03/27/2021
Rec V Date: 10/09/2021
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: Shortness of breath / Can't catch my breath; decreased stamina after mild exertion; This is a spontaneous report from a contactable consumer (patient) via Pfizer-sponsored program. A 39-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, solution for injection) via an unknown route of administration administered in arm left on an unknown date in Mar2021 at 08:00 am as single dose for covid-19 immunization. The patient had no allergy. The patient's medical history and concomitant medication were not reported. The patient received most recent COVID-19 vaccine was administered at Health Clinic. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. Patient did not receive any other medications within 2 weeks of vaccination. On 27Mar2021, patient experienced shortness of breath and decreased stamina after mild exertion, could not catch his breath. Patient did not receive any treatment for the adverse events. The outcome of events was recovered/resolved with sequel. Information about lot/batch number cannot be obtained. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774174
Sex: F
Age:
State: MI

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Intense shivers; Fever; Arm tenderness; This is a spontaneous report received from a contactable 42-year female consumer (patient) reported for herself that who received the Pfizer vaccine, bnt162b2 (BNT162B2) Solution for injection, unknown dose (Lot number and expiry date was not reported) via an unspecified route of administration on 02Apr2021 as a single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. She was having some side effects. She received the vaccine on Friday. Saturday, she had arm tenderness (on 03Apr2021), yesterday she was fine. At 3am she woke up with intense shivers and a fever. Friends say they got their side effect in the 48 hours. Should I be concerned?. On Sunday she didn't have anything and then this morning she had a fever and chills (on 04Apr2021). She was wanting to know if that was all normal. Provided PMI number and tried to transfer to but there were calls holding. Cold transferred to PMI due to wait times. Fax to . Transferring agent stated, have a consumer on the line, she received the Pfizer COVID 19 Vaccine this past Friday, on Saturday she has some arm tenderness and then at 3 am this morning she woke up with shivers and fever. Consumer was informed about the role of Pfizer Drug Safety and requested to probe. No further probing could be don as the consumer hung up the call abruptly. Hence limited information available over the call. Outcome of the events was unknown. No follow up attempts are possible, no further information is expected.; Sender's Comments: Linked Report(s) : PFIZER INC-2021377881 same reporter/drug, different patient/AE

Other Meds:

Current Illness:

ID: 1774175
Sex: F
Age:
State: FL

Vax Date: 04/01/2021
Onset Date:
Rec V Date: 10/09/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:abnormal

Allergies:

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

Symptoms: mild temperature; felt lethargic; her arm is swollen and painful; her arm is swollen and painful/ pain in legs; heart was beating too fast/can feel her heart beating; her hands were shaking; pins and needles in her legs; numbness in hands/fingers; heaviness in arms hands and fingers; small rash; muscle aches; No strength; could not get out of bed; This is a spontaneous report from a contactable consumer (patient) via Pfizer sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and expiration date were not reported), via an unspecified route of administration on 01Apr2021 as dose 1, single for covid-19 immunization. The patient's medical history included tested positive in Jun/Jul, mild diarrhea and pain in abdomen and legs. Concomitant medications were not reported. On an unknown date, the patient experienced mild temperature, felt lethargic, could not get out of bed, her arm was swollen and painful, heart was beating too fast/could feel her heart beating, hands were shaking, pins and needles in her legs, numbness in hands/fingers, heaviness in arms hands and fingers, small rash, muscle aches, and no strength. She stated she had been a bad experience/reaction to the vaccine. She spoke to her doctor today, who told her not to take second shot. The patient underwent lab tests and procedures which included body temperature: abnormal on an unknown date. 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: 1774176
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 10/09/2021
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: "severe" asthma; shortness of breath; Not feeling well; This is a spontaneous report from a contactable consumer or other non hcp. A 70-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number and Expiration Date was not reported) via an unspecified route of administration on 12Mar2021 as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced severe asthma, shortness of breath and not feeling well on an unspecified date. It was reported that, patient had severe asthma and her shortness of breath had been more severe. She was scheduled to receive her second dose but she won't be able to make it to her second dose appointment today due to her symptoms. She started a prednisone treatment because of shortness of breath and recurrence severe (not clarified) after the injection, so today as well she was not feeling well, so won't be able to make her second dose appointment. She asked how long can patient wait before getting the second dose without impacting the efficacy of the vaccine and without having to repeat the vaccination series if she didn't make it to her vaccination appointment today and the vaccination series would need to be repeated at a later time, once completed. She asked how to react to the second dose of the vaccine, due to her medical condition and reaction to the first dose and if people with asthma had a stronger reaction to the vaccine. Patient might be receiving the second vaccine. 2 weeks after the injection, patient received treatment with prednisone for severe asthma and shortness of breath. The outcome of the events was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1774177
Sex: U
Age:
State:

Vax Date: 03/29/2021
Onset Date: 03/01/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A patient with unspecified age and gender received bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/ lot number: not reported) via an unspecified route of administration on 29Mar2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient took the first dose of Pfizer Vaccine (Covid-19 Vaccine) yesterday on 29Mar2021 and on an unspecified date, patient experienced fever. Patient wanted know if that was COVID-19 or the side effects of vaccine. Patient was informed about Pfizer Medical information department and was provided with the number. Limited information was available over the call as the consumer was not willing to complete the report. Outcome of the event was unknown. No follow-up attempts are possible; Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774178
Sex: F
Age:
State:

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 10/09/2021
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: This is a spontaneous report from a contactable consumer (husband). A female patient, of an unspecified age, received the second dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection, batch/lot# not reported), via an unspecified route of administration, on Mar 30, 2021, single dose, for COVID-19 immunization. The patient's medical history and concomitant medications not reported. The patient previously the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, solution for injection, batch/lot# not reported), via an unspecified route of administration, on an unspecified date, for COVID-19 immunization. Reportedly, patient had a little bit of fever after the Pfizer COVID-19 vaccine the second dose (Mar 30, 2021). She wanted to know if that is alright to take Tylenol. The outcome of the event: unknown. No follow-up attempts possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774179
Sex: F
Age:
State: FL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 10/09/2021
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: Test Date: 20210401; Test Name: temperature; Result Unstructured Data: Test Result:102.4 Fahrenheit; Test Date: 202012; Test Name: covid-19; Test Result: Positive ; Comments: symptoms I had in Dec & Jan when I had covid for 50 days.

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Fever of 102.4. Severe chills. Bodyaches; Fever of 102.4. Severe chills. Bodyaches; Fever of 102.4. Severe chills. Bodyaches; Skin hyper sensitive to touch; Severe pain in area of Liver like when I took Tylenol during covid; Hands and feet feel like blocks of ice but soles of feet feel like on fire; Hands and feet feel like blocks of ice but soles of feet feel like on fire; Bad tummy ache; Muscle weakness; Also, the mild depression & brain fog which has remained since I recovered from having covid from 02Dec-26Jan is even worse now; Also, the mild depression & brain fog which has remained since I recovered from having covid from 02Dec-26Jan is even worse now; Also, the mild depression & brain fog which has remained since I recovered from having covid from 02Dec-26Jan is even worse now; Barely able to function physically & mentally; This is a spontaneous report from a contactable consumer. A 63-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for Injection, Batch/Lot number: Unknown) via an unspecified route of administration, administered in Arm Right on 31Mar2021 14:00 as DOSE 1, SINGLE (at the age of 63-year-old) for covid-19 immunisation. Medical history included coeliac disease, autoimmune thyroiditis, gluten sensitivity, covid-19 (I had in Dec & Jan when I had covid for 50 days), feeling abnormal. Concomitant medications included levothyroxine sodium (SYNTHROID). Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Patient's 1st Vaccine was received on 31Mar21. The next day on 01Apr2021 06:00, patient's reaction symptoms include several of the symptoms patient had in Dec & Jan when had covid for 50 days. They includes fever of 102.4, severe chills, body aches, skin hyper sensitive to touch, severe pain in area of liver like when patient took Tylenol during covid, hands and feet feel like blocks of ice but soles of feet feel like on fire, bad tummy ache, muscle weakness, barely able to function physically & mentally. Patint'e symptoms were some of the many that patient had when patient was very ill with covid. Also, the mild depression & brain fog which has remained since patient recovered from having covid from 02Dec-26Jan was even worse now. The patient underwent lab tests and procedures which included body temperature increased: 102.4 fahrenheit on 01Apr2021, sars-cov-2 test: positive on Dec2020 symptoms I had in Dec & Jan when I had covid for 50 days. The patient did not received the treatment for events. The outcome of the events was not resolved. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: SYNTHROID

Current Illness:

ID: 1774180
Sex: F
Age:
State: CT

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: A few hours following the vaccine, patient started to feel sore at injection site and in upper extremities, but symptoms were mild and manageable.; A few hours following the vaccine, patient started to feel sore at injection site and in upper extremities, but symptoms were mild and manageable.; sore muscles; fatigue; headache; low-grade fever; This is a spontaneous report from a contactable consumer (patient). A 24-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VCACINE; Lot Number: EP6955, Expiration date: Not reported), via an unspecified route of administration in left arm, on 31Mar2021 at 13:00 (at the age of 24-years-old) as dose 2, single for COVID-19 immunization in a workplace clinic. Medical history included chronic migraines. The patient had known allergies to sulfa drugs and avocado. Concomitant medications/any other medications received by the patient within 2 weeks of vaccination included amitriptyline, propranolol and diclofenac potassium (CAMBIA); all were taken for migraine. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VCACINE; Lot Number: EL3247, Expiration date: Not reported), via an unspecified route of administration in left arm, on 10Mar2021 at 13:00 (at the age of 24-years-old) as dose 1, single for COVID-19 immunization and experienced sore muscles (around injection site and neck), mild headache and fatigue. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. A few hours following the vaccination on 31Mar2021 at 15:00, patient started to have some mild symptoms where the patient felt the soreness at injection site and in upper extremities. The patient also experienced sore muscles, fatigue and headache that got worse as the day went on and also had a low-grade fever for a little under a half-hour, but the symptoms were mild and manageable. Symptoms continued on the following morning/next day on 01Apr2021. These symptoms improved with rest and the patient has avoided rescue medication for migraines (Cambia) as the product was an NSAID, however under normal conditions, would have dosed to prevent a migraine following observation of headache and sore muscles. No treatment was received by the patient for these events. The outcome of these events was recovering at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds: AMITRIPTYLINE; PROPRANOLOL; CAMBIA

Current Illness:

ID: 1774181
Sex: F
Age:
State: IL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 10/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data: Test Date: 20210402; Test Name: Blood Culture; Result Unstructured Data: Test Result:negative; Test Date: 20210402; Test Name: Blood Culture; Result Unstructured Data: Test Result:normal; Test Name: temperature; Result Unstructured Data: Test Result:102; Test Name: temperature; Result Unstructured Data: Test Result:103; Test Date: 20210402; Test Name: EKG; Result Unstructured Data: Test Result:normal; Test Date: 20210402; Test Name: X-Ray of Chest; Result Unstructured Data: Test Result:normal

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Fever; chest pain, tighness in chest; shoulder, back, neck pain, body aches; shoulder, back, neck pain, body aches; shoulder, back, neck pain, body aches; headache and muscle spasms; headache and muscle spasms; This made it difficult for her to hold her bladder; short of breath; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 59-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN6202, Expiry date was not reported) via an unspecified route of administration, administered in Arm Left on 01Apr2021 09:30 (at the age of 59 years old) as Dose 2, Single for covid-19 immunisation. Medical history included High Blood Pressure and Asthma from an unknown date and unknown if ongoing. No concomitant medications were reported. Historical vaccine included first dose of bnt162b2 (COMIRNATY, Solution, for injection batch/Lot Number EM9809, Expiry date was not reported) via an unspecified route of administration, administered in Arm Left as Dose 1, Single for covid-19 immunisation. The patient had not tested COVID post vaccination. The patient had not received any other vaccine within 4 weeks. On 01Apr2021,(at 21:30) the patient experienced, ever, chest pain, tightness in chest, shoulder, back, neck pain, body aches, headache and muscle spasms, this made it difficult for her to hold her bladder and short of breath. As a treatment patient received Toradol through her intravenous site and sodium chloride flush. The events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. The patient underwent lab tests and procedures which included blood culture: negative on 02Apr2021, blood culture: normal on 02Apr2021, body temperature: 102 on unspecified date, body temperature: 103 on unspecified date, electrocardiogram: normal on 02Apr2021, x-ray: normal on 02Apr2021. The outcome for the events was unknown. No follow up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1774182
Sex: M
Age:
State: VA

Vax Date: 02/25/2021
Onset Date: 03/02/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data: Test Date: 20210317; Test Name: X-ray; Result Unstructured Data: Test Result:Unknown result

Allergies:

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

Symptoms: Caller mentioned he can barley walk; Hip pain, it severely hurt/ It is still somewhat painful; Low back pain; A lot of pain; Severe pain in neck, it felt like muscle pain, could only look straight; Severe pain in his right shoulder; Neck was locked and he couldn't move it; This is spontaneous report from a contactable consumer or other non hcp reported for her husband. A 66-years-old male patient received bnt162b2 (Formulation: Solution for injection in pre-filled syringe, Batch/lot number : Unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 25Feb2021 as DOSE 2, SINGLE for covid-19 immunization. Patient age at the time vaccination is 66 years old.Medical history included high blood pressure- probably 15 years ago, Diabetes mellitus- about 25 years ago or so, and it hasn't gotten worse, High cholesterol. Historical vaccine included bnt162b2 (Formulation: Solution for injection in pre-filled syringe, Batch/lot number : Lot: EN3518), dose 1 via an unspecified route of administration, administered on 04Feb2021, Time- mid-day in Arm Left/left shoulder, as DOSE 1, SINGLE for covid-19 immunization and flu shot vaccination. Concomitant medication(s) included Metformin ER for Diabetes, (Patient states he has been taking for several years), Enalapril for high pressure taking for several years, Simvastatin (many years ago), Low dose aspirin start date 20 years ago, (he should take it as a precaution against a heart attack). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 2Mar2021, the patient reported as an unspecified Severe pain in neck, it felt like muscle pain, could only look straight, The Patient experienced severe pain in his right shoulder. On 29Mar2021, the patient experienced low back pain was reported as worsened. The Neck was locked and he couldn't move it, On 2Apr2021, the patient had a severely hurt Hip pain. On an unknown date, She states that her husband was in a lot of pain. She states that he got the second shot on 25Feb2021 and a week later, he experienced muscle and joint aches, but more like pain. She states he had to go to his Orthopedist and get a Cortisone shot for his shoulder. Now it is not just his shoulder, but his back, hips, and neck are in pain. She states nothing has resolved. He has neck pain. It was like it is locked and can't move. She states when he moves it was painful. She states that for the last couple of days he has had back pain and hip pain. Patient states it was the same, sometimes it is really bad, and sometimes it was bearable. Severe pain in his right shoulder. Initially stated it started on 03Mar2021, but later clarified it was the night of 02Mar2021.Patient states that sometimes it is better and other times he feels it. On the 17Mar2021, he went to an Orthopedist he knew and he took X-rays and gave him a Cortisone shot in the right shoulder, between the collar bone and shoulder. Time: it started at night. Patient states it was tough to sleep.Patient reports that after the Cortisone shot, he felt better and then it was painful again. It is still somewhat painful. Patient states he does not have any identifying information for the Cortisone, such as NDC, Lot, expiration date, or brand. Neck was locked and could not move it. Patient reports in the morning Low back pain. Patient states in the morning. Explained it is his right hip. Caller mentioned he can barley walk. Patient states because it hopefully will stop him from catching the virus. Patient confirms that his other medications were stopped before the vaccine. Patient states he hasn't had another vaccination for some time, his last one was the Flu shot several months ago. The patient underwent for X ray lab test, the result is unknown. The outcome of the event pain was unknown; The outcome for the event severe pain in neck, it felt like muscle pain, could only look straight was not recovered, For severe pain in his right shoulder the outcome was unknown, The outcome for event Neck was locked and he couldn't move it was Recovering, The outcome for event Low back pain was Not recovered, The outcome for the event Hip pain, it severely hurt was Not recovered, the outcome for the event It is still somewhat painful was unknown; the outcome for the event Caller mentioned he can barley walk was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: METFORMIN ER; ENALAPRIL; SIMVASTATIN; ASPIRINE.

Current Illness: Blood pressure high (Verbatim: High blood pressure); Diabetic (Verbatim: Diabetic); High cholesterol (Verbatim: High cholesterol.)

ID: 1774183
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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: headaches; fever; fatigue; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient's mother) reported for a 25-year-old female patient that: A 25-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot number; Unknown), via an unspecified route of administration as dose 1, single on an unspecified date for covid-19 immunisation. Medical history included headaches (but increases water intake and they have resolved) from an unknown date and unknown if ongoing. Concomitant medication included tofacitinib citrate (XELJANZ; Tablet) at 10 mg taken for an unspecified indication from 26Sep2020 to an unspecified stop date. Reported patient use to get headaches but increases water intake and they have resolved. Patient received Covid-19 vaccine yesterday and has been experiencing headache, fever and fatigue on unspecified date. At the time of this report, the outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: XELJANZ.

Current Illness:

ID: 1774184
Sex: F
Age:
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: sinuses; affect my taste; affect my smell; Headache; slept for 1 1/2 days; it affected my urination and bowel movement also; it affected my urination and bowel movement also; Nerve pain; Pain going down both arms, leg and foot pain; my feet also hurt and hurt to walk; Excruciating pain in left shoulder and down shoulder blade where she had her cortisone shot/It is painful in the top of her right shoulder, hip was hurting; The muscle on the whole arm hurt; Right arm where she got the vaccine was hurting; funny feeling through out body; The left arm would just hang, she could not move it; She still cannot lay on her left side, or right side; She felt a warmness in her body after the shot within an hour, but it went away; This is a spontaneous report from a contactable consumer (patient). An 82-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, administered in Arm Right on 17Feb2021 09:15 (at the age of 82-year-old), 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 EL9261 and expiry date not reported), via an unspecified route of administration, on 23Jan2021 12:30 (at the age of 81-year-old), as dose 1, single, for covid-19 immunisation and experienced funny feeling throughout body, excruciating pain in left shoulder and down shoulder blade where she had her cortisone shot/It was painful in the top of her right shoulder, right arm where she got the vaccine was hurting, hip was hurting, the muscle on the whole arm hurt, the left arm would just hang, she could not move it, she cannot lay on her left side, or right side and she felt a warmness in her body after the shot within an hour. On 17Feb2021, after the second shot of vaccine the patient experienced funny feeling throughout body, excruciating pain in left shoulder and down shoulder blade where she had her cortisone shot and was painful in the top of her right shoulder, right arm where she got the vaccine was hurting, hip was hurting, the muscle on the whole arm hurt, the left arm would just hang and she could not move it, she cannot lay on her left side, or right side and she felt a warmness in her body after the shot within an hour. On an unspecified date at 8:30 PM, the pain was going down on both arms, leg and had foot pain and could not walk on them. The patient took pain pill at home due to above events, and it did not help pain for 1 1/2 hour. Patient talked to doctor; pain gradually subsided in 1 1/2 wks. And then patient got back to normal. On an unspecified date at 08:30 PM, sinuses, taste and smell were affected. The patient experienced headache. On an unspecified date at 10:30 AM, the patient slept for 1 1/2 days, again the pain gets in. Urination and bowel movement was also affected. After 1st weeks after both injection, everything subsided in 2 weeks. The patient was back to normal except for left shoulder which had terrible pain and then got the cortisone injection from surgeon and then occupational therapist stated working on patient. On 08Mar2021, the patient received cortisone shot in left shoulder for pain. The patient's occupational therapist said the patient was having nerve pain and it was reported that, it made sense because whole body was involved, which again lasted 1 1/2 wks. At the time of report everything was fine. The outcome of events was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1774185
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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: rash all over her body; developed a severe rash all over her body and had a systemic reaction; This is a spontaneous report from a non-contactable physician (reported behalf of one of his patients) received from a regulatory authority. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The physician reported that he had one female patient, which this happened about 2 weeks ago, that had the second dose of the Pfizer Covid 19 Vaccine and after 5 days the patient developed a severe rash all over her body and had a systemic reaction on an unspecified date. Reporter stated that the patient was taken to the ER and was treated and now was doing fine and the patient took Prednisone. Reporter stated the patient's son called him and the patient's son stated he called Pfizer to report the adverse events and Pfizer stated that the primary care provider should order some lab tests for the patient, which he was not aware of. Reporter stated he just wanted to see what lab tests he should order for this allergic reaction as he was unsure and felt bad because the patient's son called him, and the reporter was not aware of this and with the doctor promoting the vaccine he felt he should find out. The outcome of the events was recovered on an unspecified date. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774186
Sex: M
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 10/09/2021
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: increased allergies; This is a spontaneous report from Pfizer sponsored program via a contactable consumer (patient, self-reported). A male patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient stated that he was scheduled for his 2nd Pfizer vaccine this weekend. His allergies were kicking in (increased allergies) and would like to know if it was ok to take claritin. Outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774187
Sex: F
Age:
State: OH

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 10/09/2021
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: She added the bottoms of her feet feel fiery and dry; I can't stay up too long; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose.; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose; She has chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose; 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: EP6955) via an unspecified route of administration on 26Mar2021 as dose 2, single for covid-19 immunisation. Medical history included She had an allergy to Penicillin. She was having the same symptoms as if she was reacting to Penicillin, She had gained some weight. The patient's concomitant medications takes medications every day, details not provided. Previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot no.: EN6206) at left arm on 05Mar2021 as dose 1, single for covid-19 immunisation. The patient experienced chills, feeling tired, itching, hands are feeling numb and on fire, and no appetite since receiving her second dose on 26Mar2021. She added the bottoms of her feet feel fiery and dry, I can't stay up too long on an unspecified date. Patient did not any AE(s) require a visit to: emergency room, physician office. The outcome of the event for dry skin and feeling abnormal was unknown and rest all were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774188
Sex: M
Age:
State: VA

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 10/09/2021
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: at first tiredness\started with fatigue; headache; muscle ache/Muscle pain; chills; nausea; fever; caller sounding congested and sneezed; caller sounding congested and sneezed; severe cold; cough; This is a spontaneous report received from a contactable Consumer or other non-HCP (patient). A 46-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot Number: EP7534; Expiration Date: 12Apr2021), dose 1 via an unspecified route of administration on 22Mar2021 (at the age of 46-year-old) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included allergy and cold. Concomitant medication(s) included Loratadine, pseudoephedrine hydrochloride (THERA FLU 24) taken for an unspecified indication, start and stop date were not reported; Acetylsalicylic acid, chlorphenamine maleate, dextromethorphan hydrobromide, phenylpropanolamine bitartrate (ALKA-SELTZER PLUS COLD & COUGH [ACETYLSALICYLIC ACID; CHLORPHENAMINE MALEATE; DEXTROMETHORPHAN HYDROBROMIDE; PHENYLPROPANOLAMINE BITARTRATE]) taken for nasopharyngitis, start and stop date were not reported. On 24Mar2021, the patient experienced at first tiredness\started with fatigue, headache, muscle ache/muscle pain, chills, nausea, fever, caller sounding congested and sneezed. On an unspecified date in 2021, the patient experienced severe cold and cough. The clinical details of the events as follows: Consumer stated, he was calling to complain because he was having few of side effect from the 1st shot, he had on 03/22/21. He had the first shot 1st shot, he had tiredness, headache, muscle pain, the chills, the fever, the nausea. It had been on while having all this from last two weeks. He was trying to check out see if something too strong or something else was going on. Date of adverse event consumer stated, after he got the shot. Probably on the 3rd day he started. He got the shot on 03/22/21 then so 03/24/21. He had not taken the 2nd shot yet. The patient asked that he need to see a doctor, he has had headache muscle pain chills nausea and fever feeling well. He was tired a lot. He was taking power drinks trying to get some energy. Noted caller sounding congested and sneezed; caller stated, he had allergies every year. Due date for 2nd shot, patient stated, Exact 3 weeks from 03/22/21. The number they let us know at the work the exact date. He was not sure is it 3 weeks from the first shot, he did not have it yet. Patient stated still experiencing the adverse events, he had last night chills and fever. Outcome of event: consumer stated, it was worst. Treatment for adverse events, consumer stated over the counter unknown medicine, like cold medicine, flu medicine stuff like that, Alka-Seltzer cold medicine, he got another this if called Severe cold and cough and fever, it was a generic medicine. Dose: consumer stated, Alka-Seltzer 2 tablets, he did not have anymore, and he was not sure what milligram was and they have already used them up and they were gone. For severe cold and cough, consumer stated, 650 milligrams. 20 milligrams, 10 milligrams for the ingredients. When probed for the doctor details, consumer stated, it was not prescribed by anyone. No follow-up attempts are needed. No further information is expected.

Other Meds: THERA FLU 24; ALKA-SELTZER PLUS COLD & COUGH [ACETYLSALICYLIC ACID;CHLORPHENAMINE MALEATE;DEXTROMETHORPHAN HYDROBR

Current Illness:

ID: 1774189
Sex: M
Age:
State: OH

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 10/09/2021
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 for about 2 days; headache; chills the first night; This is a spontaneous report from a contactable consumer (Patient). This is part one of two reports. A 62-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: er8732) via an unspecified route of administration in the left arm on 26Mar2021 at 08:45 (at the age of 62-year-old) as dose 2, single for COVID-19 immunization. The Patient's Medical history included drug hypersensitivity from an unknown date and unknown if ongoing Gradual swelling over days due apparently to some inactive ingredients of some medications, seasonal allergy from an unknown date and unknown if ongoing hay fever, cough variant asthma from an unknown date and unknown if ongoing mild, cough-variant asthma. The patient had no food allergies. The patient received other medications in two weeks which included vitamin b complex (VITAMIN B [VITAMIN B COMPLEX]) taken for an unspecified indication, start and stop date were not reported. multivitamin (MANAFACTURER UNKNOWN), Nutritional yeast (MANAFACTURER UNKNOWN), turmeric (MANAFACTURER UNKNOWN) all from an unknown date for an unspecified indication. Previously patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Batch/Lot Number: en6199 and Expiry date was not reported), via an unspecified route of administration in the left arm on 05Mar2021 (at the age of 62-year-old) as dose 1, single for COVID-19 immunization and experienced headache. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since, the vaccination the patient had not been tested for COVID-19. On 26Mar2021 at 20:00, the patient experienced chills, fever, headache. Chills the first night and fever for about 2 days, headache starting the first night and lasting on and off for 8 days so far, often mild but sometimes moderate. Patient did not receive any treatment for the events. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The clinical outcome of the events fever, chills, and headache was resolving at the time of reporting. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMIN B [VITAMIN B COMPLEX.]

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am