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: 1792465
Sex: F
Age:
State: MI

Vax Date: 03/17/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: left arm started really hurting; It was bad pain down to the elbow; She had ringing of the ears and was very tired; She had ringing of the ears and was very tired; her sciatica kicked up big time; a big bruise; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: ER2613), via an unspecified route of administration in left arm on 17Mar2021 (at the age of 70-years-old) as dose 2, single for COVID-19 immunization. Medical history included ongoing reactive airways disease, ongoing high blood pressure, ongoing nasal disorder, ongoing plugged up tear duct, ongoing allergies, ongoing infection on the abdomen and sciatica. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6202), via an unspecified route of administration in left arm on 24Feb2021 (at the age of 70-years-old) as dose 1, single for COVID-19 immunization and experienced loss of appetite, pretty bad headache, body aches, tightness in her chest, Ringing in ears, stomach cramps and slept 15 hours. In just a few words it was horrible. Stated that she is the only person that she knows of that had this. She has spoken with a lot of her friends and no one had this experience. It was not life threatening. She thinks she might be allergic to something in the shot. She has a lot of allergies. After the first dose, it happened gradually. It started late in the evening. She got the shot about 12 o'clock noon both times. The events started late in the evening. Normally patient doesn't get vaccines. She got the flu shot once about 15 years ago and it was terrible. Normally she doesn't get flu shot or pneumonia shot. She has bad reactions to vaccines. Patient clarified that she never got pneumonia shot. Years before she would get the flu shot at her allergist's office because they had no preservatives in it. She went to the pharmacy to get the flu shot because her insurance didn't want to pay for her doctor to do it. Concomitant medications included losartan taken for high blood pressure as 25 mg, daily, been on it for several years and ongoing; formoterol fumarate, mometasone furoate (DULERA) taken for Reactive airways disease as 200-5 mcg, two puffs twice a day, An aerosol spray, takes off and on; has been on it this time for over a year and ongoing; fluticasone taken to open nasal passages to help her breathe as two sprays in each nostril, 50 mcg every morning; been on it a long time and ongoing; fluorometholone 1 percent Eye drops, solution taken for plugged up tear duct and ongoing (the doctor wants to operate on it, but she is not crazy about it because the surgery might only be 60 percent successful); fexofenadine taken as decongestant for allergies as 180 mg, daily, She has been on it for years and ongoing; cephalexin 500 mg capsule taken for infection on the abdomen from 14Mar2021 to 23Mar2021 (The infection on the abdomen started in early Mar2021. It was like a lump. She went to the dermatologist because there is cancer in her family. The dermatologist told her not to worry. Then it erupted like a big pimple); tolnaftate antifungal solution as 2x/day, been on it for a year for toenail and ongoing. She takes several over the counter vitamins and minerals. She gets two allergy shots a week from the allergist office. The patient experienced left arm started really hurting; it was bad pain down to the elbow, she had ringing of the ears and was very tired, her sciatica kicked up big time and a big bruise on an unspecified date in Mar2021. It was reported that the arm soreness kept up for several days afterwards. She would say for five days afterward. She didn't sleep 15 hours like the first time, but she did sleep a lot. Again, until one week later she wasn't herself. After the second dose of vaccine, sciatica flared up and lasted a full 7 days. It was asked if there are chemicals in vaccine besides the stuff, she needed to fight the virus. Is there propylene glycol and is that a preservative. It wasn't as bad as the reaction she had to the flu shot, but that only lasted 24 hours and was intense. With the BNT162B2 vaccine it was wearing on her and she couldn't get a lot done that week. Outcome of left arm started really hurting; It was bad pain down to the elbow was resolved after 5 days, she had ringing of the ears and was very tired and her sciatica kicked up big time were resolved on an unspecified date in Mar2021. Outcome of a big bruise was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN; DULERA; FLUTICASONE; FLUOROMETHOLONE; FEXOFENADINE; CEPHALEXIN [CEFALEXIN]; TOLNAFTATE

Current Illness: Abdomen scan (It was like a lump); Allergy; Blood pressure high; Nail infection; Nasal disorder; Reactive airways disease; Tear disorder

ID: 1792466
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
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:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: exhaustion; joint pain; fever; This is a spontaneous report from a contactable consumer reported for a patient (Cousin's wife). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: unknown), via an unspecified route of administration on an unspecified date as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced exhaustion, joint pain and fever. Reported need to report two instances of adverse side effects that was told by a family member that received the 2nd dose of the Covid-19 vaccination. Reporter cousin's wife received the 2nd dose in (State name). Reporter cousin let reporter know that his wife, who had MS, experienced: exhaustion, joint pain and fever. The 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: 1792467
Sex: F
Age:
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: 20210317; Test Name: Nasal Swab/PCR; Test Result: Negative ; Test Date: 20210323; Test Name: Nasal Swab/PCR; Test Result: Negative ; Comments: covid test name post vaccination was PCR

Allergies:

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

Symptoms: Lump in throat; Pressure in sinuses and head; Pressure in sinuses and head; clogged ears; pain under left rib cage; off balance; tinnitus; brain fog; severe depression; anorexia; hot flashes; left eye twitch on and off; sore arm; bad cold symptoms; a low grade fever; bronchitis symptoms; Phelgm; post nasal drip; indigestion; This is a spontaneous report received from a contactable consumer (patient). A 56-year-old female non-pregnant patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EN6208, Expiration date was not reported), via an unspecified route of administration in arm left on 10Mar2021 at 11:30 AM (at the age of 56-year-old) as a dose number unknown, single for COVID-19 immunization. The patient's medical history included chronic obstructive pulmonary disease and known allergies: penicillin. The patient's concomitant medications received within 2 weeks of vaccination was reported as yes. It was reported that, the patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, has the patient been tested for COVID-19 was reported as yes. On 10Mar2021 at 11:30 AM, the patient experienced lump in throat, pressure in sinuses and head, clogged ears, pain under left rib cage, off balance, tinnitus, brain fog, severe depression, anorexia, hot flashes, left eye twitch on and off, sore arm. Then, she had bad cold symptoms for 4 days and then a low-grade fever with bronchitis symptoms for going on 12 days and not cleared up yet. Stated that, phelgm has been clear though so she thinks that was a reaction to the vaccine. Stated that, four days after vaccine, the patient used a saline nasal spray and it caused postnasal drip and indigestion on an unspecified date in 2021 and she was on for over 24 hours because of having to clear her throat. The reporter considered the seriousness of the events as non-serious. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of the events postnasal drip and indigestion while for the other events was unknown. On 17Mar2021, the patient underwent lab tests and procedures which included Nasal Swab/PCR (SARS-CoV-2 test), resulted as negative on 23Mar2021, Nasal Swab/PCR (SARS-CoV-2 test), resulted as negative, covid test name post vaccination was PCR. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1792468
Sex: F
Age:
State: CA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: moderate soreness at injection site 12 hours after; mild achy joints (knees, hips) 24 hours after; redness/tenderness/heat at injection site 48 hours after; redness/tenderness/heat at injection site 48 hours after; redness/tenderness/heat at injection site 48 hours after; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 30-years-old non-pregnant female patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Lot number: ER8732), via an unknown route of administration in left arm on 26Mar2021 at 11:00 (at the age of 30-years-old) as dose 2, single for COVID-19 immunization. The patient's medical history was not reported. She had no known allergies. Concomitant medication included escitalopram (ESCITALOPRAM) for an unknown indication from an unknown date. No other vaccine in four weeks. Other medications in two weeks were birth control, escitalopram and multivitamin. The patient received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, Lot number: EN6199), via an unknown route of administration in left arm on 05Mar2021 at 13:00 as historical vaccine (at the age of 30-years-old) as dose 1, single for COVID-19 immunization and experienced very mild soreness at injection site. On 27Mar2021 at 04:00, the patient experienced moderate soreness at injection site 12 hours after, mild achy joints (knees, hips) 24 hours after and redness/tenderness/heat at injection site 48 hours after. No COVID prior vaccination. No COVID tested post vaccination. No treatment for events. The outcome of the events was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds: ESCITALOPRAM

Current Illness:

ID: 1792469
Sex: F
Age:
State: AZ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Severe headache, within a couple of minute of vaccine. It turned to a dull headache in about 5 min; Eye sensitivity; "My" eyes feel as if I had them dilated at the dr's; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the left arm on 30Mar2021 at 11:00 (at the age of 49-year-old), as a single dose for COVID-19 immunisation. Medical history included chronic migraine, allergy to sulfa and wheat. 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 COVID vaccine. Concomitant medications included levothyroxine (MANUFACTURER UNKNOWN), lamotrigine (MANUFACTURER UNKNOWN), estradiol (MANUFACTURER UNKNOWN), clonidine (MANUFACTURER UNKNOWN), erenumab (AIMOVIG), botulinum toxin type a (BOTOX), rizatriptan (MANUFACTURER UNKNOWN), ibuprofen (MANUFACTURER UNKNOWN) and unspecified epidural; all taken for unknown indication from unknown dates and unknown if ongoing. On 30Mar2021 at 12:00, the patient experienced severe headache, within a couple of minutes of vaccine. It turned to a dull headache in about 5 minutes and had continued for all day. The patient also experienced eye sensitivity and felt as if had eyes dilated at the doctors. This started about an hour after the vaccine and continued to feel that way about 9 hours later. Since the vaccination, the patient had not been tested for COVID-19. 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. The clinical outcome of the events severe headache, dull headache, eye sensitivity and eyes felt as if dilated was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: LEVOTHYROXINE; LAMOTRIGINE; ESTRADIOL; CLONIDINE; AIMOVIG; BOTOX; RIZATRIPTAN; IBUPROFEN

Current Illness:

ID: 1792470
Sex: F
Age:
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: itching from her waist down to knees and on her elbows, and it almost looks like welts or hives; itching from her waist down to knees and on her elbows, and it almost looks like welts or hives; Injection site ache on left arm/injection site pain; Low grade fever; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6203), via an unspecified route of administration in the left arm on 22Mar2021 at 13:00 (at the age of 68-year-old), dose 2, single for COVID-19 immunisation. Medical history included ongoing high blood pressure and ongoing high cholesterol (started 15 years ago maybe). The patient had no family history. The patient did not receive any concomitant medications. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EN6201) administered via an unspecified route of administration on 01Mar2021 (at the age of 68-year-old), dose 1, single for COVID-19 immunisation. The patient did not administer any additional vaccine on the same day of COVID-19 vaccine and did not experience any adverse events. On 22Mar2021 afternoon the patient had the usual injection site pain. The patient stated the left arm was more of an ache than a pain and she still have it but it was getting better. On the same day in the evening, the patient had a low-grade fever that only lasted for twenty-four hours and then it was gone. The patient stated that she started itching on 25Mar2021 at 11:00 from her waist down to knees and on her elbows, and it almost looks like welts or hives. The patient stated that she put some Eucerin cream on it and it has subsided a bit with the cream. The patient stated that the paper said she may get a rash, but this was not all over her body. The patient was asking if this could be from the vaccine. The patient stated that she was wondering if she could take some Benadryl to help. The events did not result in emergency room visit or physician office visit. The outcome of the event low grade fever was recovered on 23Mar2021 and outcome of other events was recovering. No follow-up attempts are possible; No further information is expected.

Other Meds:

Current Illness: Blood pressure high (Started 15 years ago maybe); High cholesterol (Started 15 years ago maybe)

ID: 1792471
Sex: F
Age:
State: TX

Vax Date: 02/26/2021
Onset Date: 02/01/2021
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: 2021; Test Name: blood tests; Result Unstructured Data: Test Result:Not provided

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Caller states it hurts so bad where she got the vaccine.; the first one, the lady put it right close to the bone the shoulder; Wheezing; could hardly breathe; pain went all the way down to her elbow and it was days and days before she could move it; bad headache; started hurting in her hip; probably the arthritis in her hip is acting up; This is a spontaneous report from a contactable consumer (patient). A 84-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration, administered in left arm (shoulder) on 26Feb2021 09:40 (Number: EN6202; Expiration Date: Jun2021) (at the age of 84-years-old) as dose 1, single for covid-19 immunisation. Medical history included arthritis from 5 or 6 years ago, back problems and had back surgery back in 1999, arthralgia from an unknown date and unknown if ongoing, bronchitis chronic, cough a lot and asthma. Concomitant medications included gabapentin taken for hip pain, start and stop date were not reported; aspirin taken for an unspecified indication, start and stop date were not reported. Patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine. Patient stated that the first one, the lady put it right close to the bone the shoulder and it hurt so bad on 26Feb2021 when she put it in. The pain went all the way down to her elbow and it was days and days before she could move it. Patient stated that she couldn't even lay on it, it hurt so bad. She didn't have hardly any symptoms with it. She just had a headache, a bad headache in 2021, and it was touch and go. Patient stated maybe 4-5 days after the first shot, wheezing woke her up and she could hardly breathe and needed to get her inhaler. She didn't know if the inhaler was working and thought she might need to call 911 but then it went into effect and so she got better and night of day before reporting she didn't have no wheezing or nothing. She stated but it's getting better but did want Drug Safety to know that it does something to the asthma because she has never had it to get this bad. She stated it wakes her up when she's wheezing, and she couldn't hardly breathe. She clarified event started around 27Feb2021 or 28Feb2021 and it was ongoing because she has wheezing but not like this, she wheezes more. She stated that part was getting better and improving. She stated the one she does in the morning and the one that was a rescue one. She hasn't had to do the rescue inhaler in two days. Patient went to the doctor the first time after the first shot because she started hurting in her hip. She stated that the doctor said it's probably the arthritis in her hip was acting up. She knew it acts up when they have bad weather, but it was getting worse, not better. She stated she was unsure of when she went, she can't remember if it was in February or in March. She just knows it was kind of after the shot a little bit, the first one. The events did not require emergency room visit. The patient stated they did a blood test in 2021, when she went to the doctor, she was unsure of what blood test was done and results were not provided. The outcome of headache was recovered in 2021, outcome of vaccination site pain, wheezing, breathing difficult was recovering and outcome of all other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: GABAPENTIN; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness:

ID: 1792472
Sex: M
Age:
State:

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Headaches; Fever; Intermittent sweating; Chills; Body aches; This is a spontaneous report from a non-contactable consumer (patient). This report was received via a sales representative. A male patient of an unspecified age (Age: 53; Unit: Unknown) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 17Mar2021 10:00 as DOSE 2, SINGLE for covid-19 immunization. Patient medical history included high blood pressure and type 2 diabetes from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Historical vaccine included received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, SINGLE for covid-19 immunization. On 18Mar2021 02:00, the patient experienced headaches, fever, intermittent sweating, chills and body aches. It was reported that the events took place after use of the product. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792473
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Nausea; body ache; fatigue; joint pain; This is a spontaneous report from a contactable consumer (patient) via a Sales Representative. A 50-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date, dose 2, single for COVID-19 immunisation. Medical history included controlled multiple sclerosis. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced nausea, body ache, joint pain and fatigue. The 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: 1792474
Sex: F
Age:
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: Test Date: 20210326; Test Name: Very noticeable decline in blood pressure; Result Unstructured Data: Test Result:99/39; Test Date: 20210329; Test Name: Very noticeable decline in blood pressure; Result Unstructured Data: Test Result:104/46; Test Date: 20210329; Test Name: Very noticeable decline in blood pressure; Result Unstructured Data: Test Result:99/41

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Very Noticeable Decline in Blood Pressure; Tiredness; felt funky; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on 26Mar2021 at 10:10 (Batch/Lot number was not reported) (at the age of 69 years old) as dose 2, single for COVID-19 immunisation in a hospital. Medical history included systolic hypertension from 2008 and ongoing (high blood pressure/ systolic hypertension); ongoing arrhythmia; ongoing blood thinner use. Concomitant medications included metoprolol taken for high blood pressure on 2015 and ongoing (for 5-6 years); amlodipine taken for high blood pressure and arrhythmia on 2019 and ongoing (for 2 years); apixaban (ELIQUIS) taken as blood thinner on 2019 and ongoing (for 2 years); flecainide taken for arrhythmia on 2019 and ongoing (for 2 years). The patient was previously administered the first dose of BNT162B2, via an unspecified route of administration, administered in right arm, on 05Mar2021 (Batch/Lot number was EN6206, however also reported as EL9265) (at the age of 69 years old) as dose 1, single for COVID-19 immunisation. The patient experienced very noticeable decline in blood pressure, tiredness and felt funky on 26Mar2021. Clinical course of events was as follow: On an early evening of 26Mar2021, the patient experienced a very noticeable decline in her blood pressure. It was 99/39 while on medications for high blood pressure which was an abnormally low reading. The patient waited for 15 minutes and felt fine but felt funky on her drive home but not terrible. The patient was tired after the second shot but didn't think anything of that and stated that it was spotty now, she was back to her normal cleaning and yard work, it has improved. Treatment included adjusted dose of blood pressure medications, reduced by half, then fourth and then none today; cetirizine for a couple of days and sipped electrolyte water. The patient spoke to an urgent care on a call last night (29Mar2021) because her blood pressure was 99/41 to ask if she should make a trip to emergency room due to low blood pressure. They told her to drink electrolyte water and if it further decrease, to go to general practitioner, but if it was staying stable, she was okay. The events did not lead to emergency room or physician office visit. The patient underwent lab tests and procedures which included very noticeable decline in blood pressure: 99/39 on 26Mar2021; 104/46 on 29Mar2021; 99/41 on 29Mar2021. The outcome of events very noticeable decline in blood pressure and tiredness was recovering; the event felt funky was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: METOPROLOL; AMLODIPINE; ELIQUIS; FLECAINIDE

Current Illness: Anticoagulant therapy; Arrhythmia; Systolic hypertension (high blood pressure/ systolic hypertension)

ID: 1792475
Sex: F
Age:
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: Excruciating pain in R arm; Shoulder was immobile; Shooting pain bone deep radiating down R arm; R arm still has limited mobility; This is a spontaneous report from a contactable consumer (patient). A 50-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number: EN6202, Expiration Date: not reported) via an unspecified route of administration, administered in right arm on 27Mar2021 at 08:30 (at the age of 50 years old) as dose 1, single for COVID-19 immunisation. Medical history included mitral valve stenosis and GERD (gastrooesophageal reflux disease), both from an unknown date. The patient has no known allergies and prior to vaccination the patient was not diagnosed with COVID-19. Concomitant medications included fluoxetine hydrochloride (PROZAC) and esomeprazole sodium (NEXIUM), both taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 27Mar2021 at 08:30, the patient experienced excruciating pain in right arm and patient's shoulder was immobile. Furthermore, the patient also experienced shooting pain bone deep radiating down right arm on the same day. The pain was so extreme the patient had to go to the emergency room. The pain increased throughout the day despite ibuprofen and naproxen sodium. The pain started on 27Mar2021 at 08:30 with the injection and the immobilization of the patient's right arm remained for 2 days after ER visit. The patient's right arm still has limited mobility. Treatment was given in response to the events which included ibuprofen, naproxen sodium, lidocaine patch, paracetamol (TYLENOL), hydrocodone bitartrate;paracetamol (NORCO) and diazepam (VALIUM). Since vaccination, the patient has not been tested for COVID-19. Events resulted to doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. Outcome of all events was recovering. No follow up attempts are possible. No further information is expected.

Other Meds: PROZAC; NEXIUM [ESOMEPRAZOLE SODIUM]

Current Illness:

ID: 1792476
Sex: F
Age:
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
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:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: had pain in her knees while sitting, walking/the pain is consistent and has not left; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 63-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EL9269, expiration date: 31May2021), via an unspecified route of administration, administered in arm right on 11Feb2021 as dose 1, single (at the age of 63-year-old) and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: EN6203, expiration date: Jun2021), via an unspecified route of administration, administered in arm right on 04Mar2021 as dose 2, single for covid-19 immunization. Medical history included ongoing hypertension from 2006 (diagnosed about 15 years ago), knee replacement surgery from 2015 (surgery was 6 years ago) and ongoing blood cholesterol increased from 2006 (diagnosed about 15 years ago). Concomitant medications included meloxicam and tramadol both taken for knee pain from an unspecified start date and ongoing. On 12Feb2021, the patient experienced pain in her knees while sitting, walking. The pain was consistent and had not left. The patient had both Pfizer Covid vaccines, first dose was 11Feb2021, second dose was 04Mar2021, caller states she has experienced knee pain after the first dose, states she has had knee replacement surgery but had no issues until that first vaccine, states the pain is in both knees, the replaced knee, and the other knee, states it has been persistent since the first dose through the second dose. States it does not matter what she is doing, walking, standing, climbing moving, it is always there, nothing makes it worse. Patient wanted to know if this could be a side effect of the vaccine. The outcome of the event was not recovered. No follow-up attempts were needed. No further information was expected.

Other Meds: MELOXICAM; TRAMADOL

Current Illness: Blood pressure high (diagnosed about 15 years ago); High cholesterol (diagnosed about 15 years ago)

ID: 1792477
Sex: F
Age:
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Difficulty in swallowing; Nervous; allergies are kind of heightened right now; This is a spontaneous report from a contactable consumer (Patient).A 59-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Lot Number: EN6207; Expiration Date: 31Jul2021), via intramuscular route of administration, administered in Arm Left on 13Mar2021 as dose 1, 30ug single (at the age of 59-years) for COVID-19 immunization. Medical history included Allergy, breast cancer, allergy to pollens, allergy to grass, allergy to dogs, cats, weeds and trees. Patient took allergy shot once a month and Zyrtec as needed. Concomitant medications included tamoxifen (TAMOXIFEN) taken for breast cancer (It's for the follow up therapeutic type of drug probably) and cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication, 10 mg as needed. On an unspecified date in 2021, the patient experienced allergy and on 13Mar2021, 20 minutes after she had the shot, she had the difficulty in swallowing. So, did take an allergy pill immediately and symptoms start to subsided but she was getting nervous. The patient stated it's just she do have regular allergies. She got allergy shots as well. So, her allergies are kind of heightened right now. The patient stated she already reported her side effects. She was scheduled for another dose on Saturday 03Apr2021. So, she wanted to see, also she doesn't know if can say, can she take a allergy pill before she get it, should she take the 2nd dose or do check with someone else. She was scheduled to have her second dose 03Apr2021 and was wondering if she should continue with the second dose if she had side effects after the first dose. Therapeutic measures were taken as a result of event allergy and Swallowing difficult. The outcome of allergy was unknown and patient was recovering from difficulty in swallowing and nervousness. Follow-up attempts completed. No further information expected.

Other Meds: TAMOXIFEN; ZYRTEC [CETIRIZINE HYDROCHLORIDE]

Current Illness:

ID: 1792478
Sex: M
Age:
State: TX

Vax Date: 03/28/2021
Onset Date: 03/31/2021
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: His right eye looks very red; This is a spontaneous report from a contactable consumer or other non-HCP (patient himself). A 44-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EN6207, Expiry Date-UNKNOWN) via an unspecified route of administration in right arm on 28Mar2021 10:00 as dose 1, single (at the age of 44 years-old) for COVID-19 immunization (patient taking Pfizer COVID-19 vaccine (Verbatim) due to possible overweight). Patient Medical History (including any illness at time of vaccination) was none. There were no concomitant medications (other Products). Family medical history relevant to ae was none. Vaccination facility type was other (pop up clinic) and vaccine administered at military facility. the facility name address was unknown. Additional vaccines administered on same date of the pfizer suspect additional administered vaccines if applicable, list all vaccines administered on same date with the pfizer vaccine considered as suspect reported as none. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Prior Vaccinations (within 4 weeks), list any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was none. The patient recently experienced that his right eye looks very red on 31Mar2021. It was reported that action taken with drug was unknown. The report is not related to a study or programme. Patient questions about if this could have been caused by the COIVD-19 vaccine. Investigation Assessment reported as none. It was reported that patient doesn't have a doctor, didn't go see a doctor. Patient was not visited to emergency room and physician office. No therapeutic measures were taken for event. The clinical outcome of event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792479
Sex: F
Age:
State: MI

Vax Date: 03/15/2021
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:

Allergies:

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

Symptoms: Feeling of coldness; Nausea; Severe headache; Tiredness/fatigue/super tired; Felt like she had the flu; chills; Muscle pain; The caller was exposed to covid last Saturday; Body ache; Didn't feel well at all; This is a spontaneous report received from a contactable consumer. A 60-year-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 15Mar2021 as Dose 1,Single for COVID-19 immunization. The patient's medical history included Blood pressure high diagnosed about 5 years ago. The patient reported that a day after the 2nd dose of vaccine on 16Mar2021 at 1:00am she had very bad side effects like feeling of coldness, nausea, severe headache tiredness felt like she had the flu,chills and fatigue. The patient experienced body ache, muscle pain and didn't feel well at all on an unspecified date. All of this lasted for 36 hours. She took extra strength Tylenol after 24 hours and it helped. She asked if she is going to get the same or more severe symptoms because I heard that it is worse with the second dose and if she is not able to take her second dose in 21 days, because they are having an outbreak there, how long should it be before she should get the second dose. The patient was exposed to covid last Saturday and she was only exposed for about 7 hours. The patient's friend tested positive 2 weeks after the vaccine. And received the vaccine on the same day as the patient. The reporter also wants to know how long to wait to get the second dose if you test positive for covid after the first dose. The outcome of the events were recovered on 17Mar2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792480
Sex: F
Age:
State:

Vax Date: 03/27/2021
Onset Date:
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 Date: 2021; Test Name: temperature; Result Unstructured Data: Test Result:99.4 Fahrenheit; Test Date: 2021; Test Name: mammogram; Result Unstructured Data: Test Result:No lumps; Test Date: 2021; Test Name: ultrasound; Result Unstructured Data: Test Result:No lumps

Allergies:

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

Symptoms: the rash showed up on the evening after her second dose and it was all over her belly below her navel, on her back on both sides of her spine, and right above her buttocks.; itches; the rash looks very inflamed; on my back, on both sides were more red marks and itchy; chills; fever; achiness; discoloration on one side of my breast and it was on opposite side on; on my back, on both sides were more red marks and itchy; I took my temperature, it was 99.4 and I just felt horrible all day; I took my temperature, it was 99.4 and I just felt horrible all day; felt really, really I mean no energy; This is a spontaneous report from a Contactable Consumer (patient). A 74-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8733, Expiry date: unknown), dose 2 via an unspecified route of administration, administered in Arm on 27Mar2021 as dose 2, single for covid-19 immunisation. The medical history and concomitant medications were not reported. Historical vaccine included bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported, Expiry date: unknown), dose 1 via an unspecified route of administration, administered on an unspecified date as dose 1, single for covid-19 immunisation and experienced discolouration on her breast. The patient experienced rash showed up on the evening after her second dose and it was all over her belly below her navel, on her back on both sides of her spine, and right above her buttocks. The rash itches like crazy. She hadn't changed anything such as laundry detergent. She went to a dermatologist in which the doctor stated they had a few people come in after the vaccine with rashes. It was not hives, but the rash looked very inflamed. She was given samples of cream to try on it. She also had chills, a fever, and achiness that lasted through Sunday. She asked if there had been a lot of reports of something like this going on? She stated that she did not know if it was a coincidence, but something had occurred each time she received a dose. After the first dose that she received on a Friday, that Monday when she was getting dressed, she noticed discoloration on her breast. She saw a gynaecologist in which they did a mammogram and an ultrasound but did not see any lumps. The gynaecologist didn't think it was anything, but the discoloration was still there, hadn't changed, other than faded some. Her husband (74-year-old, male) immediately felt the vaccine in their arm with the first dose but felt nothing with the second injection. Her husband had been undergoing radiation and yesterday was his last treatment. Her husband had no reactions to the vaccines. Saturday evening her stomach below her waist started itching and she thought that she was going to be okay, on 2 O'clock in the morning she woke up and she had chills and she had several layers on and she was thinking why she was so cold, like freeze in a house and she was like and so you know went back to sleep, got up in the morning and she didn't feel good, her niece took her out of bed, they just ate and she took her temperature, it was 99.4. I just felt horrible all day. She meant no energy whatsoever, and this stomach itching kept going and going to the point where, across my whole stomach and inside itched like crazy, then she turned around on her back, on both sides were more red marks and itchy and she felt, what in the world and she thought was that vaccine. In fact, she hadn't changed any type of food that she ever ate. She still had a rash by the way, on Wednesday, it started Saturday night, after having the vaccine and still had the rash and so she would like to speak to the medical department. The patient underwent lab tests and procedures which included body temperature: 99.4 Fahrenheit, mammogram: no lumps and ultrasound testes: no lumps on an unspecified date in 2021. Therapeutic measures were taken as a result of the events. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792481
Sex: F
Age:
State: NC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Body ache; This morning I was like short of breath; This is a spontaneous report from a contactable consumer. A 50-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiration date were not reported), via an unspecified route of administration on 25Mar2021 (at the 50-years-old) at unknown dose number single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced body ache, short of breath on 25Mar2021. She wanted to know if she could take any Tylenol or Aspirin or other medicines. The 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: 1792482
Sex: M
Age:
State: KS

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache developed 18hr post vaccination; This is a spontaneous report from a contactable consumer, the patient. A 17-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN5318) via an unspecified route of administration in the arm left on 30Mar2021 at 09:00 (at the age of 17-year-old) as a single dose for COVID-19 immunisation. The patient did not have any relevant medical history. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not have any allergies to food, medications, or other products. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any other medications within two weeks of vaccination. On 31Mar2021 at 12:00, 18 hours post vaccination, the patient experienced 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 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 headache was resolving at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792483
Sex: M
Age:
State: NJ

Vax Date: 03/12/2021
Onset Date: 03/01/2021
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: lost his taste and smell; lost his taste and smell; sore throat; sore body; This is a spontaneous report from a contactable consumer or other non-health care professional (Patients Son). A 67-year-old male patient received bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown Expiration date: Unknown) via an unspecified route of administration (at the age of 66-year-old), administered in Left Arm (left upper arm by the shoulder) on 12Mar2021 between 0900 and 1000 in the morning as dose 1, single for COVID-19 immunization. Patient medical history included ongoing diabetes mellitus (Diagnosed about 10-20 years ago) and ongoing hypertension (Diagnosed about 10-20 years ago). There were no concomitant medications. On 30Mar2021 patient experienced lost his taste and smell. On an unspecified date in Mar2021 patient experienced sore throat, sore body. The reporter was calling about his father who received his first dose of the Covid vaccine 3 weeks ago. Stated his father is experiencing soreness of his body, sore throat, loss of taste, and loss of smell. Soreness of the body and throat: Started about a week ago, has improved but is still there. Loss of Taste and Smell: Started yesterday. Persisting the same. Caller wonders if this is something that is a normal side effect of the vaccine. States that his next dose is due next week. The reporter denied medications, labs, testing, or treatments relevant to this event. Reporter wonders if this is something that is a normal side effect of the vaccine. No Prior Vaccinations within 4 weeks of vaccination. The patient did not take any treatment for the events. States that his next dose is due next week. The outcome of event lost his taste and smell was not recovered and outcome of events sore throat, sore body was recovering. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Diabetes; Hypertension

ID: 1792484
Sex: F
Age:
State:

Vax Date: 03/23/2021
Onset Date: 03/25/2021
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 Date: 20210325; Test Name: fever; Result Unstructured Data: Test Result:Low grade

Allergies:

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

Symptoms: Low grade fever; she can't function or do anything; something that eventually is going to kill her. It is overwhelming, she should have never done this, she doesn't wanna die; she is getting sicker; feels like somebody drugged her with something that eventually is going to kill her/feels like she is drugged or that something is invading her body, she can't function or do anything; This is a spontaneous report from a contactable consumer (patient). A 60-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot number was not reported), via an unspecified route of administration on 23Mar2021 as dose 1, single for covid-19 immunization. Medical history included Seasonal allergy (stated that she was normally a healthy person, she had inhalant and seasonal allergies), chemical sensitivity and hypoglycemia. Concomitant medications were not reported. On an unspecified date in 2021, the patient experienced that she was getting sicker, feels like somebody drugged her with something that eventually was going to kill her/feels like she was drugged or that something was invading her body, she can't function or do anything and on 25Mar2021, the patient experienced low grade fever. It was reported that, patient got the first dose of Pfizer's COVID-19 vaccine on Tuesday 23Mar2021 afternoon, this was awful. She got sick, lived alone, her body was not accepting the vaccine and she was getting sicker. She said that the first day she was energized which was Wednesday, then Thursday there were symptoms, and she went to work and had a low-grade fever, so she couldn't stay at work. She says Friday she felt the same, just a rush of all symptoms that are not getting better. She says now it was Wednesday morning and it was unbelievable, it had been 7 days, now was the 8th day, she could do anything in the morning, felt like she was drugged her with something that eventually was going to kill her or that something was invading her body, she can't function or do anything. It was overwhelming, she should have never done this, she doesn't want to die. She says she was normally a healthy person, she had inhalant and seasonal allergies and some chemical sensitivities and hypoglycemia. She says that she doesn't know how to reverse this reaction and lives alone, and she doesn't know if she should call 911. She says she needs to find out how to feel better, and needs to speak to someone, and does not wish to complete a report. On 25Mar2021, the patient lab tests included fever: low grade. The outcome of the events were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792485
Sex: M
Age:
State:

Vax Date:
Onset Date:
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: flush feeling; I had to think about swallowing before swallowing; scratchy swollen throat; This is a spontaneous report from a contactable consumer (patient) from a Pfizer-sponsored program. A 50-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: not reported, Expiry date: not reported), via an unspecified route of administration on an unspecified date (at age of 50-years-old) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced flush feeling, I had to think about swallowing before swallowing and scratchy swollen throat. The caller stated that the patient had a flush feeling and feeling that the patient had to think about swallowing before swallowing, but those feelings felt better 25 minutes after. The patient didn't need help and the patient drove himself home. The caller stated that were the symptoms going to be worse when he took his second dose. The patient worried about having an allergic reaction. Caller received first dose of bnt162b2 vaccine and had mild reactions to it. He experienced scratchy swollen throat and flushing. He was wondering if the side effects were the same for the first and second dose. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792486
Sex: M
Age:
State: SC

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: Unevaluable event

Symptoms: smelling sensation that resembles the smell of deep heating a sore muscle with a rub, the smelling sensation is present all the time and it seems to be getting stronger; dry cough; This is a spontaneous report from a contactable consumer (patient) via RA. A 69-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: ER8733, expiration date was not reported) via an unspecified route of administration, in right arm, on 25Mar2021 (at the age of 69-year-old), at dose 2, single for covid-19 immunization from hospital. Medical history included rotator cuff problems in his left arm. Concomitant medication included cortisone taken for rotator cuff problem in his left arm, about a week and a half ago. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EN6205, expiration date was not reported) via an unspecified route of administration, in left arm, on 03Mar2021, at dose 1, single for covid-19 immunization and flu shot (INFLUENZA VACCINE) on Nov2020 (two years ago) and experienced cough, runny nose, and chills. The patient experienced dry cough on 25Mar2021, and it only lasted for a few hours. On 28Mar2021, the patient had a smelling sensation that resembles the smell of deep heating a sore muscle with a rub; it smells like when applied a deep heat to a sore muscle and it is present all the time and getting stronger. There were no investigation assessments. The outcome of the event dry cough was recovered on 26Mar2021 and the other event was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds: CORTISONE

Current Illness:

ID: 1792487
Sex: F
Age:
State:

Vax Date: 02/24/2021
Onset Date: 02/28/2021
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: bad rash; It itched like crazy; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported that an 88-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration Date was not reported), via an unspecified route of administration on 24Feb2021 (at the age of 88 years-old), as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. Patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration Date was not reported), via an unspecified route of administration on 03Feb2021 (at the age of 88 years-old), as dose 1, single for COVID-19 immunization and experienced lightheadedness/dizzy, super nauseous, vomit, sore arm, tired, and muscle soreness. After receiving the second dose, the patient experienced bad rash, and it itched like crazy on 28Feb2021. It was reported that on 28Feb2021, patient broke out with a bad rash. Patient's daughter reported this to the Pfizer system and patient wanted to reaffirm this information. He read the information a few days after this about a bad rash that could occur all over your body. It itched like crazy. Patient saw his primary doctor who prescribed a cream that helped a little bit. A week ago, patient saw his dermatologist who prescribed the same cream. Though the rash was starting to clear up on his legs and arms where he had it, now it's getting worse on his back and chest. As he was looking at it now, it's a little better today than yesterday. The outcome of rash was recovering while pruritus 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: 1792488
Sex: F
Age:
State: FL

Vax Date: 03/29/2021
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: 202010; Test Name: COVID-19; Test Result: Positive

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Woke up that night; Massive headache; Left arm pit was swollen; Tired; Fever; Sweats; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number was not reported), via an unspecified route of administration, on 29Mar2021 at 07:00 AM, as dose 1, single, for COVID-19 immunization. The patient's medical history included COVID-19 positive from Oct2020. The patient's concomitant medications were not reported. On 30Mar2021 at 02:00 AM, the patient woke up that night with a massive headache and her left arm pit was swollen. The patient took paracetamol (TYLENOL) and was tired the entire next day (30Mar2021 at 02:00 AM), but her headache felt better. In Mar2021, the patient also experienced a perceived fever and had sweats. The patient continued to take paracetamol to treat her symptoms. The patient wanted to know more information on how long the side effects could last. The patient was scared to get the second dose because of the possibility for side effects being worse and she is getting married a few days after the second dose. The patient wanted to know if she can delay the second dose. The patient was recovering from "Massive headache". The outcome of the other events was unknown. No follow-up attempts are possible; information about lot or batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792489
Sex: U
Age:
State:

Vax Date: 03/01/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Swelling in Armpit; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date not reported), via an unspecified route of administration in Mar2021 as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced swelling in armpit on an unspecified date. The reporter wanted to know if it was normal to get swelling in armpit seven days after getting the vaccine. The outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792490
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

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

Symptoms: Rash on my buttocks/ it was itchy and it had gotten a little bigger; My face was swollen; Very tired; Sleeping a lot; This is a spontaneous report from a contactable consumer (patient). A 54-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: ER8732 and expiration date: not reported), via an unspecified route of administration, in Left Arm, on 23Mar2021 at 12:45 (at the age of 54-year-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included sinusitis from Oct2020. 6 months ago, when patient had a sinus infection, doctor gave a steroid shot back. In 02Mar2021, the patient had to go back to the doctor's, and they gave her amoxicillin and steroid pills that patient had to take for the sinus infection as well. The patient had no concomitant medications. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. On 24Mar2021, the patient face was swollen, and patient was very tired. On 30Mar2021, patient noticed a rash on her buttocks and stated that it was around that steroid shot, rash started there, and it seems to be getting bigger and itchy. Further reported that patient was sleeping a lot on Mar2021. The patient would like to know If the rash is part of the symptoms and if they could get shingles with the vaccine as side effect. No treatment was received for the event Rash pruritic. The outcome of the event Swelling face recovered in 25Mar2021, Tiredness was recovering, Rash pruritic was not recovered, and Sleeping a lot was unknown at time of report No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792491
Sex: M
Age:
State: MI

Vax Date: 03/22/2021
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: chills; fever /running fever/fever like 100; This is a spontaneous report from a contactable consumer (patient) from medical information team. A 53-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: ER2613, expiration date was not reported) via an unspecified route of administration, in left arm, on 22Mar2021 (at the age of 53-year-old), at dose 1, single for covid-19 immunization. Medical history included kidney transplant, diabetic and high blood pressure. Concomitant medications included tacrolimus as anti-rejection medicine; insulin aspart (NOVOLOG) taken for insulin, nifedipine taken for blood pressure (as blood pressure pill). The patient experienced chills and fever /running fever/fever like 100 from the last Wednesday on 24Mar2021. There were no investigation assessments. Therapeutic measures were taken included Tylenol. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: TACROLIMUS; NOVOLOG; NIFEDIPINE

Current Illness:

ID: 1792492
Sex: M
Age:
State:

Vax Date: 03/21/2021
Onset Date: 03/28/2021
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: Test Date: 202103; Test Name: Fever; Result Unstructured Data: Test Result:99.7; Test Date: 20210330; Test Name: Fever; Result Unstructured Data: Test Result:99.9F

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: vomiting; fever of 99.9F; feeling weak; Sick; This is a spontaneous report from a contactable consumer via Pfizer sponsored program. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration on 21Mar2021 as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number was not reported), via an unspecified route of administration on unspecified date as dose 1, single for covid-19 immunisation. The patient got the 2nd dose on 21Mar2021 and 7 days later on 28Mar2021patient was sick. On 30Mar2021, patient experienced vomiting, fever of 99.9F/99.7 and feeling weak. Patient wants to know if these are all normal or if he should take patient to the hospital. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds:

Current Illness:

ID: 1792493
Sex: F
Age:
State: CT

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Hematoma; Small red almost like a blood blisters on my hand; the lesion is on my hand on the top of my hand; looks like a lesion or blister; Small red almost like a blood blisters on my hand; the lesion is on my hand on the top of my hand; looks like a lesion or blister; This is a spontaneous case received from a contactable consumer (patient). A 57-year-old female patient received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: ER8737, expiration date: Jul2021), via an unspecified route of administration in left arm on 30Mar2021 14:45 as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 30Mar2021 20:00, the patient experienced haematoma and small red almost like a blood blister on her hand; the lesion is on her hand on the top of her hand; looks like a lesion or blister. The patient did not undergo any lab tests. The patient did not receive any treatment for the events. The 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: 1792494
Sex: F
Age:
State: NC

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: swelling in her armpit and swelling beneath the armpit on the side of her chest and above her left breast; swelling in her armpit and swelling beneath the armpit on the side of her chest and above her left breast; swollen lymph nodes; purple dots along her left side, similar to a bruise; This is a spontaneous report from a contactable consumer (patient) received via medical information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration in left arm on 23Mar2021 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient experienced swelling in her armpit and swelling beneath the armpit on the side of her chest and above her left breast and swollen lymph nodes on 26Mar2021, purple dots along her left side, similar to a bruise on an unspecified date in Mar2021. Patient would like to know whether swollen lymph nodes, could last up to 2-4 weeks. It was reported that three days after vaccination, patient noticed swelling under her armpit on the arm where she got the vaccination; it is still swollen; and has purple dots and looks like it was bruised. She was asking is this normal. Outcome of events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792495
Sex: F
Age:
State: NY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: 20210331; Test Name: body temperature; Result Unstructured Data: Test Result:100.5

Allergies:

Symptom List: Injection site pain

Symptoms: high fever; aches and pains; Headache; muscle aches; extremely sick; soreness in the arm; feeling weak; This is a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EB7533 and expiration date: not reported), via an unspecified route of administration, on 30Mar2021 (at the age of 59-year-old), as DOSE 2, SINGLE for covid-19 immunization. Medical history included ongoing hypertension, prediabetic, and High cholesterol. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), on 12Mar2021 (at the age of 59-year-old), as DOSE 1, SINGLE for covid-19 immunization. On 31Mar2021, the patient was extremely sick, with high fever, aches and pains, headache, and muscle aches. On 30Mar2021 patient experienced soreness in the arm and started feeling weak. The patient underwent lab tests and procedures which included body temperature: 100.5 on 31Mar2021. The outcome of the events extremely sick and high fever was unknown, soreness in the arm, feeling weak, aches and pains, Headache and muscle aches was not recovered at time of report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness: High cholesterol; Hypertension; Pre-diabetic

ID: 1792496
Sex: M
Age:
State: NY

Vax Date: 03/27/2021
Onset Date: 03/29/2021
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: Severe cramping to chest/My toes and calves are cramping/my right side of the chest was starting to cramp/ hands, fingers and his right ankle severe cramping.; Rght wrist has locked up; This is a spontaneous report from a contactable consumer (patient). A 59-year-old male patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number was not reported; manufacturer: Unspecified; NDC number and Expiry Date of Pfizer COVID 19 vaccine: Unknown) via an unspecified route of administration, administered in deltoid left on 27Mar2021 at 17:30 as dose 1, single (at the age of 59 years old) for covid-19 immunisation. Patient medical history and concomitant medications were not reported. No other products were reported. History of all previous immunization with the Pfizer vaccine considered as suspect and Additional Vaccines Administered on Same Date of the Pfizer Suspect was none, family history was none. The patient experienced severe cramping to chest/my toes and calves are cramping/my right side of the chest was starting to cramp/ hands, fingers and his right ankle severe cramping and right wrist has locked up on 29Mar2021. No emergency room or physician office visit. Prior vaccinations within 4 weeks were none. Relevant test was none. Patient questioned that I had my 1st Pfizer vaccine on 27Mar2021 5:30pm. Patient reported that he had severe cramping to chest, his right wrist has locked up. His toes and calves were cramping, and he woke up this morning and his right side of the chest was starting to cramp but he rubbed it before it got started. He called to report this to make sure this was a symptom of the vaccine. He not sure it is causing it but this is the only thing that has changed. His other medications have not. Disclaimer provided: Side effects that have been reported with the Pfizer-BioNTech COVID-19 Vaccine include: muscle pain. These may not be all the possible side effects of the Pfizer-BioNTech COVID-19 Vaccine. Serious and unexpected side effects may occur. Pfizer-BioNTech COVID-19. Vaccine was still being studied in clinical trials.1. Consumer reporting on side effects; states he got the first dose of the Pfizer COVID 19 vaccine 27Mar2021 at 17:30PM in the left shoulder. Reports last night he had in both hands, fingers and his right ankle severe cramping. He was asking that was it normal. Adds normally cramps just last a minute and then they are gone but these were coming and not stopping. It happened twice and it was painful enough to bring tears to your eyes. Adds today he was fine. He is planning to get the second dose on 17Apr2021. Adds the shot is the only thing new and he is thinking that is the cause of the cramps. The outcome of the events was recovered on 30Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792497
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: needed an EpiPen after receiving the Pfizer Covid vaccine; This is a spontaneous report from a contactable consumer or other non hcp. A female patient of an unspecified age received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that, Caller states that her 32 y/o son has a histamine allergy. When he drinks wine "his face turns beet red." He is scheduled to get the Pfizer Covid vaccine soon. She is worried because she heard from a friend who' s daughter needed an EpiPen after receiving the Pfizer Covid vaccine ,the patient experienced needed an EpiPen after receiving the Pfizer covid vaccine on 2021 with outcome of unknown. No follow-up attempts are possible; information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1792498
Sex: M
Age:
State: OH

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Existing Tinnitus made significantly worse beginning one day after vaccination; Bad taste in mouth; nausea; General spacey feeling in head; weakness; slight swelling in face/neck on the side the vaccine was given, lasting for about 6 hours after the vaccination was initially administered; This is a spontaneous report from a contactable consumer (patient). A 38-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported) via an unspecified route of administration, administered in right arm on 29Mar2021 at 09:45 (at the age of 38 years old) as dose number unknown, single for COVID-19 immunisation in a hospital. Medical history included eczema, prostatitis, childhood asthma, shellfish allergy- all from an unknown date; and ongoing tinnitus from 2016 (began about 5 years ago after a procedure to remove earwax with water pressure at a urgent card clinic). Prior to vaccination the patient was not diagnosed with COVID-19. There were no concomitant medications. The patient did not receive any other vaccines in 4 weeks and has no medications received in 2 weeks. On 29Mar2021, the patient experienced slight swelling in face/neck on the side the vaccine was given, lasting for about 6 hours after the vaccination was initially administered. Then on 30Mar2021 at 23:00, the patient reported that existing tinnitus became significantly worse beginning one day after vaccination. If base line was 25/100 annoying, it is now 50/100 annoying (as reported). The patient did not suffer from general hearing loss. Furthermore, on 30Mar2021 at 23:00, the patient experienced bad taste in mouth, nausea, general spacey feeling in head, and weakness. No treatment was received for the adverse events. Since vaccination, the patient has not been tested for COVID-19. The patient recovered from slight swelling in face/neck on the side the vaccine was given on an unspecified date in Mar2021 but has not recovered from the rest of the events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness: Tinnitus (began about 5 yrs ago after a procedure to remove earwax with water pressure at a urgent card clinic)

ID: 1792499
Sex: U
Age:
State:

Vax Date: 03/22/2021
Onset Date:
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: arm was sore, tired and nauseous; cannot take the smell; arm was sore, tired and nauseous; arm was sore, tired and nauseous; This is a spontaneous report from a contactable consumer (patient). This consumer reported about herself that: A patient of an unspecified age and gender received dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported, NDC/UPC number and Expiry Date: Unknown) via an unspecified route of administration on 22Mar2021 11:40, as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced arm was sore, tired and nauseous and cannot take the smell. The patient stated that on last Monday 22Mar2021, received the Pfizer COVID Vaccine at 11:40 and had no problems, but at night arm was sore and was talking about the side effects now was tired and nauseous. But the real call was that cannot take the smell, the consumer asked if it was that part one of the side effects. The consumer also asked some questions about the vaccine that did you know anything about this vaccine side effects. Consumer was informed about Pfizer Medical information department and was provided with the number. Product details (LOT#, NDC#, UPC# and Expiration date) and Pharmacy details were not available over the call as the consumer hung up the call abruptly. The clinical outcome of all the events was reported as unknown. No follow-up attempts are possible. Information about lot/batch number cannot be requested.

Other Meds:

Current Illness:

ID: 1792500
Sex: M
Age:
State: IL

Vax Date:
Onset Date:
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: swelling under the armpit; muscle pain at the site of injection; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 2 patients. This is the second of 2 reports. A 61-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced swelling under the armpit and muscle pain at the site of injection after receiving the second dose of the Pfizer covid-19 vaccine. There was no swelling at the site of the injection, only swelling under the armpit on the same arm the injection was given. The swelling under the armpit was continuing. The outcome of the event swelling under the armpit was not recovered (reported as continuing) and outcome of event some muscle pain at the site of injection was unknown. The reporter was querying if these were anything serious to be concerned about, how long could it last, what should be done about it and should the doctor be notified if it does not go away. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021361736 Same reporter and drug, similar event, different patient.

Other Meds:

Current Illness:

ID: 1792501
Sex: F
Age:
State: CA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
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: headaches; chills; little bit of a temperature; body ache/pain; This is a spontaneous report from a contactable consumer (patient). A 54-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 25Mar2021 19:00 (at the age of 54 year old) as dose 2, single for COVID-19 immunisation. The patient medical history, family history and concomitant medications were reported as none. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), lot number EN6205 , via an unspecified route of administration in left hand on 04Mar2021, as single dose for COVID-19 immunization. On 25Mar2021, she got the second shot of the vaccine. The first day and a half after the vaccine, on 26Mar2021, she was having chills, a little bit of a temperature, body aches and she was kind of okay but had pains here and there. On 28Mar2021 she had headache, where it was not bad, as the day went on, it got worse. For the past 2 days (29Mar2021, 30Mar2021), she has been having bad headaches. Last night (on 30Mar2021 night) she took two Advil (strength 200mg, Lot Number: 3532417, expiry: Feb 2022) at 1:00 and woke up at 5:00. Even though she slept four hours, her head was still hurting. At 7:00, in the morning on 31Mar2021, she took two extra strength Tylenol (500mg each, Lot Number: SBA051, expiry: Dec 2021) and still has headache at the time of report. No relevant test had done. The outcome of the event headache 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: 1792502
Sex: F
Age:
State:

Vax Date: 03/29/2021
Onset Date:
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: Test Name: body temperature; Result Unstructured Data: Test Result:97.3 - 99.4 Fahrenheit

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: achiness; low grade fever (97.3?F to 99.4?F); headaches; tiredness; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot number and Expiration Date: not reported) via an unspecified route of administration on 29Mar2021 as dose 2, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced achiness, low grade fever (97.3?F to 99.4?F), headaches and tiredness. The patient mentioned she would be having a dinner with some kids and was seeking information on whether she should be around kids or to just cancel. Outcome of all 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: 1792503
Sex: M
Age:
State: CT

Vax Date: 03/24/2021
Onset Date: 03/27/2021
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: 20210331; Test Name: Nasal swab; Result Unstructured Data: Test Result:Pending

Allergies:

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

Symptoms: pain and soreness at the site of injection in his left arm; break out in hives; This is a spontaneous report from a contactable consumer (patient). A 31-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Lot number: EN6206, Expiration date was not reported), via an unspecified route of administration (administered on the left arm) on 24Mar2021 at 12:15 (at the age of 31-years-old) as dose 1, single for COVID-19 immunisation. The patient's medical history was not reported. The patient has no concomitant medications since the patient didn't receive any medications in two weeks. The patient previously took CODINE and experienced allergy. The patient didn't receive any other vaccines within 4 weeks prior to COVID vaccine. Prior to vaccination, the patient has not been diagnosed with COVID-19. On 27Mar2021 at 12:00, the patient experienced pain and soreness at the site of injection in his left arm and break out in hives. It was further reported that the hives have gotten progressively worse, and the outbreaks happen at random. The patient believed that the events were reaction to the vaccine. The events resulted in emergency room visit. Therapeutic measures were taken as a result of the events which included Prednisone and diphenhydramine hydrochloride (BENADRYL). The patient underwent lab tests and procedures which included Polymerase chain reaction (PCR) with pending results on 31Mar2021. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792504
Sex: U
Age:
State:

Vax Date: 03/28/2021
Onset Date: 03/30/2021
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:

Allergies:

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

Symptoms: body aches; joint pain; fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age (Age: 32; unit: Unknown) and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number and Expiration Date was not reported), via an unspecified route of administration on 28Mar2021 15:00, as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced fever on 30Mar2021, body aches, joint pain on an unspecified date. Patient was asking if paracetamol (TYLENOL) can be taken for cold-like symptoms. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792505
Sex: F
Age:
State:

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: LA

Lab Data: Test Name: X-ray; Result Unstructured Data: Test Result:Results Unknown; Comments: X-rays show she has bone touching bone in her knee

Allergies:

Symptom List: Pain in extremity

Symptoms: her knee was in "out of control pain"; joint stiffness in this knee for a while now; she has to wear a brace and walk with crutches/ Having to use brace and crutches/Leg giving her lots of problems, couldn't hardly walk; hasn't been able to drive or work for the past 2 weeks; hasn't been able to drive or work for the past 2 weeks; X-rays show she has bone touching bone in her knee; she and her husband were around an asymptomatic covid patient; This is a spontaneous report from a contactable consumer (patient) via medical information team. A 64-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, in left arm, on 19Mar2021 (at the age of 64-years-old), at dose 1, single for covid-19 immunization. Medical history included preexisting issue with her knee, like arthritis, wasn't bothering her before, just stiff. The patient's concomitant medications were not reported. On 20Mar2021, the patient experienced her knee was in out-of-control pain, joint stiffness in this knee for a while now, she has to wear a brace and walk with crutches; leg giving her lots of problems. The patient couldn't hardly walk, hasn't been able to drive or work for the past 2 weeks, her x-rays showed bone touching bone in her knee on Mar2021. It was also reported that she and her husband were around an asymptomatic covid patient after first vaccination in Mar2021. The patient underwent orthopedic office twice for the events leg was giving her a lot of problems. The patient underwent lab tests and procedures which included x-ray showed bone touching bone in her knee on Mar2021. Therapeutic measures included: treating her pain with anti-inflammatories, Tylenol and ice, and the pain is improving. The outcome of the event knee pain was recovering, and outcome 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: 1792506
Sex: F
Age:
State: GA

Vax Date:
Onset Date:
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: fixed drug eruption of the left wrist which she describes as a small circular rash spot; This is a spontaneous report from a contactable nurse received via Medical Information Team. A "20" (age unit not specified) female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced a fixed drug eruption of the left wrist which she describes as a small circular rash spot on the patient's left wrist, with no other symptoms. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792507
Sex: F
Age:
State: MI

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: swelling to the right side of her face/right sided facial swelling; This is a spontaneous report from a contactable consumer (parent) and another consumer via medical information team and a Pfizer Sponsored program. A 16-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: ER8733, expiration date was not reported) via an unspecified route of administration, in left arm, on 29Mar2021 09:45 (at the age of 16-years-old), at dose 1, single for covid-19 immunization. Medical history included ongoing medullary sponge kidney from Feb2005; she was born with it, ongoing celiac disease from Feb2017, ongoing urinary tract infection (still has the infection, it didn't go away) and heavy periods. Concomitant medications included ethinyl estradiol, etonogestrel (NUVARING) taken for heavy periods from 20Mar2021 and ongoing; cefalexin taken for urinary tract infection from 20Mar2021 to 28Mar2021 and she took supplements (unspecified). The patient did not receive any other vaccines within 4 weeks prior to the covid-19 vaccine. The patient had no additional vaccines administered on same date of vaccination and no history of previous immunization with bnt162b2. On 30Mar2021 09:45, 24 hours after vaccination, the patient experienced swelling to the right side of her face/right sided facial swelling. The reporter assessed the event as non-serious. There were no investigation assessments. Therapeutic measures were taken included Benadryl and it did not make any difference to her. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: NUVARING; CEPHALEXINE

Current Illness: Celiac disease; Medullary sponge kidney (she was born with it); Urinary tract infection (Caller states that her daughter still has the infection, it didn't go away, but that's another story.)

ID: 1792508
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: her throat had mucus or phelgm; her teeth were shivering; her arm was a little bit red; This is a spontaneous report from a non-contactable consumer (parent). A 16-year-old female patient received BNT162B2 (PFZIER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. Medical history included anaphylactic allergy to treenuts. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced her throat had mucus or phlegm, her teeth were shivering, and her arm was a little bit red. Benadryl was given as a treatment for the events. The patient is scheduled to take the second dose of the vaccine. The parent wanted to know if the first and second dose of the vaccine is identical in composition and in strength. The parent of the patient wanted to know if they should expect the same type of reaction for the second dose of the vaccine. He wanted to know if there would be exponentially worse reactions or less reactions because the body is already familiar with the vaccine with the second dose of the vaccine. Is it better to eat before and after getting vaccinated to dilute the vaccine out in the body? He wanted to know if it is ok to give Benadryl or Zyrtec before vaccination and what is the percentage in immunity after the first dose of the vaccine. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792509
Sex: U
Age:
State: AL

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: I started perspiring in the forehead; I am very hot; I had dark pink flushing on my right cheek and neck; I started perspiring in the forehead; I am very hot; This is a spontaneous report from a contactable other HCP (nurse, the patient) reported. A patient of an unknown age and gender received BNT162B2 (Pfizer-Biontech COVID-19 Vaccine, solution for injection, batch/lot number: unknown, expiry date: unknown), via an unknown route of administration on 24Mar2021 as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medication was not reported. On 24Mar2021, the patient started perspiring in the forehead, the patient was very hot; patient had dark pink flushing on patient's right cheek and neck; irritation with lot of medications like antibiotics (Unspecified medications). Nurse stated, had the first dose of the vaccine (Covid Vaccine) last Wednesday just this past Wednesday and while the patient was in the waiting room like 20 minutes after the immunization the patient started perspiring in the forehead. The nurse manager came over and asked nurse if ?I am okay and I said no I am very hot so they took me into a room and I had dark pink flushing on my right cheek and neck'. The patient was so hot they prepare half an hours and they gave me Benadryl 25 mg. The patient do have a history of some kind of irritation with lot of medications like antibiotics (Unspecified medications). The patient never had an allergic reaction to the vaccine, the patient did not experience anaphylaxis at this time or breathing problem. The patient received treatment for events. The outcome of events was unknown. No follow-up attempts are possible; information about lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1792510
Sex: F
Age:
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Migraine that was very faint before had the COVID-19 vaccine, just got worst; Feelings of nausea; Headache again; This is a spontaneous report from a contactable consumer, the patient. A 46-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8727) via an unspecified route of administration in the left arm on 30Mar2021 at 14:45 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. Medical history included sleep apnea and migraine headache. 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 COVID vaccine. Concomitant medications included acetylsalicylic acid/ caffeine/ paracetamol (EXCEDRIN) for migraine headache and from unknown start date. The patient previously received codeine (MANUFACTURER UNKNOWN) and experienced drug allergy. On 30Mar2021 at 17:30, the patient experienced migraine that was very faint before had the COVID-19 vaccine which just got worst along with feelings of nausea that got worst throughout the evening & into the morning of 31Mar2021 and headache again occurred. 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 migraine that was very faint before had the COVID-19 vaccine, just got worst, feelings of nausea and headache again were not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: EXCEDRIN [ACETYLSALICYLIC ACID;CAFFEINE;PARACETAMOL]

Current Illness:

ID: 1792511
Sex: F
Age:
State:

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Tingling on face and lips; Tingling on face and lips; Redness; Rash; This is a spontaneous report from a contactable consumer (patient) via medical information team. A female patient of an unspecified age (also reported as aged 61) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, on 29Mar2021 15:00, at dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced a little face tingling with a little redness and rash on the day before the time of report (30Mar2021) and then had some lip tingling on the day of report (31Mar2021). The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792512
Sex: F
Age:
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: Chills; Vomiting and dry heaves; Vomiting and dry heaves; Pounding headache; Joint pains; Eyes (saw crazy designs on walls) felt very shakey inside; Wanted to was sleep; fatigue; nausea; This is a spontaneous report from a contactable consumer (patient). A 79-years-old non-pregnant female patient received second dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Lot number: POD 30) via an unspecified route of administration, administered in arm right on 26Mar2021 10:45 AM (age at vaccination: 79 years and non-pregnant at the time of vaccination) as dose 2, single and first dose of bnt162b2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Batch/Lot number: unknown) via an unspecified route of administration, administered in arm right on 05Mar2021 10:00 AM (age at vaccination: 79 years non-pregnant at the time of vaccination) as dose 1, single for covid-19 immunisation. The patient's medical history included rheumatoid arthritis, osteoarthritis, renal disorder, emphysema, calcification metastatic, lung disorder, hypothyroidism, gastroesophageal reflux disease, hypersensitivity. Allergies to medications, food, or other products included Sulfur, Staydol nasal spray anesthetic. Prior to vaccination, patient was diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. Other facility where the most recent COVID-19 vaccine was administered. Concomitant or list of other medications the patient received within 2 weeks of vaccination included hydroxychloroquine, famotidine, albendazole (Morezole), folic acid. On 26Mar2021 19:00 the patient experienced chills, nausea, vomiting & dry heaves, pounding headache, joint pains, fatigue, eyes (saw crazy designs on walls) felt very shakey inside. Eye doctor said what was happening with her eyes was a result of having gotten the COVID vaccine. Patient had the COVID-19 virus in late October. After quarantine, patient was tested and found to have antibodies in her system. Told to wait 90 days before patient got COVID vaccine - which patient did. Doctor said the antibodies were probably still in her body and that's why patient got such a bad reaction. Patient was never so sick. All patient wanted to was sleep. Adverse event results Doctor or other healthcare professional office/clinic visit. Patient was received treatment for the adverse event nausea. The outcome of events was recovering. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: HYDROXYCHLOROQUINE; FAMOTIDINE; MOREZOLE; FOLIC ACID

Current Illness:

ID: 1792513
Sex: F
Age:
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Test Date: 20210330; Test Name: fever; Result Unstructured Data: Test Result:102 F

Allergies:

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

Symptoms: Muscle pain; fever (up to 102 F); Pain and swelling in left axillary lymph node; Pain and swelling in left axillary lymph node; This is a spontaneous report from a contactable consumer (patient). A 46-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EN6199 and expiration date: not reported), via an unspecified route of administration, in Left Arm, on 30Mar2021 at 13:45 (at the age of 46-year-old) as DOSE 2, SINGLE for covid-19 immunization. Medical history included hypothyroidism, hay fever, migraine and penicillin allergy. The patient's concomitant medications included unspecified medication. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EL3248 and expiration date: not reported), via an unspecified route of administration, in Left Arm, on 09Mar2021 at 13:45 (at the age of 46-year-old) as DOSE 1, SINGLE for covid-19 immunization. The patient was not pregnant at time of vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. The patient received other medications (unspecified) within 2 weeks of vaccination. The Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The patient experienced Muscle pain, Pain and swelling in left axillary lymph node, fever (up to 102 F) on 30Mar2021 at 18:00. No treatment was received for the events. The outcome of the events was recovering at time of report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792514
Sex: F
Age:
State: MA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: RA

Lab Data: Test Date: 20210315; Test Name: Body temperature; Result Unstructured Data: Test Result:slight 1 degree temp

Allergies:

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

Symptoms: extreme fatigue; headache; nausea; joint & muscle pain; joint & muscle pain; chills; slight 1 degree temp; slight sore throat; tender glands; feeling very unwell; foggy brain.; tender site for 1 day; This is a spontaneous report from a contactable consumer (patient). A 74-year-old non pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA Vaccine; Lot number: EN6208), via an unspecified route of administration in the right arm on 11Mar2021 (at the age of 74-years-old) as dose 2, single for COVID-19 immunization. Medical history and concomitant medication reported as yes. The patient previously received flu vaccine but never had a flu. The patient had allergies to medications, food, or other products. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA Vaccine; Lot number: EL9266), via an unspecified route of administration in the right arm on 18Feb2021 at 11:30 and experienced very tired and slept for about 10-12 hours each day. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient was not been tested for COVID-19. The patient had not received any other vaccines within four weeks prior to the vaccination. The patient underwent body temperature test and result was reported as slight 1 degree temp. The patient experienced tender site for 1 day on 11Mar2021 and the patient experienced extreme fatigue, headache, nausea, joint and muscle pain, chills, slight fever, slight sore throat, tender glands, feeling very unwell, had very foggy brain on 15Mar2021 at 16:00 (Reported as Day 3). Therapeutic measures were not taken for the events. The clinical outcome of the events site tender, extreme fatigue, headache, nausea, joint and muscle pain, chills, slight fever, slight sore throat, tender glands, feeling very unwell, had very foggy brain was resolved in Mar2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am