VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1792617
Sex: F
Age:
State: IL

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: rash all over; on her chest, arms, and neck; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: EN6207), via an unspecified route of administration, administered in right arm on 17Mar2021 at 12:00 (age at vaccination was 69-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history included Sjogren's syndrome (for 5 years and it was an autoimmune disease; took 2 medications) from an unspecified date of 2016 and high cholesterol. The patient's concomitant medications were reported as none. The patient previously took hydroxychloroquine sulfate (PLAQUENIL) and pilocarpine hydrochloride (SALAGEN); both for Sjogren's syndrome; and atorvastatin for high cholesterol. The patient did not receive any other vaccine within 4 weeks. On Mar2021, the patient experienced a rash all over; on her chest, arms, and neck. It was reported that the patient was trying to make an appointment with a dermatologist. The outcome of the event was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792618
Sex: F
Age:
State: DE

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: swollen arms; lymph node, arms and wrists hurt; arms and wrists hurt; wrists hurt; This is a spontaneous report from a contactable consumer (patient). A 63-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: EN620G), via an unspecified route of administration, administered in left arm on 24Feb2021 (age at vaccination was 63-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history was not reported. The patient received concomitant medications in two weeks. The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccine. Prior to vaccination, the patient has not been diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. The facility where the COVID-19 vaccine was administered was in hospital. On 24Feb2021 at 16:00, the patient experienced swollen arms; and lymph node, arms and wrists hurt. The outcome of the events was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792619
Sex: F
Age:
State: MI

Vax Date: 03/29/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: coughing; nasal started dripping and burning; nasal started dripping and burning; Headache; aching; wants to puke all the time; arm was sore; Nauseous; Weak; tired; Chills; sweat; left arm is swollen; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in left arm on 29Mar2021 at 07:30 (Batch/Lot Number: ER8733) (at the age of 60 years old) as dose 1, single for COVID-19 immunisation. Medical history included asthma. The patient had no family medical history relevant to the adverse event. The patient did not undergo any relevant tests. The patient had no concomitant medications. The patient had no history of all previous immunisation with Pfizer vaccine considered as suspect. The patient received no vaccines administered on same date of the Pfizer suspect. The patient did not receive any other vaccines within 4 weeks prior to vaccination. The patient experienced arm was sore, nauseous, weak and tired, headache, aching, wants to puke all the time, chills on 29Mar2021; coughing, nasal started dripping and burning on 29Mar2021 at 21:00; left arm was swollen, sweat on an unspecified date in Mar2021. The patient did not have the cough anymore. The patient was fine all day until 9:00 pm. The events did not result in physician's office visit or emergency room visit. The outcome of events nauseous, weak, nasal started dripping and burning was not recovered; outcome of events arm was sore, tired and chills was recovering; outcome of events headache, aching, wants to puke all the time, left arm was swollen, sweat was unknown; outcome of event coughing was recovered on 30Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792620
Sex: F
Age:
State: CA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
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: not feeling well with diarrhea; not feeling well with diarrhea; nausea; hot/cold flashes (was unable to take temperature); hair follicles to be achy; severe migraine; mentioned a slight sore throat that lasted a few hours; By Sunday 8:30pm started feeling better with just a small headache; This is a spontaneous report from a contactable consumer via Pfizer sales representative. This 44-year-old Female consumer reported for herself that: A 44-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCIN, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on Friday 26Mar2021 (age at vaccination 44-years-old) as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on unspecified date as DOSE 1, SINGLE for COVID-19 immunization. On 28Mar2021 after the second dose of vaccination, the patient experienced not feeling well with diarrhea, nausea, hot/cold flashes (was unable to take temperature), hair follicles to be achy, severe migraine, mentioned a slight sore throat that lasted a few hours and by Sunday 8:30pm started feeling better with just a small headache. It was reported that, the patient on Sunday 28Mar2021 was woken up early 5ish am not feeling well with diarrhea. Started experiencing nausea, hot/cold flashes (was unable to take temperature) and described hair follicles to be achy. Started to experience severe migraine. The migraine escalated hour later and described it almost as unbearable at one point. Also, mentioned a slight sore throat that lasted a few hours. By Sunday 8:30pm started feeling better with just a small headache. Patient mentioned the only medication she taken for her migraines. Her Dr. prescribed a few migraine medications as it's ongoing problem. She also mentioned that she did not have a reaction to the first dose of Pfizer covid vaccine. Patient indicated she was taking many migraine medication. Only meds she taken. Her migraines was easily triggered by stress. Event took place after use of product. The outcome of event headache was reported unknown, while outcome other events was recovering at the time of last observation. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792621
Sex: F
Age:
State: TN

Vax Date: 03/02/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: it was a muscle and joint pain and it was the same type of pain she experienced with the 1st dose; it was a muscle and joint pain and it was the same type of pain she experienced with the 1st dose; This is a spontaneous report from a contactable consumer (patient) via Regulatory Authority. A 45-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EN6200), via an unspecified route of administration, in left arm on 02Mar2021 17:00 (at the age of 45-years-old) as dose 1, single for COVID-19 immunization. Medical history and concomitant medications was reported as none. The patient experienced muscle and joint pain after the first dose in Mar2021. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792622
Sex: M
Age:
State:

Vax Date: 03/29/2021
Onset Date:
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: sore scratchy throat; slight cough; it feels like he has a cold; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 29Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On unknown date in 2021 the patient experienced sore scratchy throat, slight cough, it feels like he has a cold. Outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1792623
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: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: reports the arm she received her shot in is always sore; Arthritic like pain; This is a spontaneous report from a non-contactable consumer or other non hcp (reporter husband's grandmother). This consumer reported for 94-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number was not reported, Expiry date: unknown) via an unspecified route of administration on an unspecified date as dose 1, single and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number was not reported, Expiry date: unknown) via an unspecified route of administration on an unspecified date as dose 2, single both for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced that the arm she received her shot in is always sore, arthritic like pain that wasn't present before shot and not subside now 1 month post 2 doses. Event took place after use of product. The outcome of events was unknown. No follow-up attempts are possible. Information about lot/batch number cannot be requested.

Other Meds:

Current Illness:

ID: 1792624
Sex: F
Age:
State: FL

Vax Date: 03/28/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: This is a spontaneous report from a contactable consumer (patient) or other non-HCP. A 52-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, formulation: solution for injection via an unspecified route of administration on 28Mar2021, at 13:45 (Batch/Lot number was not reported, expiry date: unknown) as dose 2, single (age at time of vaccination in years: 52-years-old) for COVID-19 immunisation. Medical history included ongoing Complex partial seizures. There were no concomitant medications. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, formulation: solution for injection, (Batch/Lot Number: unknown , expiry date: unknown) via unspecific route of administration on 07Mar2021 as dose 1, single for COVID-19 immunisation. There was no history of all previous immunization with the Pfizer vaccine considered as suspect, and Additional Vaccines Administered on Same Date of the Pfizer Suspect. On 29Mar2021, 1 day after vaccination the patient experienced itching, rash, and arm hurting. She woke at 4 woke up itching. She also had a rash. Her arm doesn't hurt as much as it did yesterday. She was also itching in other parts of her body such as her shoulder. The rash started on left side of neck. She also had it on the right jaw. She was going to drive herself to urgent care. When she lifted her arm she realized she was unable to drive. She got prescribed for prednisone ointment by her family doctor. She asked if the rash is normal or is it a documented side effect. The events did not result in doctor or other healthcare professional office/clinic visit. The outcome of arm hurting: recovering, and outcome of others events: not recovered. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness: Complex partial seizures (Verbatim: Complex partial seizures).

ID: 1792625
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 31-year-old female patient received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# EP6955, expiry date: not reported), at the vaccination age of 31, via an unspecified route of administration, on Mar 29, 2021, single dose, for COVID-19 immunization. The patient's medical history and concomitant medications not reported. On Mar 30, 2021 (on the arm she received the vaccine), patient experienced muscle soreness on armpit and felt a nodule inflammation in her armpit, with outcome of unknown. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1792626
Sex: M
Age:
State: IL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: swelling under the armpit/only swelling under the armpit on the same arm the injection was given; This is a spontaneous report from a contactable consumer (patient) from medical information team. A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, in arm, on an unspecified date, at dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number, expiration date was not reported) via an unspecified route of administration, on an unspecified date, at dose 1, single for covid-19 immunization. On an unspecified date, the patient experienced swelling under the armpit; there is no swelling at the site of the injection, only swelling under the armpit on the same arm on the injection was given, and it was continuing. The outcome of the event was not recovered. 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-2021353914 Same reporter/drug, different patient/events

Other Meds:

Current Illness:

ID: 1792627
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: a bit more stiffness and achiness in my knees/ regained some severity after the second; a bit more stiffness and achiness in my knees/ regained some severity after the second; This is a spontaneous report from a contactable consumer reported that. A 61-years-old female patient received BNT162B2 (BioNTech/Pfizer vaccine solution for injection), dose 2 via an unspecified route of administration on 23Mar2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunization(Age at vaccination 61 years). The patient past medical history included breast cancer from an unknown date and unknown if ongoing three years ago. The patient's concomitant medications were not reported. Since getting her first shot on March 4, patient have noticed an increase in foot spasms and discomfort in her feet concurrent with an improvement in sensation in her arches. She also had several instances of a brief, very mild tremor in my right index finger, which was where most of the residual neuropathy in her hand resides; when the neuropathy was more pronounced, that finger underwent stronger and more pronounced tremors, whereas what patient had this month is negligible. Patient also had a bit more stiffness and achiness in her knees (both of which have recovered from traumatic injuries), which had mostly leveled off before my second shot but then regained some severity after the second, which was on March 23 ("Yes, a 19-day cycle my shots were administered by Hospital"). It was unknown that patient was tested for COVID-19 after the vaccination or not. It was unknown if the patient received any treatment for the reported adverse event or not. 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: 1792628
Sex: U
Age:
State:

Vax Date:
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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: received second dose 2.5 weeks after first; fever; tired; slept a lot; This is a spontaneous report from a non-contactable consumer via a sales representative. A patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date, as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient previously received first dose of BNT162B2 vaccine, on an unspecified date for COVID-19 immunization. On an unspecified date, the patient experienced received second dose 2.5 weeks after first, fever, tired, and slept a lot. 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: 1792629
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Rash all over her belly below her navel, on her back on both sides of her spine, and right above her buttocks,rash itches like crazy; Chills; Fever; Achiness; 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; lot number and expiration date: not reported), via an unspecified route of administration, on an unspecified date, 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, Solution for injection; lot number and expiration date: not reported), via an unspecified route of administration, on an unspecified date, as DOSE 1, SINGLE for covid-19 immunization and experienced discoloration on her breast and immediately felt the vaccine in arm. On an unspecified date, after her second dose, the patient experienced rash all over her belly below her navel, on her back on both sides of her spine, and right above her buttocks, rash itches like crazy. Caller stated that she hasn't changed anything such as laundry detergent. The patient stated she went to a dermatologist. The patient was given samples of cream to try on it. The patient stated that she also had chills, fever, and achiness on an unspecified date. The patient would like to know, if there has been a lot of reports of something like this going on. The outcome of the event Itchy rash was unknown, Chills, Fever and Ache was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792630
Sex: F
Age:
State: IL

Vax Date: 03/26/2021
Onset Date: 03/29/2021
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: Injection site redness; Itching; This is a spontaneous report from a contactable consumer. This consumer reported for a 60-year-old female patient (Reporter mother) that who received bnt162b2 (BNT162B2) solution for injection, dose 1 (Lot number and expiry date was not reported) via an unspecified route of administration at arm right on 26Mar2021 as dose 1 single for covid-19 immunisation. Medical history included thyroid disorder from an unknown date and unknown if ongoing Verbatim: thyroid it was diagnosed many years ago, reporter said his mom takes medication for this, and it was diagnosed many years ago. No further details provided about this medication, blood pressure abnormal from an unknown date and unknown if ongoing Verbatim: Blood pressure reporter said his mom takes medication for this, and it was diagnosed many years ago. No further details provided about this medication. The patient's concomitant medications were not reported. Reason for no lot number: of Pfizer COVID-19 vaccine: Complainant does not have the product with them at the time of call. Consumer said he was called about his mom; she got the Pfizer COVID-19 vaccine shot Friday and she had one of the side effects called injection site redness. He said that she was also having itching a little bit, so he was wondering is there any cream or something she could take for that, reporter says his mom has her vaccine card with her and she was not there with him, they do not live together. He said his mom got her first dose Friday during the early morning around 08:00-08:30AM in her right arm. He said that her itching and injection site redness began yesterday (29Mar2021). He said he doesn't think his mom has done treatment yet, he doesn't think she used anything though he thinks she took a Cerlatin, NDC/LOT/EXP unknown, this medication was with his mom. Medication name spelling documented as provided by reporter. 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: 1792631
Sex: U
Age:
State: AR

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: LA

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:101; Comments: 101 fever

Allergies:

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

Symptoms: Bad Headache; body aches; fatigue; 101 fever; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date (lot number: EP7534; expiry date: unknown) as dose number unknown, single, for Covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient experienced bad headache, body aches, fatigue, and 101 fever. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792632
Sex: M
Age:
State: VA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: the vaccine has increased his confusion.; This is a spontaneous report from a non-contactable consumer. A 66-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 30Mar2021 at 10:30 (at the age of 66-year-old), as a single dose for COVID-19 immunisation. Medical history included alzheimer's disease and COVID-19. The patient had no known allergies to medications, food, or other products. Prior to the vaccination, the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications included unspecified medications for Alzheimers from an unknown date and unknown if ongoing. On 31Mar2021 at 07:00, the patient experienced increased confusion. The patient previously had COVID and patient had experienced same symptoms. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event increased confusion was not recovered at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792633
Sex: F
Age:
State: CA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: pain on her elbows, knee, back, legs and clavicle; pain on her elbows, knee, back, legs and clavicle; pain on her elbows, knee, back, legs and clavicle; pain on her elbows, knee, back, legs and clavicle; feeling very tired; can't hardly walk; it feels like she was hit by a truck; This is a spontaneous report from a contactable consumer (patient) via a sponsored program Support. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: ER2613 and expiration date: not reported), via an unspecified route of administration, on 22Mar2021, as DOSE 1, SINGLE for covid-19 immunization. Medical history included fibromyalgia from 10Jan2000 to Jul2015, spinal operation on Mar2015: Fused and spacers, spinal operation on Jul2018: Spacers removed, spinal operation on Sep2019: Fused and pins. The patient had no concomitant medications. The patient didn't receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. On 23Mar2021, the patient experienced pain on her elbows, knee, back, legs and clavicle, feeling very tired, can't hardly walk, and it felt like she was hit by a truck. Therapeutic measures were taken as a result of events included Aspirin. The outcome of the events was recovered in 28Mar2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792634
Sex: F
Age:
State: GA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 2021; Test Name: body temperature; Result Unstructured Data: Test Result:94 Fahrenheit

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: neck is tight/ cannot turn her head; Bright lights make her head hurt; real bad headache/ bright light makes her head hurt; diarrhea and vomiting; diarrhea and vomiting; funky stomach; it does not take a lot. It is pretty explosive; she is congested; temperature was 94 at the vaccination site; coughing with drainage/a lot of sinus drainage; coughing with drainage; This is a spontaneous report from a contactable consumer, it was reported that, A 70-years-old female patient received second dose of bnt162b2 (PFIZER BIONTECH COVID 19 VACCINE, formulation: solution for injection, lot number: ER8730), via an unspecified route of administration, in arm left (left bicep, upper arm) on 28Mar2021 at 12:30 as dose 2, single (age at vaccination 70 years) for covid-19 immunisation. Medical history included brain tumour, that is and everything has been done for the brain tumour that can be done, diagnosed on an unknown date in 2011 and ongoing, sinus disorder from an unknown date and unknown if ongoing , osteoporosis from an unknown date and unknown if ongoing , abdominal discomfort from an unknown date and unknown if ongoing , migraines for years, she has had six sinus surgeries. She had to have a yellow fever vaccine in her 51 years and had a strong reaction to that. The patient did not have relevant family medical history. She knew that she had something from that, but there was no problem with taking aspirin after that vaccination. In her 20s she took iron shots Concomitant medication(s) included fish oil taken as the dry air dries out skin and had been on this fish oil for at least a decade, senior silver vitamins, that she had been on for approximately 6 or 7 years, stated that that these were multivitamins and was told if she does not eat well or wisely, they can help offset what she was not eating that she should be; cyanocobalamin (B12) that she was getting as shots because her body fall apart and ongoing; calcium because she had old bones started on when she was around 60, 10 years ago and ongoing; cetirizine hydrochloride (ALLERGY RELIEF), has been on this around 10 years, taken because of pollen and all of that and added this was for sinus drainage and ongoing; apoaequorin (PREVAGEN) taken to help her remember stuff but she does not know if it helped, added she has been on this for 35 days, maybe 32 days and ongoing; lactobacillus acidophilus (ACIDOPHILUS, chewable), it was supposed to settle stomach, balance and stabilize things, with diarrhea and throwing up, it helped get everything back to where it should be, it balanced the puking and pooping mess and as she had a funky stomach, she has been on this year, started late February, the product chondroitin sulfate, glucosamine (GLUCOSAMINE CHONDROITIN) usually everyday she took it because she was old and she gets crunchy so she took it in the morning. The patient experienced got a real bad headache on 28Mar2021, the headache had gotten a little bit better but it was really strong right now. It came in waves. She has not used any treatment for this, she did not want to mess up the shot. Her neck was tight on 29Mar2021, the day following the shot. She added she could have slept wrong and She has not taken one since Saturday and it could be that, having not had anything. She adds that when everything exits her body very fast, it is exhausting so she falls asleep and does not move for a while and she has a headache because of this. She adds she could have not slept right. She added she realized that it was on the same side as her shot was. She added she probably just slept wrong and she does that sometimes. She just did not turn her head to the left. She confirmed the tightness was on the left. Her neck did not go far before it was strong. She adds she just does not know that this has anything to do with the vaccine. She was coughing and she has so much drainage on an unknown date in 2021, added that she was congested unknown date in 2021, and had a lot of sinus drainage. She added that she has had quite a bit of diarrhea and vomiting. She threw up twice on an unknown date in 2021, diarrhea started same day as the shot on 28Mar2021. She had a funky stomach on an unknown date in 2021; it does not take a lot. It was pretty explosive. The patient adds that it was not projectile vomiting and explosive diarrhea at the same. She said that this did not help her headache. Her temperature was 94 at the vaccination site on an unknown date in 2021, and she was wondering if she was still alive. She tends to run low. This was no abnormal. She added that she was using a flashlight to read the card, and that bright lights made her head hurt on 28Mar2021. She cannot have the overhead light on and was using a flashlight. This started around Sunday afternoon or evening. She got the vaccine at 12:30 and came home and ate something and then went to bed. It has gotten a little bit better. She did not push her luck or turn the lights on or anything. She had sunlight barely coming through the shutters, she added it was just not necessary. She was retired and does not have to have light. The adverse event did not require emergency room or physician visit. There were no prior vaccinations within 4 weeks. The patient underwent lab tests which included body temperature was 94 on an unknown date in 2021. The patient was afraid to take anything and mess something up. Hence, no therapeutic treatment was taken. Description of Product Complaint: fish oil, the patient was not sure if it does anything. The patient take 1400 mg once daily. She adds that the product. The patient adds that the product and attempts to read bottle. She added that they sure do write small. She read all information from the bottle and states made in the domestic and import. She did not see any additional information on there. She stated the bottle said dietary supplemental, verified with mint essential oils. The patient added she did not know this product contained mint essential oils and that she learnt when she looked at labels. The patient read total omega, and stated gosh there are 15 calories in fish oil. The patient added this is from jump seat talk, where people told her to try something to see if it might help. B12: The patient was unsure if it provided her energy. 1000 mg. The patient did not have product information. Prevagen : The patient did not notice her memory was better or worse. Product strength and count size dispensed: extra strength. The patient did not have product information. The outcome of the events were unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: FISH OIL; B12 [CYANOCOBALAMIN]; CALCIUM; ALLERGY RELIEF [CETIRIZINE HYDROCHLORIDE]; PREVAGEN [APOAEQUORIN]; ACIDOPHILUS; GLUCOSAMINE CHONDROITIN [CHONDROITIN SULFATE;GLUCOSAMINE]

Current Illness: Brain tumor (Verbatim: brain tumor)

ID: 1792635
Sex: F
Age:
State: GA

Vax Date: 03/19/2021
Onset Date: 03/26/2021
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: Test Name: Body temperature; Result Unstructured Data: Test Result:99.7 Fahrenheit

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chills; fever; body ache; This is a spontaneous report from a Pfizer-sponsored program via a Contactable female consumer (patient, self-reported). A 54-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, Batch/lot number and Expiration date were not reported) via an unspecified route of administration, on 19Mar2021 (age at vaccination was 54 years) as a DOSE 1, SINGLE for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Patient stated, 'She received her first dose of Pfizer Vaccine (COVID 19 vaccine) on 19Mar and she had no side effects but then 7 days later on 26Mar she had chills, body ache and fever and she was wondering if you have heard of any-one experiencing a delayed adverse reaction like that because if it happens, it happens within first couple of days and she thought if it is because of the vaccine or can't think of any other reason. Patient was informed about Medical information department and was provided with the number. In response to further probing, Patient stated, she had already called, and they have got lot of information from her and right now she needs to drove home. She would call back in a little while. Lot: Patient stated, ENG208 or it could be EN6208. It was hard to read. Event date, Patient stated, It started on the first day I got the Vaccine and it lessen on each day, but I kept carrying a low-grade fever around 99.7. So, she was just trying to figure out if it from the vaccine or is it from something else. The outcome of the event body ache and chills was unknown and for fever was not resolved. No follow-up attempts are possible. Information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1792636
Sex: M
Age:
State: CA

Vax Date: 03/20/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Name: Body weight; Result Unstructured Data: Test Result:155 pounds.; Comments: probably about 155 pounds.

Allergies:

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

Symptoms: the right knee has been bothering him since the shot; in between his thighs and outside down to his knees he had big red welts like strawberries, they didn't itch but they are a nice brightish red color, also on his hips; right knee is bothering him, he has arthritis in it; fatigued; in between his thighs and outside down to his knees he had big red welts like strawberries, they didn't itch but they are a nice brightish red color, also on his hips; This is a spontaneous report from a contactable consumer (patient himself) and other HCP. A 85-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number: EN6206, Expiry date was not reported), via an unspecified route of administration, administered in arm left on 20Mar2021 at 14:44 (at the age of 85-year-old) as dose 2, single for COVID-19 immunization. The patient medical history included ongoing high blood pressure, ongoing enlarged prostate, Knee arthroplasty from 03Nov2020 to 03Nov2020 (left knee replacement, the right knee has been bothering him since the shot on 03Nov2020). The patient had no family medical history relevant to adverse event. The patient concomitant medications included hydrochlorothiazide at a dose of 25mg once a day via oral route taken for high blood pressure, start and stop date were not reported and has been taking it for quite a while, quite a few years; atenolol at a dose of 25mg once a day via oral route taken for high blood pressure, start and stop date were not reported, unspecified prostate pill on an unspecified date and stop date were not reported and taking since he had an enlarged prostate, quite a few years, he thinks the medication is called Flomax, then started to state a medication with a T, Captured as unspecified prostate pill. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number: EN6203, Expiry date was not reported), via an unspecified route of administration on 20Feb2021 (at the age of 85-year-old) as dose 1, single for COVID-19 immunization. The patient had a vaccination, the last one was on the 20Mar2021 and has noticed since he's had the vaccination that in between his thighs and outside down to his knees he had big red welts like strawberries, they didn't itch but they are a nice brightish red colour, also on his hips on an unspecified date in Mar2021. He said he had knee replacement surgery in November and his right knee is bothering him, he has arthritis in it on an unspecified date in Mar2021, it feels like it was bone-to-bone for about a week. He says he doesn't think he had any nauseation. On the hips, side of hips, across the hips towards the back, both legs, welts have been going on for 4 or 5 days, maybe started Friday, he kept feeling something and he saw little red spots, nice big reddish like a tomato, or strawberry red this was 25Mar2021 or 26Mar2021, it has been the same basically until last night he put some lotion on and it kind of calmed down with the anti-Itch lotion. He has been fatigued ever since he had the shot on an unspecified date in Mar2021, he is not fatigued to the point that he is not up to like he has been. He says he is thinking about going, but he'd be there all night. He says first dose professional Clinic Site he confirms he did not go to the ER. The patient underwent lab tests and procedures which included weight: 155 pounds on probably about 155 pounds. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient received anti-Itch lotion as treatment for the events red spotty rash, welts. The clinical outcome of all the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: HYDROCHLOROTHIAZIDE; ATENOLOL

Current Illness: Blood pressure high (Verbatim: high blood pressure); Enlarged prostate (Verbatim: enlarged prostate)

ID: 1792637
Sex: F
Age:
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chest pain; The pain is under the sternum; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: ER8732, expiration date was not reported) via an unspecified route of administration, on 31Mar2021 10:00, at dose 2, single for covid-19 immunization. Medical history included, epilepsy, chronic obstructive pulmonary disease (COPD) and mitochondrial disease. The patient's concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, lot number: EN6206, expiration date was not reported) via an unspecified route of administration, on 10Mar2021, at dose 1, single for covid-19 immunization and had chest pain a little trouble breathing and she had COPD and used inhaler. On 31Mar2021, three hours after the vaccine, the patient experienced chest pain; she was fine during the 30 minutes waiting at the facility; chest pain is atypical and resolved last time during first vaccination and should resolve this time, the patient knew that she should follow up with her doctor or go to the emergency room if not resolved. It was also reported that the patient heart is not racing and she did not think anything is going on, and the pain is under the sternum (31Mar2021). The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792638
Sex: F
Age:
State: TN

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: Unevaluable event

Symptoms: body, muscle and joint aches; body, muscle and joint aches; body, muscle and joint aches; a "very bad" fatigue; This is a spontaneous report from a contactable consumer (patient). A 68-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. In the past, (less than 10 years ago) she had an anaphylactic reaction to shellfish, the reaction went down pretty fast, she can't remember if she took medication, her doctor told her that if she eats shellfish again she should have Benadryl. The patient's medical history included diabetes, high blood pressure, high cholesterol, psoriasis, diabetic neuropathy and sometimes when her blood sugar levels are high it makes her skin itch. Also, she is allergic to iodine (in shellfish) and latex. Concomitant medications included acetylsalicylic acid (ASPIRIN (E.C.); insulin; ergocalciferol (VIT D) all for an unspecified indication and was taking unspecified blood pressure medications. On an unspecified date, after the injection, she had muscle, joint and body aches and a very bad fatigue for 2 days. Also, she felt so tired. The outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: ASPIRIN (E.C.); INSULIN; VIT D

Current Illness:

ID: 1792639
Sex: M
Age:
State: FL

Vax Date: 02/02/2021
Onset Date: 03/27/2021
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: Red and sore shoulder; Pain at the top of shoulder/sore shoulder; lot of pain when trying to lift his arm and it hurt extremely bad; This is a spontaneous report received from a contactable consumer or other non hcp. An 83-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EL9262) via an unspecified route of administration in Arm Left on 02Feb2021 (age at vaccination 83years old) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not re-ported. The patient had a historical vaccine of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EL1284) via an unspecified route of administration in Arm Left on 13Jan2021 (age at vaccination 83years old) as single dose for covid-19 immunisation. On 27Mar2021 the patient experienced red and sore shoulder, pain at the top of shoulder/sore shoulder, lot of pain when trying to lift his arm and it hurt extremely bad. Additional information reported as he was calling about the Pfizer covid19 vaccine. He received the first vaccine on 13Jan2021, and the second vaccine on 02Feb2021. On Saturday he started to have pain right at the top of his shoulder and it is kind of red and real sore. It has gotten worse. He was wondering since his last shot was 02Feb2021, whether this could be a result of the vaccination. He has been treating the symptoms with Aleve, which his doctor had prescribed for other pains. He took the first pill on Sunday. He also tried heat, ice, and pain-relieving cream; he does not know the name. He experienced a lot of pain when trying to lift his arm and it hurt extremely bad. He explains the area is not extremely red. He weighs around 150 pounds, but weight could vary a pound or two. The patient received treatment for the adverse events. The clinical outcome of the events was not recovered. Therapeutic measures were taken as a result of red and sore shoulder, pain at the top of shoulder/sore shoulder, lot of pain when trying to lift his arm and it hurt extremely bad. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792640
Sex: F
Age:
State: IL

Vax Date: 03/19/2021
Onset Date: 03/20/2021
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:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Unable to raise upper left arm above her head, up above her shoulder; left arm has two huge bruises; she can raise her arm up now, but can't reach her right ear, it's still a little sensitive- the bruised part is.; having some stiffness; This is a spontaneous report from a contactable 84-year-old female consumer (patient). An 84-year-old female patient unknown dose of bnt162b2 (Pfizer Covid-19 Vaccine, solution for injection, Batch/lot number: EP7534, Expiry date: unknown), via an unspecified route in the upper left shoulder on 19Mar2021 at 11:20 (age at vaccination: 84-year-old), as a single dose for covid-19 immunization. The patient medical history was not reported. Concomitant medications included unknown medication for her heart and blood. Patient declines to provide further details about her medications, stating she does not want to raise any eyebrows that are not necessary. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 20Mar2021, patient was unable to raise upper left arm above her head, up above her shoulder, left arm has two huge bruises that are now black and maroon in color. The bruises are about 3 inches long in a horizontal way. It looks like one big blob. She will see her see her primary physician tomorrow; she has been told to do that. She clarified she can raise her arm up now, but cannot reach her right ear, it was still a little sensitive, the bruised part is. She mentions having some stiffness. Therapeutic measures taken as a result of the events included, she initially applied ice, and then a small amount of heat 2 days later. States that it has been 10 days since she had side effects. No relevant tests were done. The clinical Outcome of unable to raise upper left arm above her head, up above her shoulder was recovering; left arm has two huge bruises, it was still a little sensitive, the bruised part was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792641
Sex: F
Age:
State:

Vax Date: 03/26/2021
Onset Date: 03/01/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: flu-like symptoms; difficulty breathing; fever; This is a spontaneous report from a contactable other health care professional. An 83-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on 26Mar2021 (at the age of 83-year-old), as dose 2, single, for COVID-19 immunisation. Medical history included ongoing breast cancer. The patient's concomitant medications were not reported. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on an unspecified date, as dose 1, single, for COVID-19 immunisation and experienced cold, swollen neck lymph nodes and fatigue. On an unspecified date in Mar2021, the patient had flu-like symptoms, difficulty breathing, and fever. On an unspecified date in Mar2021, the patient recovered from 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: Breast cancer

ID: 1792642
Sex: M
Age:
State: VA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: Test Date: 20210327; Test Name: Covid 19 test; Test Result: Negative

Allergies:

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

Symptoms: Cough; barely keep anything down; chills; feels weak; This is a spontaneous report from a contactable consumer (Patient). A 61-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot Number: EN6207), via an unspecified route of administration on 16Mar2021 at 16:00(at the age of 61-years-old) administered in Arm Left as a single dose for COVID-19 immunisation. Medical history included ongoing high blood pressure; ongoing blood cholesterol increased. Concomitant medication(s) included simvastatin taken for blood cholesterol increased from an unspecified start date and ongoing; hydrochlorothiazide, telmisartan taken for high blood pressure from an unspecified start date and ongoing. On 16Mar2021, the patient experienced chills, feels weak, barely keep anything down. On 18Mar2021, the patient experienced cough. It was reported that He had his first injection on 16Mar2021.He is still having chills, feels weak, and now he has a cough. He read on the information sheet that he should call his primary health care provider and he tried calling them but he isn't able to be seen until this Friday, 02Apr2021 and he is asking if there is anything else he can do or anything he can take. He reports before he had the Covid 19 vaccine, he was around someone who tested positive for the Covid 19 virus. He had to get 2 Covid 19 rapid tests and they had to be negative, then he was able to get the Covid 19 vaccine. After he had the Covid 19 vaccine he started having chills and he could barely keep anything down. He did what the information sheet said, he called his primary health care provider and he wasn't able to get in contact with her, so he went to an urgent care this past Saturday, 27Mar2021. The urgent care tested him again for the Covid 19 virus and that test was negative. Urgent care told him to reach out to his primary healthcare provider. He won't be able to get in with his primary healthcare provider until Friday, 02Apr2021.When probing for specific event details he reports he started having symptoms that night after he received the Covid 19 vaccine on 16Mar2021. He received the vaccine at about 4:00PM. When speaking of the caller not being able to barely keep anything down he says he's tried to eat small portions but that's all he can do. That started on the day of the Covid 19 vaccine. He's not sure if it was just because he got the vaccine or he had a nice sized lunch before the vaccine. The patient had no History of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines were administered on same date with the Pfizer vaccine considered as suspect. The adverse event did not result Emergency Room visit. The patient was visited to Urgent care on 27Mar2021 for the events. The patient did not experience any adverse event Prior Vaccinations (within 4 weeks). The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 27Mar2021.The outcome of the events was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds: SIMVASTATIN; TELMISARTAN AND HYDROCHLOROTHIAZIDE

Current Illness: High cholesterol (Verbatim: high cholesterol); Hypertension (Verbatim: high blood pressure)

ID: 1792643
Sex: F
Age:
State: MA

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

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

Lab Data: Test Name: heart is not racing; Result Unstructured Data: Test Result:Not racing

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chest pain; The caller's heart is not racing and she does not think anything is going on; The pain is under the sternum; trouble breathing; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot Number: EN6206), via an unspecified route of administration on 10Mar2021 as dose 1, single for covid-19 immunisation . Medical history included epilepsy, mitochondrial disease, chronic obstructive pulmonary disease from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient received her first dose on 10Mar2021 and was waiting in the waiting area she had chest pain and a little trouble breathing, she has COPD and they let her use her inhaler. The chest pain, which is atypical, resolved. Patient's heart is not racing and she does not think anything is going on. The pain is under the sternum. The outcome of chest pain was recovered while outcome of the other events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792644
Sex: M
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: more sick; body aches; weakness; fever; headache; This is a spontaneous report from a contactable consumer (patient). This consumer reported 3 reports. This is the first report. A 45-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot Number: EN6204, Expiration Date: 03May2021), intramuscularly, administered on left deltoid, on 03Mar2021 at 12:00 (age at vaccination was 45-year-old), as dose 2, single for COVID-19 immunization. The patient's medical history included heart burn. Concomitant medications included esomeprazole 20 mg taken for heart burn from an unspecified date of 2019 and ongoing. The patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot Number: EM9810, Expiration Date: 02Nov2021), intramuscularly, administered on left arm, on 02Feb2021 at 11:30 (age at vaccination was 45-year-old) as dose 1, single for COVID-19 immunization and experienced being sick, body aches, fever and headache. The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccine. On 04Mar2021, the patient experienced being more sick, body aches, weakness, fever and headache. It was further reported that the patient was more sick than the first dose that the patient could not get out of bed for a night. The events started 12 hours after vaccination and lasted another 3 days. Therapeutic measures were taken as a result of the events included paracetamol (TYLENOL); ibuprofen and diphenhydramine citrate (ADVIL PM) and vitamin C. The outcome of the events was recovered on Mar2021. No follow-up attempts are possible. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021363289 same reporter and drug, similar events, different patients.;US-PFIZER INC-2021363288 same reporter and drug, similar events, different patients.

Other Meds: ESOMEPRAZOLE

Current Illness:

ID: 1792645
Sex: F
Age:
State: IL

Vax Date: 03/23/2021
Onset Date: 03/28/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Injection site redness; Injection site swelling; Injection site hives; she had a few lumps further down her left arm; Injection site itching; This is a spontaneous report from a contactable consumer (patient). A 90-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: ER8727, expiry date: unknown) via an unspecified route of administration, administered in arm left on 23Mar2021 12:20 as DOSE 1, SINGLE (age at the of vaccination was 90-years-old) for COVID-19 immunization. The patient's medical history included aneurysm of heart since either 1982 or 1983 and unknown if ongoing. Concomitant medications were not reported. Patient did not receive any vaccination within 4 weeks. 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. Additional vaccines administered on same date of the Pfizer suspect was none. On 28Mar2021, the patient experienced injection site redness, injection site swelling, injection site hives, she had a few lumps further down her left arm, injection site itching. Patient reported her arm was a little red, the swelling was gone and there were a few lumps on her arm. Patient reported she had not been itching and patient thought allergic reaction has gone. Patient reported that her second COVID-19 VACCINE slot was scheduled on 17Apr2021 and was past 21 days recommended between first and second dose. Patient was not taken to Emergency Room and Physician Office. Patient received the treatment for events/therapeutic measures were taken patient took Benadryl 25mg tablet, Expiration Date: Oct2023. The outcome of events was injection site redness, injection site swelling was recovered on 29Mar2021, the outcome of event injection site itching was recovered on 30Mar2021, the outcome of she had a few lumps further down her left arm, injection site hives was recovering. No follow-up attempts are possible. No further information was expected.

Other Meds:

Current Illness:

ID: 1792646
Sex: F
Age:
State: IL

Vax Date: 03/24/2021
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: Test Date: 20210324; Test Name: body temperature; Result Unstructured Data: Test Result:100.9 Fahrenheit; Test Date: 20210324; Test Name: body temperature; Result Unstructured Data: Test Result:101.3 Fahrenheit

Allergies:

Symptom List: Nausea

Symptoms: real bad headache; real bad nausea; at night waking her up; All day 25Mar2021 in bed, sleeping and sleeping; chills were severe and the chills lasted 6 hours with that intensity; diarrhea; feels weakness 6 days after the 2nd dose, does not have energy; day 6 and she is still not feeling well; She is smelling like something coming out of her body; lethargic; only site of burning up was her cheeks; hands feel clammy; cheeks were red and swollen, face had a little puffiness; fever,only checked it couple times:started at 100.9 went to about maximum of 101.3; heavy ache; cheeks were flushed; her arm got worse.Arm is lessening,it is softer,not as hard,went from red to splotchy; fatigue, Tiredness; she is still getting hot and cold and hot and cold where her fingertips will be cold and then amazingly, she will be sweating; muscle pain; joint pain; injection site pain swelling; injection site pain swelling; redness; This is a spontaneous report from a contactable consumer (patient). A 73-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on 24Mar2021 14:00 (at the age of 73-year-old), as dose 2, single, for COVID-19 immunisation. Medical history included abdominal tumors which lead to stage iv endometrial cancer; hysterectomy in Mar2020 due to stage iv endometrial cancer. The patient had been on chemo from May2020 to Oct2020. It was reported that her cancer has almost resolved, she was in a very weird group, they call her cells frankenstein cells and does not know how she this hit her because she had a total hysterectomy last Mar2020. She was diagnosed initially with stage 1A and they got everything, she wasn't need anything and within 4 weeks boom, tumors in her abdomen and then stage IVb and she was put on standard CarboTaxol, chemo for about 5 months. Concomitant medications included pembrolizumab (KEYTRUDA, every 3 weeks immunotherapy) taken for stage iv endometrial cancer from Nov2020 and ongoing; other vitamins (VITAMINS NOS); AHCC mushroom extract. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE Solution for injection; lot number and expiry date not reported), via an unspecified route of administration, on an unspecified date, as dose 1, single, for COVID-19 immunisation and experienced arm redness and soreness. On 24Mar2021, 5 to 6 hours after the Pfizer COVID-19 Vaccine the patient experienced diarrhea one time at night. The patient experienced tiredness, chills, headache, muscle pain, joint pain, fever, injection site pain swelling, redness, nausea, feeling unwell. On 25Mar2021, the patient experienced chills during night, like has never had, at night waking her up, about 6 hours of that, heavy ache. Chills which started about 10-12 hours after Vaccine shot. It was reported that, it was severe lasted 6 hours with that intensity, until around 08:00 on 25Mar2021; but then ongoing on and off from then until the time of report. The patient experiences intermittent chills as of now. The patient experienced headache when her chills ended which was about 10 to 12 hours after getting Vaccine; after chills ended around 08:00 on 25Mar2021, that is when she started to get a headache. The headache lasted all day long and night long and that was her worst day, and she took two Tylenol twice just to get through it during that time on 25Mar2021. The severity was just that one day. The patient had an intermittent headache, and it was dull for the next three days and took 1 Tylenol each day. The patient experienced nausea coupling with the headache which lasted all day 25Mar2021 from 08:00 until to 23:00. She was laid out that day and she could hardly stand up to go to bathroom. The patient feels lethargic, zero energy and heavy. On 25Mar2021, morning had real bad headache, real bad nausea for couple of days. She did not vomit but was in bed with garbage can thinking she was going to vomit anytime. All day 25Mar2021 in bed, sleeping and sleeping, that's how bad she feels, this was not normal for her. The patient had fever, only checked it couple times: started at 100.9 went to about maximum of 101.3 and everything was going fine. She took Tylenol. She did not feel like she was burning up, only site of burning up was her cheeks and noticed her cheeks were flushed and face had a little puffiness. It was reported that, when she touches her hands, they feel clammy, her hands were cold and then when she touches her face it was warm like she feels she has a temperature. But in the past when she would do this sometimes find temperature would be below normal like maybe 97.9 even. Cheeks have been red and swollen and her arm got worse. Arm is lessening, it is softer, not as hard, went from red to splotchy. The patient experienced all these events close to 48 hours or day 3. On day 6, the patient was still getting these chills and then was warm, does not have a headache on the positive, but does not have energy and was not feeling well. At the time of report, she has no headache and has not taken Tylenol, but she was weak and what she was calling weak may be fatigue. The patient was still getting hot and cold and hot and cold where her fingertips will be cold and then amazingly, she will be sweating. It was reported that, the patient usually does not sweat at all. She was smelling like something coming out of her body. At the time of report, the patient feels hot and cold, like if she was getting rid of the flu or something. It was reported that, the patient was not sure if this was related to chemotherapy or the immunotherapy Keytruda. The patient was taking some kind of immunity thing mushroom root capsule AHCC at the beginning of COVID and she takes for cancer to help boost her immune and not have residual cancer the capsules enhance Cytokine production, and she was taking a heavy dose 3g for past 3 weeks. The reporter was not sure if the events could have an adverse effect on the Pfizer COVID-19 Vaccine. The outcome of the events chills was recovering; the outcome of diarrhea, headache, and nausea was recovered while outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: KEYTRUDA; VITAMINS NOS

Current Illness:

ID: 1792647
Sex: M
Age:
State: KY

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: restless; uncomfortable; Shortness of breath; tired; feeling different; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number was not reported), via an unspecified route of administration, administered in arm on 03Mar2021 (age at vaccination was 69-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history included heart condition and kidney condition; both started a couple years ago. There were no concomitant medications. The patient experienced being restless, uncomfortable, and shortness of breath on 11Mar2021 while tired and feeling different on Mar2021. It was further reported that on 11Mar2021, patient was feeling restless, uncomfortable, shortness of breath and stuff so he went to the ER. The patient told them that he got a shot of BNT162B2, but they gave him another unknown shot. It was reported that he was kind of feeling uncomfortable and tired so he doesn't know if he needs to take another BNT162B2 shot or not. The patient declined the second dose last 24Mar2021 since he doesn't know if they gave him the second shot at the ER or not. The patient reported that he has been feeling different since then and he doesn't know whether he should have taken it or not. It was also reported that for his shortness of breath he felt better, but he was feeling uncomfortable this day. He stated that he just went to the hospital but was not admitted. The outcome of the event uncomfortable was not recovered, shortness of breath was recovering while other reported events were 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: 1792648
Sex: M
Age:
State: KS

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:
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: previously received the full primary immunization series of BNT162b2 and received a third/booster dose; previously received the full primary immunization series of BNT162b2 and received a third/booster dose; fever; This is a spontaneous report from a contactable pharmacist received via medical information team. A 67-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 29Mar2021 as dose 3 (booster), 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 13Feb2021 as dose 1, single and BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 06Mar2021 as dose 2, single for COVID-19 immunization. The patient was previously received the full primary immunization series of BNT162B2 and received a third/booster dose on 29Mar2021 and fever on an unspecified date in Mar2021. Patient was currently experiencing fever. Pharmacist wanted to know when patient can receive his shingles vaccine. Outcome of fever was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792649
Sex: F
Age:
State: FL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 10/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210401; Test Name: fever; Result Unstructured Data: Test Result:103; Comments: at 17:00; fever

Allergies:

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

Symptoms: 103 fever; nausea; mouth watering; body aches; chills; difficulty focusing; headache; nerve pain; This is a spontaneous report from a contactable healthcare professional (patient). A 35-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: Er8732), via an unspecified route of administration, administered in left arm on 31Mar2021 at 17:00 (age at vaccination was 35-year-old) as dose 2, single for COVID-19 immunization. The patient's medical history included HSV2 (Herpes simplex virus 2). The patient's concomitant medications included ibuprofen from an unspecified date and unknown indication. The patient's historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: En6206), via an unspecified route of administration, administered in left arm on 10Mar2021 at 17:00 (age at vaccination was 35-year-old) as dose 1, single for COVID-19 immunization and experienced left arm swelling; numbness of left arm, neck, and lower left quarter of face; and extreme lethargy. The patient has no known allergies. The patient did not receive any other vaccine within 4 weeks prior to COVID-19 vaccine. Prior to vaccination, the patient has not been diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. On 01Apr2021, the patient experienced nausea, mouth watering, body aches, chills, and difficulty focusing; all at 06:00, and 103 fever on 17:00 while headache and nerve pain on Apr2021. It was further reported that 18 hours later from vaccination the nausea has become extreme and 24 hours later from vaccination, 103 fever was experienced. Also, after taking both of ibuprofen and paracetamol (TYLENOL), headache and nerve pain was experienced. Therapeutic measures were taken as a result of the events (nausea, mouth watering, body aches, chills, difficulty focusing and 103 fever) included treatment with paracetamol while no treatment for other events. The outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: IBUPROFEN

Current Illness:

ID: 1792650
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: chills; fever; not feeling well; aches and pain; This is a spontaneous report from a contactable consumer or other non HCP. A 72-year-old male patient received BNT162B2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot Number was not reported) via unspecified route of administration on unspecified date as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medication were not reported. On an unspecified date the patient experienced chills, fever, not feeling well, aches and pain. Reporter queried if patient could take aspirin, ibuprofen or Tylenol for the events. Outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792652
Sex: F
Age:
State: NY

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:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: she is having regular knee pain; This is a spontaneous report from a contactable consumer (patient) via Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date not reported), via an unspecified route of administration on 27Mar2021 as dose 1, single for COVID-19 immunization. Medical history included arthritis. The patient's concomitant medications were not reported. The patient experienced regular knee pain on an unspecified date. Therapeutic measures taken as a result of the events included Aleve (for pain). 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: 1792653
Sex: F
Age:
State: NY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210330; Test Name: Body temperature; Result Unstructured Data: Test Result:100.3

Allergies:

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

Symptoms: injection site pain; headache; tiredness; chills; stomach pains; fever of 100.3; dizziness; weakness; This is spontaneous report received from a contactable consumer (patient) or other non HCP. A 38-years-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EP7533) via an unspecified route of administration, administered in Arm Left on 30Mar2021, at 15:30 (at the age of 38-years-old) as dose 1, single for COVID-19 immunization. Medical history included asthma, known allergies (Penicillin, Vincomycin, Levaquin, Wellbutrin, Anaphylaxis to Shellfish (Shrimp), Anaphylaxis to Shellfish, from an unknown date and unknown if ongoing. Concomitant medications two weeks included cetirizine hydrochloride (ZYRTEC ALLERGY); escitalopram oxalate (LEXAPRO); salbutamol sulfate (VENTOLIN CR) and montelukast all taken for an unspecified indication, start and stop date were not reported. No other vaccines in 4 weeks. The patient previously took vancomycin, Levaquin, wellbutrin and experienced drug hypersensitivity. No COVID prior to the vaccination. No COVID tested post vaccination. On 30Mar2021, 15:45, the patient experienced injection site pain, headache, tiredness, chills, stomach pain, fever of 100.3, dizziness and weakness. My main concern is extreme dizziness and weakness. Her side effects alleviated quickly. She had 9 days of severe, debilitating dizziness. The patient contacted her doctor and he wanted her to call Pfizer to see if she should get the second vaccine. patient did not had covid prior and post to vaccination. events resulted in patient visited Doctor or other healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included body temperature: 100.3 on 30Mar2021. Therapeutic measures were taken as a result of adverse events and treatment with Meclizine was prescribed. The outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: ZYRTEC ALLERGY; LEXAPRO; VENTOLIN CR; MONTELUKAST

Current Illness:

ID: 1792654
Sex: F
Age:
State: NJ

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: Fever; Soreness at injection site; This is a spontaneous report from a contactable consumer (patient) received via COVAES. A non-pregnant 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered on the left arm on 31Mar2021 09:00 (Lot Number: ER8733) (at the age of 26 years old) as dose 2, single for COVID-19 immunisation. The patient's medical history included known allergies: Citrus foods. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination nor was tested for COVID-19 since vaccination. Concomitant medications included phentermine (PHENTERMINE) taken for an unspecified indication. The patient previously received BNT162B2, administered on the left arm on 10Mar2021 08:30 (Lot number: EN6206) (at the age of 26 years old) as dose 1, single for COVID-19 immunisation and experienced soreness at injection site. On 31Mar2021 at 13:00, 4 hours after the vaccination, the patient experienced soreness at injection site, and at 23:00, 14 hours after the vaccination, the patient experienced fever. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department, or urgent care. Therapeutic measures were taken as a result of the events soreness at injection site and fever which included paracetamol (TYLENOL) and ascorbic acid (VITAMIN C). The patient recovered from the events on unspecified dates in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds: PHENTERMINE

Current Illness:

ID: 1792655
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: wrist started bothering her; This is a spontaneous report from a contactable consumer (patient) via Medical Information team. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient's wrist started bothering her and she went to her wrist surgeon and received a steroid injection on 23Mar2021. She also stated that she received her second Pfizer vaccine dose on 24Mar2021. She received the steroid shot in her right wrist and received her vaccine dose in her left arm. The patient asked if she screwed up her second vaccine by getting the steroid shot the day prior. 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: 1792656
Sex: M
Age:
State: TX

Vax Date: 03/27/2021
Onset Date: 03/31/2021
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:

Allergies:

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

Symptoms: joint pain; fever; sore throat; Hypersensitive tongue (tip) and lips; metallic taste; Annoying enough to try and avoid contact to lips and tongue from surrounding tissue and teeth.; tiredness; This is a spontaneous report from a contactable consumer. A 57-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown), via an unspecified route of administration on arm left on 27Mar2021 12:45 AM (age at vaccination: 57 years) as dose 1, single for COVID-19 immunization at Pharmacy or Drug Store. The patient medical history included Chronic pain associated with stenosis of C-spine. Known allergies included Penicillin, Motrin (nsaid's), lemon grass, meat tenderizer (green papaya). If covid prior vaccination was reported as unknown. Covid tested post vaccination was reported as no. The patient Concomitant medications included paracetamol (Tylenol), Tizanidine, amitriptyline taken for unspecified indication from an unknown date. Other vaccine in four weeks was reported as no. On 31Mar2021 06:00 PM, the patient had some of the common side effects, joint pain, fever, tiredness, sore throat. I also at 1 wk out I am having an additional side effects not listed. Hypersensitive tongue (tip) and lips. Also a metallic taste in this area. Annoying enough to try and avoid contact to lips and tongue from surrounding tissue and teeth. Therapeutic measures were not taken as a result of events. The outcome of events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: TYLENOL; TIZANIDINE; AMITRIPTYLINE

Current Illness:

ID: 1792657
Sex: F
Age:
State: OH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:normal; Comments: her heartrate and her oxygen and it's all normal; Test Name: oxygen; Result Unstructured Data: Test Result:91% to 97%.; Comments: Her oxygen had been 91% to 97%.

Allergies:

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

Symptoms: eyes feel heavy but cant sleep; wears c-pap at night but still not able to rest, feeling nervous energy; tiredness; eyes feel heavy but cant sleep; SOB; This is a spontaneous report from a contactable consumer (Patient). A 82-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, Batch/lot no: ER8732 and expiry date: 31Jul2021), via an unspecified route of administration, administered in Arm right on 27Mar2021 at 13:30 (age at vaccination was 82 year-old) as a dose 2, single for COVID-19 immunization. The patient medical history included Atrial fibrillation and Neuropathy from an unknown date and ongoing. When probing concomitant medications she reported the medicine she's on was strong. When asked to clarify she reported she was on amiodarone 200mg at night. Eliquis (APIXABAN), she thought the dose was 5mg but she just changed bottles and wasn't sure of the dose. She took it twice daily. She also took Metoprolol 25mg half a tablet at night. The patient did not receive Prior Vaccinations (within 4 weeks). Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, Batch/lot no and expiry date were not reported), via an unspecified route of administration, on an unspecified date as a dose 1, single for COVID-19 immunization. The vaccine was not administered at Military Facility. She had no trouble with the first Covid 19 vaccine. She reported she felt ok until yesterday. She was tired. Her eyes felt so heavy and she wanted to sleep but she couldn't sleep. On 27Mar2021 She also was having some shortness of breath (SOB). She had some shortness of breath regularly and she was on the CPAP machine at night. She felt like these last 2 nights the CPAP machine hadn't helped. She had things to do and she pushed herself. It felt like she's exhausted and she didn't do anything. When probing specific event details she reported what could she do? Does she had to lay down and close her eyes and just not sleep? She was asking if this was normal. What could she do. Asked if this can happen later in the week like this? She felt like things were more of an effort to her. She felt nervous energy and she wanted to make sure she's not doing something wrong. Her daughter told her to call and tell Pfizer how she felt so tired and how her eyes were tired and she wanted to go to sleep. She would say the tiredness started on Wednesday night, 31Mar2021 but more yesterday, 01Apr2021 and today, 02Apr2021, especially when she got up. She's been going to bed earlier than usual. She had checked her blood pressure, her heartrate and her oxygen and it's all normal. Her cardiologist made her check every day. She only used oxygen in her CPAP machine at 5.5. Her oxygen had been 91% to 97%. She was ok after getting the Covid 19 vaccine and she was told to sit down and wait 15 minutes after getting the vaccine. Her doctor just lowered this dose. She reported her heart rate was staying in the 50's (beats per minute) and the doctor wanted her heartrate higher so he decreased the dose and it worked because now her heartrate stays in the 60's (beats per minute). There were no relevant tests. AE(s) did not require a visit to Emergency Room and Physician Office. The outcome of events tiredness, eyes feel heavy but cant sleep (Difficulty sleeping) and SOB was not recovered and for eyes feel heavy but cant sleep (Eyes heavy feeling of) and wears c-pap at night but still not able to rest, feeling nervous energy was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be requested. No further information is expected.

Other Meds: AMIODARONE; ELIQUIS; METOPROLOL

Current Illness: Atrial fibrillation (Verbatim: atrial fibrillation); Neuropathy (Verbatim: neuropathy)

ID: 1792658
Sex: F
Age:
State: TX

Vax Date: 02/23/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: sick; stomach problems; fever; This is spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 VACCINE, Solution for injection, Batch/Lot Number: not reported) via an unspecified route of administration on 23Feb2021 as dose 1, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated that that she missed her second dose appointment because she got the first dose on 23Feb2021 and after that she was not able to get the second dose because she got sick with fever and stomach problems. she got another second dose appointment for 30Mar2021. No unaddressed medical questions referred or forwarded to medical information. The outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792659
Sex: F
Age:
State: MI

Vax Date:
Onset Date: 03/28/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data: Test Date: 20210331; Test Name: Covid test; Test Result: Negative

Allergies:

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

Symptoms: symptoms similar to that of a cold / Cold symptoms; congestion; sneezing; itchy eyes; muscle aches; This is a spontaneous report from a contactable consumer (patient). A 64-year-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and batch no: not reported/lot number: ER2613), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunization. Medical history included smoker. There were no concomitant medications. Historical vaccine included patient received her first dose of bnt162b2 (PFIZER-BIONTECH covid-19 vaccine, formulation: solution for injection, batch no/lot number: not reported) via an unspecified route of administration, on an unknown date (at the age of 64-year-old) as dose 1, single for COVID-19 immunization and experienced muscle ache and received Flu vaccine (FLU VACCINE VII) on an unspecified date in 2021 for immunization. Patient said that after receiving the 2nd dose Pfizer-BioNTech Covid-19 Vaccine, she developed symptoms similar to that of a cold on 28Mar2021. These include congestion, sneezing, and itchy eyes. Patient also said she experienced muscle aches all week. The muscle aches started the same day she got the second dose, that night. Stated she got the 2nd dose at 15:00 and that night she was not feeling well and the next day more so. Stated that just today on 02Apr2021 was her first day she doesn't have the muscle aches, they aren't totally gone but it was improved. Patient relays that the cold symptoms are congestion, sneezing, and itchy eyes. States she was a smoker, and a cold typically goes into her lungs in her chest, and it didn't so that was a good thing the vaccine did for her if it was a real cold. Patient stated that the cold symptoms started 28Mar2021 and are not getting better, they are persisting. Patient provides that she got a Covid test the other day because the muscle aches were so bad, and the cold came from nowhere. She already having the muscle aches and thinks those should go away after a week. She usually gets muscle aches like after the flu vaccine last year and after her 1st dose. The patient underwent lab tests and procedures which included sars-cov-2 test was negative on 31Mar2021. The outcome of the event muscle ache was resolving, and other events was not resolved. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792660
Sex: F
Age:
State: OK

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: Test Name: stress test; Result Unstructured Data: Test Result: everything looked good; Test Name: Covid; Test Result: Negative.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 65-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number ER8727, Expiry date: unknown), via an unspecified route of administration, administered in Arm Left on 30Mar2021 at 15:30 (at the age of 65-year-old) as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. The patient previously took BNT162B2 for COVID-19 immunisation and experienced pain in extremity, prednisone [prednisone acetate]. The patient had an allergy to grass, pollen, trees. No prior vaccinations (within 4 weeks). On an unspecified date, the patient experienced headache. On 31Mar2021, the patient experienced head congestion, drainage, coughing. The patient underwent lab tests and procedures which included cardiac stress test: everything looked good, sars-cov-2 test: negative. Patient had performed stress test was normal. States patient has also taken Prednisone. The outcome of event headache was unknown, the outcome of event head congestion, drainage and coughing was not recovered. Description of Product Complaint: Description of complaint: Vaccine Supplemental Form completed in additional context. States when she woke up Wednesday morning the day after the 2nd dose of the Pfizer Vaccine, she had a lot of congestion, drainage and was coughing; States her sister is a nurse and thought maybe she can't do that because the vaccine might make it less effective so she is trying to find out if possibly she could just be reacting to the Pfizer shot or if it is allergies. When she gets symptoms like this she sometimes gets what they call an allergy booster shot; states she has no name of the allergy booster shot, lot number or expiry date to provide and states she hasn't had an allergy booster shot in quite a while since August or September 2020. States she has also taken Prednisone before but has not taken that either since around that same time last year and has no lot numbers to provide for Prednisone. States she is taking over the counter things like the generic of Zyrtec which is the store brand and states she does not know the lot number but as taken it twice per day in the morning and night per her HCP because of her allergy issues and has to grab her glasses and states the lot is 1AE2591C with expiry date Oct2022 and no UPC which may be on the box but the box has been discarded; states the store brand has a number of 4H2752EF7. Caller states she uses a prescription nose spray called Fludacazone Cionate and it is generic for Flonase; does 50mcg two sprays each nostril twice per day with lot from box RP2910 with expiry Mar2023 and does not see anything that says is the NDC. Takes another Chloratrimaton which is the generic called Wallfinate Chloraminemaleate with lot P122924 expiry date Nov2023; states she does not always take it this way but takes it morning and night usually sometimes every 4 hours. DSU Potential Duplicate AE Report E transmit - Patient already spoke to DSU and was transferred to us. Follow-up (02Apr2021): This is a Follow-up spontaneous report from a contactable consumer. This consumer (Patient) reported that: Is there a Product Complaint: Yes. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1792661
Sex: F
Age:
State: VA

Vax Date: 04/01/2021
Onset Date: 03/12/2021
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Welts; Welts are itchy; This is a spontaneous report from a contactable consumer (patient) or other non-health care professional via Pfizer. A 64-year-old non-pregnant female patient received second dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: ER8732) via an unspecified route of administration, administered in left arm on 01Apr2021 13:45 (at the age of 64-year-old) as single dose and first dose of bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EN6208) via an unspecified route of administration, administered in left arm on 11Mar2021 01:30 as single dose for COVID-19 immunization. Medical history included latex sensitivity and penicillin allergy from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient did not received any other medications within 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to the vaccination. The patient had been not tested for COVID-19 since the vaccination. On 12Mar2021 06:00, the next morning the patient had welts, appeared not near vaccine location. First appeared on lower arm, wrist, then on ankle, then on side of body, welts were itchy. Patient thought it might have been a bug bite the first time, but it has happened again after the second injection. No treatment received for the events. No unaddressed medical questions referred or forwarded to Medical Information. The outcome of the events were unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1792662
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Extreme pain in her left shoulder and she cannot move her arm at all; This is a spontaneous report from a Pfizer-sponsored program. about a contactable consumer or other non-health care professional (patient). A 62-years-old female patient received second dose of BNT162B2 (COMIRNATY, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administrated in left arm on an unspecified date (on last Saturday) as dose 2, single for covid-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, 4-5 hours after vaccination, patient experienced extreme pain in her left shoulder, a lot of pain in her shoulder and she was in serious pain, and she cannot move her arm at all and has it in a makeshift sling. Patient stated that pain was between the shoulder blades, and she cannot pull her arm away from her side. Patient stated that this was going on the seventh day. She would like to know if that was normal or has been reported before. She has called the CDC as well and no one wants to tell her anything they keep sending her to someone else. She spoke with her doctor, and she was taking 1600 mg of ibuprofen and a muscle relaxant for the pain, but it was not helping, and the doctor does not want to do anything else. The outcome of the event was reported as unknown. No follow-up attempts are possible; Information on Lot/Batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1792663
Sex: F
Age:
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: itchiness from head to toes; Stomach cramping; had 8 bowel movements; This is a spontaneous report from a contactable consumer (patient) received via the Medical Information Team. A 62-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), via an unspecified route of administration, on 12Mar2021 (Batch/Lot number was not reported) (at the age of 62 years old) as dose 1, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 12Mar2021, the patient experienced itchiness from head to toes (at 07:00 PM), stomach cramping, and had 8 bowel movements. Clinical course of events was as follows: The patient had the first shot of Pfizer COVID vaccine on 12Mar2021 and supposed to have the second dose on 06Apr2021, Tuesday. The patient received the first dose from 02:30 to 03:00 PM on 12Mar2021, and the night at 07:00 PM, had developed itchiness from head to toes. The patient took loratadine (CLARITIN) that night, and the next morning on 13Mar2021, the itchiness resolved. The patient also experienced stomach cramping which eased with a bowel movement. Stated that she had 8 bowel movements that day. The patient was wondering whether she should receive the second dose. The patient would like to know if she should take loratadine (CLARITIN) before her second shot if she decided to get the second shot. The outcome of event itchiness from head to toes was recovered on 13Mar2021; the event stomach cramping was recovering; the event had 8 bowel movements 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: 1792664
Sex: M
Age:
State: OR

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: worsening of his allergy symptoms; itching /running eyes/ eyes were itching; sneezing; This is a spontaneous report from a contactable consumer (patient). A 43-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: ER8732, Expiry Date and NDC number were unknown), via an unspecified route of administration, administered in left arm on 01Apr2021 09:15 (age at vaccination 43-Year-old) as dose 1, single for covid-19 immunisation. Medical history included ongoing seasonal allergy, ongoing severe pain for the last couple years, allergic to the cat. There was not any previous immunization with the Pfizer vaccine considered as suspect, no additional Vaccines administered on same date with the Pfizer vaccine considered as suspect, no Prior Vaccinations within 4 weeks no adverse event prior vaccinations. Concomitant medication(s) included cetirizine 10mg once per day in the morning, taken for seasonal allergy from an unspecified start date and ongoing; glucosamine taken for an unspecified indication from an unspecified start date and ongoing; ibuprofen 200mg tablets in the morning then 2-4 tablets in the evening, taken for pain from an unspecified start date and ongoing; acetaminophen 500mg tablets in the morning, taken for pain from an unspecified start date and ongoing; dextroamphetamine hydrochloride 10mg in the morning, taken for an unspecified indication from an unspecified start date and ongoing, probiotic and Multivitamin. On 01Apr2021 the patient experienced worsening of his allergy symptoms, itching /running eyes/ eyes were itching and sneezing. The patient received his first dose of the Pfizer covid vaccine on April 1st and before the vaccine he took Cetirizine antihistamine for his seasonal allergies and today also. yesterday after dinner he experienced worsening of his allergy symptoms, eyes were itching and running and sneezing a couple times. The patient was reported about the Covid 19 vaccine. He received his first dose yesterday, 01Apr2021 at 0915 and he didn't know, his wife just told him that he wasn't supposed to take an antihistamine in the morning before getting his Covid 19 vaccine. Yesterday after the Covid 19 vaccine his allergies really started kicking in. Is this a side effect of the Covid 19 vaccine or a reaction with his allergy medication? He took his antihistamine yesterday morning before getting the Covid 19 vaccine. He takes Costco brand Allertec which is Ceterizine Hcl 10mg once per day in the morning. He also takes 10mg of Adderall but the generic dextroamp-amphet ER in the morning. He also takes a multivitamin, glucosamine, and a probiotic. He takes Ibuprofen and Acetaminophen as needed. He reported he's having worsening allergy symptoms. He has pretty bad seasonal allergies and his wife has a cat and he's allergic to the cat. Yesterday his eyes were itching and running, and he sneezed a couple times. This morning his eyes were itchy again. He's been staying hydrated and drinking lots of water. His wife and him have been married for at least 8 years. His wife had the cat before they got married. The cat has its own room in the house, so he was segregated from the cat most of the time. He started noticing his symptoms probably around dinner time yesterday, 01Apr2021. Maybe 6:00PM. He doesn't know if he was paying attention to his allergy symptoms or ignoring them. He reported the itchy, runny eyes are staying about the same. He took his vitamins and allergy pills and Adderall as he usually does, and his eyes are still a little itchy. He would also like to add he had severe pain for the last 2 years. He was working with the to try and get compensation. For the severe pain he takes 4 ibuprofen tablets in the morning and 2 acetaminophen tablets. He sometimes take 2-4 more ibuprofen tablets in the evenings but he usually only takes the acetaminophen once during the day. He usually doesn't take the acetaminophen in the evening. The events did not require a visit to Emergency Room or Physician Office. The outcome of the event worsening of his allergy symptoms was unknown, while the outcome of itching /running eyes/ eyes were itching, and sneezing was not recovered. Follow-up attempts completed. No further information expected.

Other Meds: CETIRIZINE; GLUCOSAMINE; IBUPROFEN; ACETAMINOPHEN; DEXTROAMPHETAMINE HYDROCHLORIDE

Current Illness: Pain (Verbatim: severe pain for the last couple years); Seasonal allergy

ID: 1792665
Sex: F
Age:
State: VA

Vax Date: 03/31/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itching; This is a spontaneous report from a contactable consumer (patient). A 44-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number was not reported), via an unspecified route of administration, administered in left arm on 31Mar2021 at 14:00 (age at vaccination was 44-year-old) as dose 1, single for COVID-19 immunization. The patient's medical history included allergy to nuts. The patient's concomitant medications included a cholesterol medicine (as reported) from Feb2021. On 31Mar2021 (reported as at night), the patient experienced itching. It was reported that the patient took diphenhydramine (BENADRYL, 25 mg), so she was better and was not itching anymore. She also state that she took ibuprofen 800 mg and was not experiencing anything anymore. The patient said that she saw itching was listed as a possible side effect and would like to know if she was good with taking the second shot. The outcome of the event was recovered on an unspecified date of 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1792666
Sex: M
Age:
State: NY

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: RA

Lab Data:

Allergies:

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

Symptoms: facial swelling/cheek swelling; lip swelling; This is a spontaneous report from a contactable other hcp . A 64-years-old male patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Two days after the first dose of the Pfizer covid-19 vaccine, the patient experienced facial, lip swelling and cheek swelling. There was not anything serious like tongue and throat swelling. The patient's reaction was not serious and resolved after treatment with Benadryl. The patient was asking if patient get the second dose of the Pfizer covid-19 vaccine. Therapeutic measures were taken as a result of events with Benadryl. The outcome of events were recovered on an unspecified date. No follow-up attempts are needed. Information about lot/batch number cannot be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1792667
Sex: F
Age:
State: AZ

Vax Date: 03/20/2021
Onset Date:
Rec V Date: 10/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: can not touch the injection site or it feels like I someone is putting a blow torch to my arm. Burns intensely/burning like someone is putting a flame thrower on it if I touch it and it burns; it feels like a little pain or itchy.; it feels like a little pain or itchy.; My arm burn like it's on fire,Burning fearing pain; Its a localized reaction in my arm; This is a spontaneous report from a contactable consumer (patient). A 62-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: er2613, Expiry Date: Not Reported), via an unspecified route of administration, administered in Arm Left on 20Mar2021 (at the age of 62-year-old) at 13:15 as dose 1, single for covid-19 immunisation at Health Clinic. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient medical history included low thyroid, lichen, knee pain. The patient was allergic to medications, food, or other products: lactose intolerant, avocadoes. Concomitant medications included levothyroxine sodium (SYNTHROID) taken for an unspecified indication, start and stop date were not reported; meloxicam taken for an unspecified indication, start and stop date were not reported; estradiol taken for an unspecified indication, start and stop date were not reported; clobetasol taken for an unspecified indication, start and stop date were not reported. The patient received these medications within 2 weeks of vaccination. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On an unspecified date in 2021, cannot touch the injection site or it feels like I someone is putting a blow torch to my arm. Burns intensely/burning like someone is putting a flame thrower on it if I touch it and it burns, it feels like a little pain or itchy, my arm burn like it's on fire, burning fearing pain. The patient reported that the patient received the Pfizer shot on 20Mar2021 and now it's April 2 or 3rd and the patient arm still burning like someone is putting a flame thrower on it if the patient touch it and it burns. The patient hasn't gone to the doctor because the patient has a high deductible plan, and it will cost the patient $100. Sometimes it feels like a little pain or itchy. It is almost debilitating when the patient rubs her fingernails over it. On an unspecified date in 2021, the patient experienced, my arm burn like it is on fire, burning fearing pain, arm in the shot area just touch it with my finger or scratch it with my fingers, it is a localized reaction in my arm. Consumer stated that she had bad reaction to her first Pfizer shot. It was a localized reaction in her arm. She has had the shot; she had the shot on 19Mar2021. It has been about 2 weeks. Her arm burns like it's on fire. If she touches arm in the shot area just touch it with her finger or scratch it with her fingers. It was feeling like somebody was putting do you know what a boil torch is. How about a cigarette lighter, it feels like somebody is putting that cigarette lighter on her arm, it burns bad. So, she personally doesn't know of any medical solution to that so she doesn't want to spend 100 dollars to go to a doctor to tell her that she can do nothing about it. So can Pfizer tell her about this burning fearing pain in her arm. Paraphrased: Consumer stated Not on her hand, on her arm. She meant was there any treatment for and then do she have to worry about the 2nd shot. Outcome of the event pain was unknown and for other all events the outcome was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: SYNTHROID; MELOXICAM; ESTRADIOL; CLOBETASOL

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am