VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1812074
Sex: F
Age:
State: MD

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
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: Chills; Fever; Shaking; Headache; Nausea; This is a spontaneous report from a contactable consumer, the patient. A 31-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0164) via an unspecified route of administration in the arm left on 26Apr2021 at 10:00 (at the age of 31-years-old) as a single dose for COVID-19 immunisation. The patient's medical history included allergy to sulfa. Prior to vaccination, the patient was not diagnosed with COVID -19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The concomitant medication was not reported. The patient previously took cefaclor (CECLOR) on an unknown date and experienced allergy. On 26Apr2021 at 23:00, the patient experienced chills, fever, shaking, headache and nausea. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chills, fever, shaking, headache and nausea were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812075
Sex: F
Age:
State: UT

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 10/23/2021
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: Rash on arms back legs torso; This is a spontaneous report from a contactable consumer, the patient. A 63-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8736) via an unspecified route of administration in the right arm on 27Apr2021 at 11:15 (at the age of 63-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included finasteride (MANUFACTURER UNKNOWN) and simvastatin (MANUFACTURER UNKNOWN); both taken for unknown indications from an unknown date and unknown if ongoing. On 27Apr2021 at 17:00, the patient experienced rash on arms back legs torso. 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 rash on arms back legs torso was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: FINASTERIDE; SIMVASTATIN

Current Illness:

ID: 1812076
Sex: F
Age:
State:

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 10/23/2021
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: Swollen lymph node on armpit at the side of injection; Slight stuffed nose; Chills; Headache; This is a spontaneous report from a non-contactable consumer, the patient. An 18-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 23Apr2021 at 12:15 (at the age of 18-year-old) as a single dose for COVID-19 immunisation. The patient had no relevant medical history and no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient did not receive any concomitant medications. On 24Apr2021, at 02:00, the patient experienced chills and headache, slight stuffed nose, swollen lymph node on armpit at the side of injection. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chills and headache, slight stuffed nose, swollen lymph node on armpit at the side of injection was resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812077
Sex: F
Age:
State: PA

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 10/23/2021
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: Tinnitus in both ears a few days after vaccine/Also what felt like an autoimmune flair; This is a spontaneous report from a contactable consumer, the patient. A 50-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 31Mar2021 at 12:30 (at the age of 50-years-old) as a single dose for COVID-19 immunisation. The medical history included post lyme syndrome and allergy to sulfa. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medications included ascorbic acid (VITAMIN C), vitamin d nos (VITAMIN D) and calcium (MANUFACTURER UNKNOWN), all for unknown indications from unknown dates and unknown if ongoing. On 02Apr2021, a few days after vaccination, the patient experienced tinnitus in both ears. The patient never had this before and it was persistent and also what felt like an autoimmune flair. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the reported events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event tinnitus in both ears was not resolved at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: VITAMIN C [ASCORBIC ACID]; VITAMIN D [VITAMIN D NOS]; CALCIUM

Current Illness:

ID: 1812078
Sex: F
Age:
State: GA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 10/23/2021
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: Violent body shaking; Complete loss of appetite; Sour stomach; Nausea; Vomiting; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the left arm on 20Apr2021 at 15:15 (at the age of 20-years-old) as a single dose for COVID-19 immunisation. Medical history included anxiety disorder. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Concomitant medications included ollie women's multivitamin (MANUFACTURER UNKNOWN) for an unknown indication from an unknown date and unknown if ongoing. The patient previously received azithromycin (ZITHROMAX) on an unknown date for an unknown indication and experienced drug allergy. On 20Apr2021 at 16:45, the patient experienced violent body shaking, complete loss of appetite, sour stomach, nausea and vomiting (once). The patient wasn't sure if she needed to consult a doctor. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events violent body shaking, complete loss of appetite, sour stomach, nausea and vomiting (once) were resolved on an unknown date in Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812079
Sex: F
Age:
State: OH

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
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 arm; Headache; Feeling off; Sometimes lightheaded; Racing heartbeat; Tired; leg that had DVT sometimes getting sharp pain for a few seconds; This is a spontaneous report from a contactable consumer, the patient. A 59-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 25Apr2021 at 14:30 (at the age of 59-years-old) as a single dose for COVID-19 immunisation. Medical history included hypothyroidism, blood pressure high and DVT (deep vein thrombosis) of legs. The patient had unspecified allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received other medications within 2 weeks of vaccination. On 26Apr2021 at 06:30, the patient experienced sore arm for 3 days so far, headache, feeling off, sometimes lightheaded, she had prior DVT and leg that had DVT sometimes getting sharp pain for a few seconds racing heartbeat, tired. The events had not resulted in doctor/other health care professional office/clinic visit and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event sore arm, headache, feeling off, sometimes lightheaded, she had prior DVT and leg that had DVT sometimes getting sharp pain for a few seconds racing heartbeat, tired were not resolved at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812080
Sex: F
Age:
State: NE

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 10/23/2021
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: ''I'' have a very strong disgusting smell to all good, some drinks and more. It all smelled gross. It had been almost 3 weeks and could not enjoy food because it all had a very strong odor.; This is a spontaneous report from a contactable consumer, the patient. A 25-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the left arm on 10Apr2021 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. Medical history included COVID-19 (Prior to the vaccination, the patient was diagnosed with COVID-19). The patient had no known allergies. The patient did not take any concomitant medications. The patient did not receive any other vaccine within 4 weeks prior to the COVID-19 vaccine. The patient previously the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 13Mar2021 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. On 12Apr2021, ever since her second Pfizer vaccine, the patient experienced a very strong disgusting smell to all good, some drinks and more. It all smelled gross. It had been almost 3 weeks and the patient could not enjoy food because it all had a very strong odour ((all the same smell/maybe chemical). The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. No therapeutic measures were taken as a result of the events. The clinical outcome of the event very strong disgusting smell to all good, smelled gross and patient could not enjoy food because it all had a very strong odour was not recovered at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812081
Sex: F
Age:
State: VA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 10/23/2021
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: After about 12 hours after vaccine, had bad body shakes for 3 days; This is a spontaneous report from a contactable consumer, the patient. A 34-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8730) via an unspecified route of administration in the left arm on 06Apr2021 at 15:00 (at the age of 34-year-old) as a single dose for COVID-19 immunisation. The patient had no medical history and no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient did not receive any concomitant medication. On 07Apr2021, 12 hours after the vaccination, the patient experienced bad body shakes for 3 days. It Started to go away by 10Apr2021. 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 events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event bad body shakes was resolved on 10Apr2021, after the duration of 3 days. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812082
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/23/2021
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: Fever; This is a spontaneous report from a non-contactable consumer. A 29-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Unknown) via an unspecified route of administration on an unknown date (at the age of 29-years-old) and the patient also received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Unknown) via an unspecified route of administration on an unknown date (at the age of 29-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Prior to the vaccination, it was unknown whether the patient was diagnosed with COVID-19. It was unknown whether the patient did receive any other vaccines within four weeks prior to the COVID-19 vaccine. On an unknown date, the patient experienced fever. The event did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the event which included treatment paracetamol (MANUFACTURER UNKNOWN). Since the vaccination, it was unknown whether the patient had been tested for COVID-19. The clinical outcome of the event fever was recovered on an unknown date. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812083
Sex: F
Age:
State: IA

Vax Date: 04/09/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
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: she has been feeling sick.; Cough; Runny nose; This is a spontaneous report from a contactable consumer or other non hcp (patients daughter) reported for mother. A 52-years-old female patient received BNT162B2 (Batch/Lot Number: EW0153 Expiry Date not provided on card and NDC number were Unknown), dose 1 via an unspecified route of administration, administered in Arm Left on 09Apr2021 09:45 (age at vaccination 52-year-old) as dose 1, single for covid-19 immunisation. Medical history included blood pressure increased from an unknown date and unknown if ongoing takes a medication for high blood pressure, from an unknown date and unknown if ongoing. Family Medical History Relevant was none. The patient did not have history of previous immunization with the Pfizer vaccine considered as suspect. No Prior Vaccinations within 4 weeks. Concomitant medication(s) included amoxicillin (AMOXICILLIN) taken for blood pressure measurement, start and stop date were not reported. On 26Apr2021 the patient experienced she has been feeling sick. The patient daughter was speaking on behalf of her mother. The patient received the first dose of the Covid-19 vaccine. The second dose is scheduled tomorrow. She has been feeling sick since Monday with a cough and runny nose. Cough was reported as worsened. She has been taking antibiotics for two days. Is it ok to take the second dose. The patient had been taking Amoxicillin 500mg three times daily. Her mother doesn't know why she was prescribed the medication. It was prescribed a while back, but she has only been taking it for the past two days. The patient did not visited to Emergency Room and Physician Office. The patient does not have a specific doctor. She was seen by different providers at the clinic. The outcome of the event feeling sick was unknown and cough outcome was not recovered and runny nose outcome was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: AMOXICILLIN

Current Illness:

ID: 1812084
Sex: F
Age:
State: GA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 10/23/2021
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: The lymph node in "my" right arm pit swelled to the size of a peach and stayed swollen for 3 weeks.; "I" have sporadic (3-4 occurrences a week) chest pain in the area of "my" heart; Slightly left center mass; Bouts of lethargy; Extreme fatigue (1-2 times a week).; This is a spontaneous report from a contactable consumer, the patient. A 57-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the right arm on 16Mar2021 (at the age of 57-years-old) as a single dose for COVID-19 immunisation. Medical history included known allergy to NSAIDs. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient received unspecified concomitant medication. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EH2602) via an unspecified route of administration in the right arm on 23Feb2021 as a single dose for COVID-19 immunisation. On 18Mar2021, the patient experienced lymph node in her right arm pit swelled to the size of a peach and stayed swollen for 3 weeks. She had sporadic (3-4 occurrences a week) chest pain in the area of her heart, slightly left centre mass, bouts of lethargy and extreme fatigue (1-2 times a week). The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event lymph node in her right arm pit swelled to the size of a peach and stayed swollen for 3 weeks was resolved on an unknown date in Apr2021: whereas the events sporadic (3-4 occurrences a week) chest pain in the area of her heart, slightly left centre mass, bouts of lethargy and extreme fatigue (1-2 times a week) was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812085
Sex: F
Age:
State: MA

Vax Date: 04/13/2021
Onset Date: 04/01/2021
Rec V Date: 10/23/2021
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: Menstrual cycle happened a week early in the middle of birth control pack and then got a second period a week late; Extreme fatigue; This is a spontaneous report from a contactable consumer, the patient. A 28-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 13Apr2021 (at the age of 28-years-old) as a single dose for COVID-19 immunisation. Medical history and concomitant medication were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date in Apr2021 the patient's menstrual cycle happened a week early in the middle of birth control pack and then got a second period a week later. On an unknown date in Apr2021, 20 hours after the vaccination, the patient experienced extreme fatigue. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events menstrual cycle happened a week early in the middle of birth control pack and then got a second period a week late and extreme fatigue were resolved on an unknown date in Apr2021. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812086
Sex: F
Age:
State: IN

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 10/23/2021
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: Havent barely moved all day/''i'' just feel so unable to do anything; A pounding headache that wont go away; "My" left arm is really sore; This is a spontaneous report from a contactable consumer, the patient. A 36-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0173) via an unspecified route of administration in the left arm on 02May2021 at 17:30 (at the age of 36-years-old) as a single dose for COVID-19 immunisation. Medical history included thyroid, anxiety, severe depression and lower back pain. The patient had no known allergies. Concomitant medications included sertraline hydrochloride (ZOLOFT), buspirone (MANUFACTURER UNKNOWN), clonazepam (MANUFACTURER UNKNOWN), naloxone hydrochloride, buprenorphine hydrochloride (SUBOXONE) and levynthor (MANUFACTURER UNKNOWN); all taken for unknown indications from unknown dates and unknown if ongoing. Prior to vaccination, it was unknown whether the patient was diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 02May2021 at 22:00, the patient had not barely moved all day, had a pounding headache that would not go away, her left arm was really sore and she just felt so unable to do anything. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events had not barely moved all day/she just felt so unable to do anything, a pounding headache that would not go away and her left arm was really sore was not resolved at the time of the report. No follow-up attempts are needed. No further information is expected.

Other Meds: ZOLOFT; BUSPIRONE; CLONAZEPAM; SUBOXONE

Current Illness:

ID: 1812087
Sex: F
Age:
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 10/23/2021
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: Fatigue started 60 minutes after vaccine - lasted 48 hours; Dizziness started 30 minutes after vaccine - lasted 36 hours; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0153) via an unspecified route of administration in the left arm on 06Apr2021 at 10:00 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. Medical history included depression and allergy to sulfa (sulfonamide allergy) and cherries (fruit allergy). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included sertraline hydrochloride (ZOLOFT), cetirizine hydrochloride (ZYRTEC), cyanocobalamin (B 12), probiotics (MANUFACTURER UNKNOWN) and iron (MANUFACTURER UNKNOWN); all for unknown indication from an unknown date and unknown if ongoing. On 06Apr2021 at 10:30, 30 minutes after the vaccination, the patient experienced dizziness that lasted for 36 hours. On 06Apr2021 at 11:00, 60 minutes after the vaccination, the patient experienced fatigue that lasted 48 hours. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events dizziness was recovered on 07Apr2021 at 22:30; while that of the event fatigue was recovered on 08Apr2021 at 11:00. No follow-up attempts are needed. No further information is expected.

Other Meds: ZOLOFT; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; B 12; IRON

Current Illness:

ID: 1812088
Sex: M
Age:
State: FL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer. A 26-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an intramuscular route of administration in the left arm on 26Apr2021 at 07:15 (at the age of 26-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient had no known allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient did not take any concomitant medication. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an intramuscular route of administration in the left arm on 12Apr2021 at 07:15 (at the age of 26-years-old) as a single dose for COVID-19 immunisation. On 26Apr2021 at 21:30, (also reported around 21:00 to 22:00) the patient experienced chills, dizziness, muscle pain, runny nose and fever throughout the night. 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 and included treatment with paracetamol (TYLENOL) 600mg on 27Apr2021 at 06:00 and symptoms subsided. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events chills, dizziness, muscle pain, runny nose and fever throughout the night were resolving at the time of this report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812089
Sex: F
Age:
State: NC

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 10/23/2021
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: Period has completely stopped since the first dose; This is a spontaneous report from a contactable consumer, the patient. A 30-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3247) via an intramuscular route of administration in the left arm on 21Jan2021 at 11:45 (at the age of 30-years-old) as a single dose for COVID-19 immunisation. Medical history included Known allergy to Tree nuts, seafood, dust and pollen. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included ethinylestradiol/ferrous fumarate/norethisterone acetate (LO LOESTRIN FE) for an unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient previously received hydrocodone bitartrate; paracetamol (VICODIN) for unknown indication on unknown date and experienced drug allergy. On 29Jan2021, the patient experienced her period had completely stopped since the first dose. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event period had completely stopped was not resolved at the time of report. The patient also received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL3247) via an intramuscular route of administration in the left arm on 11Feb2021 at 11:45 (at the age of 30-years-old) as a single dose for COVID-19 immunisation. No follow-up attempts are needed. No further information is expected.

Other Meds: LO LOESTRIN FE

Current Illness:

ID: 1812090
Sex: F
Age:
State: TX

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 10/23/2021
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: Things smell abnormal, food smells like feces and nothing smells the way it should; This is a spontaneous report from a contactable consumer, the patient. A 20-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN5318) via an unspecified route of administration in the arm left on 19Feb2021 at 08:00 at the age of 20-years-old as a single dose for COVID-19 immunisation. Medical history included generalized anxiety disorder (GAD), seasonal allergies, and COVID-19 in early December. Patient had no known allergies. Prior to the vaccination, the patient was diagnosed with COVID-19. Concomitant medications included MONTELUKAST, ESCITALOPRAM, and oral birth control, all were taken for unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN5318) via an unspecified route of administration in the arm left on 29Jan2021 at 10:00 at the age of 19-years-old as a single dose for COVID-19 immunisation. On 19Feb2021, after the patient received Pfizer vaccine, the patient experienced things smell abnormal, food smells like feces, nothing smells the way it should, this was ongoing at the time of reporting. The event resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event things smell abnormal, food smells like feces, nothing smells the way it should was not resolved at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: MONTELUKAST; ESCITALOPRAM

Current Illness:

ID: 1812091
Sex: F
Age:
State: ID

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache; Body aches; Fever; Nausea; injection site pain; This is a spontaneous report from a contactable consumer, the patient. A 27-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the arm right on 26Apr2021 at 17:15 as a single dose for COVID-19 immunisation. Medical history included bronchitis, exercise endured asthma and penicillin allergy on unknown dates. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included Acetylsalicylic acid, Caffeine, Paracetamol (EXCEDRIN) and multivitamin (MANUFACTURER UNKNOWN) from unknown date for unknown indication and unknown if ongoing. On 27Apr2021 at 06:45 the patient experienced headache, body aches, fever, nausea and injection site pain. 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 and included over-the-counter medication. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcomes of the events headache, body aches, fever, nausea and injection site pain were resolved with sequelae. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.

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

Current Illness:

ID: 1812092
Sex: F
Age:
State: MA

Vax Date: 04/20/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Very painful under arm beginning 6 days after injection on right side of the body (same side as injection); Visible swelling of under arm area on right side of the body; This is a spontaneous report from a contactable consumer, the patient. A 39-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the right arm on 20Apr2021 at 16:15 (at the age of 39-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history. The patient had no known allergies. The patient did not take any concomitant medication. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. On 26Apr2021 at 07:00, 6 days after the injection, the patient experienced very painful under arm on right side of the body (same side as injection) and visible swelling of under arm area on right side of the body. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. It was unknown, if the patient received any treatment for the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events very painful under arm on right side of the body (same side as injection) and visible swelling of under arm area on right side of the body was not resolved at the time of the report. No follow-up attempts are required; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812093
Sex: F
Age:
State:

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache; Body pain; Joint pain; Chills; Sensitive skin; This is a spontaneous report from a non-contactable consumer, the patient. A 46-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6208) via an unspecified route of administration in the left arm on 20Mar2021 at 16:45 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21Mar2021 at 03:00, the patient experienced headache, body and joint pain, chills and sensitive skin. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events headache, body and joint pain, chills and sensitive skin were resolved on an unknown date in 2021. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1812094
Sex: F
Age:
State: MN

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
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: All over body ache; Headache; Exhaustion; Site injection pain, can hardly lift left arm; This is a spontaneous report from a contactable consumer, the patient. A 60-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0171) via an unspecified route of administration in the left arm on an unknown date in Apr2021 (at the age of 60-years-old) as a single dose for COVID-19 immunisation. Medical history included chronic strain right rhomboid, tendonitis related to elbows wrists and strain to back muscles from fall on ice on 26Feb2021. The patient was allergic to penicillin, cherries, blueberries and raspberries. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included lisinopril (MANUFACTURER UNKNOWN), amlodipine (MANUFACTURER UNKNOWN), cyclobenzaprine hydrochloride (FLEXERIL), hydroxide (MANUFACTURER UNKNOWN) and hydr (MANUFACTURER UNKNOWN); all taken for an unknown indication from an unknown date and unknown if ongoing. The patient previously received amoxicillin (MANUFACTURER UNKNOWN) and clarithromycin (BIAXIN) and experienced drug allergy. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8733) via an unspecified route of administration in the left arm on 05Apr2021 at 15:15 (at the age of 60-years-old) as a single dose for COVID-19 immunisation. On 26Apr2021 at 15:00, the patient experienced all over body ache, headache, exhaustion and site injection pain, can hardly lift left arm. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events all over body ache, headache, exhaustion and site injection pain, can hardly lift left arm was recovering at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL; AMLODIPINE; FLEXERIL [CYCLOBENZAPRINE HYDROCHLORIDE]

Current Illness:

ID: 1812095
Sex: F
Age:
State: NC

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 10/23/2021
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: Low grade fever; Tired; Swelling and redness on injection site; Swelling and redness on injection site; This is a spontaneous report from a contactable consumer, the patient. A 66-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0170) via an unspecified route of administration in the right arm on 24Apr2021 at 11:45 (at the age of 66-years-old) as a single dose for COVID-19 immunisation. Medical history included arthritis. The patient had known allergies to penicillin. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received unspecified concomitant medications taken for unknown indications from an unknown date and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW015-PAA 166261) via an unspecified route of administration in the right arm on 03Apr2021 at 11:45 (at the age of 66-years-old) as a single dose for COVID-19 immunisation. On 25Apr2021, the patient experienced low grade fever, tired, swelling and redness on injection site. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events low grade fever, tired, swelling and redness on injection site was not recovered at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1812096
Sex: F
Age:
State: WI

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 10/23/2021
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 Date: 20210425; Test Name: Body temperature; Result Unstructured Data: Test Result:101 Units:[degF]; Comments: at 23:00

Allergies:

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

Symptoms: Fever 101 degree F; Chills; Headache; Muscle aches; Fatigue; Nausea; This is a spontaneous report from a contactable consumer, the patient. A 57-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0172) via an unspecified route of administration in the left arm on 25Apr2021 at 12:30 (at the age of 57-years-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient received unspecified concomitant medications for an unknown indication from an unknown date and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: RW0150) via an unspecified route of administration in the left arm on 01Apr2021 at 14:45 (at the age of 57-years-old) as a single dose for COVID-19 immunisation. The patient previously took amoxicillin (MANUFACTURER UNKNOWN) for unknown indication and experienced drug allergy. On 25Apr2021 at 23:00, the patient experienced fever 101 degrees fahrenheit (F), chills, headache, muscle aches, fatigue and nausea. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. On 25Apr2021 at 23:00, the patient underwent body temperature test and the result was 101 degrees fahrenheit. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fever 101 degree F, chills, headache, muscle aches, fatigue and nausea was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812097
Sex: M
Age:
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data: Test Date: 202102; Test Name: PCR Test; Test Result: Negative ; Comments: Nasal Swab

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Severe headache; body ache; This is a spontaneous report from a non-contactable consumer, the patient. A 55-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE;Lot Number: EP6955) via an unspecified route of administration in the arm left on 26Apr2021 at 11:00 (at the age of 55-years-old) as a single dose for COVID-19 immunisation. Medical history was not provided. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included sucralfate (MANUFACTURER UNKNOWN) and dexlansoprazole (DEXILANT) all for unknown indication from unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE;Lot Number: EP6955) via an unspecified route of administration in the arm left on 05Apr2021 at 11:00 (at the age of 55-years-old) as a single dose for COVID-19 immunisation. On 26Apr2021 the patient experienced severe headache and body ache. Therapeutic measures were not taken as a result of the events. On an unknown date in Feb2021, the patient underwent SARS-CoV2 test and the result was negative. The clinical outcome of the events severe headache and body ache were unknown at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds: SUCRALFATE; DEXILANT

Current Illness:

ID: 1812098
Sex: F
Age:
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 10/23/2021
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: fever; vertigo; my tongue swelled up a bit and went numb; my tongue swelled up a bit and went numb/ my upper lip also swelled up and went numb as did the gums around my teeth// my upper lip also swelled up and went numb as did the gums around my teeth; my upper lip also swelled up and went numb as did the gums around my teeth; my upper lip also swelled up and went numb as did the gums around my teeth; This is a spontaneous report from a contactable consumer. A 55-years-old non pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE, formulation: solution for injection, lot number: EW0161), via an unspecified route of administration, in arm left on 15Apr2021 at 08:45 as dose 2, single (age at vaccination 55 years) for covid-19 immunisation. Medical history included high cholesterol. Concomitant medication(s) included atorvastatin calcium (LIPITOR); cetirizine hydrochloride, pseudoephedrine hydrochloride (ZYRTEC-D); vitamin d nos; probiotics; vitamin b nos, all since an unknown date. The patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE, formulation: solution for injection, lot number: ER8732), via an unspecified route of administration, in arm left on 24Mar2021 at 09:00 as dose 1, single (age at vaccination 55 years) for covid-19 immunisation and her tongue swelled up a bit and went numb. The patient took dose 2 and on 15Apr2021 at 08:45 events [similar to dose 1] like her tongue swelled up a bit and went numb occurred. Different from dose 1, her upper lip also swelled up and went numb as did the gums around her teeth on 15Apr2021 at 08:45. This continued off and on for 10 days. Some days no numbness. Other days a little numbness that would go away in an hour or so. Also on the 2nd day on 16Apr2021, she ran a fever and had a little vertigo. That went away overnight. None of the swelling or numbness required the use of an Epi Pen. She had never had an allergic reaction to a vaccine in my life prior to the Covid vaccine. The outcome of all the events was recovered on an unknown date in Apr2021. Follow-up attempts are completed. No further information is expected

Other Meds: LIPITOR; ZYRTEC-D; VITAMIN D NOS; PROBIOTICS; VITAMIN B NOS

Current Illness:

ID: 1812099
Sex: F
Age:
State: MI

Vax Date: 04/21/2021
Onset Date:
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: horrible pain in her low back; She could not get out of the bed; Flu like symptoms; Dry hives; It is affecting her daily activities; cough; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 55-year-old female patient received bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 21Apr2021 (at the age of vaccination of 55-year-old) as dose 2, single for covid-19 immunization. Patient previously received first dose of bnt162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date for covid-19 immunization. The patient medical history and concomitant medications were not reported. After the first dose, patient experienced sore arm and then after the second dose received on 21Apr2021. She could not get out of the bed. She had horrible pain in her low back. She took Ibuprofen. She had Flu like symptoms, cough/ dry hives and it is affecting her daily activities. She thought originally it would just be initially, but this has been going on about 2 weeks. The outcome of horrible pain in her low back was not recovered and the outcome of the rest of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812100
Sex: F
Age:
State:

Vax Date: 04/26/2021
Onset Date: 04/01/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Had started with period/ had period 17 days ago; This is a spontaneous report from a non-contactable consumer, the patient. A 27-year-old non-pregnant female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 26Apr2021 (at the age of 27-years-old) as a single dose for COVID-19 immunisation. Medical history included allergy to sulfa. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included sertraline hydrochloride (ZOLOFT), taken for an unknown indication from an unknown date and unknown if ongoing. On an unknown date in Apr2021, the patient woke up to find that her period had started. The patient reported that she just had her period 17 days back and her periods were very regular so it was very unusual. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the event. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event period had started unusually was unknown at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: ZOLOFT

Current Illness:

ID: 1812101
Sex: M
Age:
State: MO

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data: Test Date: 20210427; Test Name: Body temperature test; Result Unstructured Data: Test Result:99.9; Comments: time of test:03:00

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever 99.9; Chills; Hot flashes; Body aches; Headache; Nausea; Weak feeling; This is a spontaneous report from a contactable consumer. A 46-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6207) via an intramuscular route of administration in the left arm on 26Apr2021 at 15:30 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. Medical history included depression and anxiety. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included sertraline hydrochloride (SERTRALINE HCL) from an unknown date and unknown if ongoing for an unknown indication. The patient previously took amoxicillin (MANUFACTURER UNKNOWN) and experienced drug allergy. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN5318) via an intramuscular route of administration in the left arm on 05Apr2021 at 09:00 (at the age of 46-years-old) as a single dose for COVID-19 immunisation. On 27Apr2021 at 03:00, the patient experienced fever 99.9, chills, hot flashes, body aches, headache, nausea and weak feeling. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. On 17Apr2021, the patient underwent body temperature test and the result was 99.9 (unspecified units). Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events fever 99.9, chills, hot flashes, body aches, headache, nausea and weak feeling were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: SERTRALINE HCL

Current Illness:

ID: 1812102
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/23/2021
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: Nausea; Fatigue; This is a spontaneous report from a non-contactable consumer, the patient. A 28-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE;Lot Number: EW0172) via an unspecified route of administration in the arm left on an unknown date (at the age of 28-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. The patient was allergic to penicillin. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were not reported. On an unknown date the patient experienced nausea and fatigue. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcomes of the events nausea and fatigue was unknown at the time of report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1812103
Sex: F
Age:
State: NE

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Extreme dizziness/disorientation; Extreme dizziness/disorientation; This is a spontaneous report from a non-contactable consumer, the patient. A 38-year-old non-pregnant female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 26Apr2021 at 15:00 (at the age of 38-year-old) as a single dose for COVID-19 immunisation. The patient did not have any medical history. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included alprazolam (XANAX), hydrocodone (MANUFACTURER UNKNOWN), ibuprofen (ADVIL) and omeprazole (OMEPRAZOL) for an unknown indication from an unknown date and unknown if ongoing. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 05Apr2021 at 13:30 (at the age of 38-year-old) as a single dose for COVID-19 immunisation. On 26Apr2021 at 18:00, the patient experienced extreme dizziness/disorientation. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events extreme dizziness/disorientation was recovering at the time of reporting. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: XANAX; HYDROCODONE; ADVIL [IBUPROFEN]; OMEPRAZOLE

Current Illness:

ID: 1812104
Sex: F
Age:
State: OH

Vax Date: 04/09/2021
Onset Date: 04/18/2021
Rec V Date: 10/23/2021
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: On day 9 after the injection, April 18, sudden swelling at the site, right arm; on day 9 after the injection, April 18, sudden swelling at the site, right arm; rash on entire body with excessive itching sensation and redness; rash on entire body with excessive itching sensation and redness; rash on entire body with excessive itching sensation and redness; Obvious allergic reaction.; This is a spontaneous report from a contactable healthcare professional, the patient. A 57-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8729) via an unspecified route of administration in the right arm on 09Apr2021 at 11:45 (at the age of 57-years-old) as a single dose for COVID-19 immunisation. Medical history included hashimoto's disease, hypothyroidism, vitiligo, asthma, hypertension and known allergies to sulfa, latex, adhesives and walnuts. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to COVID-19 vaccine. Concomitant medications included regular treatment (unspecified), cyanocobalamin (VITAMIN B12) and colecalciferol (VITAMIN D3); all for an unknown indication from an unknown date and unknown if ongoing. The patient previously received clindamycin (MANUFACTURER UNKNOWN), amoxicillin; clavulanate potassium (MANUFACTURER UNKNOWN) and experienced drug allergy. On 18Apr2021 at 20:00, day 9 after the injection, the patient experienced sudden swelling at the site, right arm and rash on entire body with excessive itching sensation and redness and obvious allergic reaction. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were taken as a result of the events which included treatment with diphendydramine hydrochloride (BENADRYL) until the events got resolved. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events experienced sudden swelling at the site, right arm and rash on entire body with excessive itching sensation and redness was recovered on an unknown date in Apr2021. No follow-up attempts are possible. No further information is expected.

Other Meds: VIT B12; VIT D3

Current Illness:

ID: 1812105
Sex: M
Age:
State: CO

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 10/23/2021
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: Low grade fever; Muscle aches; Chills; Brain fog; This is a spontaneous report from a contactable consumer. A 45-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on an unknown date as a single dose for COVID-19 immunisation. Medical history included seasonal allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. The patient did not receive any other medicines within two weeks prior to the COVID-19 vaccine. On an unknown date in Apr2021, the patient experienced low grade fever, muscle aches, chills, and brain fog. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events low grade fever, muscle aches, chills, and brain fog were recovered on an unknown date in Apr2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1812106
Sex: M
Age:
State: MI

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 10/23/2021
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: 20210326; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: Headache; Chills; Brain fog; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EP7534) via an unspecified route of administration in the left arm on 23Mar2021 at 12:00 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included testosterone (MANUFACTURER UNKNOWN), for an unknown indication from an unknown date and unknown if ongoing. The patient did not receive any other vaccine within four weeks prior to the COVID-19 vaccine. The patient previously received morphine (MANUFACTURER UNKNOWN) for unknown indication from an unknown date and experienced drug allergy. On 24Mar2021 at 08:00, the patient experienced headache, chills, brain fog. The adverse events did not result in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. Since the vaccination, the patient had been tested for COVID-19. On 26Mar2021, the patient underwent nasal swab test and the result was negative. The clinical outcome of the event headache, chills, brain fog was recovered on an unknown date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: TESTOSTERONE

Current Illness:

ID: 1812107
Sex: M
Age:
State: AL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
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: Very mild soreness at injection site; This is a spontaneous report from a contactable consumer, the patient. A 43-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6200) via an unspecified route of administration in the arm right on 26Apr2021 at 09:45 as a single dose for COVID-19 immunisation. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not have any medical history. Concomitant medications were not reported. The patient had no known allergies. The patient previously received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6205) via an unspecified route of administration in the arm right on 05Apr2021 at 09:45 as a single dose for COVID-19 immunisation. On 26Apr2021 at 16:00 the patient experienced very mild soreness at injection site and no other side effects. The patient did not receive any treatment for the event. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event very mild soreness at injection site was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812108
Sex: F
Age:
State: WA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 10/23/2021
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: I had an allergic reaction over night; I was a bit sleepy after getting my vaccine but that seemed normal; my left eye had swole up; throat was scratchy; This is a spontaneous report from a contactable consumer (patient). A 19-years-old non pregnant female patient received BNT162B2 ((PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, batch/lot number was not reported) via an unspecified route of administration on 26Apr2021 13:30 (Age at vaccination was 19 Years) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunisation. The patient was not pregnant at the time of vaccination. The patient's medical history included known allergies: I am allergic to a few different types of fruit and also most pets, covid-19 from an unknown date and unknown if ongoing covid prior vaccination. The patient had been diagnosed with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine and no other medications the patient received within 2 weeks of vaccination. Concomitant medication was not reported. On 27Apr2021 07:30, it was reported that the patient had an allergic reaction overnight. I was a bit sleepy after getting my vaccine but that seemed normal. I went to bed a little late that night and when I had woken up on the morning of the 27th my left eye had swole up and my throat was scratchy. I took some allergy meds and waited to see if it would help. It got better throughout the day, but the swelling still is not fully gone. Allergy medication had been taken for allergic reaction while no treatment received for rest of the events. The outcome of the events was recovering. This follow-up was being submitted to notify that the lot/batch number was not available despite the follow-up attempts made. Follow-up attempts completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812109
Sex: F
Age:
State: FL

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pain in right foot close to knee; not able to walk; ball-kind of inflammation on foot; Pain and burning in right knee (posterior and lateral knee area) with bending impairment; Pain and burning in right knee (posterior and lateral knee area) with bending impairment; This is a spontaneous report from a contactable consumer (patient herself). A 58-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number EW0161), via an unspecified route of administration, administered in Arm Right on 14Apr2021 10:00 (at the age of 58 years old) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient was not known for any allergies. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccination. The patient did not receive any other medication 2 weeks prior to COVID vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, patient was not tested for COVID-19. The patient historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number EP7534), via an unspecified route of administration, administered in Arm left on 24Mar2021 10:00 AM as dose 1, single for COVID-19 immunization. On 21Apr2021, the patient experienced pain and burning in right knee (posterior and lateral knee area) with bending impairment, next day patient experienced pain in right foot close to knee and not able to walk, with ball-kind of inflammation on foot. The patient did not receive any treatment for adverse events. The outcome of events was not resolved. No follow-up attempts are needed. No further information required.

Other Meds:

Current Illness:

ID: 1812110
Sex: F
Age:
State: MO

Vax Date: 04/30/2021
Onset Date: 04/01/2021
Rec V Date: 10/23/2021
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: After getting the 2nd dose, she started to have difficulty in breathing.; This is a spontaneous report from sponsored program support from contactable consumer (patient, self-reported) via medical information team. A female patient of unspecified age received BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on 30Apr2021, as a dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient historical vaccine includes BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a dose 1, single for COVID-19 immunization. On an unspecified date in Apr2021, after receiving the second dose the patient started to have difficulty in breathing. It was reported that she realized it could be a severe allergic reaction as mentioned on the fact sheet, she read about the vaccine. The patient also reported that is over and done with and she went to the hospital, and she does not have any questions at this time. Outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1812111
Sex: M
Age:
State: CA

Vax Date: 05/01/2021
Onset Date: 05/04/2021
Rec V Date: 10/23/2021
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: armpit was swelling; This is a spontaneous report from a contactable consumer or other non hcp (patient himself). A 49-years-old male patient received bnt162b2 second dose of (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Formulation: solution for injection, Expiry Date: unknown, Lot number: FW0179) via an unspecified route of administration, administered in Arm Left on 01May2021 10:00 (at the age of 49-years-old) as dose 2, single for COVID-19 immunisation. Medical history includes Mild High Blood pressure from an unknown date and unknown if ongoing no Investigation Assessment. The patient's concomitant medications were not reported. The patient previously took bnt162b2 first dose of (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Expiry Date: unknown, Lot number: ER8729) via an unspecified route of administration, administered in Arm Left on 10Apr2021 10:00 for COVID-19 immunisation, Patient has drug allergy of erythromycin he has no Lot or Expiry number of Erythromycin it has been discarded according to patient. Patient didn't have any prior vaccination (within 4 weeks). On 04May2021 the patient experienced armpit was swelling. Patient was not taken to Emergency room or physician office. Patient didn't receive any treatment for event. The outcome of event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812112
Sex: F
Age:
State: IL

Vax Date: 04/22/2021
Onset Date: 05/01/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data: Test Date: 20210427; Test Name: COVID-19 antibody test; Test Result: Negative ; Comments: No antibodies

Allergies:

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

Symptoms: spinal pain; feels like spinal inflammation; feeling nervous; lower back pain; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 41-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EW0164) via an unspecified route of administration, administered in left arm, on 22Apr2021 12:30 (at the age of 41 years), as dose 1, single for COVID-19 immunization. Medical history included ongoing tachycardia (diagnosed about 20 years ago). Concomitant medication included alprazolam (XANAX) (0.25 mg as needed once a month for about 6 months) taken for anxiety, start and stop date were not reported. The patient did not receive additional vaccines. The adverse event did not result in Physician office or Emergency room visit. The patient did not receive prior vaccination with in 4 weeks. The patient did not experience adverse event following prior vaccination. The patient experienced lower back pain at the base of her spine above the tailbone. The patient lower back pain is in the spinal area from the tailbone to the lower back. The patient lower back pain is very painful. The patient was wondering if anyone else experienced the same side effect of lower back pain. The patient stated her lower back pain started over the weekend. The patient stated she thinks that the back pain began on Saturday, 01May2021, but the back pain had for sure started by Sunday, 02May2021. The patient stated she thinks that her lower back pain began on the night of Saturday 01May2021. The patient stated, she had the COVID-19 vaccine on 22Apr2021. The patient stated it had been a week and a half since she had the COVID-19 vaccine when the lower back pain started. The patient stated, she went to the doctor last week and her physician checked her blood to see if she had antibodies for COVID-19. The patient stated, as of last week she had no antibodies. The patient stated, she was not having any lower back pain when she went to the doctor last week. The patient stated, she knows that the COVID-19 vaccine had not worked yet as of last week. The patient stated, maybe the COVID-19 vaccine started working in her body this weekend and that's why she started getting side effects. The patient stated, her lower back pain started out mild, just right in her tailbone in her spine. The patient stated the lower back pain is now radiating upwards in her spine towards her lower middle back. The patient stated the back pain is super centered. The patient stated the back pain is literally right in the middle of her spine just above the tailbone. The patient stated, the lower back pain feels like spinal inflammation. The patient stated the lower back pain is hard to describe. The patient stated the lower back pain is super sharp and severe. The patient stated, her physician said that she could go back again to get an antibody test drawn again to see if now the COVID-19 vaccine worked. The patient asked if she should get the second dose of the COVID-19 vaccine. The patient stated, she had no side effects following the COVID-19 vaccine. The patient stated, she could not even see that she had received an injection. The patient stated, she did not have any swelling or pain and really had nothing following the COVID-19 vaccine. The patient stated, she wondered to herself if she received the 6th dose of the COVID-19 vaccine and that's why her arm was not showing anything. The patient stated, she has underlying tachycardia, so she wanted to be extra safe. The patient stated, she did take a XANAX right before she got the COVID-19 vaccine. The patient stated, a doctor administered her vaccine. The patient stated, she informed the doctor that she was feeling nervous, and she was afraid that her nerves were going to trigger her tachycardia. The patient stated the physician that administered her COVID-19 vaccine instructed her to take a XANAX. The patient stated, she has an as needed heart medication. The patient stated, she asked the physician who administered her COVID-19 vaccine if the caller should take a dose of her beta blocker. The patient stated, the physician informed her to take a beta blocker if she needed to. The patient stated, she didn't know if she could take the XANAX or the beta blocker. The patient stated, she didn't want to take anything that could mess up her immune response to the COVID-19 vaccine. The patient inquired if she should go to immediate care for her lower back pain. The patient stated, she was probably going to go to immediate care for X-rays of her back. The patient stated, she wanted to speak to another agent to see if someone had some knowledge regarding her questions. The patient underwent lab tests and procedures which included SARS-CoV-2 antibody test: negative on 27Apr2021. The outcome of back pain was not recovered. The outcome of remaining events was unknown. Follow-up attempts are needed. further information is expected.

Other Meds: XANAX

Current Illness: Tachycardia (Diagnosed about 20 years ago.)

ID: 1812113
Sex: F
Age:
State: IL

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Experienced puffiness and redness of her face, mainly her cheeks/ Puffing of the face; Experienced puffiness and redness of her face, mainly her cheeks/ Redness; This is a spontaneous report from a contactable consumer (patient) or other non hcp. A 70-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EW0164) via an unspecified route of administration, administered in Arm Left on 03May2021 10:00 or 10:30 (at the age of 70-years-old) as dose 1, single for COVID-19 immunization. Medical history included acid reflux (diagnosed years ago), high blood pressure (many years ago), atrial fibrillation (diagnosed 2-3 years ago). Concomitant medications included rivaroxaban (XARELTO) taken for atrial fibrillation; metoprolol (METOPROLOL) taken for hypertension started taking this years ago; losartan (LOSARTAN) taken for hypertension started taking this years ago; hydralazine (HYDRALAZINE) taken for hypertension started taking this years ago; omeprazole (PROTONIX [OMEPRAZOLE]) taken for gastro-esophageal reflux disease; nifedipine (NIFEDIPINE) taken for hypertension she states she stated taking this a long time ago. No investigation assessment was performed. No prior vaccinations (within 4 weeks). On 03May2021 21:00, the patient experienced puffiness and redness of her face, mainly her cheeks/ puffing of the face/ redness. She went to the Emergency room. She asked how long this is expected to last. The outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: XARELTO; METOPROLOL; LOSARTAN; HYDRALAZINE; PROTONIX [OMEPRAZOLE]; NIFEDIPINE

Current Illness: Acid reflux (esophageal) (She was diagnosed years ago); AFib (She was diagnosed 2-3 years ago); Blood pressure high (She states many years ago)

ID: 1812114
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/23/2021
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: body aches; chills; This is a spontaneous report from Pfizer. A contactable Consumer reported for a 69-Years-old female patient that: who received bnt162b2 (BNT162B2) solution for injection, via an unspecified route of administration on an unspecified date aa unknown dose single dose for covid-19 immunisation; palbociclib (IBRANCE), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at unknown single for an unspecified indication. The patient medical history and concomitant medications were not reported. On an unspecified date the caregiver verbally stated that the patient had body aches and chills after getting the Covid Vaccine. Outcome of thew events was unknown. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1812115
Sex: F
Age:
State: FL

Vax Date: 04/17/2021
Onset Date: 04/29/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: dizziness like "lights out"/ Lightheadedness; her elbow is bruised and sore, and it goes to her wrist or her shoulder; falling backward; room spinning; spent whole day in bed; my arm hurt so bad; swelling in her left wrist, elbow, and shoulder; sore to touch, almost like being bruised "like its in my joints"; discovering "knots" on her left arm, "knots" on her head; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 62-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ECU0161, Expiration date: not reported) via an unspecified route of administration, administered in left arm on 17Apr2021, In the morning between 09:00-10:00 at the age of 62-years-old as single dose for COVID-19 immunization. Patient's had no medical history and concomitant medications. On 29Apr2021, patient experienced discovering knots on her left arm, knots on her head, my arm hurt so bad, swelling in her left wrist, elbow, and shoulder, sore to touch, almost like being bruised like its in my joints, falling backward, room spinning, spent whole day in bed, on an unspecified date, dizziness like lights out, Lightheadedness, her elbow is bruised and sore, and it goes to her wrist or her shoulder. History of all previous immunization with the Pfizer vaccine considered as suspect was none. No additional Vaccines Administered on Same Date of the Pfizer Suspect. Patent did not receive prior Vaccinations within 4 weeks. The outcome of event discovering knots on her left arm was recovered in 29Apr2021, dizziness like lights out, Lightheadedness, her elbow is bruised and sore, and it goes to her wrist or her shoulder was unknown rest events outcome was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812116
Sex: F
Age:
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; pain in leg; side pain; Feeling dizzy; Right leg pain; mouth is dry; She feels uncomfortable when she talks; Feeling dizzy; Back pain; feels tired; left arm pain; This is a spontaneous report from a contactable consumer (Patient). A 51-year-old female patient received 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 (age at vaccination was 51 years) on 26Apr2021 at 10:00 AM, as a DOSE 1, SINGLE for COVID-19 immunization. The patient Medical history and concomitant medications were not reported. Caller reported she got the COVID vaccine on Monday about one week ago, last Monday. She reported had symptoms after getting the first time shot. She has another shot in 2 weeks. Caller wanted to check to see, if based on her symptoms, should she get the 2nd shot? Caller re-ported she had a fever, a temperature of 2 degrees higher than normal temperature and she was feeling dizzy, having back pain right now but, it was better yesterday, but still not good, that started Sunday. Some of the symptoms started earlier than later. The back pain only started about 1 and 1/2 days ago but, the back pain was still there a little; its not as serious. The major reason she called was because she knew a lot of people had most symptoms on the second shot, this was when they had symptoms. The first shot they were fine, she was not sure. The impact of these things on her life were for example: normally she stands at work, at her computer. She could not stand here now because she needed to hold the table, she felt tired and dizzy. Not big and bad, but this was the first time she got the shot. The fever was more than 2 degrees higher than normal and felt tired. Caller reported she would give the symptoms, one by one slowly. The fever started about the second day from the shot, in the morning, it was higher than normal. She felt tired until right now. Sunday afternoon until yesterday, for about 1 and 1/2 days she has had strong back pain below from the waist, below and it was better, not very strong. The dizziness started this morning. Sometimes if she went upstairs she had right leg pain and left arm pain, her left arm hurted when touched a little bit. She reported her next vaccine was scheduled for Friday, 24May2021. She received her first shot on 26Apr2021. Caller Reported a fever 2 degrees higher than normal: Not sure when it started maybe Monday or Tuesday, She did not pay attention, maybe in the afternoon. She reported it was sometimes higher and sometimes lower. She felt fever. Her hand and foot felt hot when she has a fever, mouth was dry and hot at a higher temperatures. She did not have to take a her temperature to know. In the afternoon its worse and sometimes not really. If she talked a lot she felt more tired, if she relaxed she felt better. She felt uncomfortable when she talked. Right now she felt more dizzy from talking a lot. Feeling dizzy Started at 8am today, 04May2021. She feels most dizzy when talking. Back pain Started around 4 or 5 pm, still has some pain felt but, it was better. Had to stand at her computer but, holds on to the table because she felt tired: She usually stands the whole day but, right now she sits the whole day. Its not better but similar. She put her hand on the table due to the dizziness as well. She does not want to stand up. Some left arm pain: pain only when she touched it but, no pain if she did not touch it. The pain was a 2 or 3. Sometimes its sharp or strong. She got the shot at 10 am and the pain started the same day. This was the arm she got the shot in. It doesn't bother her unless she touches it. Right leg pain when going up stairs: She did not have pain every time just sometimes. It's not very strong like the back pain was, just sometimes from 1st floor to the 2nd floor she felt it. She was not sure when it started for sure, maybe on Thursday last week. She felt it 2 or 3 times yester-day and other times not so much. The Outcome of events fever, pain in leg, left arm pain, Right leg pain, mouth is dry, She feels uncomfortable when she talks and side pain was unknown and for event Feeling dizzy and feels tired was not resolved and for Back pain was resolving. No follow-up attempts are needed; Information related to batch/Lot number could not be requested.

Other Meds:

Current Illness:

ID: 1812117
Sex: F
Age:
State: MI

Vax Date: 04/16/2021
Onset Date: 04/29/2021
Rec V Date: 10/23/2021
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: swelling in her mouth, jaws; swelling in her mouth, jaws; blisters on her lips and blistering inside of her mouth; Swollen lips; Redness, blistering/bleeding of the lips; Redness, blistering/bleeding of the lips; Redness, blistering/bleeding of the lips; This is a spontaneous report from a contactable consumer or other non hcp. A 20-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number ER8734; Expiration Date: 31Jul2021), via an unspecified route of administration, administered in the left amr on 16Apr2021 8:45 (age at the time of vaccination was 20-year-old) as dose 2, 0.3 ml single for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine, there was no other medications the patient received within 2 weeks of vaccination. The medical history included hypersensitivity from an unknown date and unknown if ongoing Verbatim was Allergy. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced swelling in her mouth, jaws on 29Apr2021 swelling in her mouth, jaws, blisters on her lips and blistering inside of her mouth, swollen lips, redness, blistering/bleeding of the lips. the patient not diagnosed with COVID- 19, and since the vaccination, the patient has not been tested for COVID-19. The patient was treated with A Dexamethasone shot and prescribed 2 medications Prior to vaccination. Therapeutic measures were taken as a result of swelling in her mouth, jaws (swelling face), blisters on her lips and blistering inside of her mouth (oral mucosal blistering), redness, blistering/bleeding of the lips (lip erythema), redness, blistering/bleeding of the lips (lip blister), redness, blistering/bleeding of the lips (lip haemorrhage). Doctor or other healthcare professional of-fice/clinicvisit. The outcome of event swelling in her mouth, jaws was unknown and all other events were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812118
Sex: F
Age:
State:

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: I am not feeling great/Discomfort/Not feeling very good; achy; chills; Fever; Discomfort; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (Pfizer-BioNTech Covid-19 Vaccine), via an unspecified route of administration on 03May2021 (Batch/Lot number, Expiry Date and NDC number were not reported) as dose 2, single for covid-19 immunisation. Medical history included body ache. Concomitant medications included naproxen sodium (ALEVE) taken for pain. On 04May2021 the patient experienced event reported as: I am not feeling great/discomfort/not feeling very good, achy, chills, fever and discomfort. The patient reported that "I got my second Pfizer Covid 19 vaccine dose yesterday (03May2021) and today on 04May2021 I am not feeling great. I am more achy and I have chills this time. The first dose was like nothing. Is it ok to take Aleve or Alka-Seltzer Plus Cold?" She said she just experienced something minor and has a question. She said she had the first one done and felt nothing after it. She had her second vaccination yesterday and she was not expecting to feel like she does today. She said it was not terrible, she had a little discomfort. She said they told her she could take something, she did not remember what they said to take, but she did not take that. She said she usually takes Aleve for any kind of body ache. She asked them if she could take Aleve and they said sure. She said she was not feeling very good today and she was out of Aleve. She said she has Alka-Seltzer Plus Cold Medicine which basically covers all the same symptoms, like fever and that. She asked can she take Alka-Seltzer Plus Cold Medicine instead of Aleve. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: ALEVE

Current Illness:

ID: 1812119
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/23/2021
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: I fell asleep for a day; fever; chills; dullness; body ache; This is a spontaneous report from a contactable consumer (patient) via Pfizer Sales Representative. A 46-year-old female patient received BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date after receiving the Pfizer vaccine the patient fell asleep for a day with fever, chills, dullness, and body aches. Reportedly the event manifested after use of the product. Outcome of the event was unknown. No follow-up attempts are Possible. Information on Lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1812120
Sex: U
Age:
State:

Vax Date: 04/09/2021
Onset Date:
Rec V Date: 10/23/2021
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: Headache; This is a spontaneous report from a contactable consumer or other non-healthcare professional. A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 09Apr2021 as dose 1, single for COVID-19 immunisation; doxycycline (DOXYCYCLINE), via an unspecified route of administration from an unspecified date (Batch/Lot number was not reported) to an unspecified date, at unspecified dose single for melanocytic naevus/have some moles. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced headache. The patient was going to get second Pfizer shot on Friday the 30th. On yesterday, the doctor prescribed with some antibiotics (later clarified as Doxycycline) and patient wanted to know if antibiotics can be taken without it interfering with the Pfizer (Vaccine). Next one (Pfizer COVID Vaccine) was on Friday, 30th. Took one antibiotic last night because it was one every night. Patient just had a headache but did not know if it was coming from that. Took it last night. Had the first shot on April 9, the second shot on April 30th. The antibiotic was for face. Have some moles removed, that was what the antibiotic was for. Still experiencing headache, consumer stated as no. Consumer was unwilling to share further information, hence, product details (NDC#, UPC#) reporter type and other details were unknown. Limited information was available over the call. Outcome of the event was resolved on an unspecified date. The action taken in response to the event for doxycycline was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1812121
Sex: M
Age:
State:

Vax Date: 04/01/2021
Onset Date:
Rec V Date: 10/23/2021
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: skin started to clear prior to starting xeljanz and after first pfizer; This is a spontaneous report from a contactable consumer other hcp (patient). A 71-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. The patient also received tofacitinib citrate (XELJANZ, Batch/Lot number was not reported, 5 mg, 2x/day), via an unspecified route of administration from 01Apr2021 and ongoing for psoriasis, eczema. The patient medical history included psoriasis, eczema. Concomitant medications were not reported. It was reported that patient is taking xeljanz for off label diagnosis of psoriasis and eczema. no adverse event reported. he reports skin started to clear prior to starting xeljanz and after first Pfizer covid-19 vaccine. he started xeljanz after first vaccine and skin was clearer than it had been in a long time. md aware. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds: XELJANZ

Current Illness:

ID: 1812122
Sex: M
Age:
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 10/23/2021
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: swelling on my left hand and armpit; lump in his left armpit same arm he got the vaccine; He had a little fever; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 41-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: unknown), via an unspecified route of administration, administered in arm left on 02May2021 as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: unknown), via an unspecified route of administration, on 11Apr2021 (at the age of 41-years-old) as dose 1, single for COVID-19 immunisation. On 02May2021, the patient experienced a little fever after the second dose vaccine. On 03May2021, at 11.00 (reported at yesterday at about 11.00), the patient noticed about a 1 cm or more lump in his left armpit same arm he got the vaccine. He had swelling he took it on his left side and he had swelling on his left hand and armpit. It was round and painful but not hard. The patient asked could this was due to the vaccine. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1812123
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 10/23/2021
Hospital:

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

Lab Data: Test Name: have prior COVID19 before getting the 1st dose of the vaccine; Test Result: Positive

Allergies:

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

Symptoms: injection site pain; tiredness; insomnia; headache; muscle and joint pain; muscle and joint pain; nausea; feelling unwell; cough for the first30 minutes; accelerated heartbeat; dizziness; weakness; she experienced pain; swollen lymph nodes; This is a spontaneous report from a Pfizer. A contactable consumer or other non-health care professional (patient) reported for a 35-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history included covid-19 from an unknown date. The patient's concomitant medications were not reported. On an unspecified date in 2021, the patient experienced injection site pain, tiredness, insomnia, headache within the first 4 hours, muscle and joint pain, nausea, feeling unwell, cough for the first30 minutes, accelerated heartbeat for the first 30 minutes but did not last, dizziness and weakness for the first 4hours, pain and swollen lymph nodes. Reporter would like to know if this can indicate that they might have prior COVID19 before getting the 1st dose of the vaccine and if there are currently any antibody test used for detecting the COVID19 virus accurately post vaccination that might not give a false positive result. The patient underwent lab tests and procedures on an unknown date which included sars-cov-2 test: positive. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am