VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1792313
Sex: F
Age:
State: TX

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 10/16/2021
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: COVID Arm - red area at injection site approximately size of silver dollar. First noticed on 9th day after receiving vaccination. Four days later (today) red area still visible; This is a spontaneous report from a contactable consumer, the patient. A 68-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 09Mar2021 at 11:00 (at the age of 68-years-old) as a single dose for COVID-19 immunisation. Medical history included antiphospholipid syndrome, allergic to cat dander and seasonal allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included warfarin (MANUFACTURER UNKNOWN), levothyroxine (MANUFACTURER UNKNOWN), lisinopril (MANUFACTURER UNKNOWN) and lovastatin (MANUFACTURER UNKNOWN); all from an unknown date for unknown indication and unknown if ongoing. On 18Mar2021, in the arm which she had received COVID vaccine, the patient noticed a red area at injection site approximately size of silver dollar. The patient first noticed it on ninth day after receiving vaccination. Four days later (on the day of report), the red area was still visible. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event red area at injection site approximately size of silver dollar; first noticed on ninth day after receiving vaccination, four days later (on the day of report) red area was still visible was not resolved at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: WARFARIN; LEVOTHYROXINE; LISINOPRIL; LOVASTATIN

Current Illness:

ID: 1792314
Sex: F
Age:
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210323; Test Name: temperature; Result Unstructured Data: Test Result:101.8; Comments: temperature went up to 101.8

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: she still feels a little haziness in her brain; feeling a little dizzy and off balance; constipated/Constipation; Painful; chills and dizziness; chills and dizziness; temperature went up to 101.8; back pain; the first and second dose of the Pfizer Covid vaccine, taken 12 days apart; the first and second dose of the Pfizer Covid vaccine, taken 12 days apart; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/lot number: EN6206, Expiry Date: Not Reported), via an unspecified route of administration, administered in Arm Right on 22Mar2021 (at the age of 64-year-old) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/lot number: Not Reported, Expiry date: Not Reported) via unspecified route of administration, administered in left arm 10Mar2021 (at the age of 64-year-old) as dose 1, single for covid-19 immunisation. The patient had second dose on 22Mar2021 that is 12 days after the first dose(10Mar2021), which is an off-label use and inappropriate schedule of product administration. On 24Mar2021, the patient experienced, constipated/constipation, painful, feeling a little dizzy and off balance. On 23Mar2021, the patient experienced, chills and dizziness, temperature went up to 101.8, back pain. On an unspecified date she still feels a little haziness in her brain. The patient had taken the first and second dose of the Pfizer Covid vaccine, taken 12 days apart, the patient wants to know whether the 12 days is too short of a time between the two doses and if it diminishes the efficacy of the vaccine. The patient her other question is, she has had a bunch of side effects, most of which she has seen on the website, stated he had one that she hasn't read, extreme constipation, stated it was so painful. As a Treatment gave herself an enema and got some magnesium sulfate, stool softener, senna tea. Stated she was working on this for hours. Stated it worked, that it is too early to tell if it is completely resolved. The patient experienced chills and dizziness, that she had a fever, treatment for fever- she took acetaminophen and ibuprofen, stated she had some back pain for which she took 5mg of Flexeril, the patient clarified she does experience back pain sometimes from an old, herniated disc before the vaccine that becomes inflamed, which is what this feels like. Stated this morning she woke up feeling a little dizzy and off balance and that she still feels a little haziness in her brain, not sure if it has improved or she has just gotten used to it. The patient stated she heard that if you are healthy that the second dose can have more side effects, not sure if this is true. Stated her doctor warned her in a back handed way to not to go to the place she went to for her Pfizer vaccine, stated at this location, there was no social distancing, there were herds of people, it scared her, stated she got a surprise call that a different location had the Pfizer vaccine so she made an appointment to get her second dose there, got the second dose only 12 days later, stated now she has two patient cards, one from each location. Stated the location of the second vaccine, that was a whole different experience, stated it was like heaven. That she wants to file an official complaint about the first location, the patient stated if she goes back home, that she is a citizen there, want to see that she has had two doses, wondering if they will accept two different cards. The patient stated she has pictures of the difference between the vaccination sites.The patient underwent lab tests and procedures which included body temperature: 101.8 (temperature went up to 101.8) on 23Mar2021. Therapeutic measures were taken because of constipated/constipation, painful, chills and dizziness, temperature went up to 101.8, back pain. Outcome of the event temperature went up to 101.8 was recovered in 24Mar2021, for event she still feels a little haziness in her brain was unknown and for rest all events the outcome was recovering. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1792315
Sex: M
Age:
State: NY

Vax Date: 03/05/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 202103; Test Name: platelet count; Result Unstructured Data: Test Result:44

Allergies:

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

Symptoms: My platelet count was 44; This is a spontaneous report from a contactable consumer (patient). This 74-year-old male patient received dose 1 of BNT162B2 via an unspecified route of administration on 05Mar2021 at 16:00 (at the age of 74-years-old) as a single dose in the left arm for COVID-19 immunization. Medical history was none. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Concomitant medications included atorvastatin calcium (LIPITOR) and losartan from unknown dates for unknown indications. The patient did not have any known allergies. In Mar2021, the patient did not have any adverse effects after vaccine but later in the week had routing blood work for cardiologist. The patient's platelet count was 44. The outcome of platelet count was 44 was not recovered. It was also reported that since the vaccination the patient had not been tested for COVID-19. The lot number for BNT162B2 was not provided and will be requested during follow-up.

Other Meds: LIPITOR; LOSARTAN

Current Illness:

ID: 1792316
Sex: F
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 10/16/2021
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: achy; nausea; throwing up 5 to 6 times a day. It was horrible; horrible feeling/ violent vomiting; fever; chills; diarrhea; This is a spontaneous report from a contactable consumer (patient). A 50-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. Medical history included covid-19 from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient experienced nausea and violent vomiting with the 1st Pfizer vaccine. She was a little hesitant because she had nausea and was throwing up 5 to 6 times a day. It was horrible feeling for her. On top of that she had all other side effects: achy, fever, chills, and diarrhoea. It was a lot at once. It was so intense all at the same time. At least when she had covid it was more gradual as opposed to having all the symptoms at the same time at a level 10. She asked if vomiting was a side effect or an allergy. She also asked does it outweigh getting the second dose as she was schedule for second dose on Saturday. She had the virus so that was the problem as no one had the answer. It was frustrating for her. She had covid so closer to getting the vaccine. She asked going forward if there are booster will it have to be the same manufacturer. Her mom told her for the Moderna vaccine. She asked for any information on how many deaths are with the Pfizer vaccine as 2000 people died after the vaccine and that's why people are not taking it. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792317
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/16/2021
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: his face started swelling around the jaw area towards the ear and jaw area; it's hard to eat and chew; it's hard to eat and chew; Along with lower back pain; This is a spontaneous report from a contactable consumer (reported for husband). A 55-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number: Not provided) via an unknown route of administration on an unknown date as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that the patient received first dose of the Pfizer vaccine about 48 hours ago but last night her face started swelling around the jaw area towards the ear and jaw area, that was hard to eat and chew; along with lower back pain on an unspecified date. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792318
Sex: M
Age:
State: KY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: lot of rumbling and cramps in lower GI tract and loose bowel movements; loose bowel movements; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EN6202, expiry date 30Jun2021), via an unspecified route of administration, administered in arm on 01Mar2021 14.00 (at the age of 68-years) as DOSE 1, SINGLE for covid-19 immunization. No relevant medical history and concomitant medications were not reported. The patient stated that she got both of the pfizer covid vaccines, her first dose was on 01Mar2021. The patient experienced a lot of rumbling and cramps in lower GI tract and loose bowel movements. Caller stated the symptoms started after the first dose and had continued for the last 2.5 weeks and continuing now. Caller wanted to know was these reported side effects and how long will they last and to make a report of these symptoms. Caller stated the patient already reported to facility. The patient will be 69 this year. The second dose of pfizer covid vaccines received on 22Mar2021, lot ER2613, expiration 31Jul2021. There was no history of all previous immunization with the Pfizer vaccine considered as suspect. No additional Vaccines Administered on Same Date of the Pfizer Suspect. The patient did not visit emergency room and in physician's office not yet, but the patient thinks she will go to a walk-in clinic tomorrow. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have any relevant tests. The outcome of the events was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792319
Sex: F
Age:
State: MA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 10/16/2021
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: teeth hurt; Event: Headache was reported as worsened; Upset stomach; Diarrhea; Feverish; Chills; Muscle ache/muscle aches were in her shoulder and back; Headache; random cough; Feeling unwell; Nausea; This is a spontaneous report from a contactable Consumer or other non-health professional (patient) reported for herself. A 64-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EN6207, Expiry Date and NDC number were Unknown), via an unspecified route of administration, administered in Arm Left on 18Mar2021 14:00 (age at vaccination 64-years-old) as dose 1, single for COVID-19 immunisation. No any prior vaccinations within 4 weeks, vaccine Administered at Facility. History of all previous immunization with the Pfizer vaccine considered as suspect was none. No additional Vaccines Administered on Same Date of the Pfizer Suspect. Medical history included bronchitis, she has had bronchitis her entire life, asthma she had asthma that would be brought on by the flu or bronchitis. She said she was diagnosed with asthma as a teenager, allergies to trees, grass, and any environmental agent and seasonal allergy, tested in her 20s. The patient's concomitant medications were not reported. It was reported that the patient got her first COVID-19 Vaccine shot on Thursday 18Mar2021 last week. On 19Mar2021 the patient experienced feeling unwell and nausea, patient said she was down for the count on Friday night (19Mar2021). She clarified she didn't feel well Friday night and had a little nausea. On 20Mar2021, the patient experienced feverish, chills, muscle ache/muscle aches were in her shoulder and back, headache and random cough, she stated she had allergies to trees, grass, and any environmental agent known to man, so she wasn't sure if her cough was due to her allergies or the COVID-19 Vaccine. She said she has had the allergies for decades, and had gotten allergy tested in her 20s, she said by Saturday (20Mar2021) she felt feverish, had chills, muscle aches, and headaches, she hadn't checked her temperature to see if she had a fever. She said most of her symptoms started on Saturday 20Mar2021. She said when she started feeling feverish and having chills, she took Tylenol. She said her muscle aches were in her shoulder and back. She said her headache had intensified since Sunday (21Mar2021) and was so bad that her teeth hurt. She said she took Advil and Tylenol for her headache, which took the sting off the headache. She said all the medical professionals said any COVID-19 Vaccine side effects should go away in a few days, but her side effects were not gone. On 23Mar2021 the patient experienced upset stomach and diarrhea. She reported that none of her symptoms have gotten better since they started. She said yesterday (23Mar2021) into today (24Mar2021) she had GI issues, clarified as an upset stomach and diarrhea. She said she thought yesterday afternoon she may have turned a corner with her symptoms. She said yesterday she was able to sleep for 4 hours, but when she woke up, her symptoms were slamming her again. She said today (24Mar2021) her headache was really bad. On an unspecified date the patient experienced teeth hurt, and headache was reported as worsened. The patient reported she had talked to staff at Pharmacy (who were giving the COVID-19 Vaccine shots), to ask questions about her side effects, and they suggested she take Advil and Tylenol for her symptoms, she was a healthy person and work out on a regular basis. She doesn't have a regular doctor because she was not ever sick before getting the COVID-19 Vaccine. The adverse events did not require a visit to Emergency Room or Physician Office. The patient reported that she had been taking since her symptoms started: 3 Ibuprofen 200mg, or a 600mg dose (clarified as Advil Liqui-Gel Minis, Lot Number: R84674, Expiration Date: Feb2023 and NDC/UPC Number, Reporter's daughter stated that the Advil was dispensed in a 20-count bottle and she did not see a NDC/UPC Number, only a QR Code), 2 Extra Strength Tylenol 500mg caplets (1000mg dose, Lot Number: MPA022, Expiration Date: Sep2022 and NDC Number: 50580-449-09), and 2 Tylenol 325 mg (Lot Number: 1708733, Expiration Date: May2022 and NDC Number was 50580-487-20) Liquid Gels (650mg dose). Caller stated she was alternating between doses of Advil and the 2 different Tylenol products to treat her symptoms. The patient asked if her still having COVID-19 Vaccine side effects so many days after receiving the vaccine was normal. She asked if she should get the second COVID-19 as vaccine dose as was scheduled for her second COVID-19 Vaccine on 08Apr2021. She was advised she would be transferred to Pfizer Medical Information for further assistance with her questions. The outcome of feeling unwell, feverish, chills, muscle ache/muscle aches were in her shoulder and back, headache, random cough, upset stomach, diarrhoea was not recovered. The outcome of the event nausea was recovering. The outcome of the event teeth hurt, and headache was reported as worsened was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792320
Sex: F
Age:
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210214; Test Name: BIOPSY; Result Unstructured Data: Test Result:Basal cell on face; Test Date: 20210212; Test Name: covid 19 test; Result Unstructured Data: Test Result:NAGATIVE

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: a lot of face redness; Very Tired; Severe Chills; Nausea; states that about a week before the second vaccine she wasn't sleeping well; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN6198, Expiry date: not reported) via intramuscular route of administration, administered in Arm Left on 19Feb2021 10:30 (at the age of 79-year-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included diverticulitis from 2016 and was ongoing (she changed her diet. No greasy, no fried, no spicy foods. 2017 attack, 2018 or 2019. On 17Feb2021, the patient had fever, blood pressure high and nose bleeds.In 1985, skin carcinoma (all basal cell, no medicine needed and14feb2021, basal cell on face biopsy only). Family medical history relevant to adverse event very healthy was never. Any H.B.P: just some. Digestive issue in past was no RX needed or medicine. Prior Vaccinations (within 4 weeks) was none. AE(s) following prior vaccinations was none. She states about 5-6 years ago, she had boosters from childhood shots, every booster. Never had the shingles shot. She states she has never had a reaction from any of it. Additional Vaccines Administered on Same Date of the Pfizer Suspect was none. The patient concomitant medications was reported as none. She states that she was healthy and she has never been ill. She states that she did have diverticulitis but has never needed surgery or anything like that. She states that she was able to change her diet to control it, so to have high blood pressure is something that she has never experienced or to have a red face. Family Medical History Relevant to adverse event was reported as none. On 19Feb2021, the patient experienced severe chills, nausea. On 20Feb2021, the patient experienced a lot of face redness, very tired and in 2021, states that about a week before the second vaccine she wasn't sleeping well.Caller states that on 19Feb2021, she got her first shot. She states after that she experienced a lot of face redness after 24 hours (20Feb2021). She states that she has never had to taken any medications, has never been ill, doesn't even take an aspirin, she was a healthy person. States that weight fluctuates between 112-114. States she was not overweight and was always very healthy. She states that she did have diverticulitis but has never needed surgery or anything like that. She states that she was able to change her diet to control it, so to have high blood pressure was something that she has never experienced or to have a red face. She states that she was wrapped up in 82-degree weather on her back porch in wool blanket. She states that she has chills and then gets hot and then cold and sweating. States that her hands are like ice cubes. States that she wasn't aware she was supposed to report it until she went to hospital on Sunday. States she thought the doctor office reports it because she had called her doctor office. she states that when she got the first shot, it kept her awake, like she drank 20 cups of coffee, but after 24 hours, she was just exhausted. She states that she has always been energetic and none of that anymore. She states that about a week before the second vaccine she wasn't sleeping well but she had started to feel better but then she got the second dose and that was a whammy. She states the nausea was slight after the first dose but more so after second shot. States that she was more aware of not wanting to eat and feeling nauseous. The patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EL9262, Expiry date: not reported) via intramuscular route of administration, administered in Arm Left on 13Mar2021; 10:30 as DOSE 2, SINGLE for COVID-19 immunization. Therapeutic measures were taken for the events. The patient underwent lab tests and procedures which included sars-cov-2 test negative: negative on 12Feb2021 Biopsy: Basal cell on face on 14feb2021. The outcome of the event states that about a week before the second vaccine she wasn't sleeping well was unknown and the other events was not recovered. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness: Diverticulitis (she changed her diet. No greasy, no fried, no spicy foods. 2017 attack, 2018 or 2019)

ID: 1792321
Sex: F
Age:
State: AL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: rash/ rash under her left breast/rash has come up also stated last night; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 62-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number: EM9809, Expiry Date: unknown) an unspecified route of administration, administered in left arm on 25Mar2021 (at the age of 62-year-old) as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient stated she received the first dose of the Pfizer covid vaccine on 25Mar2021 on Tuesday and since then a rash has come up also stated last night she developed a rash under her left breast, it seemed to be improving some today. Patient wanted to know whether she should get the second dose of the covid vaccine following her side effects. Outcome of the event was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792322
Sex: F
Age:
State: MI

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: a little itchy and sore at the injection site (left arm); a little itchy and sore at the injection site (left arm); rash on her arms breasts and shoulder mainly on the left side; rash on her arms breasts and shoulder mainly on the left side; Itching; sore arm, left upper; to move her arm it hurts, it is like a little stiff; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 52-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Arm Left on 24Mar2021 14:00 (at the age of 52 years) (Batch/Lot Number: EN8732) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included blood pressure from an unknown date and unknown if ongoing. Concomitant medications included losartan taken for blood pressure abnormal, start and stop date were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. Historical vaccine included pneumonia shot on sep2020 (added her pneumonia shot was much worse as far as pain in her arm). The patient reporting on herself, received 1st dose of Covid-19 BioNTech vaccine yesterday (24Mar2021) at 2pm. She started with a rash this morning (25Mar2021 08:00). The rash was itchy. patient asked if it could be an allergic reaction or something else? Patient felt itchy before showering this morning (25Mar2021 08:00). Upon showering at 0800, she noticed rash on her chest, under breast, left arm from her shoulder down to her bicep, her legs and her feet. Initially said the rash was just on the left side. However, later mentioned the rash was now on her other foot. Stated feet were driving her crazy right now. Reported she has had nothing yet for treatment. Patient told her husband about her symptoms and asked if she should call her doctor and her husband advised to call Pfizer first. Patient reported her arm was sore, but nothing that she hadn't experienced with other vaccines she has received. Caller added her pneumonia shot was much worse as far as pain in her arm. She received the pneumonia shot Sep2020. When probed for outcome of sore arm she mentioned to move her arm it hurts, it was like a little stiff. Confirmed as worse than yesterday. Physician was located at (Institute name) and email was unknown. Patient initially mentioned a bar code with no numbers on the information card she was looking at. Patient discovered she was not looking at the correct card and verified vaccine name and LOT number as ER8732. Patient indicted her mother lives in another location and she and her husband were getting the Covid-19 vaccine so that they could travel and see patient mother. Patient also mentioned her husband got the shot but his was the Moderna one. He works for the agency and gets it through his work. He complained of a sore arm after she touched it, but he feels fine today (date not specified). The clinical outcome of the events sore arm left upper, Itching was not recovered and remaining all other events was unknown at the time of report. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN

Current Illness:

ID: 1792323
Sex: M
Age:
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 10/16/2021
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: Arm felt like he had been punched; Injection site pain worsened; This is a spontaneous report from a non-contactable pharmacist. A 32-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP6955) via intramuscular route of administration in the left arm on 19Mar2021 at 13:30 (at the age of 32-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history and no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. On 19Mar2021 hours later, the patient's arm felt like he had been punched. The injection site pain worsened the next day but subsided in the evening. The non-serious event had resolved. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcomes of the events arm felt like he had been punched was recovered on an unknown date in Mar2021 and injection site pain was recovered on 20Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792324
Sex: M
Age:
State: IL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 10/16/2021
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: fever; Result Unstructured Data: Test Result:103

Allergies:

Symptom List: Rash, Urticaria

Symptoms: headache; felt tired; Chills; strong fever peaked around 103 measured; considerable sweating; This is a spontaneous report from a contactable consumer (Patient). A 46-year-old male received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EK5730 and expiry date was not reported), via an unspecified route of administration in left arm, on 23Mar2021 at 15:30 (age at vaccination 46-years-old), as, DOSE 2, SINGLE for COVID-19 immunization. The patient's medical history was not reported. Concomitant medications included atorvastatin and losartan taken for an unspecified indication, start and stop date were not reported. No known allergies reported. The patient did not receive any other vaccine in four weeks. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EJ1685 and expiry date were not reported), via an unspecified route of administration on left arm, on 03Mar2021 at 9:00 AM (age at vaccination: 46-years-old), as DOSE 1, SINGLE for COVID-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the covid vaccine. Patient did not had covid prior or post vaccination. The reported that, within few hours of injection, on 23Mar2021 17:30, the patient experienced headache, within 12 hours felt tired and started with Chills within 22 hours severe chills and after 28 hours had a strong fever peaked around 103 measured with a forehead digital thermometer and after 32 hours fever broke and considerable sweating, patient felt great 36 hours later. Patient responded I became aware of these adverse reactions on the 24th and filled out report on the 25th. The patient did not receive any treatment for the events and felt great 36 hours later. On an unspecified date the patient underwent lab tests and procedures which included body temperature which was found to be 103. Outcome of the events was recovered in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: ATORVASTATIN; LOSARTAN

Current Illness:

ID: 1792325
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/16/2021
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: had hives on her face that lasted a day and a half; It was itchy and annoying but they weren't severe; This is a spontaneous report from a contactable consumer or other non hcp (patient) via medical information team. A 50-unit-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: not reported), via an unspecified route of administration on an unspecified date as dose1, single for covid-19 immunisation. Medical history included allergic to morphine and got itchy, got hives, allergic to penicillin and got itchy, got hives, and ended up in urgent care and allergic to adhesive tape. The patient concomitant medications were not reported. The patient previously took morphine and (benzylpenicillin sodium) PENICILLIN and experienced itchy and hives. On an unspecified date, the patient experienced had hives on her face that lasted a day and a half and it was itchy and annoying but they were not severe. The caller stated she received the first dose of the vaccine and was due for her second dose tomorrow at 13.21. She stated 3 days after the first vaccine she had hives on her face that lasted a day and a half. It was itchy and annoying but they were not severe. She stated she was getting conflicting information on if she should get her second dose. She stated that her primary care was saying yes to get the second dose, another physician (a psychiatrist) said she should not get it, and the pharmacist said it was a gray area since she had a delayed reaction. The outcome of the events was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792326
Sex: M
Age:
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/01/2021
Rec V Date: 10/16/2021
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: arthritis pain; difficult for him to even open a bottle of water and it's making his hands feel hard, he takes care of himself and this joint pain is making it difficult for him; hardly slept at all; After his 2nd COVID-19 Vaccine shot, the next day he had some aches & pains, but the aches & pains were not really that bad. He said he had a little bit of aches & pains & then it didn't bother him; He said right now he had really bad arthritis pain. He said he had a hard time getting out of bed. He said he didn't have that before he had the COVID-19 Vaccine.; Arthritis pain in his shoulders was the worst; Arthritis pain in legs; This is a spontaneous report from a contactable consumer (patient himself). A 81-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution injection; Batch/Lot Number: EN6203; Expiration Date: 31May2021), via an unspecified route of administration, administered in Arm Left on 23Feb2021 at 13:30 (at the age of 81-years-old) as single dose for covid-19 immunisation. Medical history included chronic kidney disease clarified as chronic kidney disease for about 4-5 years, had a problem with his cholesterol in the past, he slipped and fell on ice, and broke 3 ribs, 3 years ago. He said he had gout before, and his gout had to do with his kidneys. He said he hadn't had gout in a while. He said he had dislocated his one shoulder years ago, and he had a torn rotator cuff in his other shoulder that he never repaired. He said his shoulder that was dislocated in the past felt worse than the one shoulder with the torn rotator cuff. Reported he took 1/2 pill of Clonazepam 0.5mg tablet (generic Klonopin) for sleep last night. He said he will take a 1/2 tablet of Clonazepam 0.5mg if he had a problem sleeping. He said he very rarely took the Clonazepam 0.5mg. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution injection; Batch/Lot Number: EL9262; Expiration Date: 31May2021), via an unspecified route of administration, administered in Arm Left on 31Jan2021 as single dose for covid-19 immunisation. Concomitant medication included clonazepam. Patient did not receive any prior vaccinations within 4 weeks. The patient reported that he had a lot of arthritis pain. He also mentioned it was difficult for him to even open a bottle of water and it's making his hands feel hard, he takes care of himself and this joint pain was making it difficult for him, and what bothers him was that the joint pain was persistent and he wanted to know if it will go away. He reported that after his 2nd COVID-19 Vaccine shot, the next day on 24Feb2021, he had some aches & pains, but the aches & pains were not really that bad. He said he had a little bit of aches & pains and then it didn't bother him. He said right now he had really bad arthritis pain. He said he had a hard time getting out of bed. He said he didn't have that before he had the COVID-19 Vaccine. He said he had some aches and pains, and now had arthritis pain. He said he doesn't know if his arthritis pain had anything to do with the COVID-19 Vaccine, but it may, and he wanted Pfizer to know that. He said he felt terrible. He said he can't get himself out of bed, and was having a hard time. He said he can't take NSAIDs because of his kidneys, and was using Tylenol, but the Tylenol was not helping much at all. He said his ex-wife told him to take the Tylenol Arthritis instead of Tylenol. He said the Tylenol Arthritis helped a little bit. He said last night was the worst night he had so far. He said he hardly slept at all and had to take a pill to help him sleep. He said he complained to his cardiologist about his arthritis pain, and the cardiologist asked him why he hadn't asked his primary care doctor to give him a shot of Prednisone or Cortisone. He was using heating pads, and whatever else he could do, to treat his arthritis pain. He said he had an electric heating pad, and a heating pad that he puts in a microwave. He said he put the heating pads on wherever he had pain. He said he did a lot of construction work and physical labor at one time, and maybe his pain had something to do with that. He had pain in his shoulders, legs, hips, and everywhere since he got his second COVID-19 Vaccine. If the vaccine was supposed to boost his immune system and maybe now his immune system may be attacking his joints, causing this joint pain. Reported his arthritis pain was still there today (25Mar2021), but was not as intense as last night (24Mar2021). He said he found if he took a hot shower (as hot as he could stand), it seemed to help a little bit with his arthritis pain. He said he thought the weather has something to do with his arthritis pain, as well. He was taking Pharmacy Brand Extra Strength Acetaminophen 500mg caplets for arthritis pain, and the Pharmacy Brand Extra Strength Acetaminophen 500mg was not helping much at all and he started taking Tylenol 8HR Arthritis Pain instead of the Pharmacy Brand Extra Strength Acetaminophen 500mg caplets. He said the Tylenol 8HR Arthritis Pain helped a little bit. He said he needed a magnifying glass to read the product information because the print was so small on the Tylenol 8HR Arthritis Pain bottle. Caller said he was wondering if anyone else was having the same problems with arthritis after getting the COVID-19 Vaccine, and if something was going on with the COVID-19 Vaccine. The outcome of the event after his 2nd COVID-19 Vaccine shot, the next day he had some aches & pains, but the aches & pains were not really that bad. He said he had a little bit of aches & pains & then it didn't bother him was recovered on unspecified date. The outcome of the event he said right now he had really bad arthritis pain. He said he had a hard time getting out of bed. He said he didn't have that before he had the COVID-19 Vaccine, Arthritis pain in legs and arthritis pain in his shoulders was the worst was not recovered while the outcome of all the events was unknown. No follow up attempts are possible. No further information is expected.

Other Meds: CLONAZEPAM

Current Illness:

ID: 1792327
Sex: F
Age:
State: MI

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 202103; Test Name: Body temperature; Result Unstructured Data: Test Result:102 Centigrade; Comments: fever

Allergies:

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

Symptoms: swollen face; flushing; 102?F fever; non-stop severe loss of bowel; felt burning hot and cold; loss of appetite; headache; she felt "like a brain fog"; This is a spontaneous report from a contactable other health care professional. A 41-year-old female patient received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 04Mar2021 at single dose for COVID-19 immunisation. The patient's and concomitant medications were not reported. After she got the first dose of vaccine on 04Mar2021, on an unknown date in Mar2021, patient developed a swollen face, flushing, she felt like a brain fog like when someone slaps you, had 102 degree F fever, non-stop severe loss of bowel that is diarrhea, felt burning hot and cold, loss of appetite, and headache. The patient ( 41-year-old paramedic) wanted to report side effects experienced from the first dose of Pfizer's COVID-19 vaccine. She went for the second dose on the day of report, they were hesitant to vaccine her but did administer it. The patient questioned that, having being so sick with the first dose, would the patient will have many side effects with the second dose. The clinical outcome of events was reported as unknown. No follow-up attempts are possible. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1792328
Sex: F
Age:
State: DE

Vax Date: 03/05/2021
Onset Date: 03/10/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Name: X-ray; Result Unstructured Data: Test Result:no abscess; Comments: x-rays and said there is no abscess

Allergies:

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

Symptoms: sore arm; swollen cheeks and swollen neck/puffy face; swollen cheeks and swollen neck; This is a spontaneous report from a contactable consumer (patient). A 72-years-old non-pregnant female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot Number: EN6202) via an unspecified route of administration, administered in arm left on 05Mar2021 09:15 (age at vaccination 72 years and non-pregnant at the time of vaccination) as dose 2, single for covid-19 immunisation. The patient's medical history was not reported. Concomitant or within 2 weeks of vaccination the patient received medication was diltiazim 360mg. The patient previously received first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot Number: EM9801) via an unspecified route of administration, administered in arm left on 12Feb2021 11:30 AM (age at vaccination 72 years) as dose 1, single for covid-19 immunisation. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. There were no allergies to medications, food, or other products. Since the vaccination, patient has not been tested for COVID-19. Prior to vaccination, patient was not diagnosed with COVID-19. On 10Mar2021 13:00 The patient had event reported as swollen cheeks and swollen neck/puffy face and sore arm. Patient stated a few day after the second shot, her face was swollen and she looks like she has chipmunk cheeks and normally she had a thin face. She stated that she didn't think anything about it, until they went to her daughter's and the daughter said to her father what was wrong with mom's face and under her neck was all swollen. States she thinks it had to do with the covid vaccine. Patient stated that she went to her dentist about the swelling and he did x-rays and said there was no abscess and he can't see anything. She states that she doesn't look like herself, she looks like different person. Adverse event results in doctor or other healthcare professional office/clinic visit. Patient asking for recommendations and wants to know how long it will last. Patient did not receive treatment for the adverse events. The outcome of events swollen cheeks and swollen neck, puffy face was reported as not recovered. The outcome of event sore arm was reported as unknown. No follow-up attempts are needed. No further information was expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021330223 Pfizer

Other Meds: DILTIAZEM

Current Illness:

ID: 1792329
Sex: F
Age:
State: TX

Vax Date: 03/08/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: itchy rash on the right side of her body/It was underneath arm and side middle body of arm she had shot.; This is a spontaneous report from a contactable consumer or other non hcp. A 71-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection; Lot Number: EN6199, Expiry date: unknown) via an unspecified route of administration, administered in right arm on 08Mar2021 at 11:15, as DOSE 1, SINGLE for COVID-19 immunization. Medical history included localized infection from an unknown date and unknown if ongoing. Concomitant medication included sulfamethoxazole, trimethoprim (SMX/TMP) taken for localised infection from 06Mar2021 to an unspecified stop date. On an unspecified date in Mar2021, the patient experienced itchy rash on the right side of her body/it was underneath arm and side middle body of arm she had shot. The rash was better, but it was not around the shot area. It was reported that sometime around the 1st shot, patient developed itchy rash on the right side of her body for 12 days - On that night she went to ER care unit due to infected finger on the same arm where she had the 1st shot. Patient clarified that she first went into the ER and 2 days after that had the Pfizer COVID vaccine shot. She cannot say for sure if it was an allergic reaction to the vaccine. The rash was bad for 15 days and the last 2 days has been better. She provided name of the antibiotic as generic and stated it was shown on the bottle as SMX/TMP 800mg-160mg and she was taking one tablet twice daily. It is in a pharmacy vial with no lot or expiration. Patient wanted to know if her rashes were brought by the vaccine or antibiotic and get advice about getting second shot. She did not remember if the rash started out 08Mar2021 or 09Mar2021, or somewhere around there. She thought it was an insect bite and then it spread. Then she thought it was a heat rash. Her second dose was on due this Monday. Patient did not think her other medications were relevant. The patient had not received any other vaccine within 4 weeks neither on the same day of vaccination. Patient received no treatment for the event. The outcome of event was resolving. Follow-up attempts are completed. No further information is expected.

Other Meds: SMX/TMP

Current Illness:

ID: 1792330
Sex: F
Age:
State: NY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210325; Test Name: temperature; Result Unstructured Data: Test Result:100.8 Fahrenheit; Test Date: 20210325; Test Name: temperature; Result Unstructured Data: Test Result:101.2 Fahrenheit; Test Date: 20210325; Test Name: temperature; Result Unstructured Data: Test Result:100.1 Fahrenheit

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: experienced some side effects.; Caller states she has been drinking a lot of water; right arm swollen, could barely move it; right arm swollen, could barely move it; nausea and vomiting; nausea and vomiting; muscle and body aches; muscle and body aches; Fever; Tiredness; pain in her right arm; This is a spontaneous report from a contactable consumer (patient) or other non-health care professional. A 59-year-old female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: ER8733; Expiration Date: 31Jul2021) via an unspecified route of administration, administered in right arm on 24Mar2021 15:00 (at the age of 59-year-old) as dose 1, single for covid-19 immunization. Medical history included ongoing fibromyalgia, ongoing asthma, ongoing high blood pressure, ongoing gastrooesophageal reflux disease Verbatim: GERD , ongoing GERD (gastrooesophageal reflux disease), ongoing acid Reflux and covid-19 from an unknown date and unknown if ongoing. Patient stated that she was positive for COVID this time last year and she has underlying conditions. No family medical history. Concomitant medications included aspirin [acetylsalicylic acid] (ASPIRIN [ACETYLSALICYLIC ACID]) taken daily for an unspecified indication, gabapentin (GABAPENTIN) taken daily for an unspecified indication, cyanocobalamin (B12 [CYANOCOBALAMIN]) taken daily for an unspecified indication and vitamin b complex (B COMPLEX [VITAMIN B COMPLEX]) taken daily for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the first administration date of the suspect vaccine. On 25Mar2021 05:30 the patient experienced right arm swollen, could barely move it, the patient stated she threw up and was nauseated, muscle and body aches, fever, tiredness, pain in her right arm and on an unspecified date experienced some side effects. The patient was calling because she wanted to know can she take Tylenol for these symptoms. The patient was unsure whether it will interact with the medicine in the vaccine. The patient stated that she may fall asleep, she has the tiredness, too. The patient states she is feeling a little better now since she fell asleep while she waiting in this Pfizer line. The patient also reported that she does feel like the symptoms have improved, she took a nap, she is no longer vomiting and the nausea has gone away. The patient had been drinking a lot of water and eating crackers. The patient iced her arm and it seems like the pain is easing up. The patient stated that when she was on hold she was in a lot of pain. The patient did not visit to emergency room and physician office. The patient underwent lab tests and procedures which included body temperature result was 100.8 fahrenheit, 101.2 fahrenheit and 100.1 fahrenheit on 25Mar2021. Outcome of the events right arm swollen, could barely move it, Fever, experienced some side effects and Caller states she has been drinking a lot of water were unknown, outcome of the events Tiredness, pain in her right arm were resolving, outcome of the events muscle and body aches was not resolved and outcome of the events nausea and vomiting were resolved on an unspecified date in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds: ASPIRIN [ACETYLSALICYLIC ACID]; GABAPENTIN; B12 [CYANOCOBALAMIN]; B COMPLEX [VITAMIN B COMPLEX]

Current Illness: Acid reflux (esophageal) (Verbatim: Acid Reflux); Asthma (Verbatim: Asthma); Blood pressure high (Verbatim: High blood pressure); Fibromyalgia (Verbatim: Fibromyalgia); GERD (Verbatim: GERD)

ID: 1792331
Sex: F
Age:
State: NV

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 10/16/2021
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: After finishing 2nd dose of the Covid vaccine, patient had lymph swelling(two spots) in the left neck area where is the same side of the vaccination (L arm); Constantly feel weak in left upper limb; This is a spontaneous report from a contactable consumer, the patient. A 24-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 27Jan2021 at 15:00 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. The patient's medical history was reported as not applicable (as per source doc). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patients known allergies to medications, food or other products was reported as not applicable (as per source doc). The patient did not receive any medications within two weeks of vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in left arm on 06Jan2021 at 15:00 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccine within four weeks prior to the vaccination. On 12Feb2021, the patient experienced lymph swelling (two spots) in the left neck area on the same side of the vaccination (L arm) and also constantly felt weak in left upper limb. The events resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive any treatment for the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events lymph swelling (two spots) in the left neck area and felt weak in left upper limb was not recovered at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792332
Sex: F
Age:
State: IL

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Name: pain level; Result Unstructured Data: Test Result:12; Comments: her pain level on a scale of 1 to 10 was a good 12; Test Date: 20210323; Test Name: pain level; Result Unstructured Data: Test Result:6 or 7; Comments: Today she would say the pain is like a 6 or 7.

Allergies:

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

Symptoms: She felt like she needed to carry her left arm; whole arm was sore from the shoulder to her hand and on the inside and the outside of her arm, pain permeated to the back of her neck under her shoulder blades; whole arm was sore from the shoulder to her hand and on the inside and the outside of her arm, pain permeated to the back of her neck under her shoulder blades; whole arm was sore from the shoulder to her hand and on the inside and the outside of her arm, pain permeated to the back of her neck under her shoulder blades; This is a spontaneous report from a contactable consumer(patient). A 75-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation:Solution for injection, Batch/Lot Number: EN6204 and Expiration date: unknown) via an unspecified route of administration, in left arm on 12Mar2021 (at the age of 75-year-old) at 13:00 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient had no history of previous immunization with the Pfizer vaccine considered as suspect. There was no additional vaccines were administered on the same date of the Pfizer vaccine. The patient had no adverse events following prior vaccinations. The patient stated that she had her first Covid 19 vaccine on 12Mar2021 and she knew one of the side effects would be soreness at the injection site. And in her own mind, she thought soreness at the injection site was where she got stuck by the needle. But this was her whole arm, and she got the Covid 19 vaccine on the 12Mar2021, on a Friday and her arm got sore on Sunday, 14Mar2021.On 15Mar2021, she felt like she needed to carry her left arm. It was the whole arm from the shoulder to her hand on the inside and outside or her arm. The pain permeated to the back of her neck under her shoulder blades. If she tried to lean over or sleep it was very difficult. She thought that soreness at the site would be a symptom but she had no idea that it would hurt this bad. When probing for specific event details she reports the pain was not as great as it was on the 14Mar2021 but it still makes her holler out sometimes if she moves in the wrong way. She feels like it should have subsided. The patient had no fever, chills, and nausea. Patient wants to know how long the soreness was going to last and should she get the second Covid 19 vaccine? The patient was due for her second Covid 19 vaccine on 02Apr2021, and she was kind of scared, she got the Covid 19 vaccine in her left arm. She was right handed and her left arm was still sore. The patient stated that for instance if she was reaching for something, she has to strain to get it with her right hand as she still feels the pain in her left arm. It was like it was down in the nerve. When she thinks about getting the Covid 19 virus she reports that side effect was not so bad. The patient reported that the pain started on Sunday evening, 14Mar2021. On Monday, 15Mar2021, she felt like she needed to have her arm in a swing as she felt like she was carrying that left arm. It had gotten better so on 14Mar2021 through the 19Mar2021 she said her pain level on a scale of 1 to 10 was a good 12. On 23Mar2021,(Today) she stated the pain was like a 6 or 7. The consumer stated that the adverse events did not result in emergency room visit or physician office visit. The clinical outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792333
Sex: M
Age:
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 10/16/2021
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: Later a second bruise popped up, half way down his arm; On Thursday, he received the first dose of the covid vaccine. After he developed a fairly good sized bruise; He was not feeling well; This is a spontaneous report from a contactable consumer or other non hcp (Patient) reported himself. A 34-years-old male patient received BNT162B2 (Pfizer Covid 19 vaccine, Batch/Lot Number: EN6208; Expiration Date: 20Jun2021 NDC number was unknown), dose 1 via an unspecified route of administration on 18Mar2021 16:02, his appointment was scheduled for 3:50PM. They told him he could leave at 4:17PM. He thinks he had to stay for fifteen minutes, so that would put him getting the Covid vaccine at 4:02PM. (age at vaccination 34-year-old) as dose 1, single for covid-19 immunisation. The patient was taking vaccine because he has two parents that are older, one of them has cancer. He wants to avoid getting Covid. If he gets sick, then no one can go to help them. He thought it was a clinic, but he does not know because he has not been there before. They had a Moderna booth set up out front, but he did receive the Pfizer Covid vaccine, not the Moderna one. No Additional Vaccines Administered on Same Date of the Pfizer Suspect, No Prior Vaccinations within 4 weeks. There were no medical history and concomitant medications. On 18Mar2021 Thursday, he received the first dose of the covid vaccine, and on 19Mar2021 he developed a fairly good sized bruise, he noticed it about 2 days after he received the first dose of the Covid vaccine, he left the bandage on for longer than he should have and did not notice it until he took the bandage off. he noticed the bruise on 19Mar2021, which was gotten more yellow, It started off being about the size of a quarter which was about the size of a 50 cent piece, which was looks like a normal bruise, it is dark in the centre and lightens as it goes out, halfway down his arm so he was not out doing anything in particular, which is why he does not think he hit his arm on anything to cause the second bruise, he was not feeling well, this began the day after receiving the first dose of the Covid vaccine. He felt like he was getting sick, almost how he feels whenever he has not eaten anything and starts to feel weak. This has been coming and going, but it is not as strong anymore. On 20Mar2021 the patient experienced, later a second bruise popped up, this one he noticed on Saturday. Caller clarifies that this bruise is like a ring. The skin inside looks normal, but it has a bump underneath. The ring around the outside was purple and red. This bruise is on the same arm as his other bruise. It is on the underside of his arm, about 3 inches from his wrist. The initial ring is just off to the side, it has a red area. The purple ring has stayed about the same. He does not know if this has anything to do with it, but whenever they removed the needle after giving him the injection, blood shot everywhere. It didn't hurt or anything. It was a lot of blood. The patient was asking should he call his doctor about this, how should he know if this is something he needs to worry about. The events Did not require a visit to Emergency Room and No Physician Office. The outcome of the events was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792334
Sex: F
Age:
State: NC

Vax Date: 03/09/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: tired; numb; Right side of her neck is a little sore; Lymph node or gland on the left side of her neck swelled up pretty high; Big cold sore; Thinks that the left side in her mouth was swollen; Bit her cheek repeatedly; Headaches; This is a spontaneous report from a contactable consumer (patient). A 60-years-old female patient received (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE; formulation: Solution for injection, Lot Number: EN5204), via an unspecified route of administration, administered in Arm Left on 09Mar2021 at 10:30 (age at vaccination 60-years-old) as dose 1, 30 ug ID 3mL injection single for covid-19 immunisation. The patient medical history included Threw up (vomiting) from Mar2021 to Mar2021 a couple days before her first dose of the Pfizer-BioNTech COVID-19 Vaccine, unknown if she had a virus or what but she did throw up; maybe combination of things It was only the one day she threw up, next day she felt fine. herpes zoster, Thinks she has some immune stuff because of Shingles. She got to a point where she felt like she was getting shingles again, hypersensitivity from an unknown date and unknown if ongoing, Has to be careful about what she eats because does have some food, tree and grass allergies, When she came to name, she started having allergy shots; she got to a point where she felt like she was getting shingles again so stopped allergy shots: Names/Lots/NDCs/Expiries: Unknown, administered at clinic. asthma from an unknown date and unknown if ongoing Problems with Asthma she tries to control it. When lived up north asthma got really bad; doctor told her when it gets really bad they can't even trach her which scared her off, She either walks every day or exercises, really has not had too much asthma. Last spring season, 2020, she did have problems and got sinus infection because she was so stuffed up. overweight from an unknown date and unknown if ongoing Does not have Diabetes. She tries to watch what she eats and exercise; but she does think she is insulin resistant because she tries to lose weight, and she will do good but then it comes right back. She only gets 400 dollars monthly through medical facility and living off of that makes eating well hard. She has been lucky medical condition wise; she tries to exercise and de-stress that way. sinusitis from 2020 to 2020 Last spring season, 2020, she did have problems and got sinus infection because she was so stuffed up, insulin resistant diabetes from an unknown date and unknown if ongoing she does think she is insulin resistant, pain from an unknown date and unknown if ongoing old age when you start getting up and feel a pain and think is this it. Family Medical History Relevant to AE(s): Both parents are deceased. Patient's mother had old-age diabetes and heart problems. Patient's father died of congestive heart failure and had high blood pressure. Concomitant medications included colecalciferol (VITAMIN D3) 2000 IUs taken daily taken for back disorder, vitamin supplementation from 2019 and ongoing. On 20Mar2021, she reported the lymph node or gland on the left side of her neck swelled up pretty high. It was a kind of like a golf ball and she knew that was an occurrence with Pfizer-BioNTech COVID-19 Vaccine. The patient also had a big cold sore but unknown if that was related to the Pfizer-BioNTech COVID-19 Vaccine. On an unspecified date in Mar2021, the patient thought that the left side in her mouth was swollen too because she bit her cheek repeatedly. The patient reported that she did not normally bite her cheek. She used like Orajel stuff on the inside of that to numb it and the area where she bit her cheek was finally almost gone. She does not know if this event was related to the Pfizer-BioNTech COVID-19 Vaccine or left side in her mouth was swollen She has had headaches since about a few days after the first dose of Pfizer-BioNTech COVID-19 Vaccine was administered. She had just taken Tylenol once for headaches. Onset a few days after had it she thought, she was not really paying attention to the headaches. She figured kind like the flu you kind of get headaches. At the time of reported she did not have headache; but sometimes she gets one during the day. On 22Mar2021, right side of her neck is a little sore. She was not sure if that is relative to the Pfizer-BioNTech COVID-19 Vaccine or not; because sometimes she had problems with her neck on her pillow at night. She reported that on an occasion she drank tonic water with quinine, so she took some of that and the lymph node or gland on the left side of her neck went down, improved so she was saying the tonic water with quinine was what did it, improved event. The patient reported that events were not been so bad that she could not tolerate them.On an unspecified date patient reported tired and numb. The clinical outcome of the events was Headache, Neck pain, Fatigue was Unknown. The outcome of Bit her cheek repeatedly was recovered in 2021. The outcome of the rest of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: VITAMIN D3

Current Illness:

ID: 1792335
Sex: F
Age:
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 10/16/2021
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: My limbs didnt work for 7hrs. I couldnt move anything on my body.; My limbs didnt work for 7hrs. I couldnt move anything on my body.; This is a spontaneous report from a contactable consumer, the patient. A 46-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 19Mar2021 at 11:00 (at the age of 46-year-old), as a single dose for COVID-19 immunisation. Medical history included multiple sclerosis and allergy to sulfa. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included ocrelizumab (OCREVUS), levothyroxine sodium (SYNTHROID), citalopram hydrobromide (CELEXA), gabapentin (MANUFACTURER UNKNOWN) and baclofen (MANUFACTURER UNKNOWN); all for unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. The patient previously received cefaclor (CECLOR), amoxicillin (MANUFACTURER UNKNOWN and vancomycin (MANUFACTURER UNKNOWN); all for unknown indication from an unknown date and experienced drug allergy. On 20Mar2021 at 03:00, the patient experienced that patient's limbs did not work for 7 hours. The patient could not move anything on her body. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events limbs did not work and could not move anything on body was recovering at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: OCREVUS; SYNTHROID; CELEXA [CITALOPRAM HYDROBROMIDE]; GABAPENTIN; BACLOFEN

Current Illness:

ID: 1792336
Sex: F
Age:
State:

Vax Date: 03/23/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 202103; Test Name: temperature; Result Unstructured Data: Test Result:99; Test Date: 202103; Test Name: temperature; Result Unstructured Data: Test Result:it was 100.4 now 100.6; Test Date: 20210323; Test Name: temperature; Result Unstructured Data: Test Result:it was 99 and 100.6

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: tired; Possible temperature excursion caller stated the women administering the vaccine was standing there for probably 5-10 minutes with the needle in her hand; fever of 100.6/it was 100.4; Headache; joint pain in knees and elbows; Chills; Muscle pain; across her back has been hurting; aches; allergic reaction; flu; her knees normally hurt anyways once in a while but seem like shot has enhanced it/joint pain which has been enhanced; This is a spontaneous report from a contactable consumer (patient). A 69-years-old female patient received second dose of bnt162b2 (Solution injection; Batch/Lot number was not reported), via an unspecified route of administration on 23Mar2021 (at the age of 69-years-old) as single dose for covid-19 immunisation. Medical history included that her knees normally hurt anyways. The patient's concomitant medications were not reported. Patient previously received first dose of bnt162b2 (Solution injection; Batch/Lot number was not reported), via an unspecified route of administration on unspecified date as single dose for covid-19 immunisation. Caller stated that she received the second dose of the COVID 19 vaccine and women who gave her the shot was standing there for probably 5-10 minutes with the needle in her hand and she was not sure if it should have been pulled out of a refrigerator or how they were supposed to give it? Caller stated she was not sure exactly on how long it was but she saw the nurse standing there with a needle in her hand and then put it down on the table and then gave it to her and she was not sure she has never seen such a mess. Caller stated she woke up in the middle of the night and took her temperature and it was 99 and and 100.6 today and she feels flushed like she has fever. Caller stated this was still ongoing. Caller stated it was 100.4 now 100.6. Caller stated she read feeling unwell was something one may experience and she was not sure why someone added that in there and she is not going to the hospital and she is checking her fever it may or may not go up. She stated headache started all day long and it was still ongoing. Caller stated it has stayed about the same and then she gets joint pain in knees and elbows and it feels like she has the flu. Caller stated she will call the pharmacy and see what they will tell her. Her joint pain in knees and elbows had stayed about the same but she has to be careful when she stands up. She was tired yesterday afternoon when she got home. Caller stated she has had headache, muscle pain, across her back has been hurting which could have been the way she slept, chills, joint pain which has been enhanced and she never gets pain in her elbows, aches, headaches, and fever. Caller wanted to known if she should take Aspirin or Benadryl since she is having an allergic reaction. The patient underwent lab tests and procedures which included body temperature which was 99, 100.4 and 100.6 on Mar2021. Her body temperature was 99 and 100.6 on 23Mar2021. The outcome of the event fever of 100.6/it was 100.4, headache and joint pain in knees and elbows was not recovered while the outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792338
Sex: M
Age:
State: NJ

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: dermatitis; This is a spontaneous report from a contactable consumer (patient, reported for self). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot/batch number was not reported) via an unspecified route of administration in Mar2021 as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. The patient's concomitant medications were reported as none. The patient received the first dose of the Pfizer-BioNtech Covid-19 vaccine two weeks ago, five days later he started experiencing a rash from his face to his neck. He consulted his doctor, and he was diagnosed with dermatitis. Patient would like to know if this has been reported. The outcome of events was unknown. No follow up attempts were possible. Information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1792339
Sex: F
Age:
State: VA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 10/16/2021
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: across her abdomen is a rash- red and itchy; across her abdomen is a rash- red and itchy/red splotches; a slight headache; fever; chills; fatigue,tired; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 70-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6207; expiry date: 31Jul2021) via an unspecified route of administration on 24Mar2021 (age at vaccination 70 years) as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications was not reported. Historical vaccination included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6199) via an unspecified route of administration on an unknown date as dose 1, single for COVID-19 immunization and the patient experienced soreness around the area of the arm, that was kind of rough. On 24Mar2021, at night of vaccination, the patient experienced a slight headache, fever, chills, fatigue, tired. On 26Mar2021, the patient experienced across her abdomen was a rash- red and itchy/ red splotches. The patient stated that on Wednesday, 24Mar2021, she got her last dose of the Pfizer vaccine and next day morning, she might have had it yesterday but she did not notice it yesterday, this morning she noticed red splotches across her stomach and it is a little itchy, she did not scratch but it is a little itchy. She put Benadryl cream (Lot number: LLCT288CTZ/1 and expiry date: Sep2022) on it for the itching, she can look under the light and see if it was still there, she says yes it was still ongoing. She said it has persisted about the same since this morning. The outcome of the event across her abdomen was a rash- red and itchy/ red splotches was reported as not recovered and the outcome of rest of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792340
Sex: F
Age:
State: LA

Vax Date: 03/02/2021
Onset Date:
Rec V Date: 10/16/2021
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: can't walk on one of my legs; swollen; muscle pain; joint pain; having pain her legs; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 71-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiry date were not reported) via an unspecified route of administration on 02Mar2021 as dose 2, single (age at vaccination: 71-year-old) for COVID-19 immunisation. Medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number and Expiry date were not reported) via an unspecified route of administration on an unspecified day as dose 1, single for COVID-19 immunisation. On an unspecified date, the patient experienced can't walk on one of her legs, swollen, muscle pain, joint pain, having pain her legs. The patient had taken Tylenol and Advil, but they aren't helping. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1792341
Sex: F
Age:
State:

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: have bruising in the inside of the not at the site of my shot arm since last night; This is a spontaneous report from a contactable consumer (patient) or other non-healthcare professional. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: Unknown), via an unspecified route of administration, on 23Mar2021, as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 25Mar2021, the patient experienced have bruising in the inside of the not at the site of my shot arm since last night. Patient asked is it is a side effect and could not find anything online about it. The clinical outcome of event was unknown. No follow-up attempts are possible; information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1792342
Sex: F
Age:
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 10/16/2021
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: my face felt very warm; my face was very red.; itching; Rash all over/sandpaper like feel; similar to scarlatina; This is a spontaneous report from a contactable nurse (patient) via Pfizer sales representative. A 38-year-old female patient received BNT162B2 ((PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: ER8732), via an unspecified route of administration, administered in Left arm on 24Mar2021 15:30 (at the age of 38 year old) as dose 1, single for COVID-19 immunisation. Medical history included endometriosis, asthma, allergies from an unknown date. Patient has known allergies to pertussis vaccine (Dtap). Concomitant medications included ethinylestradiol, ferrous bisglycinate, levonorgestrel (BALCOLTRA); fluticasone propionate; fluticasone propionate, salmeterol (WIXELA INHUB); MVT, ascorbic acid (VIT C), FOLBIC all taken for an unspecified indication. The patient was not pregnant at the time of vaccination. Prior vaccination, patient had been diagnosed with COVID-19. After receiving the vaccine, within 20 minutes , her face felt very warm. She thought that was because she was wearing a mask and was in a large room that was stuffy with a lot of people for the first time since COVID. The patient observed for 30 minutes. In the car she removed mask and her face felt as if it was on fire. When she arrived home, her husband noted that her face was very red. Also, developed itching where her clothing was tight (bra and underwear lines). When she looked in the mirror, her face was very red with a sandpaper like rash all over (similar to scarlatina). So she took Benadryl 50 mg and it did not worsen. At the time of report, her face is still pink and has a sandpaper like feel to it. Also, there were increased redness again 26Mar2021 evening and had to take Benadryl again. The events resulted in physician office visit. It was reported that, event took place after use of product. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: BALCOLTRA; FLONASE [FLUTICASONE PROPIONATE]; WIXELA INHUB; VIT C; FOLBIC

Current Illness:

ID: 1792343
Sex: F
Age:
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: wheelchair; it is a square rash that is mottled red and purple; rash below injection site; bruise; sore arm; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EP7534), via an unspecified route of administration, administered in Left arm on 19Mar2021 13:15 (at the age of 79 year old) as dose 1, single for COVID-19 immunisation. Medical history and concomitant medications were not reported as none. After vaccine dose, on an unspecified date in Mar2021, patient experienced sore arm and on 25Mar2021, she developed a rash about 2.25 inches below injection site, stated that at first she thought it was a bruise, and she googled, could see photos of rashes that looks like of hers, those were mottled red and purple. It was reported that she was confined to a wheelchair, has to get transportation through the county. Patient wanted to know if she should get the second dose of the vaccine. The outcome of the event vaccination site rash was not recovered and of other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792344
Sex: F
Age:
State: FL

Vax Date: 03/08/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: caller is not feeling well; feeling dizzy; cough; a bladder infection; This is a spontaneous report from a contactable consumer (patient) received from a program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 08Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 26Mar2021, patient was feeling not well, dizzy, and had cough. She hopes it would not be COIVD-19. For the last few days, she noticed that she had a bladder infection. It feels like it, though not sure and had not been confirmed by an health care proffessional. She had been drinking cranberry juice for bladder infection and at the time of report, she feels a lot better. Her second dose of the vaccine was scheduled on Monday (29Mar2021). She wanted to know that if she still doesn't feel good by Monday, should she still take the vaccine. The outcome of the event bladder infection was recovering and of other 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: 1792345
Sex: F
Age:
State: CO

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 10/16/2021
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: Metallic taste in mouth. Began immediately Monday within minutes, still ongoing today, Friday.; This is a spontaneous report from a non-contactable consumer, the patient. A 50-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the arm left on 22Mar2021 at 14:30 (at the age of 50-year-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had known allergies to latex. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included SYNTHROID from unknown date for unknown indication and unknown if ongoing. On 22Mar2021 at 14:30, the patient experienced metallic taste in mouth, began immediately monday within minutes, still ongoing today, friday. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. No therapeutic measures were taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event metallic taste in mouth was not recovered at the time of this report. No follow-up attempts are possible, information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: SYNTHROID

Current Illness:

ID: 1792346
Sex: F
Age:
State:

Vax Date: 03/25/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: she felt real bad; feverish; hot and sweaty; body ache; really tired; leg cramps; nausea; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: ER8730; Expiration Date: 31Jul2021), via an unspecified route of administration on 25Mar2021 08:45 as dose 1, single for COVID-19 immunisation. Medical history included ongoing COPD, Diabetes, Fibromyalgia, and High Blood Pressure. The patient's concomitant medications were not reported. On 25Mar2021 at 8:45, patient received her first vaccine and about an hour and a half later she experienced leg cramps in the back of her legs. Her friend rubbed her legs and they were fine after that. On the same day, at night, 8:00PM she felt real bad and started feeling feverish, being hot and sweaty. On 26Mar2021 she got up and everything seemed ok, so she went out to have breakfast with friends and then a half hour after she got to work, she was having body aches, feverish, felt really tired, and had the hot, sweaty feeling again with mild leg cramps. The leg cramps were better than previous day. She mentioned that it was not really a fever where her forehead was not hot, but was difficult to describe. She felt like the sun was beating on her, the skin was on fire, and felt hot and sweaty like she just worked out. She also mentioned that she would have a really weird feeling of nausea that would last about 1 minute every, now and then. She has started taking Emergency, which is a regimen of 1000mg Vitamin C with Zinc. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: COPD; Diabetes; Fibromyalgia; Hypertension

ID: 1792347
Sex: M
Age:
State: VA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: one day after vaccine, I experienced blurring of eyes. It stayed for about 25 minutes before it became normal; This is a spontaneous report from a contactable consumer, the patient. A 54-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the left arm on 24Mar2021 (at the age of 54-years-old) as a single dose for COVID-19 immunisation. Medical history included hypertension. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient had no known allergies to medications, food or other products. Concomitant medications included losartan potassium (MANUFACTURER UNKNOWN) and hydrochlorothiazide (MANUFACTURER UNKNOWN); both for unknown indication from unknown date and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6200) via an unspecified route of administration in the left arm on 03Mar2021 at 15:45 (at the age of 53-years-old) as a single dose for COVID-19 immunisation. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 25Mar2021 at 13:00, one day after vaccine, the patient experienced blurring of eyes. It stayed for about 25 minutes before it became normal. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event blurring of eyes was recovered on 25Mar2021 at 13:25, after the duration of 25 minutes. No follow-up attempts are needed. No further information is expected.

Other Meds: LOSARTAN POTASSIUM; HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1792348
Sex: F
Age:
State: CO

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 10/16/2021
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: Chills; Weakness; Headache; Dizziness; Nausea; This is a spontaneous report from a contactable consumer, the patient. A 45-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3248) via an unspecified route of administration in the left arm on 24Mar2021 at 10:15 (at the age of 45-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient had no known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any concomitant medications. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 24Mar2021 at 18:00, the patient experienced chills, weakness, headache, dizziness, and nausea. The patient reported that the most severe lasted from 12 to 26 hours after dose. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chills, weakness, headache, dizziness, and nausea were resolved on an unknown date in Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792349
Sex: M
Age:
State: NY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: Sweaty palms; Pain on right shoulder; This is a spontaneous report from a contactable consumer, the patient. A 22-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER2613) via an intramuscular route of administration in the right arm on 25Mar2021 at 11:45 (at the age of 22-years-old) as a single dose for COVID-19 immunisation. The patient did not had any relevant medical history. The patient had no known allergies to medications, food or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within four weeks prior to the vaccination. Concomitant medication was not reported. On 25Mar2021, after vaccination, the patient experienced sweaty palms and pain on right shoulder. The events did not result in doctor or other healthcare professional office/clinic, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the reported events. The clinical outcome of the events sweaty palms and pain on right shoulder was recovered on an unknown date in Mar2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792350
Sex: M
Age:
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 10/16/2021
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: Headache; Vomiting; Nausea; profusely sweating on and off through the day; No appetite; Stomach pain; stomach cramps; This is a spontaneous report from a contactable nurse. A 33-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 17Mar2021 at 13:30 (at the age of 33-years-old) as a single dose for COVID-19 immunisation. Medical history included bronchiolitis obliterans, spinal fusion, lung lobectomy, traumatic brain injury(TBI) and known allergies to vancomycin, codeine, large doses of prednisone. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications included too many to name due to several injuries while deployed in army and was on a strict lung medication regimen. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 18Mar2021 at 06:30, the patient experienced vomiting, stomach pain, stomach cramps, nausea, profusely sweating on and off through the day, no appetite and headache. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were taken as a result of events and included treatment with fluids, ondansetron (ZOFRAN), dicycloverine hydrochloride (BENTYL), omeprazole (MANUFACTURER UNKNOWN), famotidine (PEPCID), over the counter (OTC) bismuth subsalicylate (PEPTO-BISMOL) started from an unknown date. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events vomiting, stomach pain, stomach cramps, nausea, profusely sweating on and off through the day, no appetite and headache was recovering at the time of this report.

Other Meds:

Current Illness:

ID: 1792351
Sex: F
Age:
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 10/16/2021
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: burning sensation got worse and then got worse from there; Burning sensation; Inflammation; This is a spontaneous report from a contactable consumer (Patient's husband). A 55-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: EN6205), dose 2 via an unspecified route of administration, administered in left arm on 27Feb2021 at 10:00 (age at vaccination: 55-year-old) as a single dose for COVID-19 immunisation. The patient medical history included allergic to hydrocodeine since 9 or 10 years, from an unspecified date and was still ongoing at the time of report. The patient had no concomitant medications. The patient had no family medical history relevant to adverse events. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot Number: EL9269) on 01Feb2021, in left arm for COVID-19 immunisation. The patient received second dose of COVID-19 vaccine 26 days after receiving the first dose of vaccine. The patient did not receive any additional vaccines. The patient did not have any prior Vaccinations within 4 weeks nor adverse events following prior vaccinations. On an unspecified date in 2021, the patient experienced inflammation, on 27Feb2021, patient had burning sensation and the following day, on 28Feb2021, patient burning sensation got worse and then got worse from there. She had inflammation like a burning sensation in her left hand and half part of the body from her shoulder to her left leg. The patient reported that after a week of experiencing the burning sensation, the patient went to her doctor and the patient's doctor said it was normal. The patient's burning sensation was not getting any better, so the patient went to another doctor who prescribed medicine, but the burning sensation did not get any better. The patient took 3 medicines from the doctor but it did not help. The patient received treatment with Tylenol Extra strength, Diclofenac Potassium, Tramadol and Aspirin. The doctor gave her medications to take as follows: Bayer aspirin occasionally and vaccine supplemental Form. It was clarified that the doctor prescribed two medications for the patient and that over-the-counter Tylenol was recommended to take in addition to the prescription products. The patient received the COVID 19, because they called and they said just go ahead and come in. Investigation Assessment was not reported. Vaccination Facility type was reported as hospital. The patient had not done any relevant tests. It was reported that the patient's doctor is having her do therapy next week. The patients husband was unsure of what to do for the patient since she was still experiencing the burning sensation. Tylenol, diclofenac, tramadol, and aspirin did not help burning sensation experienced by the patient. Adverse events did not require a visit to Emergency Room but visited physician office for burning sensation. The clinical outcome of event inflammation and burning sensation got worse and, then got worse from there was unknown but burning sensation was reported as not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792352
Sex: F
Age:
State: NY

Vax Date: 03/22/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210322; Test Name: fever; Result Unstructured Data: Test Result:100.8; Test Date: 20210324; Test Name: fever; Result Unstructured Data: Test Result:100.2

Allergies:

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

Symptoms: Diarrhea; Pain in her arm; Fever of 100/fever was about 100.2; Chills; Everything was hurting; She is still sick; patient did not eat anything except toast and tea; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: EN6206), dose 2 via an unspecified route of administration, administered in Arm Right on 22Mar2021 at 11:30 (at the age of 78-year-old) as dose 2, single for covid-19 immunization. Patient medical history included had a narrow pancreatic duct that has been stretched and had stent placed (2 years ago and now it is working fine) from an unknown date and unknown if dongoing and she does not have a gallbladder. Patient's concomitant medications was reported as none. The patient denied for any other products and family history. The patient's historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number: EN6202), dose 1 via an unspecified route of administration, administered in Arm Right on 01Mar2021 at 11:30, as dose 1, SINGLE for covid-19 immunization and experienced aches and pain, mild, not bad, 99.9 fever for one day and her arm was very sore. It was reported that none of the vaccines was administered on the same date of the Pfizer suspect. The patient did not receive any other vaccines within four weeks prior to the vaccinations. Patient reported she went for the second vaccine on Monday, and she is still sick. Adds she had a fever, but it is not high; and she had everything, but it is easing up but now she has diarrhoea, and she is asking how long this is going to last. Patient stated she got the second dose. On 22Mar2021 (At 16:00 or 17:00), the patient developed pain in her arm then by the night-time she had a fever of 100.8 and was up all night with chills and everything was hurting. On 24Mar2021 (This morning), her fever was about 100.2 and then she started with diarrhoea just coming out. On an unspecified date in Mar2021, patient reported that she was still sick. It was reported that patient did not eat anything except toast and tea yesterday on Mar2021, because she did not feel like it. Adds she was drinking water, reported today her arm is still painful but she didn't feel the aches and pains anymore and she has not eaten anything today again except tea and toast, but she continues to have diarrhoea. Patient clarified that she had one normal bowel movement then when she went back to lay down the diarrhoea just came out and then that happened another time before she called. It was reported that patient had not visited emergency room for any of the events. The patient underwent lab tests and procedures which included fever resulted in 100.8 on 22Mar2021 and 100.2 on 24Mar2021. Patient took paracetamol as a treatment for all the events except diarrhoea and sickness. The outcome of the events pain in her arm and diarrhoea was not recovered, everything was hurting recovered on an unspecified date in 2021, and rest all events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792353
Sex: F
Age:
State: NY

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Test Date: 20210301; Test Name: Fever; Result Unstructured Data: Test Result:99.9 Fahrenheit; Comments: 99.9 fever for one day

Allergies:

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

Symptoms: She got aches and pain, mild; She got aches and pain, mild; 99.9 fever; her arm was very sore; This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6202/EN6206), via an unspecified route of administration, administered in right arm on 01Mar2021 11.30 (at the age of 78-years-old) as dose 1, single for covid-19 immunization. Patient relevant medical history includes pancreatic duct narrowing and stent placed (2 years ago and she had a stent placed and now it is working fine). The patient concomitant medications were not reported. The patient did not had family history. The patient did not had a gallbladder. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Adds the patient had a fever but it was not high and had everything but it was easing up. Clarifies the patient received the first dose of the Pfizer COVID 19 vaccine on 01Mar2021 at 11:30AM in the right arm. The patient got aches and pain, mild, not bad and a 99.9 fever for one day and her arm was very sore. The next day everything was easing up and the patient was fine by the night time. Their was not history of all previous immunization with the Pfizer vaccine considered as suspect. The patient underwent lab tests: fever: 99.9 Fahrenheit (normal range: 97.7-99.5 Fahrenheit). The outcome of the events was recovered on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792354
Sex: F
Age:
State: NC

Vax Date: 03/20/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: Metallic taste in mouth more than a week; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 20Mar2021 at 12:00 (at the age of 49-years-old) as a single dose for COVID-19 immunisation. Medical history included asthma. The patient had no known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. On an unknown date in Mar2021, the patient experienced metallic taste in mouth more than a week. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19.The clinical outcome of the event metallic taste in mouth more than a week was unknown at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792355
Sex: M
Age:
State: MA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
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: Headache; Significant flu-like symptoms; Pain in right hip; This is a spontaneous report from a contactable consumer (patient). A 49-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection), via an unspecified route of administration, administered in arm left on 25Mar2021 at 13:00 (Lot Number: EL3247) (age at vaccination 49-year-old) as DOSE 2, SINGLE for COVID-19 immunisation at clinic. The patient had no known allergies to medications, food, or other products. The patient relevant medical history and concurrent conditions was reported as none. The concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications the patient received within 2 weeks of vaccination. The patient received historical vaccine BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection) via an unspecified route of administration, administered in arm left on 04Mar2021 at 13:00 (Batch/Lot Number: EL3247) as dose 1, single (age at vaccination 49-year-old) for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient had headache day of dosing Significant flu-like symptoms all day the next day and pain in right hip on 25Mar2021 at 06:00 pm. The symptoms were continuous from 25Mar2021 through 26Mar2021. The patient did not receive any treatment for the adverse events. The outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792356
Sex: F
Age:
State: IA

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 10/16/2021
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: Sore arm; Fatigue; Chills; This is a spontaneous report from a contactable consumer, the patient. A 34-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6199) via an unspecified route of administration in the left arm on 05Mar2021 at 14:00 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. Medical history included chronic migraine. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included naratriptan (MANUFACTURER UNKNOWN) and birth control (unspecified); both for unknown indication from unknown date and unknown if ongoing. The patient previously took ciprofloxacin (MANUFACTURER UNKNOWN) and cefprozil (CEFZIL), for unknown indication on an unknown date and experienced drug allergy. On 13Mar2021 at 08:00, the patient experienced sore arm, fatigue and chills. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. It was unknown whether any therapeutic measures were taken as a result of the events. The clinical outcome of the event sore arm, fatigue and chills was resolving at the time of this report. The patient also received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER2613) via an unspecified route of administration in the left arm on 26Mar2021 at 14:00 (at the age of 34-years-old) as a single dose for COVID-19 immunisation. No follow-up attempts are needed. No further information is expected.

Other Meds: NARATRIPTAN

Current Illness:

ID: 1792357
Sex: F
Age:
State: NY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After the first shot of the Pfizer Biontech Covid-19 vaccine while the she was asked to wait for 15 min after the shot, she developed a tingling in her mouth and she got a swollen tongue.; After the first shot of the Pfizer Biontech Covid-19 vaccine while the she was asked to wait for 15 min after the shot, she developed a tingling in her mouth and she got a swollen tongue.; body ache; Fatigue; This is a spontaneous report from a contactable consumer. A adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/Lot Number: EM9810), via an unspecified route of administration on 19Mar2021 as dose number unknown, single for covid-19 immunisation at hospital. Patient was not pregnant at the time of vaccination. Medical history included hypersensitivity. The patient's concomitant medications were not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. It was reported that after the first shot of the pfizer biontech covid-19 vaccine while the she was asked to wait for 15 min she developed a tingling in her mouth and she got a swollen tongue, body ache, fatigue on 19Mar2021. There was no other facial or other allergic reaction. she said doctors gave her benadryl and steroid and in an hour she was ok when she left the clinic. she didn't feel like her swollen tongue blocking her breathing. In the following day she had fatigue and body ache but no other allergic issues. Treatment was received for the events. The clinical outcome of the events was recovered for all. Follow-up#1(29Mar2021):This is a follow-up spontaneous report received in response to the mail trail sent regarding the confirmation of below query. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792358
Sex: F
Age:
State: LA

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Left arm very swollen, covering small portion of breast; Left arm very swollen, covering small portion of breast; This is a spontaneous report from a contactable consumer, the patient. A 67-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 09Mar2021 at 18:15 (at the age of 67-years-old) as a single dose for COVID-19 immunisation. Medical history included type 2 diabetes, osteoarthritis, gastroesophageal reflux disease (GERD) and known allergy to penicillin. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included vitamins (MANUFACTURER UNKNOWN) and unspecified medications for diabetes, heart and cholesterol; all from unknown dates and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 10Mar2021, the patient experienced left arm very swollen, covering small portion of breast that lasted 5-6 days. The events did not result in doctor or other healthcare professional office/clinic, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events left arm very swollen, covering small portion of breast was resolved on an unknown date in Mar2021. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792359
Sex: M
Age:
State:

Vax Date: 03/18/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
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: Chills; Fatigue; This is a spontaneous report from a non-contactable other healthcare professional. A 38-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 18Mar2021 at 13:30 (at the age of 38-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient had no known allergies to to medications, food, or other products. Concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. On an unknown date in Mar2021, the patient experienced chills and fatigue and was lasted for 1-2 days. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chills and fatigue was recovered on an unknown date in Mar2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792360
Sex: M
Age:
State: DC

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Right side of the neck became stiff; Right eye started having a blinking tick; This is a spontaneous report from a contactable consumer, the patient. A 39-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6204) via an unspecified route of administration in the left arm on 24Mar2021 at 12:30 (at the age of 39-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history and no known allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccine within four weeks prior to the COVID vaccine. Concomitant medications were not reported. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6202) via an unspecified route of administration in the right arm on 03Mar2021 at 12:30 as a single dose for COVID-19 immunisation. On 24Mar2021 at 16:00, the patient's right side of the neck became stiff and also right eye started having a blinking tick. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcomes of the events right side of the neck became stiff and also right eye started having a blinking tick were not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792361
Sex: F
Age:
State: FL

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 10/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Body aches; Dizziness; Brain fog; This is a spontaneous report from a contactable consumer, the patient. A 42-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: ER8727) via an unspecified route of administration in the left arm on 24Mar2021 at 16:45 (at the age of 42-year-old) as a single dose for COVID-19 immunisation. Medical history included penicillin allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. On 25Mar2021 at 08:00, the patient experienced body aches, dizziness and brain fog. The events did not result in doctor or other healthcare professional office or clinic visit, emergency room or department or urgent care. No therapeutic measures were taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events body aches, dizziness and brain fog were recovered with sequelae an unknown date in Mar2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792362
Sex: F
Age:
State: OH

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 10/16/2021
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: "I" had a very sore arm; Body/muscle aches; Body/muscle aches; Extreme tiredness; This is a spontaneous report from a contactable consumer, the patient. A 67-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 23Mar2021 at 13:00 (at the age of 67-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19 and known allergy to penicillin. Prior to the vaccination, the patient was diagnosed with COVID-19. Concomitant medications included unspecified thyroid medications from an unknown date for an unknown indication and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 24Mar2021 at 00:00, the patient experienced a very sore arm for 6 days, body/muscle aches and extreme tiredness. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events very sore arm, body aches, muscle aches and extreme tiredness were resolving at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792363
Sex: F
Age:
State: NY

Vax Date: 03/18/2021
Onset Date:
Rec V Date: 10/16/2021
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: Vomited first day of; racing heart, felt like heart was flipping; red face; puffy under eyes and hot; puffy under eyes and hot; Hives on back; rash on face, neck and a little on chest itchy, red, bumpy, hot; rash on face, neck and a little on chest itchy, red, bumpy, hot; rash on face, neck and a little on chest itchy, red, bumpy, hot; rash on face, neck and a little on chest itchy, red, bumpy, hot; ear and scalp intermittently itchy; This is a spontaneous report received from a contactable female consumer. A 56 year-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Not reported) via an unspecified route of administration, administered in arm left on 18Mar2021 at 08:00 AM as DOSE 1, SINGLE for COVID-19 immunization (age at vaccination 56 years). The patient's medical history included ongoing hypertension and its controlled with medicines, and the patient previously took Levaquin, doxycycline, augmenting, Prozac and had allergic to these medications, food, or other products. Concomitant medication included Amlodipine, sertraline, paroxetine, Clonazepam, D3 and other unspecified medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient took Amlodipine, sertraline, paroxetine, Clonazepam, D3 within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19, Prior to vaccination. No, the patient was not tested for COVID-19, Since the vaccination. On an unknown date the patient reported as she vomited first day of, racing heart, felt like heart was flipping, 5 days later red face, puffy under eyes and hot. hives on back.7 days later and continues, rash on face, neck and a little on chest itchy, red, bumpy, hot. ears and scalp intermittently itchy. Additional Context: It was reported that states a few days after she got the first vaccine, she isn't sure if dates are needed, but she got the vaccine on 18 MAR 2021. That day when she got home she vomited, had strange goings on with my heart, it was almost like flipping, chills, she was in bed sick for 2 or 3 days, starting the week of the 22 or the 21 she doesn't know which, she had hives on body and torso. They were red hot and puffy. Her face and neck was all red. She states that it did feel like more of a reaction. This Thursday 25 Mar 2021 the rash on my face and neck. She doesn't know if there have been any reports of these things but more specifically on the face and neck She was surprise that she had a reaction, and more vomiting. The outcome of the events was not recovered.

Other Meds: AMLODIPINE; SERTRALINE; PAROXETINE; CLONAZEPAM; D3

Current Illness: Blood pressure high (Controlled high blood pressure with medicine.)

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am