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: 1774340
Sex: F
Age:
State: FL

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: sick; fever; cough; sore throat; This is a spontaneous report from a contactable consumer or other non hcp. A 60-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: Unknown), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included hypothyroidism from an unknown date and unknown if ongoing Low Thyroid, blood cholesterol increased from an unknown date and unknown if ongoing High cholesterol, type 2 diabetes mellitus from an unknown date and unknown if ongoing Type 2 diabetes mellitus. Concomitant medications included metformin (METFORMIN) taken for type 2 diabetes mellitus, start and stop date were not reported; levothyroxine sodium (SYNTHROID) taken for hypothyroidism, start and stop date were not reported; ezetimibe (EZETIMIBE) taken for blood cholesterol increased, start and stop date were not reported; glimepiride (GLIMEPIRIDE) taken for type 2 diabetes mellitus, start and stop date were not reported; enalapril (ENALAPRIL) taken for hypertension, start and stop date were not reported; estrogens conjugated, medroxyprogesterone acetate (PREMPRO) taken for menopause, start and stop date were not reported; insulin detemir (LEVEMIR) taken for type 2 diabetes mellitus, start and stop date were not reported. The patient stated that on 22Mar2021 she took vaccine, and two days later on 24Mar2021 the patient experienced being sick with fever, cough and sore throat. She was not hospitalised but was on bed. It was given that it looked like EN6208 for lot no but (Further not clarified hence not captured in tab). The outcome of the events was unknown. No follow up attempts are needed. No further information expected.

Other Meds: METFORMIN; SYNTHROID; EZETIMIBE; GLIMEPIRIDE; ENALAPRIL; PREMPRO; LEVEMIR

Current Illness:

ID: 1774341
Sex: M
Age:
State: TX

Vax Date:
Onset Date:
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:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Had body pain; Bleeding nose; Fever; Itchy body and my lips were also itching badly; This is a spontaneous report from a contactable consumer (Patient). A 46 years old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: ER8737), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient medical history included diabetes. The patient Concomitant medications included METFORMIN taken for diabetes mellitus from an unknown date. On an unspecified date, the patient experienced Had body pain, Bleeding nose, Fever, Itchy body and my lips were also itching badly. It was reported that I just received the dose of Pfizer on Saturday after that I had body pain but somehow I am having nose bleeding also and like I had a fever, itchy body and my lips were also itching badly. It's actually I wanted to go to ER but it's not like continuously it start to bleed and then it stops and then it starts again and I didn't want to go to the ER because this pandemic is going on. From your end will I get any information did this happen like to any other patients. The outcome of events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: METFORMIN

Current Illness:

ID: 1774342
Sex: M
Age:
State: AZ

Vax Date: 03/27/2021
Onset Date: 04/09/2021
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:

Allergies:

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

Symptoms: Dizziness; heart palpitations; shortness of breath; headache; This is a spontaneous report from a contactable consumer (patient). A 26-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8730, expiration date: not reported), dose 1 via an unspecified route of administration on 27Mar2021 15:00 (age at vaccination: 26 Years) as DOSE 1, SINGLE for covid-19 immunisation at Pharmacy or Drug Store. The patient medical history and concomitant medications were not reported. No allergies to medications, food, or other products. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and the patient did not receive any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient had not been tested for COVID-19. On 09Apr2021, 13 days after the vaccination, the patient experienced dizziness, heart palpitations, headache, shortness of breath. The events resulted in doctor or other healthcare professional office/clinic visit. No treatment received for the adverse events. The outcome for events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774343
Sex: F
Age:
State: PA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: little cough; shortness of breath; flu like symptoms; Chills and feverish at times; Chills and feverish at times; terrible headache; wiped out and exhausted all of the time; not much appetite; 2021406653: This is a spontaneous report from a contactable consumer or other non-health professional (patient). A 61-years-old female patient received bnt162b2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection; (Batch no: not reported/Lot Number: EW0150, Expiration Date: Jul2021) via an unspecified route of administration, administered in Arm Left on 07Apr2021 09:15 am (at the age of 61-years-old) as dose 1, single for covid-19 immunization. Medical history included glucose tolerance impaired (Pre-diabetic), high blood cholesterol, depression, gastro oesophageal reflux disease, and blood pressure measurement from an unknown date and unknown if ongoing. Concomitant medications included omeprazole (OMEPRAZOLE) has been taking for a while for gastrooesophageal reflux disease, diltiazem (DILTIAZEM) 24 HR ERCD has been taking for a while for Blood pressure measurement, atorvastatin (ATORVASTATIN) has been taking a while for Blood cholesterol, fluoxetine hydrochloride (FLUOXETINE HCL) has been taking for a while for Depression, acetylsalicylic acid (ASPIRIN (E.C.) been taking a while for an unspecified indication, calcium carbonate, colecalciferol (VITAMIN D 2000) been taking a while for an unspecified indication, hydrochlorothiazide (HYDROCHLOROTHIAZIDE) taken along with Valsartan as a combination for an unspecified indication as water pill, valsartan (VALSARTAN) taken along with hydrochlorothiazide as a combination for an unspecified indication, labetalol (LABETALOL) taken for an unspecified indication, all are ongoing taken from unknown stop date. Family history reported as None. No prior vaccinations taken within 4 weeks of vaccination. No additional vaccines administered on same date of the Pfizer Suspect. It was reported that since 07Apr2021 the patient experienced chills and feverish at times, usually when she wakes up in the morning she was all right in the afternoon and starts back at night, and experiences terrible headache started at the same time as the feverish chills, she feels wiped out and exhausted all of the time and doesn't have much appetite since the same day as the vaccine. On an unspecified date she has little cough, but not really much shortness of breath shortness of breath and she feels like the flu. She took vaccine last week and felt like this been going on too long and still feels about the same, which she was concerned. She was not getting any better. AEs did not require to visit Emergency Room or Physician's office. No Investigation Assessment was provided. No relevant tests. Therapeutic measures were taken which included Advil PM at night and Tylenol during the day as a result of chills and feverish at times, terrible headache, wiped out and exhausted all of the time. Outcome of the events little cough, feels like flu and Dyspnoea was unknown and another events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: OMEPRAZOLE; DILTIAZEM; ATORVASTATIN; FLUOXETINE HCL; ASPIRIN (E.C.); VITAMIN D 2000; HYDROCHLOROTHIAZIDE; VALSARTAN; LABETALOL

Current Illness:

ID: 1774344
Sex: F
Age:
State: GA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: inflammation under her armpit; it hurts to touch between the side of her right breast and right under the armpit; she feels swelling when touching under her arm; feels unwell; weakness; body aches; She also had pain under her right arm; pain under her right arm; This is a spontaneous report received from a contactable consumer or other non-HCP (patient herself) via Medical Information Team. A 47-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 10Apr2021 as dose 2, single for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration on 20Mar2021 as dose 1, single for COVID-19 immunization and experienced arm pain, on the third day she had almost no discomfort. The second dose was on Saturday 10Apr2021, she had no arm pain on that day, but quite some pain on Sunday (next day) on 11Apr2021 just like when she got the first dose, and at night she also had pain under her right arm on 11Apr2021. By Monday, she had inflammation under her armpit, it hurted to touch between the side of her right breast and right under the armpit on 12Apr2021. She was taking ibuprofen, she felt swelling when touching under her arm, and she also felt unwell, weakness and body aches since Sunday (11Apr2021). In the middle of the night she had to take 2 Ibuprofens to soothe the pain. Patient received treatment as ibuprofen for the adverse events reported. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774345
Sex: F
Age:
State: NC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: tiredness; headache; muscle pain; a low grade fever; arm swollen at injection site; This is a spontaneous report from a contactable consumer or other non-Healthcare Professional. An adult female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date not reported), via an unspecified route of administration on 13Apr2021 as dose 1, single for COVID-19 immunisation in workplace clinic. The patient medical history and concomitant medications were not reported. The patient did not have COVID-19 prior to vaccination. It was unknown if patient received other vaccine in four weeks and any other medications in two weeks. On 13Apr2021, same day of vaccination, the patient experienced tiredness, headache, muscle pain, and thought she had a low-grade fever at night and also arm swollen at injection site. The explicit consent was yes. On 14Apr2021 patient was taking the day off. The patient not tested for COVID-19 post vaccination. It was unknown if patient received treatment. As per reporter understanding, the patient became aware of the symptoms on the 14th. The outcome of all the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774346
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: vision was blurry; face was tingly; torso area began to itch but no sign of hives; cough a wheezing kind of cough for a day; loss of appetite; diarrhea; This is a spontaneous report received from a contactable consumer or other non HCP (Patient). A female patient of an unspecified age received bnt162b2 (BNT162B2 Formulation: Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient reported that following dose 1 of the Covid vaccine (date unspecified), after about 20 minutes, patient vision was blurry and face was tingly, felt puffy although it was not actually puffy. This went away after approx. an hour. Within a couple hours torso area began to itch but no sign of hives. On an unknown date, the patient had cough a wheezing kind of cough for a day, had a loss of appetite and diarrhea for three days following. It was reported that CDC website labels this as a non-severe allergic reaction and suggests not to get dose 2. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774347
Sex: F
Age:
State: OH

Vax Date: 03/05/2021
Onset Date: 03/06/2021
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: slight fever; Chill; severe sore muscle and joints; severe sore muscle and joints; super achy; felt like I had been run over by a truck; flu like symptoms; fatigue; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6205), via an unspecified route of administration in the left arm on 05Mar2021 at 10:54, dose 2, single for COVID-19 immunisation. Medical history included ongoing birth control. Concomitant medication included ethinylestradiol, ferrous fumarate, norethisterone acetate (BLISOVI FE 1.5/30). Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EL9267) administered via an unspecified route of administration in the left arm on 12Feb2021 at 10:54, dose 1, single for COVID-19 immunisation and experienced soreness at injection site, lymph nodes left arm pit very sore, fatigue, red swollen injection site, swollen under left arm lymph nodes, sore arm, muscle + joints, lymph nodes left arm pit very sore. The patient did not receive other vaccines prior to COVID-19 vaccine. On 06Mar2021, the patient experienced fatigue, flu like symptoms. On 06Mar2021 at 02:00, the patient woke up in the morning and felt like she had been run over by a truck, super achy, severe muscle, joints, slight fever chills which lasted for 2 days. The patient took Ibuprofen and Advil for the events. The events were reported as non-serious. The outcome of the events fatigue and flu like symptoms recovered on an unspecified date and the outcome of other events was recovered on 08Mar2021. No follow-up attempts are possible; No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021195717 Same reporter/patient /product, different dose and similar events

Other Meds: BLISOVI FE 1.5/30

Current Illness: Birth control

ID: 1774348
Sex: F
Age:
State: CA

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: Abdominal pain, Chills, Sleep disorder

Symptoms: ringing in my ears/head and it's constant; I also seem to have an inflammatory response in my upper back; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A female patient of an unspecified age received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unknown date, the patient experienced ringing in my ears/head and it's constant (tinnitus) and i also seem to have an inflammatory response in my upper back (inflammation). It's been 11 days now and there is no resolution. The clinical outcome for the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. Follow up (14Apr2021): This is an Spontaneous report from a contactable consumer. This is a female consumer (patient) reported for herself that: No new information received. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774349
Sex: F
Age:
State: NC

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: have livedo reticularis on both my legs; my left leg is worse and it goes from the inside of my groin all the way down to my ankle and my right one goes up to my knee on the inside; pain in both her legs; minor itching at injection site, like a bug bite; bruising appeared down her legs, down from her groin to her ankle on her left leg and then on her right leg it went only to her knee; This is a spontaneous report from a contactable consumer (Patient). A 36-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot Number: ER8732, and Expiration date: Unknown), via an unspecified route of administration, administered in left arm on 31Mar2021 10:00 (at the age of 36-year-old) as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient received no other vaccinations on the same day or in the 4 weeks prior to getting the COVID-19 vaccine. The patient had started no new medications. The patient reported that, "I have livedo reticularis on both my legs, my left leg is worse and it goes from the inside of my groin all the way down to my ankle and my right one goes up to my knee on the inside" this began about 5-6 days after she received the first vaccine dose, on an unspecified date in Apr2021. She said at first all she had was "minor itching at injection site, like a bug bite" on an unspecified date in Apr2021. She said 5-6 days after vaccine (on an unspecified date in Apr2021) then the "bruising appeared down her legs, down from her groin to her ankle on her left leg and then on her right leg it went only to her knee", in the same lattice like pattern. She said she had done no treatment for the itching. She said with the bruising on her legs, this caused "pain in both her legs" (on an unspecified date in Apr2021), and it was not really getting better, not yet. She said that she had done no treatment for the pain or the bruising. She said she had been trying to contact her doctor but had not been able to yet. She said, the second dose was scheduled for the 22Apr2021, and her provider had advised her that getting it might not be a good idea. She said she have pictures of reaction she could send if requested. The outcome of events was unknown. No Follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774350
Sex: F
Age:
State: AL

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: woke up sick with headache; sore throat; chest tightness; little harder to breathe; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced woke up sick with headache, sore throat, chest tightness, little harder to breathe on 2021. Reported as, patient had his first vacine dose last Thursday. On Saturday she woke up sick with headache, sore throat, chest tightness little harder to breathe. She went to doctor and got antibiotics shot from doctor. Adverse event resulted in physician office visit. Therapeutic measures were taken as a result of woke up sick with headache, sore throat, chest tightness, little harder to breathe. Outcome of all the events were unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774351
Sex: F
Age:
State: VA

Vax Date: 04/12/2021
Onset Date:
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: Test Name: Heart rate; Result Unstructured Data: Test Result:115 or 117; Comments: Increased heart rate (>100bpm)

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Shortness of breath/trouble catching her breath/Couldn't take a deep breath; Slight little bit of a fever; Sweating; Increased heart rate (>100bpm); This is a spontaneous report received from a contactable consumer (patient's father). A 16-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on 12Apr2021 (on Monday) as dose 1, single for covid-19 immunization. The patients medical history and concomitant medications were not provided. After receiving the vaccine, she was fine during the day but the last 2 nights she was not had effects during day, however she had serious side effect, when she lays down to go to sleep, she experienced shortness of breath, trouble catching her breath, the inability to take a deep breath, trouble breathing, it does not match with the information given by the representative, because it did not happen within 4 hours so the reporter does not believe it was an allergic reaction, a slight little bit of a fever, sweating, and increased heart rate around 115 or 117 (>100bpm). The patient underwent lab tests and procedures which included increased heart rate (>100bpm) as 115 or 117. The outcome of all the events was reported as unknown. No follow-up attempts were needed; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1774352
Sex: F
Age:
State: OH

Vax Date: 03/21/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: swelling; Reactive to light and temperature; Skin rash localized to neck and face; Reactive to light and temperature; This is a spontaneous report received from a contactable consumer or other non-HCP (patient herself). A 43-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EP7534) via an unspecified route of administration in left arm on 21Mar2021 16:00 as dose 1, single and received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- ER8734) via an unspecified route of administration in left arm on 11Apr2021 16:00 as dose 2, single (at the age of 43-years-old) for COVID-19 immunization. Patient was not diagnosed with COVID-19, prior to vaccination. Patient was not tested for COVID-19, since the vaccination. Patient was not allergic to medications, food, or other products. Patient was not pregnant at the time of vaccination. Patient medical history was reported as none. The concomitant medications were not reported. The reported seriousness of the events was non-serious. Patient did not receive any other vaccines in 4 weeks prior to the COVID-19 vaccine. Patient experienced skin rash localized to neck and face three days after dose 1 and dose 2 on 24Mar2021 08:00. Reactive to light and temperature 24Mar021 08:00. Resolved after dose 1 in 7-10 days. Relief through ibuprofen but not through topical cream. Patient self-administered ibuprofen to lessen swelling on 24Mar021 08:00. The outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: IBUPROFEN

Current Illness:

ID: 1774353
Sex: F
Age:
State: TX

Vax Date:
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: had developed a rash all over her body; This is a spontaneous report from a contactable consumer (patient). A 31-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number was 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 had developed rash all over her body on an unspecified date. The event was reported as non-serious. The outcome of the event was unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1774354
Sex: M
Age:
State: IN

Vax Date: 04/07/2021
Onset Date: 04/13/2021
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: developed some large marble size lymph node in the left shoulder 1 is moving and 2 are stationary.; swelling in the left shoulder; This is a spontaneous report from a contactable male consumer (Father). A 18-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date, UPC, NDC number: Unknown), dose 1 via an unspecified route of administration, administered in left arm on 07Apr2021 at 04:45 PM (age at vaccination was 18 years) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 13Apr2021, developed some large marble size lymph node in the left shoulder 1 was moving and 2 are stationary. The reporter wanted to know should his son take the second dose. Reporter stated, "He has a large round piece and it was moving. I can't tell you that if it is a lymph node or not, online it appeared to be a lymph node but I don't know for sure. He has three of them that developed on shoulder, three swollen balls, one ball moves, he can move that around an inch in either direction and the other two seems to be relatively stable and in one spot and are not very movable." The report was non-serious. No investigation assessment reported. Reporter stated, no, test he has not had any test. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774355
Sex: F
Age:
State: VA

Vax Date: 04/10/2021
Onset Date: 04/13/2021
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: Massive headache; soreness in the arm; Aura in left eye; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 66-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0153, NDC number and Expiry Date: Unknown), via an unspecified route of administration, administered in arm right on 10Apr2021 (at the age of 66years) as DOSE 2, SINGLE for COVID-19 immunisation. Medical history included diabetes, obesity and asthma (diagnosed when she was a baby). No family medical history. No additional vaccines administered on same date of the Pfizer Suspect. The patient did not take concomitant medications. There was no investigation assessment. Prior Vaccinations (within 4 weeks) was 1st COVID vaccine. No AE following prior vaccinations. The historical vaccines include bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0153, expiration is unknown), via intramuscular route administered in Arm Right on 20Mar2021 at 11:51 as DOSE 1, SINGLE for COVID-19 immunisation. On 13Apr2021 10:30, the patient experienced aura in left eye, on 14Apr2021 11:00 massive headache and soreness in the arm on 14Apr2021. She had second dose on Saturday of this past week, 10Apr2021. Today is 14Apr2021. Yesterday, she experienced some kind of an aura in her eyes and it went away. Today, she had the same thing and now she has a massive headache. She would like to know if these are possible side effects that could occur at this date. She later clarified that it was only her left eye that she had the aura in. She wants to report it if she is within the time frame that this headache could be a possible side effect. Aura improved yesterday, but today it is worse. No ER or physician's office required. No relevant tests were conducted as a result of events. Therapeutic measures were taken as a result of massive headache, She took an Aleve. The events outcome for aura in left eye and massive headache was reported as not recovered. The event outcome for soreness in the arm was reported as unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774356
Sex: F
Age:
State: FL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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:

Allergies:

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

Symptoms: had low grade fevers on and off; a raspy dry cough; head congestion; Stomach bothering me; Night sweats; her arm was sore; This is a spontaneous report from a contactable consumer (patient). Report was not related to a study or programme. A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: ER2613, Expiration Date: 31Jul2021) via an unspecified route of administration, administered in left arm on 31Mar2021 13:00 or 13:15 as dose 1, single for COVID-19 immunization/Because of her age at Holy Cross Hospital (at the age of 69-year-old). Medical history included cardiac murmur from an unknown date and unknown if ongoing, she was diagnosed with the heart murmur 10 years ago and she had a lot of allergies to unspecified medications. Concomitant medication(s) included sodium chloride (SALINE NASAL MIST) taken for Sinuses, start and stop date were not reported. Prior Vaccinations within 4 weeks was none. AE(s) following prior vaccinations was none, haven't had any vaccines in probably 40 years, didn't believe in the flu shot. The patient experienced her arm was sore on 01Apr2021, had low grade fevers on and off on 11Apr2021, a raspy dry cough, head congestion, stomach bothering me and night sweats on 11Apr2021. It was reported that, she was fine after she had the first dose of the Pfizer COVID vaccine on 31Mar2021. The day after received the injection her arm was sore for a day or two, that went away after 2 days and then she was fine. This past Sunday, 11Apr2021 she began not feeling well, she had low grade fevers on and off, her stomach began bothering her, she was progressively getting worse and that she had a very raspy, dry cough that has kept her up all night, congestion, and fluctuating fevers, and head congestion that has continued since Sunday. She just wondered if these side effects were normal and if she needed to get a COVID test before the scheduled second dose Wednesday. Patient enquired if she was symptomatic when it was time for her second dose next Wednesday should she receive it. AE(s) did not require a visit to Emergency Room/Physician Office. Her arm hurt for just 2 days. Her stomach was bothering her only on the night of Sunday, 11Apr2021 and then she was fine. She thought that the cough was better yesterday, 13Apr2021, but that she was up all night last night with the cough. The cough seems worsened when she laid down at night and she tried to prop herself up in bed with pillows. The cough was not as bad during the day. The outcome of the events her arm was sore recovered on an unspecified date in Apr2021, stomach bothering me was recovered on 12Apr2021, had low grade fevers on and off, head congestion and night sweats was not recovered and a raspy dry cough was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: SALINE NASAL MIST

Current Illness:

ID: 1774357
Sex: F
Age:
State: MO

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: stomach is bothering; I was very sick; Running temperature; Muscle pain; bones starting to really hurt; everyday my hip bones; shoulder both sides; my legs in my hips all the bones; vomiting/throwing up; fever; head hurts so bad/Severe headache even during the night; sore shoulders , arms , ankle; sore shoulders , arms , ankle; sore shoulders , arms , ankle; hip bone, neck pain; hip bone, neck pain; eye sight affected; cant open jaw; This is a spontaneous report from a Pfizer sponsored program support. A contactable physician reported for a 72-year-old female patient that: A 72-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: not reported), via an unspecified route of administration, administration on right arm on 30Mar2021 (at the age of 72-years) as dose 2, single for covid-19 immunization. Patient medical history included allergic to a lot of items a lot of kind of allergies , allergic to Penicillin, Quinolone, Sulphur drugs (Further clarification unknown). The patient concomitant medications were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for Injection, Lot No: EN6206), via unspecified route in arm right, on 11Mar2021 as dose 1 single for covid-19 immunization. On 31mar2021, a night after she had severe side effects such as vomiting, fever, head hurts so bad, sore shoulders, arms , ankle. hip bone, neck pain, eye sight affected and cant open jaw. These side effects has been happening 2 weeks already. Phone call received from the patient regarding Pfizer-BioNTech COVID-19 Vaccine and during the call, the patient stated that the patient had some really bad side effects from the vaccine that the patient received in March and also had some concerns because the patient had a surgery coming up and because this vaccine gave her some really bad side effects the patient need to find out if this was lasting or how long was this supposed to be. The patient received the first vaccine on 11Mar2021 and had no problems at all. The second vaccine the patient received on 30Mar2021. The 2nd shot, first day when the patient received the shot she had no problem and next day the patient was vomiting, had severe fever, all her bones was hurting, was very sick and this lasted for about a couple of days but then the patient started to had other side effects. Her stomach was bothering her really bad and her bones, hip bones, ankles and everything i.e elbows, neck. These was all medical issues that the patient had to deal with. Her jaws like how she close her mouth it was almost like, to keep her jaws together that's so all those, the patient mean it cracks when she try to open her mouth her bones, shoulders, ankles, lips everything was just hurting and the patient afraid that might break something, it was not as bad it had been but the patient still had the symptoms it was not all at the same time but the patient had like her hips but now her bones that keeps her jaws together, they was sick kind of locks or they did not, When the patient try chew to her hip was like where her leg go where her hip gone that area hurt, her ankle hurt and the patient use this side for her hip, her stomach the patient had unusual pain there and the patient think it was all related from since she had that shot because the patient never had this issues. The patient allergic to Penicillin, Quinolone, Sulphur drugs (Further clarification unknown) and said that she knew this it might effect her little bit but the patient thought it was better that getting Covid but just want to find out how long this might last, if it was something that the patient can take that it go a little bit. The patient did not want to take a medicine that might reason causing make it worse. They took that information already before, they took like her number, mailing address and all that stuff they know the age, they took all that information and when the vaccine was given, so the patient need someone that can help her with since she had some side effects and had surgery in couple of weeks but the patient afraid this might interfere with the anesthesia and some other items. Because they will also will be treating me with some type of chemo drug so that the patient was very concern about it. The patient did not had any treatment for adverse event because the patient had fear that it would interfere. The outcome of the events were unknown. No follow-up attempts are needed; No further information is expected.

Other Meds:

Current Illness:

ID: 1774358
Sex: F
Age:
State: AL

Vax Date: 03/25/2021
Onset Date:
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: problems with her fingers due to her arthritis; This is a spontaneous report from a contactable consumer (patient's husband). A 70-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 25Mar2021 as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, reporter's wife had problems with her fingersnand she took Ibuprofen (Duexis) 800 mg due to arthritis. He stated she was prescribed to take three a day and already took one this morning but afterwards realized that it may interact with her second dose of the vaccine tomorrow. To let caller know that while there were side effects/adverse effects reported in the clinical trial study, there is not a data breakdown as far as side effects experienced by participants who were on certain types of medications. At the time of reporting, 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: 1774359
Sex: F
Age:
State: GA

Vax Date: 04/01/2021
Onset Date: 04/14/2021
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:

Allergies:

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

Symptoms: Tiredness; Headache; down to neck; up to one side of head by right eye; Headache; down to neck; up to one side of head by right eye; Joint pain; Fever; Did not feel well; Swelling of throat on one side; Heart Racing; Dizziness; Weakness; Legs started hurting; sensation like something was going through veins; This is a spontaneous report from a contactable consumer (patient) from a Pfizer sponsored program. A 59-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, batch/lot number: EN6207, Expiry date: unknown) via an unspecified route of administration, administered in arm left on 01Apr2021 as DOSE 1, SINGLE for COVID 19 immunization. The patient's medical history included on 11Mar2021 patient had surgery to remove a plate and stress from her lower ankle and foot. Concomitant medications were not reported. She did not take any other vaccine in four weeks prior COVID -19 vaccine. The patient got the vaccine because she knew that it had opened up for her age range. The patient wanted to able to go around her parents who are older and her grandmother who was 101 years old. The patient explained that she heard from people that some vaccine recipients were getting a placebo instead of the actual vaccine. She asked to validate the information. On 14Apr2021, the patient experienced tiredness, headache, down to neck up to one side of head by right eye, joint pain, fever, did not feel well, swelling of throat on one side, suddenly and severely, twice within a few minutes could barely talk or swallow, hear racing, dizziness, weakness, legs started hurting, had sensation like something was going through veins, going up legs to arms. The patient has been treated with pain medicine for her headaches. The outcome of the event fever was resolved in Apr 2021 and outcome of the events tiredness, joint pain, headache, down to neck up to one side of head by right eye, swelling of throat on one side, heart racing, did not feel well, dizziness, weakness was not resolved, and outcome for legs started hurting, sensation like something was going through veins was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774360
Sex: M
Age:
State: SC

Vax Date: 04/08/2021
Onset Date: 04/13/2021
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: violent cough; couldn't breath / could not breathe; Diarrhea; This is a spontaneous report from a contactable reporter. This female reporter (Patient's sister) reported for a 38-year-old male patient (Reporter's brother) that he received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: ER8733) via an unspecified route of administration on 08Apr2021 (at 38-year-old) on left arm as dose 2, single for COVID-19 immunization. The patient's included that he had a lot of anxiety through the past year and was so desperate to get the vaccine as soon as possible. The patient's concomitant medications included zinc chloride taken for an unspecified indication, start and stop date were not reported; vitamin d taken for an unspecified indication, start and stop date were not reported; fish oil (O3 OMEGA 3) taken for an unspecified indication, start and stop date were not reported and ascorbic acid taken for an unspecified indication, start and stop date were not reported. No family medical history and relevant tests were reported. On 13Ar2021 he experienced diarrhea. On 14 Apr2021 at 06: 30 AM he experienced violent cough and he could not breath. He was still sleeping. The episode was sudden, very severe. Could not breathe at one point. Caller wanted to know If that happens again can he take any allergic pill coughing medication / inhaler do they interact with the vaccine. Caller wanted to know if violent cough is common with the vaccine. Patient thought when he had diarrhea, it was something he ate but with the coughing episode, does not know if it related to symptoms of the vaccine. The patient did not require emergency room and physician's office visit. Has been taking Zinc and Vitamin C and Vitamin D and Omega 3 to help his immune system. Has been taking since the pandemic started. Caller does not have patient's vaccine card but was able to get information via text message from the patient. No follow-up attempts were needed; information about lot/batch number could not be obtained.

Other Meds: ZINC CHLORIDE; Vitamin D; O3 OMEGA 3; ASCORBIC ACID

Current Illness:

ID: 1774361
Sex: F
Age:
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Unevaluable event

Symptoms: Getting bleeding under the skin; Going to sleep and waking up with bruises/bruising easily/bruises on her arms, her face; Soreness in her arm where the injection site; This is a spontaneous report from a contactable consumer (Patient). A 73-years-old female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Batch/Lot Number: EL9264), dose 2 via an unspecified route of administration in arm left on 04Feb2021 as single dose (at the age of 73-years-old) for COVID-19 immunisation. Historical vaccine included received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection; Batch/Lot Number: EL3247), via an unspecified route of administration in arm left on 14Jan2021 (at the age of 73-years-old) as single dose for COVID-19 immunization and experienced Soreness in her arm from 14Jan2021 to 16Jan2021. Medical history included, ongoing thyroid disorder, It was Diagnosed when she was 40, so 33 years ago and diverticulitis from an unknown date and unknown if ongoing. Caller states in December, a week before Christmas, she had diverticulitis and they did have to put her in the hospital because the thing perforated and they had to give her IV antibiotics, so she was on antibiotics for 2 weeks after that. Caller states it definitely was before the vaccination. No Family Medical History was reported relevant. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) 75 mcg, in the morning everyday, by mouth, thyroid (ARMOUR THYROID) 30 mg, in the morning everyday, by mouth both taken for thyroid disorder from an unspecified start date and ongoing. Caller stated she was still taking those medicines. Caller stated the doctor reduced the dose, the test came back a little high, but she has been on the new dose for a week. No Additional Vaccines administered on same date of the Pfizer suspect. Patient did not receive Prior Vaccinations within 4 weeks. On 4 Feb2021 patient experienced soreness in her arm. On Mar2021, the patient experienced started getting bleeding under the skin and going to sleep and waking up with bruises/bruising easily/bruises on her arms, her face. Still going on, Caller states she would go to sleep and wake up with bruises on her arms, her face. Caller stated she looked and googled the vaccine to see if this could possibly happen and they have reported cases of this immune disorder. the following day she woke up, and she has chubby cheeks, and her cheeks were all bruised so it wasn't about thinning skin. Caller stated its about something very irregular that's going on and although what's happening to her is not, she feels its severe, its bad to go sleeveless with bruises all over her but she's not covered like somebody with the measles, its not like that, but she gets like a fist full of bruises in one area at a time just from sleeping on her pillow, on her bed, and waking up. Caller states it's very unnatural. Caller states it started at least a month after the last shot because this hasn't been going on that long, she can't say that. Caller states it's still every day, for the last few weeks it's been going on. Caller states it's been going on at least 5 or more weeks she would say. Caller states it absolutely started in March and she didn't even think of the connection because most people get symptoms a few days afterwards and all she got was a sore arm, it happened out of the blue and she just connected that it could be a cause. Caller states she thinks by the 7th, that's when she was considered fully okay. Her HCP told her to stop supplements (including Omega-3's) as they may be contributing to the problem and has referred her to a hematologist. Patient was due for a shingles vaccine and doesn't know when to get it, in regard to the Covid vaccine series. Should she wait until summer. Finished up the vaccines in February. Good for 6 months, only going to bring me to August. Evaluating a 3rd dose. Patient went to Physician office. The outcome of the events Soreness in her arm where the injection site was recovered on 06Feb2021 and not recovered for the rest. Information on the lot/batch number has been requested. Follow-up attempts completed. No further information expected.

Other Meds: SYNTHROID; ARMOUR THYROID

Current Illness: Thyroid disorder NOS (Diagnosed when she was 40, so 33 years ago)

ID: 1774362
Sex: F
Age:
State: OH

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: normal headache/Weird Headaches; pressure moving around from side to side and pressure in the back which is not like a normal headache for her; Low Grade Temperature; Tired; achy joints/Joint Achey; achy arm; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 53-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Unknown), via an unspecified route of administration in left arm on 08Apr2021 at 16:45 (at the age of 53-year-old) as dose 2, single for covid-19 immunisation at "PRIVACY" county public health. The patient medical history and medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Caller was a 53-year-old female consumer who received the second dose of the Pfizer COVID-19 vaccine on 08Apr2021 and reported having "normal side effects after the second dose" including achy arm, low grade temperature, normal headache, achy joints. However, yesterday morning she woke up with a "weird" headache that she describes as pressure moving around from side to side and pressure in the back which was not like a normal headache for her. She states that she has taken Tylenol and it did not completely resolve the headache. She also reports that it improved since yesterday, but she does still have the headache today and she wants to know, at what point should she be concerned. The patient was stated that when she took Tylenol to help with her headache it did not help very much. She was calling about the Pfizer, verified Pfizer Covid Vaccine, she has received both doses. Caller states she received her second dose on Thursday 08Apr2021, and she felt like she had the normal, not that bad symptom. Stated that was on Friday and Saturday and done by Sunday. Caller stated yesterday morning, she started having weird headaches and she was not a person that gets headaches, she maybe takes Tylenol once a year. Clarified the headaches are random bursts of pressure on one side, then the other side and then the back of her head then on both sides, all day long. She had no issues in the night and when she woke up, it was back again but not as fierce. Caller asking was this potentially part of the Covid thing, were you think you are done with the symptoms and then another one comes along. Is this related? Stated it worked for her normal headache, but it did not work for her weird headache. She noticed with the first one, if she moves around a lot it dissipates, but if she treats it like it has pain, it stays. She does not take any medications. Caller wanted to know how long headaches typically lasted after receiving the Pfizer COVID-19 vaccine in the clinical trials and what was the best thing to take for this type of headache after receiving the Pfizer COVID-19 vaccine. The adverse events were not resulted in emergency room nor physician office. Therapeutic measures were taken as a result of normal headache/weird headaches, pressure moving around from side to side and pressure in the back which is not like a normal headache for her. The events were reported as non-serious. The outcome of achy arm, achy joints/joint achey, tired was resolved on 09Apr2021, normal headache/weird headaches, pressure moving around from side to side and pressure in the back, which was not like a normal headache for her, low grade temperature was resolved on 10Apr2021. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774363
Sex: F
Age:
State: PA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: Hot; Thirsty; Flushed; Feeling in the back of your throat like post nasal drip. Strange sensation in the back of her throat; This is a spontaneous report from a contactable reporter (Patient). A 60-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: EW0153, Expiry Date: Unknown), dose 2 via an unspecified route of administration, administered in Arm Left on 14Apr2021 at 10:39 (at the age of 60-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history included a reaction to iron transfusion in the past on an unspecified date. The patient's concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Batch/Lot Number: ER8730), dose 1 via an unspecified route of administration, administered on left arm on 24Mar2021 as a DOSE 1, SINGLE for covid-19 immunisation. Patient had flushed on 24Mar2021 after first dose which was recovered on 24Mar2021. Vaccine was not administered at Facility. History of all previous immunization with the Pfizer vaccine considered as suspect were none. Additional Vaccines Administered on Same Date of the Pfizer Suspect were none. Prior Vaccinations (within 4 weeks) were. Event following prior vaccinations were reported as Sore arms, Reporter confirms that she does not have any information to provide on vaccines that gave her this reaction. Patient's Medical History (including any illness at time of vaccination) was none. Family Medical History Relevant to the events were none. Other Products and patient History was none. On 14Apr2021, after second dose the patient experienced flushed and Feeling in the back of your throat like postnasal drip, strange sensation in the back of her throat. On an unspecified date she felt hot and thirsty. Reporter stated that she got the second dose of the pfizer covid 19 vaccine today. She waited thirty minutes at the facility after the vaccine and then went to her car. She looked flush and felt flush. She was hot and thirsty. She drank some water and started driving home and that is when it all started all of a sudden. Reporter stated she felt like she had to clear her throat. Reporter described it as a strange sensation in the back of her throat and was very unusual noting that she did not experience this after the first dose. Reporter described this like postnasal drip sitting in the back of your throat, but she did not have postnasal drip because nothing came up. Reporter stated that she called the pharmacist on the way home and was told if it was an anaphylactic reaction it would happen in 15 minutes. Reporter wanted to know if this is related to the vaccine or not or is this something she should be concerned about. Reporter reported about the Pfizer COVID vaccine. Reporter stated that she just had 2nd dose and she waited a half an hour versus the standard 15 minutes, because she has had a reaction to iron transfusion in the past. She stated that she knows that they are not the same ingredients, but her doctor told her to wait for 30 minutes to be sure. She waited a half an hour and she felt fine, she went to her car and drank some water. She stated that while driving home she started to get a sensation in back of throat like when you get postnasal drip. She called the pharmacy and they told her that they don't think it is related to the vaccine and that if she was having an anaphylactic reaction, it would have happened in the first 30 minutes. She said they advised her to call the number for Pfizer to report it and ask if this was related. She stated that she did get flushed after the first and second vaccine. She doesn't know if the feeling in the back of her throat a coincidence is or if it's just allergies. Reporter stated that she noticed the flushed feeling after the first dose when she went back to the car and took off the mask. She stated she thought is she flushed, was it the mask or the vaccine? She stated that she got her first dose on 24Mar2021 and that the flushed feeling started a few hours after the injection. She confirmed that she recovered completely from it on the same day. She stated she got the vaccine because she has health issues which would if she did get COVID, would put her at a higher risk of increased health issues. She reached out to her Specialists and Primary Care doctors, and they all agreed she should get the vaccine. She stated that she has been on medications for a long time, and she has never had this reaction like she is having now. For first dose, she stated she got a little hesitant on whether or not she was going to go through with getting it because she thought she was getting Moderna vaccine, but this pharmacy was giving out the Pfizer vaccine, she decided to get the vaccine and it was about 20 minutes after her scheduled appointment, so around 11 am. Event did not require a visit to emergency room or physician office. Relevant Tests done were none. Reporter seriousness for the event was unspecified. Outcome of the flushed and feeling in the back of your throat like postnasal drip, strange sensation in the back of her throat were not recovered whereas, outcome of the hot and thirsty were unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774364
Sex: F
Age:
State: MA

Vax Date: 04/07/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: She is experiencing hives; chest tightness; clearing her throat a lot; This is a spontaneous report from a Pfizer Sponsored Program. A contactable female consumer (patient) received bnt162b (BNT162B2 , Formulation : Solution for injection, Batch/Lot number : Not reported) dose 1, Via an unspecified route of administration on 07Apr2021 as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced hives, chest tightness and clearing her throat a lot on Apr2021. She would like to know if she can take a benadryl for "non severe allergic reaction" or see a medical professional. The outcome of the events were unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774365
Sex: F
Age:
State:

Vax Date: 04/12/2021
Onset Date: 04/13/2021
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:

Allergies:

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

Symptoms: loss of taste and smell; loss of taste and smell; This is a spontaneous report from a contactable consumer (patient's daughter). A 55-year-old female patient (reporter's mother) received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: unknown) via an unspecified route of administration on 12Apr2021 as single dose for COVID-19 immunization. Medical history, concomitant medications or past drug history of the patient were not reported. On 13Apr2021, the patient and today (14Apr2021) patient had a new symptom of loss of taste and smell. Reporter would like to have her mother evaluated by an HCP as soon as possible for these new onsets of symptoms. Outcome of the events were unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774366
Sex: M
Age:
State: GA

Vax Date: 02/01/2021
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: triggered his asthma to get worse; pain in his neck; 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) via an unspecified route of administration on Feb2021 (Batch/Lot number was not reported) as dose number unknown, single for covid-19 immunization. Medical history included asthma from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. It was reported by the patient that he received the Pfizer COVID 19 vaccine back in early February and on an unspecified date in 2021 he thought it was triggered his asthma to get worse and he has been having to use a nebulizer and he also had a pain in his neck. Consumer does not currently have a doctor. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774367
Sex: F
Age:
State: OK

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Throwing up; Legs hurting; Chills; A fever for 4 days with a maximum temperature of 101 to 102 degree F; Itching with bumps; Rash; Didn't feel well; This is a spontaneous report received from a contactable consumer or other non-healthcare professional (Patient). A 65-year-old female received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0158), via an unspecified route of administration, administered in Arm Right on 08Apr2021 (at the age of 65-years-old) as dose 1, single for COVID-19 immunisation. Medical history included diabetes ongoing, retinopathy ongoing, fibromyalgia ongoing, Gastroparesis from 2005 and ongoing, osteoarthritis ongoing, hip surgery from 08Mar2021 to an unknown date. Concomitant medications included metformin (METFORMIN) taken for diabetes from an unspecified start date and ongoing. Patient who received her 1st dose of the Pfizer COVID Vaccine on 08Apr2021 and experienced some side effects: itching with bumps on the skin, rash on 08Apr2021, and on 09Apr2021 throwing up, legs hurting, chills, a fever for 4 days with a maximum temperature of 101 to 102 degree F. She was asking if she will experience this with 2nd dose as well as everybody she knew, including her doctor, had no side effects during the 1st dose but had some during the 2nd dose. The patient was told there were not too many side effects with the vaccine. The caller eat her dinner and didn't feel well on 08Apr2021, started itching, had bumps and a rash, so she took two Benadryl. The itching lasted until about 3:00 am and she finally went to sleep. Friday on 09Apr2021, the caller did not feel up to par, felt warm, and threw up in her mask. The caller came home and took a Phenergan. The caller took her temperature, she runs a low temperature, and the caller temperature was 101.4 that bothered her because she never gets that high. The caller Phenergan set in, she ate, and felt like it was so cold, then took her night medications. The caller checked her temperature and it was 102.7 so she called emergency room and they said if it went up any more she should come in. The caller heated up a blanket and went to sleep. The next morning the caller fever was almost 100 and she did not feel good On Sunday, 11Apr2021, the caller still had a fever of almost 100. On Monday, 12Apr2021, the caller fever went to 99 and then Tuesday, 13Apr2021, it went back to normal. The person administering the vaccine said the caller could take the Janssen shot but its not as effective and that she should take the Pfizer. The caller was worried that if she takes the second dose she will experience this again. The caller legs hurt, it felt like she had the flu and she does not get the flu. The caller was scared to get the second dose. The rash was on the caller's legs and the spot where she got the shot it was red and puffed up. The throwing up only happened twice that day. The caller temperature is usually 96 or 97.2. The caller felt cold but was warm to the touch. The caller was scheduled for her second dose on 29Apr2021. The outcome of the events was reported as recovered in 2021 and pyrexia was recovered on 12Apr2021 and while for other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: METFORMIN

Current Illness: Diabetes (Verbatim: Diabetes); Fibromyalgia (Verbatim: Fibromyalgia); Gastroparesis (Verbatim: Gastroparesis); Osteoarthritis (Verbatim: Osteoarthritis); Retinopathy (Verbatim: Retinopathy)

ID: 1774368
Sex: F
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: RA

Lab Data:

Allergies:

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

Symptoms: Developed a rash immediately after receiving the first dose; This is a spontaneous report from a non-contactable consumer or other non-HCP. A 30-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on an unspecified date (Lot Number and expiry date was not reported) as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced developed a rash immediately after receiving the first dose on an unspecified date. Reporter wanted to know if it would be okay for patient to get the second dose. 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: 1774369
Sex: F
Age:
State: FL

Vax Date: 03/11/2021
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: Flu like symptoms; Breathing never came back to where it was before had the vaccine/breathing got a little bit worse; Breathing never came back to where it was before had the vaccine/breathing got a little bit worse; got more labored that she can't walk across the room without being tired; got more labored that she can't walk across the room without being tired; Caller had Severe COPD; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on 11Mar2021, as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient historical vaccine includes BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a dose 1, single for COVID-19 immunization. On an unspecified date the patient experienced some flu like symptoms that she mentioned to resolve within a few days. Reportedly the patient stated that the reaction lasted two days after receiving the second covid dose. She had severe COPD and she noticed that after getting vaccinated, her breathing got a little bit worse. Her breathing got more laboured that she can't walk across the room without being tired. She mentioned that it still has not resolved. She has never changed anything in her routine to have possibly caused except for the vaccine. The patient also stated her breathing has never come back to where it was before she had the vaccine. The patient queried have you had any other complains or anyone else that has had this problem. She went online to try and complete the report. Every time she got down to her doctor information and scrolled to choose the country, it would kick her out. Outcome of the event was recovered for the event flu like symptoms and for all other events was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774370
Sex: M
Age:
State: WA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
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: little red bumps over his body and they itch/appear to be mosquito bites that itch appearing in several places on my body.; This is a Spontaneous report from a contactable consumer (patient) from a 60-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: Not reported), via an unspecified route of administration in the left arm on 11Apr2021 at 10:00 as dose 1, single (at the age of 60-years-old) for COVID-19 immunization. Patient medical history include known allergies to peanuts and codeine. Concomitant medication were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19 and not received any other vaccines within 4 weeks. The patient not received any other medication within 2 weeks of vaccination. Since the vaccination, the patient not been tested for COVID-19. On 11Apr2021, after vaccination, the patient had what appear to be mosquito bites that itch appearing in several places on his body or had ittle red bumps over his body and they itch. And patient wants to know what they are and asking will he be okay getting the second shot. Treatment was not received for the adverse event. Outcome of the event was not recovered at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774371
Sex: F
Age:
State:

Vax Date: 03/28/2021
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:

Allergies:

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

Symptoms: She was exposed to a germicidal chemical at work which has caused dermatitis.; This is a spontaneous report from a contactable consume, the patient. A female patient of an unspecified age received bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE, formulation: solution for injection, lot number was not reported) dose 1 via an unspecified route of administration on 28Mar2021 as dose 1, single for covid-19 immunisation. The patient stated she was prescribed steroids to help resolve the dermatitis. The patient's concomitant medications were not reported. On an unknown date on 2021 the patient was exposed to a germicidal chemical at work which has caused dermatitis. She states this exact type of reaction happened last year and she was prescribed steroids to help resolved the dermatitis. She would like to know if she could take steroids or use steroid cream to help the dermatitis prior to receiving her second dose of the vaccine. The patient wanted to know if she should proceed with the second dose of the Pfizer COVID-19 vaccine on 19Apr2021. The patient states that this incident had nothing to do with the Pfizer COVID-19 vaccine. The 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: 1774372
Sex: F
Age:
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Shortness of breath; chest discomfort; joint pain; fever; chills; fatigue; This is a spontaneous report received from a contactable consumer or non-HCP via regulatory authority, the This is a spontaneous report from a non-contactable consumer or other non-health care professional (patient). A 40-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0161), via an unspecified route of administration (at the age of 40-years), administered in arm left on 11Apr2021 at 12:30 as dose 2, single for COVID-19 immunization. Medical history included known allergy to sulfa and none from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. The patient historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: ER8730), via an unspecified route of administration, administered in arm left on 21Mar2021 at 12:30 as dose 1, single for COVID-19 immunization. The patient did not receive any other vaccine in four weeks. Patient does not have covid prior vaccination and has not been tested for covid post vaccination. The patient did not received any other medications in two weeks. The vaccination facility type was reported as pharmacy or drug store. On 11Apr2021 at 08:00, the patient experienced shortness of breath, chest discomfort, joint pain, fever, chills, fatigue. The treatment received for all the adverse events was reported as unknown. The adverse events resulted in emergency room/department or urgent care visit. The clinical outcome of all the events was reported as unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774373
Sex: F
Age:
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
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: nausea; headache; low-grade fever; fatigue; Sore injection site; This is a spontaneous report from a non-contactable consumer or other non hcp. A 48-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EP6955), via an unspecified route of administration, administered in Arm Left on 18Mar2021 16:45 (at the age of 48-year-old) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. No concomitant medications. The patient had no allergies to medications, food, or other products. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 18Mar2021 18:00, the patient experienced nausea, headache, low-grade fever, fatigue, sore injection site. Therapeutic measures were taken as a result of events included advil. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1774374
Sex: F
Age:
State: TN

Vax Date: 04/14/2021
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: Erythema, Pruritus

Symptoms: rash on the face; feels like sunburn/ feels like she has a sunburn; spots on both arm more intense on the left arm, spots on chest; muscle pain; arm pain; headache; She is experiencing redness in her face; feels very flushed; This is a spontaneous report from a contactable consumer or other non hcp (patient) via medical information team reported that: A 27-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown), dose 1 via an unspecified route of administration on 14Apr2021 11:30 (at the age of 27 years old) as dose 1, single for covid-19 immunisation. Medical history included cardiac disorder, peripheral swelling and allergy to arthropod sting from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. Prior to vaccination the Patient had heart problem and consulted with her cardiologist, fluid and swelling of the feet, blood stay on the feet. On an unspecified date, the patient experienced rash on the face, feels like sunburn/ feels like she has a sunburn, spots on both arm more intense on the left arm, spots on chest, muscle pain, arm pain, headache, she is experiencing redness in her face and feels very flushed. The outcome of the events was unknown. Follow-up #1(14Apr2021): This is a follow-up spontaneous report from a Pfizer sponsored program. A contactable female consumer (patient) reported that: No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774375
Sex: M
Age:
State: CA

Vax Date: 03/19/2021
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:

Allergies:

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

Symptoms: rash on left arm above his wrist on forearm; itching all over the body after rash formed; This is a spontaneous report from a contactable consumer (Patient). A 60-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EP6955), via an unspecified route of administration on 19Mar2021(at the age of 60-years-old) administered in Arm Left as a single dose for COVID-19 immunisation. Medical history included blood pressure increased from an unknown date and unknown if ongoing. Concomitant medication(s) included lisinopril taken for blood pressure increased, start and stop date were not reported; cyanocobalamin (B12 1000 SR) taken for supplementation therapy, start and stop date were not reported. On an unspecified date, the patient experienced itching all over the body after rash formed was reported as worsened, rash on left arm above his wrist on forearm. He had both doses of his Pfizer COVID vaccine, states he is trying to report a delayed side effect, that 17-18 days after his first dose was administered on 19Mar2021, he developed a rash on his arm, states it was above his wrist on his forearm o his left arm. States he did get the second dose on 09Apr2021, states the rash came before, about 4-5 days before, maybe the weekend of 03Apr2021, exact dates unknown. States he was gardening and doing yard work so he was unsure if it had to do with that. No additional Vaccines were administered on Same Date of the Pfizer Suspect. The adverse event did not result Emergency Room and Physician Office visit. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of the events was recovering for rash on left arm above his wrist on forearm and not recovered for another event. No follow-up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL; B12 1000 SR

Current Illness:

ID: 1774376
Sex: F
Age:
State: OH

Vax Date: 03/05/2021
Onset Date: 03/08/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Itchy rash; Tiredness; Headache; Chills; Joint pain; Diarrhea; This is a spontaneous report from a contactable consumer or other non hcp. A 66-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6205; Expiration Date: 30Jun2021), dose 2 via an unspecified route of administration on 05Mar2021 as DOSE 2, SINGLE for covid-19 immunisation. Historical vaccine was that patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EL9267; Expiration Date: 31MAY2021), dose 1 via an unspecified route of administration on 12FEB2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included, from an unknown date and unknown if ongoing. Concomitant medications included methotrexate METHOTREXATE taken for rheumatoid arthritis, start and stop date were not reported; adalimumab (HUMIRA) taken for rheumatoid arthritis, start and stop date were not reported. Caller stated after her first vaccine, her arm hurt the next day really bad and she was tired and wanted to sleep and lounge around all day so she slept and then the next day her arm was a little sore on Sunday and then it was gone the next day. Caller stated after her second vaccine she has an itchy rash, tiredness, headaches, chills, joint pain, and diarrhea that came and went.Clarified the itchy rash started on her spine and went up her spine to her shoulder blades to her chest and to her face. Stated they are telling her it was not from the vaccine and stated she still had the itching, and it was terrible. Treatment: Caller states none because they are telling her she is not have any side effects. States he just sent her to an allergist, and he said it is not from the vaccine. On 08Mar2021 the patient experienced itchy rash, tiredness, headache, chills, joint pain, diarrhea. The outcome of the events was not recovered. Information on Lot/Batch number was available. Additional information has been requested.

Other Meds: METHOTREXATE; HUMIRA

Current Illness:

ID: 1774377
Sex: M
Age:
State: FL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Difficulty breathing; His chest still hurt; This is a spontaneous report from a contactable consumer. An 18-years-old male patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EP7533), dose 1 via an unspecified route of administration, administered in Arm Left on 08Apr2021 as DOSE 1, SINGLE for covid-19 immunisation (at the age of 18 years). The patient medical history was not reported. Concomitant medication included somatropin (OMNITROPE) taken for an unspecified indication, start and stop date were not reported. On 08Apr2021 patient experienced His chest still hurt, on an unspecified date patient experienced He had difficulty breathing. Reporter stated that his chest still hurt, but it's easier for him to breath. He feels it's not a hundred percent, but it is better. The adverse events resulted in emergency room visit. The patient was not received treatment. The outcome of the event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: OMNITROPE

Current Illness:

ID: 1774378
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: 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: Respiratory disorder; muscle aches; feeling like death; This is a follow up spontaneous report received from a non-contactable consumer or other non-HCP via Company Representative. A 40-year-old female patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as dose 2, single for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Historical vaccine included BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- UNKNOWN) via an unspecified route of administration as dose 1, single for COVID-19 immunization. Patient experienced respiratory disorder, muscle aches and feeling like death, as she stated after second dose of Covid vaccine. Event took place after use of product. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774379
Sex: F
Age:
State: NC

Vax Date: 03/26/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Fever; I feel terrible, I had body ache everything; I feel terrible, I had body ache everything; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 46-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection, Batch/Lot number was not reported; Expiry date: unknown) dose 1 via an unspecified route of administration on 26Mar2021 as dose 1, single (at the age of 46-year-old) for covid-19 immunization.The patient medical history and concomitant medications were not reported. On an unspecified date in Mar2021, Consumer stated, that she had side effects from the vaccine, she took pfizer vaccine yesterday after which she felt terrible, she had a fever and body ache everything. The outcome of the events were unknown. No follow-up attempts are needed; Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774380
Sex: M
Age:
State: TN

Vax Date: 03/09/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: A lot of joint pain, especially in the neck area, neck pain; A lot of joint pain, especially in the neck area, neck pain; his mouth and throat so dry that his tongue sticks to parts of his mouth; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: Solution for injection, Lot number: EN6205, Expiration Date: not reported) via an unspecified route of administration, administered in Left Arm on 09Mar2021 14:30 and dose 2 via an unspecified route of administration, administered in Right Arm on 31Mar2021 14:30 (Batch/Lot Number: EN6198) as single for COVID-19 immunization (at the age of 70-year-old). Medical history included sinus disorder from 2008 and ongoing, Sinus issues described as real bad. Onset about 13 years ago. Family Medical History Relevant to AE(s) was none. Concomitant medication(s) included potassium; nifedipine; hydrochlorothiazide (HYDROCHLORZIDE); pantoprazole for the stomach; acetylsalicylic acid (ASPIRINE); pancrelipase (ZENPEP) for Pancreas; olmesartan medoxomil (OLMESARTAN MEDOXOMIL) all from an unspecified start date at least a couple of years ago and ongoing. Additional Vaccines Administered on same date of the Pfizer suspect was none. The only other recent vaccines were flu shot and pneumonia shot that he got 6 months to a year apart from the Pfizer-BioNTech Covid-19 Vaccine. Mild reaction to one of the flu shots, where he felt woozy and kind of felt bad later on for a while. This event didn't last long but that was the only time that happened. He's been getting flu shots and hasn't had any other reactions or adverse events with the others. The patient experienced a lot of joint pain, especially in the neck area, neck pain, his mouth and throat so dry that his tongue sticks to parts of his mouth on an unspecified date in Apr2021. It was reported that, he was administered his second dose of Pfizer-BioNTech Covid-19 Vaccine on 31Mar2021. Started last week, specific date unknown other than last week in Apr2021, he started having a lot of joint pain, especially in the neck area, neck pain; and along with that, every night since the neck pain started he woke up 2-3 times per night with his mouth and throat so dry that his tongue sticks to parts of his mouth. AE(s) did not require a visit to Emergency Room/Physician Office. Patient was not hospitalized. He had lab work on 12Mar2021 but there were no notable results from that, nothing to provide for this report that caller was aware of. These events are not getting any better, verified outcome as persistent, very persistent. The outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: POTASSIUM; NIFEDIPINE; HYDROCHLORZIDE; PANTOPRAZOLE; ASPIRINE; ZENPEP; OLMESARTAN MEDOXOMIL.

Current Illness: Sinus disorder (Verbatim: Sinus issues Described as real bad. Onset about 13 years ago.)

ID: 1774381
Sex: F
Age:
State: MO

Vax Date: 04/13/2021
Onset Date:
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:

Allergies:

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

Symptoms: Irritated; joint pain; nauseous overnight; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 13Apr2021 as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported. On an unspecified date, the patient experienced irritated, joint pain, nauseous overnight, had symptoms like colds, coughing,chills, hot and cold all night,sore on the arm and pain in her knee after the first dose. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: TYLENOL

Current Illness:

ID: 1774382
Sex: F
Age:
State: KY

Vax Date: 03/16/2021
Onset Date:
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: arthritis; This is a spontaneous report from a Pfizer sponsored program regulatory authority. A contactable male consumer (husband) reported for a female patient (reporter's wife). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: not reported, Expiry date: not reported), dose 1 via an unspecified route of administration on 16Mar2021 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced arthritis on an unspecified date. The outcome of 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: 1774383
Sex: F
Age:
State: WI

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210327; Test Name: Body temperature; Result Unstructured Data: Test Result:106; Test Date: 20210328; Test Name: Body temperature; Result Unstructured Data: Test Result:102.5; Test Date: 20210329; Test Name: Body temperature; Result Unstructured Data: Test Result:101.1

Allergies:

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

Symptoms: Chills; sweat; hurting inside the ears; Headache/a massive head ache; Neck pain; Muscle ache; Fever/a fever of 106 Fahrenheit; my arm was sore; This is a spontaneous report from a contactable consumer (patient herself). A 63-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number ER38730), 1 via an unspecified route of administration on 27Mar2021 03:00 (at the age of 63 years old)as dose 1, single for COVID-19 immunization .Medical history included fibromyalgia Start date: 1985, lymphoedema Consumer stated, It was diagnosed 2-3 years ago, depression, panic disorder. Concomitant medication(s) included CLONAZEPAM taken for panic disorder, DULOXETINE taken for depression, HYDROCHLOROTHIAZIDE Consumer stated, It is a water pill, SPIRONOLACTONE taken for lymphoedema, TOPIRAMATE, it is for Closter Headache, patient was not sure, REQUIP taken for an Ii is for involuntary leg and arm twitching. The patient stated, Called to report an adverse event with Pfizer COVID vaccine. The patient took Pfizer Covid Vaccine first shot on 27 Mar (27Mar2021) and at 3 in the morning her arm was sore and at 5 am she was hit with a massive head ache, Neck pain, muscle pain and had a fever of 106 Fahrenheit. On 28Mar2021 the fever was 102.5 Fahrenheit with massive chills and sweat and it was hurting inside the ears. On 29Mar she was a bit better and after 1 hour after she woke up with the fever was 101.1 Fahrenheit. Yesterday she was a bit better and fever wasn't there. When probed for doctor details, consumer stated, It was not prescribed by anyone, it is just for COVID prevention. When probed for Laboratory tests, consumer stated, had some year ago but she do not remember. It was reported all events are improving. When probed for treatment, consumer stated, she took Acetaminophen and Tylenol. The patient did not went to the hospital. Consumer asked, What are the chances that when she take the second shot and will have the same problems. And will she get some paper work that reported the adverse event. The patient was scheduled for 2nd Shot on 17Apr2021. The outcome of the events my arm was sore, sweat, hurting inside the ears was unknown and rest all events were recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: CLONAZEPAM; DULOXETINE; HYDROCHLOROTHIAZIDE; SPIRONOLACTONE; TOPIRAMATE; REQUIP

Current Illness:

ID: 1774384
Sex: M
Age:
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Test Date: 2021; Test Name: COVID test; Result Unstructured Data: Test Result:Negative

Allergies:

Symptom List: Vomiting

Symptoms: Cold; Cough; Fever; Tiredness; This is a spontaneous report from a contactable adult female consumer reported for her Husband. A 32-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in left arm on 25Mar2021 at 08:30 AM (at the age of 32-years-old) at dose 1, single for COVID-19 immunisation. Medical history included asthma (asthma did not continue and did not experience at the time of report, but he had experienced it earlier). Concomitant medications were none. On 25Mar2021, same day of vaccination, in the evening, the patient experienced cold, cough, fever and tiredness. It was reported that after the patient got vaccine in the day, from night onwards he got fever and tiredness (exact time was not known but in the evening). The fever stayed for 3 continuous days and he was fine a bit after that, and the fever stayed for till like Saturday, and Sunday he was fine and Monday also he was fine a bit. But today he is (incomplete sentence). Side effects like fever and cough, a bit of cold were still present at the time of report. The patient underwent lab tests and procedures which included SARS-CoV-2 test: Negative on an unspecified date in 2021. The patient did not receive treatment for the events. The outcome of events cold, cough and fever was not recovered, and unknown for tiredness. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1774385
Sex: F
Age:
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 10/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rash all over my legs, back, thighs, the upper legs and my arms; This is a spontaneous report from a contactable consumer or other non hcp. A 56-years-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6206), dose 1 via an unspecified route of administration on 10Mar2021 as DOSE 1, SINGLE for covid-19 immunisation. Medical history included blood cholesterol from an unknown date and unknown if ongoing Verbatim: Cholesterol. The patient's concomitant medications were not reported. Nurse practitioner said to take Benadryl (treatment) which patient did and said it makes you sleepy. She worked part time. So she took it for 3 days Tuesday, Wednesday Thursday and Friday and then she went to take something different. She had to take the weekend off. So the initial Saturday and got a week and a half. Nurse practitioner told patient that you are going to take the vaccine on 31st start taking Claritin. She started taking Claritin last week for 7 days because she was going to get that tomorrow. The patient experienced rash all over my legs, back, thighs, the upper legs and my arms on 14Mar2021. The outcome of the events was recovered. Therapeutic measures were taken as a result of rash all over my legs, back, thighs, the upper legs and my arms (as patient said she was taking Claritin to avoid reaction) No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774386
Sex: M
Age:
State: GA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: Test Date: 202107; Test Name: Oxygen saturation; Test Result: 97 %; Test Date: 202107; Test Name: Spirometer; Result Unstructured Data: Test Result:Normal; Comments: Normal

Allergies:

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

Symptoms: Chest tightness; Shortness of breath; Yawning a lot; This is a spontaneous report from a contactable other hcp. A 16-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: ER8729) intramuscular, on 12Apr2021 (at the age of 16-years-old) as dose 1, single for COVID-19 immunization. The patient medical history was not reported. The patient may have taken some over the counter congestion medication. Investigation assessment was performed. On 12Apr2021, the patient was waiting the 20 minutes after receiving the vaccine and he was yawning a lot. On 13Apr2021, the patient experienced chest tightness and shortness of breath. Chest tightness was reported as worsened. The patient was having a harder time catching his breath, no need for an emergency room visit, it was not severe. The patient yawned a lot but was fine 2 hours later because he went to football practice. The patient's oxygen saturation was 97 percent and spirometer was normal. The patient underwent lab tests and procedures which included oxygen saturation: 97 percent and spirometry was normal on Jul2021. The outcome of the event yawning a lot was unknown. The outcome of the events chest tightness and shortness of breath was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1774387
Sex: M
Age:
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: Test Name: chest x ray; Result Unstructured Data: Test Result:No result

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: red bumps all over his legs; Itches and burns; Itches and burns; showed on his toes as a bad rash and protruding; This is a spontaneous report from a contactable consumer reported for himself. A 37-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection. Batch/Lot Number: ER8731), dose 2 via an unspecified route of administration, administered in left arm (Anatomical Location of Administration of Pfizer vaccine considered as suspect: Left arm) on 12Apr2021 at 09:05 (at the age of 37-years-old) as DOSE 2, SINGLE for COVID-19 immunization. Medical history included drug hypersensitivity (allergy Penicillin) from an unknown date and unknown if ongoing and drug hypersensitivity (Red chest Allergic to sulfa based antibiotics) from an unknown date and unknown if ongoing and Poison ivy rash (had a rash or two from poison Ivy) from an unknown date and unknown if ongoing. It was stated that patient usually has pretty clear skin. With the first shot, patient thought the red bumps looked like a heat rash. patient never had reactions. The dermatologist said with history she was 100% sure it was vaccine related. Emergency Room staff said it was a rash coming from the inside. They said they do not know much about rashes and that was why had to see a dermatologist. Concomitant medication included lisinopril (LISINOPRIL) taken for blood pressure measurement from 2011 and ongoing. Historical vaccine included: first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) as dose 1, single on 22Mar2021 for COVID-19 immunization, patient had some bumps on his legs, like little red dots. patient thought this was a heat rash (Miliaria), and did not think anything of it. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available): no. Additional Administered Vaccines: no. No prior vaccinations (within 4 weeks). Patients Medical History (including any illness at time of vaccination) reported as no. Family medical history relevant to adverse events reported as no. Vaccination facility type at hospital not at military facility. Patient received the second dose before lunch time on Monday 12Ap2021, within an hour patient started to get red bumps all over legs and they have been persistently gotten worse and worse. They got so bad and showed on toes as a bad rash and protruding. It Itches and burns. Patient went to the Emergency Room at Hospital and saw a couple doctors who gave him medicine. They told patient (him) to stay home from work, and patient went to see dermatologist. They also gave some medicine. Be-fore going to the Emergency Room, patient use Calamine lotion on it, which just helps with itching. Patient also took Benadryl. Describes it as a solid red, rash, looks like scabies, got penny size groups on toes pretty much everywhere almost up to waistline. Dermatologist said veins were inflamed. The rash was from the inside and was not dermatitis or contact dermatitis. It had been confirmed by the Emergency Room doctor. Patient was not admitted. The patient underwent lab tests and procedures which included chest x-ray: no result. The outcome of the events were unknown. No follow up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL

Current Illness:

ID: 1774388
Sex: M
Age:
State: NJ

Vax Date: 04/11/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Red bumps, Blistery, itchy generalized rash; Red bumps, Blistery, itchy generalized rash; crazy itching all over; At the site of the injection now has all red bumps all around it; It started red bumps then the blister end loose yellow; At the site of the injection now has all red bumps all around it; It started red bumps then the blister end loose yellow; This is a spontaneous report from a contactable consumer (patient). A 64-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EP7533) via an unspecified route of administration, administered in the left arm on 11Apr2021 at 10:30 (at the age of 64-year-old) as dose 2, single for COVID-19 immunization at hospital. Medical history included hypothyroidism and Allergies to medications, food, or other products included PCN, ASA, NSAIDS. Concomitant medications included levothyroxine sodium (SYNTHROID); cyanocobalamin, folic acid (VITAMIN B12 & FOLIC ACID), Vitamin D; all taken for an unspecified indications, start and stop dates were not reported. Historical vaccine included first dose of BNT162B2 (Lot Number: ER8727) via an unspecified route of administration, administered in the left arm on 21Mar2021 at 15:15 (at the age of 64-year-old) as dose 1, single for COVID-19 immunization. Prior to vaccination, the patient was not diagnosed with COVID-19 and not received any other vaccines within 4 weeks. Since the vaccination, the patient was not tested for COVID-19. It was reported that, Patient received vaccine on 11Apr2021 (Sunday). The following Wednesday on an unspecified date in Apr2021, patient started developing to a look like a blistery rash on his arm, the opposite arm of the injection site. The patient experienced red bumps, blistery, itchy generalized rash. And at the site of the injection now had all red bumps all around it, It started with red bumps then the blister end loose yellow. He was suffering with crazy itching all over. And it was thought to be poison Ivy. Since then or since Wednesday, It was not generalized at that time, It was growing. So the only thing that it could be is the vaccine. So, now it was generalized at the time of report. Patient received treatment for the events with Calamine lotion. Outcome of the events was not recovered at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds: SYNTHROID; VITAMIN B12 & FOLIC ACID

Current Illness:

ID: 1774389
Sex: F
Age:
State: CT

Vax Date: 04/13/2021
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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Nausea; Diarrhea; Fever; This is a spontaneous report from a contactable consumer or other non healthcare professional. A female patient of an unspecified age received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 13Apr2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included breast cancer from an unknown date and unknown if ongoing, thyroid disorder from an unknown date and unknown if ongoing,.thyroid issues, anaemia, vitamin b12 deficiency from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced nausea on an unspecified date with outcome of unknown, diarrhoea on an unspecified date with outcome of unknown and fever on an unspecified date with outcome of unknown. Follow-up (15Apr2021): This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient) reported that: Husband and wife both had their 1st shot on 13Apr21. Wife had nausea, diarrhoea and fever. Wants to know if ok to have 2nd dose. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am