VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1812781
Sex: F
Age:
State: PA

Vax Date: 04/30/2021
Onset Date: 05/21/2021
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: Numb face approximately 30 minutes after shots 1 and 2.; Hives on right arm after shot 1; This is a spontaneous report from a contactable consumer (patient). A 49-year-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number: EW0167, expiration date was not reported), via an unspecified route of administration, administered in left arm on 30Apr2021 08:15 (at the age of 49-years-old) as dose 1, single for covid-19 immunization at public health clinic/veterans administration facility. The medical history included reynauds syndrome, hypothyroidism, high cholesterol. The patient historical vaccine included flu shot and experienced known allergies to flu shot. Concomitant medications included levothyroxine sodium (SYNTHROID), rosuvastatin calcium (CRESTOR), vitamin d3, calcium, all taken for unknown indications from an unknown date. Other medications patient received in two weeks included synthroid, crestor, multi vitamin D3, calcium. Patient did not receive any other vaccines with in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. It was reported that on 21May2021 17:00 the patient experienced numb face approximately 30 minutes after shots 1 and 2. Hives on right arm after shot 1. Went to urgent care next afternoon. The adverse events resulted in emergency room/department or urgent care. Prednisone for 7 days was received as treatment for the adverse events. Therapeutic measures were taken as a result of numb face approximately 30 minutes after shots 1 and 2, hives on right arm after shot 1. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: SYNTHROID; CRESTOR; VITAMIN D3; CALCIUM

Current Illness:

ID: 1812782
Sex: M
Age:
State: VA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
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: Very bad itching all over bodyIt happened as soon as patient got out of the facility; This is a spontaneous report from contactable consumer (patient himself). A 35-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0180), via an unspecified route of administration, administered in arm right on 26May2021 14:00 (age at the vaccination was 35-year-old) as dose 2, single for covid-19 immunisation. Medical history included diabetes mellitus from an unknown date and unknown if ongoing. The patient had no known allergies Penicillin and latex. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. Historical vaccine included, the patient received first dose bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EW0173), via unspecified route of administration, administered in arm right on 05May2021 14:00 (age at the vaccination was 35-year-old) as dose 1, single for covid-19 immunisation. The patient experienced very bad itching all over body it happened as soon as patient got out of the facility on 26May2021 15:00. Timeframe between vaccination and starting of the event was 1 hour. Since the vaccination, patient was not tested for COVID-19. Zyretc treatment was received in response to the events. The outcome of the event was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812783
Sex: M
Age:
State: OH

Vax Date: 03/21/2021
Onset Date: 03/22/2021
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: my right hand thumb and index finger started tingling/the tingling would range between my hand and forearm; red face or almost rash when the tingling would take place; red face or almost rash when the tingling would take place; fatigue; This is a spontaneous report received from a contactable consumer. This 42-year-old male consumer (patient) reported that he received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: en6205) via an unspecified route of administration on 21Mar2021 at 11:00 hours on left arm (at 42-year-old), as dose 1, single for COVID-19 immunization. The patient's medical history was reported as none. The patient's concomitant medications were not reported. No vaccines were received within 4 weeks prior to the COVID vaccine. Medications the patient received within 2 weeks of vaccination were reported as none. The patient did not have covid prior to vaccination and was not tested for covid tested post vaccination. On 22Mar2021 at 07:00 AM the day after the 1st vaccine, patient's righthand thumb and index finger started tingling. Over the next weeks the tingling would range between my hand and forearm. Patient also started to experience a red face or almost rash when the tingling would take place. Throughout March patient had been working on a back yard project with power tools and sun exposure due to the unseasonably warm March. For that reason it was not clear to me if these symptoms were just fatigue or strain from the work. However, in April patient had a doctor visit, and in May in reconnecting with his doctor the symptoms persisted. The patient was referred to neurology, but no formal diagnosis was made, just continuing symptoms. No treatment was received. The patient had not recovered. The device date was 29May2021. Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812784
Sex: F
Age:
State: CA

Vax Date: 05/25/2021
Onset Date: 05/26/2021
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: Strong but became subdue headache in the frontal lobe region; Extreme fatigue; Sore left arm and under shoulder blade; Sore left arm and under shoulder blade; Feelings of clinical depression are amplifies compared to prior vaccine; Significant loss of appetite; It feels like I'll vomit if I do; This is a spontaneous report from a contactable consumer or other non hcp. A 25-years-old non-pregnant female patient received second dose of bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection Batch/Lot Number: ER8735) via an unspecified route of administration, administered in Arm Left on 25May2021 12:00 pm as dose 2, single for COVID-19 immunisation. Medical history included Clinical depression and Recovering alcoholic (Recovering alcoholic (last drink was Jan31)). Concomitant medications included sertraline hydrochloride (ZOLOFT) and etonogestrel (NEXPLANON). The patient received first dose of BNT162B2 on 27Apr2021 at 12:00 pm (Lot number:EW0173, Left Arm) for covid-19 immunization and experienced Temporary headache in frontal lobe area. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On 26May2021 the patient experienced Strong but became subdue headache in the frontal lobe region, Extreme fatigue, Sore left arm and under shoulder blade, Feelings of clinical depression are amplifies compared to prior vaccine, Significant loss of appetite and It feels like Ill vomit if I do. Therapeutic measures were taken as a result of Strong but became subdue headache in the frontal lobe region. The outcome of all the events was resolving. Follow-up attempts are completed. No further information is expected.

Other Meds: ZOLOFT; NEXPLANON

Current Illness:

ID: 1812785
Sex: M
Age:
State: TX

Vax Date: 05/21/2021
Onset Date: 05/26/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: chills; nausea; chest congestion; nasal congestion; diarrhea; cough; body aches; This is a spontaneous report from a contactable consumer or other non hcp (Patient). A 38-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0186), dose 1 via an unspecified route of administration, administered in Arm Left on 21May2021 09:30 (at the age of 38-years-old) as DOSE 1, SINGLE for COVID-19 immunisation. Medical history included thrombosis from an unknown date and unknown if ongoing. The patient concomitant medications were not reported. It was reported that prior to four weeks of vaccination patient not received any other vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Patient received medication Inflamma-Less by Irwin Naturals with in two weeks of vaccination. On 26May2021 8:00 patient experienced symptoms exactly 5 days after that includes but was not limited to nausea, chest congestion, nasal congestion, diarrhea, cough, body aches and chills. The outcome of events was recovering. Follow-up attempts are completed. No further information is expected; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021623501 same reporter, vaccine and AE, different patient.

Other Meds:

Current Illness:

ID: 1812786
Sex: F
Age:
State: TX

Vax Date: 04/21/2021
Onset Date: 04/23/2021
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: aches pains hands,knees and feet; Neck and back pain; Neck and back pain; headaches; aches pains hands,knees and feet; This is a spontaneous report from a contactable consumer (patient) reported for herself that. A 56-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EW0161) via an unspecified route of administration, administered in Arm Right on 21Apr2021 11:00 (age at vaccination 56-years-old) as DOSE 2, SINGLE for covid-19 immunisation. Concomitant medication included trazodone (TRAZODONE) 50mg; amlodipine (AMLODIPINE) 10mg; fluoxetine (FLUOXETINE) 40mgreceived within two weeks. The patient previously took Codeine and Tylenol and experienced drug hypersensitivity. The patient historical vaccine includes bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EP7533) via an unspecified route of administration, administered in Arm Right on 31Mar2021 11:00 (age at vaccination 56-years-old) as DOSE 1, SINGLE for covid-19 immunisation. On 23Apr2021, patient experienced Neck and back pain, headaches, aches pains hands, knees, and feet. For Ae treatment received was unknown. AE results in Physician Office Visit. Patient has stated that she had not been diagnosed with COVID -19 prior to vaccination and not been tested since the vaccination. Outcome of the event was unknown. Follow-Up (30Jun2021): Follow-up attempts are completed. No further information is expected.

Other Meds: TRAZODONE; AMLODIPINE; FLUOXETINE

Current Illness:

ID: 1812787
Sex: M
Age:
State: TX

Vax Date: 05/28/2021
Onset Date: 05/29/2021
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: Mild fever; Headache; This is a spontaneous report from a non-contactable consumer or other non-healthcare professional (patient). A 31-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: 59267-1000-01), second dose via an unspecified route of administration, administered in left arm on 28May2021 at 15:00 as dose 2, single for COVID-19 immunisation at pharmacy or drug store. Medical history included asthma from an unknown date and unknown if ongoing, drug hypersensitivity from an unknown date and unknown if ongoing. Concomitant medications included montelukast sodium (SINGULAIR) taken for an unspecified indication, start and stop date were not reported; fexofenadine hydrochloride (ALLEGRA) taken for an unspecified indication, start and stop date were not reported; loratadine (CLARITINE) taken for an unspecified indication, start and stop date were not reported; fish oil (FISH OIL) taken for an unspecified indication, start and stop date were not reported. Historical vaccine given to patient previously was bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: 59267-1000-01), second dose via an unspecified route of administration, administered in left arm on 07May2021 at 15:00 as dose 1, single for COVID-19 immunisation at pharmacy or drug store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications within 2 weeks of COVID vaccine included Allergy Shot, Singular, Allegra, Claritin, Fish Oil. The patient did not diagnose with COVID-19 prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. The patient experienced mild fever, headache on 29May2021 at 09:00. The events had not resulted in for death, life-threatening, prolonged hospitalisation, disabling/incapacitating or Congenital anomaly/birth defect. No treatment was received for the events. The outcome of the events was reported as unknown. Follow-up attempts completed. No further information expected.

Other Meds: SINGULAIR; ALLEGRA; CLARITINE; FISH OIL

Current Illness:

ID: 1812788
Sex: F
Age:
State: CA

Vax Date: 05/16/2021
Onset Date: 05/30/2021
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: Test Date: 20210504; Test Name: Blood work; Result Unstructured Data: Test Result:Good; Comments: were good.; Test Date: 20210504; Test Name: CT Scan; Result Unstructured Data: Test Result:Good; Comments: were good.; Test Date: 20210530; Test Name: Covid test; Test Result: Negative ; Comments: Negative

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: I'm sick with Fever; I'm sick with Fever; terrible headache; cold; dry cough; loss of taste and smell; loss of taste and smell; chest pain; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 33-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EW0173) via an unspecified route of administration, administered in Arm Right on 16May2021 at 10:30 (at the age of 33-years-old) as dose 2, single for covid-19 immunization at Public Health Clinic. The patient medical history and concomitant medications were not reported. The patient had no known allergies. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EW0169) via an unspecified route of administration, administered in Arm Right on 20Apr2021 at 09:15 AM (at the age of 33-years-old) as dose 1, single for covid-19 immunization. No other vaccine was received within 4 weeks prior to the COVID vaccine. No other medications received within 2 weeks of vaccination. The patient had no COVID prior to vaccination. On 30May2021, 2 weeks after the second dose the patient said, I was sick with fever, terrible headache, cold, dry cough, loss of taste and smell and chest pain. It was reported that, 2 weeks after the first dose on 04May2021 at 09:00 am I experienced severe abdominal pain and headache. I went to the emergency room 4 times; blood work and CT scan were good. Still don't know the nature of that pain. Today, 30May2021 2 weeks after the 2 dose I'm sick with Fever, terrible headache, cold, dry cough, loss of taste and smell, chest pain. Took a rapid COVID testing this morning, came back negative. The headache required Doctor or other healthcare professional office/clinic visit and Emergency room/department or urgent care. The patient under-went lab tests and procedures which included blood test that was good on 04May2021, computerized tomogram which was good on 04May2021. The patient took a rapid COVID testing, SARS-CoV-2, nasal swab, test came back negative on 30May2021. No treatment was given for adverse events. Device date was reported as 30May2021. The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812789
Sex: F
Age:
State: PA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
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: Test Date: 20210521; Test Name: Fever; Result Unstructured Data: Test Result:100.6 Fahrenheit

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Numb face approximately 30 minutes after shots 1 and 2.; Fever of 100.6 after second dose; Severe headache; Severe hives on neck, torso, arms,upper legs after shot 2.; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 49-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot Number: EW0185, Expiry date: not reported ), via an unspecified route of administration in Arm Left on 21May2021 09:00 (at the age of 49-years) as DOSE 2, SINGLE for covid-19 immunisation in Public Health Clinic. Medical history included Raynaud's phenomenon, high cholesterol and hypothyroidism. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19.Since the vaccination, the patient had not been tested for COVID-19. Concomitant medication(s) included Levothyroxine sodium (SYNTHROID), Rosuvastatin calcium (CRESTOR), Ascorbic acid, betacarotene, biotin, calcium lactate, choline bitartrate, chromium nicotinate, colecalciferol, cyanocobalamin, dexpanthenol, dl-selenomethionine, folic acid, inositol, magnesium lactate, manganese gluconate, nicotinamide, potassium citrate, potassium iodide, pyridoxine hydrochloride, retinol palmitate, riboflavin phosphate, thiamine hydrochloride, tocopheryl acetate, zinc gluconate (MULTI VITAMIN & MINERAL, Colecalciferol (D3), Calcium taken for an unspecified indications, start and stop date were not reported, the patient has received first dose. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, Batch/Lot Number: EW0167, Expiry date: not reported ), via an unspecified route of administration in Arm Left on 30Apr2021 08:15 (at the age of 49-years) as DOSE 1, SINGLE for covid-19 immunisation. The patient also received Flu vaccine, via an unspecified route of administration on an unspecified date for Influenza immunisation. On 21May2021 17:00 the patient experienced numb face approximately 30 minutes after shots 1 and 2, fever of 100.6 after second dose, severe headache, severe hives on neck, torso, arms, upper legs after shot 2, 8 hours after shot. Went to urgent care next afternoon. Fever resulted in emergency room/department or urgent care. The patient underwent lab tests and procedures which included body temperature increased: 100.6 Fahrenheit on 21May2021. Therapeutic measures were taken as a result of numb face, fever, severe headache, severe hives on neck, torso, arms, upper legs (prednisone for 7 days).The outcome of the events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds: SYNTHROID; CRESTOR; MULTI VITAMIN & MINERAL; D3; CALCIUM

Current Illness:

ID: 1812790
Sex: M
Age:
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: Test Date: 2021; Test Name: Blood test; Result Unstructured Data: Test Result:Ok; Test Date: 2021; Test Name: Contrast chest CT scan; Test Result: Negative ; Test Date: 2021; Test Name: ECG; Test Result: Negative ; Test Date: 2021; Test Name: Oxygen; Result Unstructured Data: Test Result:Ok; Test Date: 20210413; Test Name: Covid 19 rapid diagnostic test; Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab; Test Date: 2021; Test Name: Spirometry; Result Unstructured Data: Test Result:Normal; Test Date: 2021; Test Name: X-ray; Result Unstructured Data: Test Result:Negative

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Strong dyspnea; This is a spontaneous report from a contactable consumer (patient). A 60-year-old adult male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: EL9267 and Expiration date was unknown), via an unspecified route of administration in left arm on 11Feb2021 at 17:00 (at the age of 60-year-old) as dose 1, single for COVID-19 immunisation. The patient medical history included none and concomitant medications was not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not receive any other medications within 2 weeks of vaccination. The patient had no Known Allergies. Prior to vaccination, the patient was not diagnosed with COVID-19. On 11Feb2021 at 23:00, the patient had experienced Strong dyspnoea for 3 days after 1st dose starting first night. Then disappeared. The patient had visited urgent care, Primary doctors, Pulmonologist. Adverse event resulted in doctor or other healthcare professional office/clinic visit/Emergency room/department or urgent care. The patient did not receive any treatment for AE and no Hospitalization prolonged. Since the vaccination, the patient has been tested for COVID-19. Covid test type post vaccination was reported as Nasal Swab. On 13Apr2021, the patient underwent Covid 19 rapid diagnostic test and the result of covid test was reported as negative. The patient underwent lab tests and procedures which included blood test: ok, computerised tomogram thorax: negative, electrocardiogram: negative, oxygen saturation: ok, spirometry: normal, x-ray: negative in 2021. Outcome of the event was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1812791
Sex: F
Age:
State: TX

Vax Date: 05/21/2021
Onset Date: 05/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills; Nausea; Chest congestion; Nasal congestion; Diarrhea; Cough; Body aches; This is a spontaneous report received from a contactable consumer (patient's husband). A female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0186), via an unspecified route of administration, administered in Arm left on 21May2021 at 09:30 as dose 1, single for COVID-19 immunisation. Medical history included blood clots from an unknown date and unknown if ongoing. Concomitant medication received as Inflamma-Less by Irwin Naturals on an unknown date. Reporter stated that she is not on the supplements. She was on other medications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19. Patient has not tested positive for COVID-19 since having the vaccine. Patient received vaccine facility name in Kroger pharmacy. My wife and I got our vaccines from the same pharmacy and pharmacist. We both got it on our left arm. We got our first shots 3 days apart (she was after myself). I showed symptoms exactly 5 days after that includes but is not limited to nausea, chest congestion, nasal congestion, diarrhea, cough, body aches and chills. She was now showing the same symptoms exactly 5 days after her shot. On 26May2021 at 08:00 the patient experienced chills, nausea, chest congestion, nasal congestion, diarrhea, cough, body aches. The outcome of the events was reported as recovering. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021621155 same reporter, vaccine and AE, different patient.

Other Meds:

Current Illness:

ID: 1812792
Sex: F
Age:
State: NC

Vax Date: 05/28/2021
Onset Date: 05/29/2021
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: Extreme body soreness; body felt heavy like I couldn't move; headaches all day; lethargy; loss of taste persisting all day; This is a spontaneous report from a contactable consumer (patient). A 27-year-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: ER8731) via an unspecified route, administered in left arm on 28May2021 at 15:45 (age at vaccination: 27 years) as dose 2, single for covid-19 immunisation at workplace clinic. Patient was not pregnant at the time of vaccination. The patients medical history included undifferentiated connective tissue disease (auto immune condition that is suspected lupus at last rheumatology visit). raynauds, chronic fatique. There were non known allergies. List of any other medications the patient received within 2 weeks of vaccination included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), alprazolam (XANAX), hydroxychloroquine, paracetamol (TYLENOL). The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: ER8731) via an unspecified route, administered in left arm on 07May2021 at 13:00 (age at vaccination was 27 years) as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. It was unknown that prior to vaccination, the patient was diagnosed with COVID-19 and unknown for covid prior vaccination. On 29May2021 at 04:00, the patient experienced extreme body soreness, body felt heavy like she could not move, headaches all day, lethargy, loss of taste persisting all day. She did not receive treatment for adverse events. Since the vaccination, she was not tested covid post vaccination. The outcome of events not recovered. Follow-up attempts were completed. No further information was expected.

Other Meds: ADDERALL; XANAX; HYDROXYCHLOROQUINE; TYLENOL

Current Illness:

ID: 1812793
Sex: F
Age:
State: MA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: fever; chills/severe shivering; hot sweats, cold sweats; hot sweats, cold sweats; severe nausea; body tense from head to toes; extreme headache near back; waves of shaking that started at head and slowly went down my body; couldnt focus on anything; just felt absolutely terrible; This is a spontaneous report from a contactable consumer. This 50-Year-Old female consumer (patient) reported for herself. A 50-years-old non-pregnant female patient (not pregnant at the time of vaccination) received second dose of bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, solution for injection, Lot Number: EW0191, Expiry date: unknown) via an unspecified route of administration, administered in left arm on 26May2021 at 17:00 (50-year-old at the time of vaccination) as dose 2, single for COVID-19 immunization. Medical history included had foot/ankle surgery from 21May2021 (thus the pain meds). Concomitant medication(s) included norethindrone [norethisterone] (NORETHINDRONE [NORETHISTERONE]) taken for an unspecified indication, ketorolac (KETOROLAC) taken for an unspecified indication and acetaminophen; hydrocodone (ACETAMINOPHEN; HYDROCODONE) taken for an unspecified indication. The patient had no known allergies. Patient did not receive other vaccine in four weeks. Patient has no covid prior vaccination, not tested covid post vaccination. The patient previously took first dose of bnt162b2(PFIZER-BIONTECH COVID -19 VACCINE, solution for injection, Lot Number: EW0173, Expiry date: unknown) via an unspecified route of administration, administered in right arm on 05May2021 at 18:00 (50-year-old at the time of vaccination) as dose 1, single for COVID-19 immunization. On 26May2021 at 23:00, 06 hrs after vaccination, the patient experienced fever, chills/severe shivering, hot and cold sweats, severe nausea, body tense from head to toes, extreme headache near back, waves of shaking that started at head and slowly went down my body, couldn't focus on anything and just felt absolutely terrible. It was reported that patient experienced fever, chills, hot sweats, cold sweats, severe shivering for hours on end, severe nausea, body tense from head to toes, extreme headache near back of head, waves of shaking that started at head and slowly went down my body, couldnt focus on anything and just felt absolutely terrible. Patient did not receive any treatment for the events. The events resulted in Doctor or other healthcare professional office/clinic visit. The outcome of the events were recovering. Follow-up attempts completed. No further information expected.

Other Meds: NORETHINDRONE [NORETHISTERONE]; KETOROLAC; ACETAMINOPHEN;HYDROCODONE

Current Illness:

ID: 1812794
Sex: M
Age:
State: FL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Test Date: 2021; Test Name: Blood test; Result Unstructured Data: Test Result:Ok; Test Date: 2021; Test Name: Contrast chest CT Scan; Test Result: Negative ; Test Date: 2021; Test Name: ECG; Test Result: Negative ; Test Date: 2021; Test Name: Oxigen; Result Unstructured Data: Test Result:Ok %; Test Date: 20210413; Test Name: Covid 19 rapid diagnostic test; Test Result: Negative ; Comments: Nasal Swab; Test Date: 2021; Test Name: Spirometry; Result Unstructured Data: Test Result:Normal; Test Date: 2021; Test Name: Xray; Test Result: Negative

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Stronger dyspnea/have difficulties to deep breath; chest pain/discomfort; chest pain/discomfort; This is a spontaneous report from a contactable consumer (patient). A 60-years-old male patient received bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EN6205), dose 2 via an unspecified route of administration, administered in Arm Left on 05Mar2021 16:00 as DOSE 2, SINGLE for covid-19 immunisation (Age at vaccination 60 Years). Medical history and concomitant medications were not reported. No known allergies and other medical history. The patient previously took bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EL9267), dose 1 via an unspecified route of administration, administered in Arm Left on 11Feb2021 17:00 as DOSE 1, SINGLE for covid-19 immunisation (Age at vaccination 60 Years) and it was reported that strong dysnea for 3 days after 1st dose starting first night, disappeared. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has been tested for COVID-19. Then the patient experienced on 05Mar2021 stronger dysnea & chest pain/discomfort after 2/3 hours of 2nd application and never left (slowly improving, but never left). It was reported, can perform sports and regular activities, however, have difficulties to deep breath (at times patient can't deep breath) and chest discomfort yet today. Doctors diagnosed by discard emotional stress. They ruled out and did not further investigated for myocarditis and heart issues. Would like her case to be reviewed by Pfizer as the coincidence with the shots are too direct. The patient underwent lab tests and procedures which included blood test: ok in 2021, Contrast chest CT scan (computerized tomogram thorax): negative in 2021, electrocardiogram: negative in 2021, oxygen saturation: ok % in 2021, Covid 19 rapid diagnostic test (sars-cov-2 test): negative on 13Apr2021 Nasal Swab, spirometry: normal in 2021, x-ray: negative in 2021. The patient did not receive any treatments. The patient visited Urgent Care, Primary doctors, Pulmonologist. The clinical outcome of the events was recovering and chest discomfort was not recovered. Follow-up (30Jun2021): Follow-up attempts completed. No further information expected. Follow-Up (05Jul2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812795
Sex: F
Age:
State: NY

Vax Date: 04/21/2021
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: Test Name: bacterial culture; Test Result: Negative ; Comments: bacterial culture performed from a fresh blister on day 25 showed negative bacterial growth

Allergies:

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

Symptoms: the entire face went red/swelled up massively; the entire face went red/swelled up massively; very itchy pimple-like rash of pustules started spreading on the arms and torso; very itchy pimple-like rash of pustules started spreading on the arms and torso; very itchy pimple-like rash of pustules started spreading on the arms and torso; the tiny pustules connected and formed contiguous islands that eventually formed big scabs / excreted out yellow fluid that formed crusts over the face; blister on the temple of the face burst, leaking a lot of yellow fluid; blister on the temple of the face burst, leaking a lot of yellow fluid; the blister expanded and a few more blisters formed on the forehead and neck; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 32-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot Number: GR8734), via an unspecified route of administration, administered in left arm on 21Apr2021 at 15:00 (at the age of 32-year-old) as a single dose for covid-19 immunization. Medical history was reported as none. The patient's concomitant medications were not reported. The patient had not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient had not received any other medications within 2 weeks of vaccination. The patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. On 26Apr2021, five days after vaccination of the first dose, the patient had a blister on the temple of the face burst with leaking a lot of yellow fluid. Over the next couple of days in 2021, the blister had expanded and a few more blisters had formed on the forehead and neck. Yellow fluid had seeped out and crust on the skin of the face and neck were formed. At 18 days after vaccination, a physician prescribed one week of treatment with broad-spectrum antibiotics for suspected bacterial infection. However, the medication did not halt the progression, although bacterial culture performed from a fresh blister on day 25 showed negative bacterial growth. Over the course of days 18-25 in May2021, almost the entire face went red/swelled up massively, excreted out yellow fluid that formed crusts over the face. At 18 days after vaccination in May2021, the patient had very itchy pimple-like rash of pustules started spreading on the arms and torso. Over the next 7-10 days in May2021 the tiny pustules connected and formed contiguous islands that eventually formed big scabs. The events resulted 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 Oral antibiotics, oral and topical steroids. The patient underwent lab tests and procedures on day 25 which included bacterial culture performed from a fresh blister resulting negative for bacterial growth. The clinical outcome of the events was not recovered at the time of report. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812796
Sex: M
Age:
State: FL

Vax Date: 05/28/2021
Onset Date: 05/28/2021
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: Test Date: 202105; Test Name: fever; Result Unstructured Data: Test Result:101.7; Test Date: 202105; Test Name: oximeter; Result Unstructured Data: Test Result:92; Comments: O2 level at 92

Allergies:

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

Symptoms: A few minutes after I received the 2nd shot the left arm started to burn like Ben Gay or Icy Hot cream was on it.; Stomach pain; Back pain; Most joints in extreme pain; most muscles in extreme pain; extreme migraine, (could not brush hair on head due to causing extreme migraine pain); shortness of breath; fever; chills; chest pain; Urinated with extreme Frequency; unable to move left arm; This is a spontaneous report from a contactable consumer (patient). A 48-year-old male patient received bnt162b2 (BNT162B2, solution for injection, Lot Number: ER8736), dose 2 via an unspecified route of administration, administered in the left arm on 28May2021 17:30 (at the age of 48-years-old) as dose 2, single for COVID-19 immunisation. The facility in which the vaccination was administered was other. Medical history included asthma only from pollen, deathly allergic to Pollen, known allergies: Onions, raw carrots. The patient concomitant medication was not reported. The patient previously took bnt162b2 (BNT162B2, solution for injection, Lot Number: EN5318), dose 1 via an unspecified route of administration, administered in the left arm on 07May2021 17:30 (at the age of 48 years old) as dose 1, single for COVID-19 immunisation. No other vaccines were given within 4 weeks. No other medications were given within 2 weeks. Prior to vaccination, the patient had not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 28May2021 17:30 the patient experienced a few minutes after I received the 2nd shot the left arm started to burn like Ben Gay or Icy Hot cream was on it, stomach pain, back pain, relived pain from some athletic injuries that were healed up in the past, but 10 times worse, most joints in extreme pain, most muscles in extreme pain, extreme migraine, (could not brush hair on head due to causing extreme migraine pain), shortness of breath, fever, chills, chest pain, the pain was the worst I have ever felt, urinated with extreme frequency, unable to move left arm. The patient underwent lab tests and procedures which included body temperature resulted 101.7 on May2021, oxygen saturation resulted 92 on May2021 O2 level at 92. The clinical outcome of the events was reported as recovered on an unspecified date in May 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812797
Sex: M
Age:
State: TX

Vax Date: 04/22/2021
Onset Date: 05/13/2021
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: My arm was completely sore; getting bruised non stop ever since the vaccine; I have had nonstop fatigue and don't feel well; I have had nonstop fatigue and don't feel well; I cannot sleep on my left side because it hurts; I can't touch the area around where the vaccine was administered because it is sore and hurts; This is a spontaneous report from a contactable consumer (Patient). A 30-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: Er8736, Expiry Date and NDC number: not provided), via an unspecified route of administration, administered in left arm, on 22Apr2021 at 12:00 (age at vaccination was 30 Years) as DOSE 2, SINGLE for COVID-19 immunization at Pharmacy or Drug Store. The patient's medical history and concomitant medications were not reported. The patient did not receive any other vaccines in four weeks. The patient did not receive any other medications in two weeks. Patient was not diagnosed with COVID prior vaccination. Patient has not been tested post vaccination. Patient stated his arm was completely sore and has been getting bruised nonstop ever since the vaccine. He could not sleep on his left side because it hurted. He couldn't touch the area around where the vaccine was administered because it was sore and hurted and it's been several weeks. He have had nonstop fatigue and didn't feel well. Patient did not receive any treatment for events. The outcome of all events was not resolved for all events. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1812798
Sex: M
Age:
State: VA

Vax Date: 05/14/2021
Onset Date: 05/17/2021
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: nasty infection in my nose; horrible cyst on my back; sick with fever for 5 days; sick with fever for 5 days; This is a spontaneous report from a contactable consumer (patient himself). A 60-years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EP7533; Expiration date: unknown) via an unspecified route of administration, administered in Arm Left on 14May2021 (at the age of 60-years-old) as DOSE 2, SINGLE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient had not any known allergies. Patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EP6955; Expiration date: unknown) via an intramuscular route of administration, administered in Arm Left on 07Apr2021 (at the age of 60-years-old) as DOSE 1, SINGLE for COVID-19 immunization and experienced horrible infection in thumb. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine nor received any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. It was reported that, after the 2nd shot on 17May2021 patient got nasty infection in nose and as soon as that went away 5 days later got a horrible cyst on back and have been sick with fever for 5 days. The infections were outrageously fast after shots even shocked to the Doctor. The second was a cyst on back and while patient have had cysts before never anything like this one. AEs resulted in doctor or other healthcare professional office/clinic visit. Therapeutic measures were taken as a result of AEs as patient was prescribed with sulfamethoxazole (Drain infection prescribed sulfamethoxazole). Since the vaccination, patient has not been tested for COVID-19. Relevant tests were reported as none. The outcome of all events was resolved on an unspecified date in 2021. Follow up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812799
Sex: M
Age:
State: OH

Vax Date: 05/28/2021
Onset Date: 05/29/2021
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: sore arm of shot the next day, slight fever the next day, fatigue the next day, frequent urination the night of vaccine (once every hour); sore arm of shot the next day, slight fever the next day, fatigue the next day, frequent urination the night of vaccine (once every hour); sore arm of shot the next day, slight fever the next day, fatigue the next day, frequent urination the night of vaccine (once every hour); frequent urination the night of vaccine (once every hour); This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A 61-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Ew0167), via an unspecified route of administration, administered in Arm Left on 28May2021 at 17:00 (age at the time of vaccination was 61 years) as DOSE 2, SINGLE for covid-19 immunisation at pharmacy or drug Store. The patient medical history was not reported. Concomitant medication(s) and any other medications the patient received within 2 weeks of vaccination included Ibuprofen; Acetylsalicylic acid (ASPRIN); Diphenhydramine hydrochloride (BENADRYL) and Fish oil, all taken for an unspecified indication, start and stop date were not reported. Historically, the patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number Ew0171), via an unspecified route of administration, administered in Left Arm on 30Apr2021 at 18:00 (age at the time of vaccination was 61 years) as DOSE 1, SINGLE for covid-19 immunisation. The patient was not diagnosed with COVID-19 prior to vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 29May2021 at 12:00 AM, the patient experienced sore arm of shot the next day, slight fever the next day and fatigue the next day. On 29May2021, the patient experienced frequent urination the night of vaccine (once every hour). Reportedly the events were sore arm of shot, slight fever and fatigue all the next day along with frequent urination the night of vaccine (once every hour). No treatment was received to treat events. Since the vaccination, the patient has not been tested for COVID-19. The case was reported as non-serious. The outcome of all the events was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: IBUPROFEN; ASPRIN; BENADRYL; FISH OIL

Current Illness:

ID: 1812800
Sex: M
Age:
State: WI

Vax Date: 05/12/2021
Onset Date:
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: sore throat; upset stomach; achy; Fever; fatigue; headache; chills; Age at vaccination: 9 years; Age at vaccination: 9 years; This is a spontaneous report from a contactable consumer or other non-health care professional (patient). A 9-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number: EW0182; Expiration date: not provided) via an unspecified route of administration on 12May2021 (age at vaccination 09-year-old) in right arm as dose 1, single for Covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the covid 19 vaccine. The patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. On an unspecified date, the patient experienced fever, fatigue, headache, sore throat, upset stomach, achy and chills. The patient received treatment of tylenol for true events. The outcome of the events was recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812801
Sex: M
Age:
State: FL

Vax Date: 05/01/2021
Onset Date: 05/26/2021
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: Test Date: 20210526; Test Name: Blood test; Result Unstructured Data: Test Result:Negative; Test Date: 20210526; Test Name: COVID-19 Antibody IgG/IgM Rapid POC Test; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Upper lip swelling; This is a spontaneous report from a contactable consumer (patient). A 54-years-old male patient reported for himself that he received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0170), via an unspecified route, administered in arm right on an unspecified date in May2021 at 06:30 PM (age at vaccination was 54 years) as DOSE 1, SINGLE for COVID-19 immunization . Medical history included high blood pressure from an unknown date and unknown if ongoing. No known allergies were reported. No other vaccines were received within four weeks prior to the administration of bnt162b2. No other medications the patient received within 2 weeks of vaccination. Concomitant medications were not reported. On 26May2021 at 03:00 PM, the patient experienced upper lip swelling. The adverse event resulted in visit to doctor or other healthcare professional office/clinic visit. Therapeutic measures taken as a result of upper lip swelling included methylprednisolone. The patient underwent lab tests and procedures which included blood test: negative on 26May2021, COVID-19 Antibody IgG/IgM Rapid POC Test: negative on 26May2021. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was tested for COVID-19. Outcome of the event was recovered with sequelae on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812802
Sex: F
Age:
State: PA

Vax Date: 05/25/2021
Onset Date: 05/25/2021
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: swelling spread to half of right breast and down to middle of rib cage; swelling in underarm area; right shoulder & half of right breast is red and itches; pain and redness in right arm; pain and redness in right arm; This is a spontaneous report from a contactable consumer (patient). A 68-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Formulation: Solution for injection, Lot Number: lot ER8736) via an unspecified route of administration, administered in right arm (upper right arm) on 25May2021 11:15 AM (at the age of 68-years-old) as dose 2, single for COVID-19 immunization. The patient's medical history included high cholesterol and had known allergies from an unknown date and unknown if ongoing. The patient's concomitant medications included estrogens conjugated (PREMARIN), ezetimibe (ZETIA), both taken for an unspecified indication, start and stop date were not reported. Patient was non pregnant at the time of vaccination. Patient took no other vaccine within four weeks of covid vaccine. Patient did not have COVID prior to vaccination. Patient did not tested for covid post vaccination. On 25May2021 11:45 AM the patient experienced pain and redness right arm, and right shoulder & half of right breast is red and itches, on 26May2021 on Wednesday or next morning experienced swelling in underarm area, on 27May2021 on thursday patient experienced swelling spread to half of right breast and down to middle of rib cage and on friday or every is still swollen today. No treatment received for the events. The outcome of the events were not recovered. Follow-up attempts completed. No further information expected.

Other Meds: PREMARIN; ZETIA

Current Illness:

ID: 1812803
Sex: F
Age:
State: CT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Sore joints for over a month; This is a spontaneous report from a contactable consumer (patient). A 22-year-old female patient (age at vaccination: 22 years) received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0150 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 08Apr2021 at 08:30 AM, as dose 1, single dose for COVID-19 immunization and second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8731 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 29Apr2021 at 08:30 AM, as dose 2, single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. The patient's medical history included Covid 19. The patient did not have any known allergies. Concomitant medication included birth control. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. On 09Apr2021 at 08:00 AM, the patient experienced sore joints for over a month. The patient did not receive any treatment for the event. Outcome of the event was not recovered. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness:

ID: 1812804
Sex: F
Age:
State: NY

Vax Date: 05/20/2021
Onset Date: 05/21/2021
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:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Day 3 it also turned red and itchy; Injection spot felt like a bruise for 2 days.; Day 3 it also turned red and itchy; This is a spontaneous report from a contactable consumer (patient) or other non-health care professional. A 49-years-old non-pregnant female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EW0168) via an unspecified route of administration, administered in right arm on 20May2021 18:00 (at the age of 49-year-old) as dose 1, single for covid-19 immunization. Medical history included seasonal allergy from an unknown date and unknown if ongoing. The patient did not received any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to the vaccination. The patient had been not tested for COVID-19 since the vaccination. Concomitant medications included ethinylestradiol, norethisterone acetate (JUNEL FE 24) taken for contraception (reported as birth control), start and stop date were not reported, valacyclovir hydrochloride (VALACYCLOVIR HYDROCHLORIDE) taken for an unspecified indication, start and stop date were not reported. On 21May2021 07:00 the patient experienced day 3 it also turned red and itchy,this lasted 5 more days, injection spot felt like a bruise for 2 days. No treatment received for the events. Outcome of the events resolved on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: JUNEL FE 24; VALACYCLOVIR HYDROCHLORIDE

Current Illness:

ID: 1812805
Sex: F
Age:
State: NJ

Vax Date: 05/11/2021
Onset Date: 05/01/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Day 1-2 slight pain in injected area; 5 pound weight loss,; day 3-5 fine little cold but could be because it was a cold night.; Day 5-8 fatigue,; sleepy; weakness,; mind and body not in sync,dropped 3 things in 1 hours so I realized something is wrong.; I would hear myself with breath heavily; mind and body not in sync,dropped 3 things in 1 hours so I realized something is wrong.; horrible body pain from neck to shoulder; so bad that body would refuse to standup after sitting down for 30-45mins.; felt little arm soreness; On the fourth day she started feeling cold; she started being careless or does not have proper grasp on things; There was also a burning sensation on her eyes; This is a spontaneous report from a contactable consumer (patient herself). A 36-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number and expiration date was not reported) via an unspecified route of administration, administered in Arm Left on 11May2021 15:00 (at the age of 36-years-old) as DOSE 1, SINGLE for COVID-19 immunization. No medical history and concomitant medications were not reported. Patient had not any known allergies and no other medical history. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine nor received any other medications within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. On an unspecified date in May2021 it was reported that, after the vaccination patient had experienced Day 1-2 slight pain in injected area, 5-pound weight loss, day 3-5 fine little cold but could be because it was a cold night. Day 5-8 fatigue, sleepy and weakness, mind and body not in sync, dropped 3 things in 1 hours so I realized something is wrong. Day 9-13 horrible body pain from neck to shoulder, so bad that body would refuse to standup after sitting down for 30-45mins. 2 days I was just sitting in car in parking lot because I did not have strength to walk back inside the home, day 14-17shortness of breath, I would hear myself with breath heavily. Weight gain or weight back to normal. Day 18-20 started feeling the recovery. It was reported that, she did not go to her scheduled second dose of the Pfizer COVID-19 vaccine today. She was scared to get the second dose as she stated that she still had side effects from her first dose (11May2021). These side effects since 3 weeks and that she heard from people that side effects may only lasts on a day or 2. On her first day she had no pain. On second day, she felt little arm soreness, by evening it was gone. On the fourth day she started feeling cold. Seventh night onwards she felt fatigue and does not feel like getting out of bed as she felt tired. In the middle of the day she started being careless or does not have proper grasp on things-weakness, fatigue, body pains (body pain feeling: when she got back home, did not feel like getting out of the car to her house as she still waits for 30-40 mins to gather energy), shortness of breath was experienced. Her weight fluctuated from 5-6 pounds and she thought that maybe it was her body's way of fight from it. People tell her she looked very week and dull. There was also a burning sensation on her eyes. All symptoms were gone by yesterday 31May2021 and felt better but the burning eyes feeling, fatigue, shortness of breath came back She said that she did not change anything from her lifestyle, no COVID infection history and that she was a healthy human. Patient did not receive any treatment for adverse event. She was supposed to take second dose today at 3PM. Her side effects were so bad that she did not want to take second dose. She would like to know where did she go to get assistance because she did not have insurance. She would like to speak with someone about her side effects to see if they could help her. Since the vaccination, patient has not been tested for COVID-19. The outcome of event burning sensation on her eyes, she started being careless or does not have proper grasp on things was unknown, fatigue and shortness of breath was resolving and all other events was resolved on 31May2021 except felt little arm soreness and on the fourth day she started feeling cold was resolved on an unspecified date in 2021. Follow-up (19Jul2021): This follow-up is being submitted to notify that the lot/batch number is not available despite the follow-up attempts made. Follow-up attempts completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812806
Sex: F
Age:
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/26/2021
Rec V Date: 10/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mild fever; Arm was sore; Dull ache; Hurts at the injection site; This is a spontaneous report from a contactable consumer. This 51-year-old female consumer(patient) reported. A 51-year-old non pregnant female patient received BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, formulation: solution for injection, Batch/lot number: EN6201) via unknown route of administration in right arm on 12Feb2021 at 10:30AM (at the age of 51 years old) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunisation. The patient medical history included she had been taking Tamoxifen but have stopped it and it had had no impact on the pain. Patient did not have the allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received other medications the patient received within 2 weeks of vaccination. On 26Feb2021, the patient had mild fever after a day but when she resumed going to the gym realized the arm was sore and the arm was sore to this day. It was very unusual because she had major surgeries in the past and there was never this kind of soreness. When she sleep on the side there was a dull ache and when she change clothes, stretch to pull a t-shirt over her head, it was hurts at the injection site. The patient did not diagnose with COVID-19, Prior to vaccination and not tested for COVID-19, Since the vaccination. Patient did not receive treatment for events. At the time of this report the outcome of the events were not recovered. Follow-Up (30Jun2021): Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812807
Sex: F
Age:
State: GA

Vax Date: 05/29/2021
Onset Date: 05/29/2021
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: Severe itching and hives/welts over my body; Severe itching and hives/welts over my body; This is a spontaneous report from a contactable consumer (patient). A 32-years-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0175) via an unspecified route of administration, administered in Arm Left on 29May2021 (at the age of 32-year-old) as DOSE 1, SINGLE for covid-19 immunisation. Medical history not reported. Concomitant medication(s) included metronidazole (METRONIDAZOLE). No known allergies reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine/ No other vaccine in four weeks. The patient experienced severe itching and hives/welts over my body on 29May2021. Patient did not receive any treatment for the event. No covid prior vaccination. No covid tested post vaccination. Reporter assessed case as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of event was not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds: METRONIDAZOLE

Current Illness:

ID: 1812808
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: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 20210301; Test Name: blood work; Result Unstructured Data: Test Result:Results Unknown; Comments: Had blood work done before got Covid shot on 01Mar.

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: fever; chills; the pain went through the underarm; she got the first dose of the Pfizer Covid-19 Vaccine on 16Apr2021/getting her 2nd dose of the vaccine on 03May2021; very serious pain in right breast; This is a spontaneous report received from a contactable consumer or other non-health professional (patient). A 75-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch no: not reported/Lot Number: EW0172) via an unspecified route, administered in left arm on 03May2021 (Age at vaccination 75 years) as dose 2, single for covid-19 immunization. Medical history included ongoing diabetes mellitus since unspecified start date and concomitant medications reported as none. Historical vaccine included patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EW0158) via an unspecified route of administration, administered in left arm on 16Apr2021 (Age at vaccination 75 years) as dose 1, single for covid-19 immunization with no adverse events. The patient got the first dose of the Pfizer covid-19 vaccine on 16Apr2021, and 2nd dose on 03may2021 with inappropriate schedule of product administration. After the second shot, on 03May2021 patient experienced with very serious pain in right breast that she had not had before which was started that evening. Reported as her breast pain was severe and that the pain went through the underarm. She got the shot on the left side but was having the problems in her right side. On an unspecified date she experienced fever and chills a day after the 2nd dose but went away a day after when her daughter gave her tea. Her daughter had her mammogram and was telling her doctor about it. Her doctor asked if the pain started from her back. Doctor told her daughter that it was from the Covid shot. Patient wanted to know how long it last or will it wear itself out. On 01Mar2021, the patient underwent lab tests and procedures which included blood work with unknown results done before got Covid shot. Treatment was reported as none. Outcome of the events chills and pyrexia was recovered on an unknown date in 2021, Breast pain and pain went through the underarm was recovering. Follow-up attempts completed. No further information expected.

Other Meds:

Current Illness: Diabetic (Verbatim: Diabetic)

ID: 1812809
Sex: M
Age:
State: DE

Vax Date: 05/31/2021
Onset Date: 06/01/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Low grade fever; Aches/achy feet; Chills; Headache; Cold; Tired; This is a spontaneous report received from a non-contactable consumer (patients parent) reported for a (reporters son) that. A 12-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ew0179) via intramuscular, administered in Arm Left on 31May2021 (Age at Vaccination 12-years-old) as DOSE 2, SINGLE for COVID-19 Immunization. The patient medical history and concomitant medications were not reported. Previously patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ew0165) via intramuscular, administered in Arm Left on 13May2021 (Age at Vaccination 12-years-old) as DOSE 1, SINGLE for COVID-19 Immunization. On 01Jun2021 the patient experienced Low grade fever, Aches/achy feet, Chills, Headache, Cold and Tired. Patient did not received treatment for adverse events. The outcome of the events was unknown. Follow-Up (30Jun2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812810
Sex: F
Age:
State: WI

Vax Date: 05/27/2021
Onset Date: 05/01/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: 7 days after 1st dose patient experienced 2 days of blood in urine.2 days after 2nd dose experienced 2 days of blood in urine; This is a spontaneous report from a contactable consumer (Patient) via COVID-19 reporting through Regulatory Authority. A 32-years-old female (non-pregnant) patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0179), dose 1 via an unspecified route of administration, administered in Arm Left on 05May2021 13:00 as (At the age of 32-years) dose 1, single, dose 2 via an unspecified route of administration, administered in Arm Left on 27May2021 13:30 (Batch/Lot Number: Ew0191) as dose 2, single at Doctor's office/urgent care, both doses for COVID-19 immunization. The patient medical history included depression, anxiety, herpes simplex, obesity, seasonal allergies and gastrooesophageal reflux disease. The patient previously took ceclor and experienced drug hypersensitivity. The patient concomitant medication(s) included paracetamol (TYLENOL) and ibuprofen. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19, Since the vaccination, the patient has not been tested for COVID-19. On May2021, 7 days after 1st dose patient experienced 2 days of blood in urine and 2 days after 2nd dose experienced, 2 days of blood in urine. Adverse event resulted into emergency room visit to the patient. Treatment not received for the event. Outcome of the event was unknown. Follow-up attempts are completed. No further information is expected.

Other Meds: TYLENOL; IBUPROFEN

Current Illness:

ID: 1812811
Sex: F
Age:
State: LA

Vax Date: 05/27/2021
Onset Date: 05/29/2021
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: Tiredness; headache; muscle pain; joint pain; not feeling well; nausea; Stiffness in neck, shoulders and upper back. Having a hard time turning neck; This is a spontaneous report from a contactable consumer (patient). A 64-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot Number: EW0778, Expiry Date: Not Reported), via an unspecified route, administered in Left Arm on 27May2021 (at the age of 64-year-old) at 12:30 as dose 1, single for covid-19 immunisation. The patient did not receive any other vaccine within four weeks. The patient medical history included breast cancer, diabetes mellitus. The patient's concomitant medications were not reported. The patient was allergic to codeine and contrast dye. On 29May2021 (Saturday) at 2.30, the patient experienced tiredness, headache, muscle pain, joint pain, not feeling well, nausea, stiffness in neck, shoulders, and upper back, having a hard time turning neck and patient still having these symptoms 5 days later. Patient don't feel any relief in my neck or back. The patient did not receive any treatment for the reported event. The patient was not diagnosed with covid prior vaccination. The patient was not tested for covid post vaccination. Outcome of the events was Not Recovered. No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1812812
Sex: F
Age:
State: LA

Vax Date: 05/26/2021
Onset Date: 05/27/2021
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: Pain and numbness in shoulder, arm, elbow and hand; Pain and numbness in shoulder, arm, elbow and hand; Swelling in hands, face and feet; This is a spontaneous report from a contactable consumer (patient). A 58-years-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, batch/lot Number: EW0176), via an unspecified route of administration, administered in arm right on 26May2021 10:00 (at the age of 58-years-old) as DOSE 1, SINGLE for covid-19 immunization at pharmacy or drug store. The patient was not pregnant at time of vaccination. Patient denied for any medical history. Patient concomitant medication(s) received within 2 weeks of vaccination included iron, multivitamins [vitamins NOS] (MULTIVITAMINS [VITAMINS NOS]), calcium, biotin, cyanocobalamin (B12 [CYANOCOBALAMIN]), all were taken for an unspecified indication, from an unknown start and stop date were not reported for any. The patient had no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 27May2021 at 07:30, the patient experienced pain and numbness in shoulder, arm, elbow and hand (could not use or feel her hand at all) and had swelling in hands, face and feet. It was reported that AE resulted in doctor or other healthcare professional office/clinic visit. The reporter considered the event as non-serious. The patient did not receive any treatment for the events. The outcome of events was resolving. Follow-up attempts are completed. No further information is expected.

Other Meds: IRON; MULTIVITAMINS [VITAMINS NOS]; CALCIUM; BIOTIN; B12 [CYANOCOBALAMIN]

Current Illness:

ID: 1812813
Sex: M
Age:
State: CO

Vax Date: 05/26/2021
Onset Date: 05/28/2021
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: 20210601; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: Flu-line symptoms; Felt bad; Fever; Chills/Sweats; Chills/Sweats; Very achy joints; Sharp pains in my head in random places as well as deep in my ears and behind my eyes; Sharp pains in my head in random places as well as deep in my ears and behind my eyes; Sharp pains in my head in random places as well as deep in my ears and behind my eyes; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0173), via an unspecified route of administration in right arm on 26May2021 at 11:00 (at the age of 43 years old) as dose 1, single for covid-19 immunisation. There was no medical history. The patient had no known allergies. The patient did not receive any other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. On 28May2021 at 18:00 patient experienced flu-line symptoms have persisted now for a week. He received first dose last wednesday 26May2021 and was symptom-free for 48 hours. Then felt bad on On 28May2021 at 18:00, friday night and have had flu-like symptoms until now Tuesday afternoon. Fever, Chills/Sweats, very achy joints, sharp pains in head in random places as well as deep in ears and behind eyes. Tylenol/Ibuprofen help ease the symptoms which come back once it wears off. The patient underwent lab tests and procedures which included sars-cov-2 test (Nasal Swab): negative on 01Jun2021. The event resulted in emergency room/department or urgent care visit. No hospitalization required. The patient did not receive any treatments for the events. Reporter considered events as non-serious. The outcome of events was not recovered. Follow-Up 30Jun2021: Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812814
Sex: F
Age:
State: NC

Vax Date: 05/18/2021
Onset Date: 05/24/2021
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: Test Date: 20210526; Test Name: PCR; Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab

Allergies:

Symptom List: Tremor

Symptoms: diffuse headache; sore throat; chills; low-grade fever; malaise; This is a spontaneous report from a contactable Physician. A 12-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0186), DOSE 1 intramuscular, administered in Right Arm on 18May2021 15:00 (Age at Vaccination 12-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included rhinitis allergic, grass pollen (environmental) with anaphylactic reaction from an unknown date and unknown if ongoing. Concomitant medications were not reported. Patient receive did not any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Adverse event result in any of the following Doctor or other healthcare professional office/clinic visit. Prior to vaccination, patient did not was the patient diagnosed with COVID-19. Since the vaccination, has the patient been tested for COVID-19. Device Date: 01Jun2021. On 24May2021 15:00 The patient experienced, diffuse headache, sore throat, chills, low-grade fever, and malaise. Lasted 4 days. The patient underwent lab tests and procedures which included polymerase chain reaction Nasal Swab on 26May2021.The outcome of all the events was recovered on May2021. Follow-Up (30Jun2021): Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812815
Sex: M
Age:
State: OR

Vax Date: 05/27/2021
Onset Date: 05/27/2021
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: Test Date: 20210527; Test Name: Fever; Result Unstructured Data: Test Result:105; Test Date: 20210528; Test Name: Fever; Result Unstructured Data: Test Result:102; Test Date: 20210529; Test Name: Fever; Result Unstructured Data: Test Result:99

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: 12 hours after injection I had a fever at 105 for one night, the next 24 hours I had a fever at 102, the next 24 hours I had a fever at 99; Overall soreness, dizziness, nausea, loss of appetite, lethargic.; Overall soreness, dizziness, nausea, loss of appetite, lethargic.; Overall soreness, dizziness, nausea, loss of appetite, lethargic.; Overall soreness, dizziness, nausea, loss of appetite, lethargic.; Overall soreness, dizziness, nausea, loss of appetite, lethargic.; This is a spontaneous report from a contactable consumer (patient). A 43-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0191, Expiry date: unknown) (age at the time of vaccination was 43 years), via unspecified route of administration, administered in Arm Left on 27May2021 at 12:15 as dose 2, single for COVID-19 immunization. The patient's medical history was none. The patient's concomitant medication was not reported. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: EW0185), via an unspecified route of administration, administered in Arm Left on 06May2021 at 12:15 as dose 1, single for COVID-19 immunization. On 27May2021 at 00:15, the patient had typical symptoms of fever, overall soreness, dizziness, nausea, loss of appetite and lethargic. No treatment received. The patient underwent lab tests and procedures, which included Fever: 105 on 27May2021, 102 0n 28May2021, 99 on 29May2021. The outcome of the events was resolving. Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812816
Sex: M
Age:
State: AZ

Vax Date: 05/13/2021
Onset Date: 05/15/2021
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: Stiff neck left side that lasted 10 days and soreness left side check joint that lasted 3 weeks.; Stiff neck left side that lasted 10 days and soreness left side check joint that lasted 3 weeks.; This is a spontaneous report form a contactable consumer. This patient (reported for himself): A 65-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EN0185), via unspecified route of administration, in left arm on 13May2021 12:45 (at the age of 65-year-old) as a dose 1, single for COVID-19 immunization. The patient medical history included allergies and high blood pressure. The concomitant medication of the patient included nifedipine (NIFEDIPINE), terazosin (TERAZOSIN), labetalol (LABETALOL), potassium (POTASSIUM) and valsartan (VALSARTAN). Patient not received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. On 15May2021 04:00 the patient experienced stiff neck left side that lasted 10 days and soreness left side check joint that lasted 3 weeks. Outcome for all the reported events was recovered on an unspecified date of 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: NIFEDIPINE; TERAZOSIN; LABETALOL; POTASSIUM; VALSARTAN

Current Illness:

ID: 1812817
Sex: M
Age:
State: PA

Vax Date: 05/01/2021
Onset Date: 05/23/2021
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: Broke out with multiple pustules that looked like chicken pox. They were on his arms, under arms, torso, back and hairline.; Broke out with multiple pustules that looked like chicken pox. They were on his arms, under arms, torso, back and hairline.; A few were painful when pressed on or if they rubbed against clothing.; This is a spontaneous report from a contactable consumer or other non hcp (parent). A 13-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Batch/Lot Number: EW0168), via an unspecified route of administration, administered in Arm Left on an unspecified date in May2021 (at the age of: 13-years-old) as dose 1, single for covid-19 immunisation at hospital. Medical history included seasonal allergy from an un-known date and unknown if ongoing. Concomitant medications within 2 weeks included loratadine (CLARITINE) Claritin 24hr; pseudoephedrine hydrochloride (SUDAFED 12 HOUR); fluticasone propio-nate (FLONASE [FLUTICASONE PROPIONATE]) and ketotifen fumarate (KETOTIFEN FUMARATE) Alaway eye all were taken for an unspecified indication, start and stop date were not reported. The patient previously received VARICELLA VACCINE (Lot Number: UNKNOWN), via unspecified route of administration on an unspecified date for Chickenpox. The patient did not receive any other vaccine within 4 weeks prior to covid vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 23May2021, it was reported that 4 days after his 1st vaccine dose, the patient broke out with multiple pustules that looked like chicken pox. They were on his arms, under arms, torso, back and hairline. Patient continued to get more for 48 hours or more. They looked exactly like chicken pox even though he has had his varicella vaccines. They started drying up after 3 to 4 days. Some had a crust on them as they dried similar to chicken pox. Patient said they did not had itch, but a few were painful when pressed on or if they rubbed against clothing. They are now all gone. The patient did not received treatment for the events. Patient required Doctor or other healthcare professional office/clinic visit for the event. Since the vaccination, the patient had not been tested for COVID-19. Device timestamp was reported as 01Jun2021. Outcome of the events was recovered on an unspecified date in 2021. Follow-Up (30Jun2021): Follow-up attempts are completed. No further information is expected.

Other Meds: CLARITINE; SUDAFED 12 HOUR; FLONASE [FLUTICASONE PROPIONATE]; KETOTIFEN FUMARATE

Current Illness:

ID: 1812818
Sex: M
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: rash on arms, chest, &stomach; 2nd day slight headache, neck ache; Left underarm(lymph)swollen; whole body aching, upper body, lower back, bad headache; whole body aching, upper body, lower back, bad headache; pain at injection site; Bad headache&got worse&worse; Still red where band aid was over injection site/ redness shape of band aid; itchiness between fingers lft hand, face lft, neck arms; red spot on nose (looks like Rosacea); This is a spontaneous report from a contactable consumer (patient). A 44-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: ew0170, Expiry date: not reported), via an unspecified route of administration in left arm on 04May2021 (at age of 44-years-old) as dose 2, single for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: Not reported, Expiration Date: Not reported), via an unspecified route of administration in left arm 13Apr2021 19:00 (at age of 44-years-old) as dose 1, single for covid-19 immunization and experienced had trouble breathing, chest pain, felt like lungs were hurting in back, weak, tired, passed out. The patient had not received any other vaccine within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. Second shot on 04May2021, felt pain at injection site (that was expected), that night started to get a bad headache & got worse & worse. Next morning (05May2021), whole body aching, upper body, lower back, bad headache, Left underarm(lymph)swollen. Second day (06May2021) slight headache, neck ache, lft underarm swollen. That night rash on arms, chest, &stomach. 3rd day (07May2021), nighttime rash arms, chest, stomach. Still red where band aid was over injection site (on an unspecified date in May2021). Over a week later still have redness shape of band aid, Seems patient had sensitive skin since the second covid shot. 10 days after second shot the patient still had redness the shape of the Band Aid on his left arm. Got a red spot on nose (looks like Rosacea). 4 weeks later, still have a red spot on nose. The patient had itchiness between fingers lft hand, face lft, neck arms on an unspecified date in May2021. The reporter assessed the events as non-serious. No therapeutic measures were taken in response to the events. The outcome of the events was not recovered. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021635813 Same reporter/patient/product; different doses/events.

Other Meds:

Current Illness:

ID: 1812819
Sex: F
Age:
State: GA

Vax Date: 05/13/2021
Onset Date: 05/14/2021
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: 20210526; Test Name: Covid-19; Result Unstructured Data: Test Result:Negative; Test Date: 20210528; Test Name: Covid-19; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Extreme fatigue; I was sick in bed for 3 days; headache; slight fever; This is a spontaneous report received from a contactable consumer(patient). A 44-Year-old non-pregnant female (Patient) reported herself. A 44-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EW0183), dose 2 via an unspecified route of administration, administered in Arm Left on 13May2021 15:00 (at the age of 44-years-old) as a single dose for covid-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously took erythromycin and experienced drug hypersensitivity. Patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EW0150), via an unspecified route of administration, administered in Arm Left on 02Apr2021 16:00 (at the age of 44-years-old) as a single dose for covid-19 immunization and experienced lymphadenopathy. The patient had no other vaccine within four weeks. On 14May2021 03:00, the patient was sick in bed for 3 days and have been sick with headache, slight fever, extreme fatigue. She went to urgent care. Tested for Covid, mono, UTI, etc. The adverse event resulted in emergency room department or urgent care visit. The patient received treatment with antibiotics. No hospitalization prolonged. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included sars-cov-2 test: negative- nasal swab on 26May2021, sars-cov-2 test: negative on 28May2021. The seriousness of the event was considered as non-serious. Outcome of the event was not recovered, at the time of this report. Device Date was 01Jun2021 Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812820
Sex: F
Age:
State: SC

Vax Date: 05/30/2021
Onset Date: 05/31/2021
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: Test Name: temperature; Result Unstructured Data: Test Result:elevation

Allergies:

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

Symptoms: mild headache; arm pain was minimal; but I did feel a little lightheaded immediately.; slight temperature elevation; fatigue; 24 hours later I had a nosebleed (not common for me); This is a spontaneous report from a contactable consumer. A 49-year-old non-pregnant female consumer (patient) reported that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0179 and expiry date Aug2021) via an unspecified route of administration on 30May2021 at 10:00 AM on left arm (at 49-year-old), as dose 2, single for COVID-19 immunization. The patient's medical history, concomitant medications, prior vaccinations and relevant tests were reported as none. Patient had no history of allergies, and no other vaccine was received in four weeks. The patient did not have covid prior to vaccination and was not tested for covid tested post vaccination.The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0169) intramuscular route of administration on 09May2021 at 06:00 PM on left arm (at 49-year-old), as dose 1, single for COVID-19 immunization and experienced arm pain. On 31May2021 at 11: 00 am after the second shot, arm pain was minimal, but patient did feel a little lightheaded immediately, slight temperature elevation, fatigue and a mild headache. On the same date (31May2021) at 01:00 PM she had an unexplained nosebleed. Patient does not get nose bleeds. There was no injury or banging to nose or face. The blood just began dripping as patient was sitting on a chair relaxing in the backyard. No treatment was received for events. On an unknown date in 2021 nosebleed recovered. The outcome of rest of the events was unknown. Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812821
Sex: F
Age:
State: NC

Vax Date: 05/28/2021
Onset Date: 05/29/2021
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: Test Date: 202105; Test Name: Body temperature; Result Unstructured Data: Test Result:101 Fahrenheit

Allergies:

Symptom List: Pain in extremity

Symptoms: Second Dose had severe debilitating migraine headache 12hrs after dose with severe nausea and vomiting through 72hrs following dose.; with severe nausea and vomiting; with severe nausea and vomiting; Experienced severe muscle pain during 12-30hrs post dose with temp 101; Experienced severe muscle pain during 12-30hrs post dose with temp 101; This is a spontaneous report from a contactable consumer (patient) or other non HCP. A 52-years-old non-pregnant female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EW0182, Expiry date: not reported), via an unspecified route of administration in left arm on 28May2021, at 13:00 (at age of 52-years-old) as dose 2, single for covid-19 immunization. Medical history Gilbert's syndrome, Rosacea, irritable bowel syndrome from unknown date unknown if ongoing. Concomitant medication(s) included omeprazole taken for an unspecified indication, start and stop date were not reported; multivitamins [vitamins nos] taken for an unspecified indication, start and stop date were not reported. The patient previously took sulfonamides for drug hypersensitivity, cephalexine for drug hypersensitivity. The patient previously received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number: EW0170, Expiry date: not reported), via an unspecified route of administration in left arm on 07May2021, at 14:00 as dose 1, single for covid-19 immunization and experienced moderate migraine, nausea and vomiting. The patient had not received any other vaccine within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19 and post the vaccination, the patient was not tested for COVID-19. On 29May2021 at 07:00, patient experienced second dose had severe debilitating migraine headache 12hrs after dose with severe nausea and vomiting through 72hrs following dose, severe muscle pain during 12-30hrs post dose with temp 101, which eased off with only migraine and nausea remaining through 72hrs. The patient underwent lab tests and procedures which included body temperature: 101 on May2021. The patient received treatment headache and anti-nausea meds over the counter. Therapeutic measures were taken as a result for all the events. The events recovered on an unspecified date in 2021. Follow-up attempts are completed. No further information is expected.

Other Meds: OMEPRAZOLE; MULTIVITAMINS [VITAMINS NOS]

Current Illness:

ID: 1812822
Sex: F
Age:
State: CA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
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: I drank 16 ounces of water 1 hour prior to getting vaccinated. However, within 20 minutes of receiving the 1st. dose, my throat felt dry and there was a slight burning sensation at my throat. Also, th; I drank 16 ounces of water 1 hour prior to getting vaccinated. However, within 20 minutes of receiving the 1st. dose, my throat felt dry and there was a slight burning sensation at my throat. Also, th; the right side of my tongue and the back of my tongue near my throat became slightly swollen to where there's some discomfort; The right side of my tongue and the back of my tongue near my throat became slightly swollen to where there's some discomfort; This is a spontaneous report from a contactable consumer (Patient). A 48-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH m-RNA COVID-19 VACCINE, formulation: Solution for injection, Lot number: EW0178 and expiry date was not reported), via an unspecified route of administration into left arm on 01Jun2021 at 14:00 (at the age of 48-year-old) on left arm as Dose 1, single for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Medical history included: known allergies (Allergic to Aspirin through my teen years; mild gluten sensitivity), Asthma, and Allergies (Seasonal, Dust mites, Animal dander (horses, cats and some dogs)). The patient did not receive any other vaccines in four weeks of first dose. Concomitant medications within two weeks of first dose were Vitamins and OTC Pain medications. Facility where the most recent COVID-19 vaccine was administered was Pharmacy or Drug Store. The patient was neither tested positive for covid prior vaccination nor post vaccination. The patient stated that she drank 16 ounces of water 1 hour prior to getting vaccinated. However, within 20 minutes of receiving the 1st dose on 01Jun2021 at 14:00, her throat felt dry and there was a slight burning sensation at her throat. Also, the right side of her tongue and the back of her tongue near throat became slightly swollen to where there's some discomfort, but she was only monitoring these effects since she can still breathe and function normally. The patient did not receive any treatment for reported adverse events. Outcome of events was recovering. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812823
Sex: F
Age:
State: AZ

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: all over body rash that has been painful, red and itchy all over body every day. Still have not found a solution it has been 3 months and still on going; all over body rash that has been painful, red and itchy all over body every day. Still have not found a solution it has been 3 months and still on going; all over body rash that has been painful, red and itchy all over body every day. Still have not found a solution it has been 3 months and still on going; Patient received first and second dose on 03Mar2021; This is a spontaneous report from a contactable consumer (patient). A 29-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EN6202) via an unspecified route of administration, administered in Arm Left on 03Mar2021 as DOSE 1, SINGLE and second dose of BNT162B2 (BNT162B2, Solution for injection, PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER8734) via an unspecified route of administration, administered in Right Arm on 03Mar2021 as DOSE 2, SINGLE (at the age of 29-year-old) for covid-19 immunisation (Pharmacy or Drug Store). Medical history included covid from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. Patient was not received any other vaccines within 4 weeks prior to the COVID vaccine and not taking any other medications within 2 weeks of vaccination and had no known allergies. On 15Mar2021, the patient experienced all over body rash that has been painful, red and itchy all over body every day. Still have not found a solution it has been 3 months and still on going all. Reporter seriousness was reported as non serious. Prior to vaccination, patient was diagnosed with COVID-19 and since the vaccination, has the patient had not been tested for COVID-19. Patient received first and second dose on 03Mar2021. The adverse events resulted in physician's office visit. Therapeutic measures were taken as a result of events included steroids but has not worked. The outcome of the events patient received first and second dose on 03Mar2021 was unknown while the other events were not recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812824
Sex: F
Age:
State: OH

Vax Date: 05/27/2021
Onset Date: 05/28/2021
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: Muscle pain; Area swollen in her left face; Body Pain; Coughing; My stomach is sore; I feel weak; Tired; Headache; Nauseous; Pain in arm; This is a spontaneous report from a contactable consumer from a Pfizer Sponsored Program. An 81-year-old female patient received first dose of bnt162b2 (BNT162B2, solution for injection, Lot Number: EW0172; Expiration Date: 31Aug2021,) via an unspecified route of administration, administered in the left arm on 27May2021 as dose 1, single for COVID-19 immunisation. Medical history included Blood pressure high and diabetes. Concomitant medication included metformin taken for diabetes mellitus. On an unspecified date the patient experienced headache, nauseous, muscle pain, area swollen in her left face, body pain, coughing, my stomach is sore, I feel weak, tired. On 28May2021 the patient experienced pain in arm. Therapeutic measures were taken as a result of headache, nauseous, muscle pain, pain in arm, area swollen in her left face, body pain, coughing, my stomach is sore, I feel weak, tired, and included treatment with Tylenol which doctor told patient. She stated that she got the first vaccine last 27May and she mentioned that she had a lot of reactions. It is like she had headache, she is nauseous, there is pain in arm, muscle pain and area swollen in her left face and there is body pain and she is still coughing until now, her stomach was sore and she just did not feel good. She felt weak like tired. She could not find the vaccination card and she was not able to inform me about the second dose appointment. Friday, reporter started pain come on in her arm. Thursday, patient had all day, after got it Thursday, got it 30 evening had it all the time coughing. The clinical outcome of all the events was not resolved. Follow-up attempts are completed. No further information is expected.

Other Meds: METFORMIN

Current Illness:

ID: 1812825
Sex: F
Age:
State: PA

Vax Date: 05/25/2021
Onset Date: 05/25/2021
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: Hives (neck) and rash (arms, neck, ears, legs) occurring due to exercise, heat outdoors and showering; Hives (neck) and rash (arms, neck, ears, legs) occurring due to exercise, heat outdoors and showering; This is a spontaneous report from a contactable consumer (patient herself). A 46-years-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EW0186; Expiration date: unknown) intramuscular, administered in Arm Left on 25May2021 11:00 (at the age of 46-years-old) as DOSE 2, SINGLE for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Medical history included SARS-COV-2 antibody test negative; prior to vaccination, did not get COVID when 3 persons in immediate family were positive and no extra precautions taken within household from an unknown date and unknown if ongoing. Concomitant medication included magnesium l-threonate (MAGNESIUM L-THREONATE) taken for an unspecified indication. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not taking any medications prior to the event being reported. She did not receive any vaccines for any other conditions prior to the event reported and not had any recent vaccines for SARS-CoV2 other than Pfizer-BioNTech COVID-19 Vaccine prior to event being reported. She did not receive any other vaccines around the time of Pfizer-BioNTech COVID-19 Vaccine vaccination. Patient had previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EW0175; Expiration date: unknown) intramuscular, administered in Arm Left on 29Apr2021 10:00 (at the age of 46-years-old) as DOSE 1, SINGLE for COVID-19 immunization. On 25May2021 15:00 the patient experienced hives (neck) and rash (arms, neck, ears, legs) occurring due to exercise, heat outdoors and showering. AEs resulted in physician office visit but patient was not seen in the emergency department, not hospitalized nor admitted to an intensive care unit. Therapeutic measures were taken as a result of AEs as patient had received topical antihistamine only and patient took a dose prednisone after second dose (two weeks after as rash was still present); Details: Prednisone 20mg was taken X1day. The outcome of both the events was resolving. Follow-up attempts are completed. No further information is expected.

Other Meds: MAGNESIUM L-THREONATE

Current Illness:

ID: 1812826
Sex: F
Age:
State: OH

Vax Date: 05/28/2021
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: Test Date: 20210102; Test Name: blood work; Result Unstructured Data: Test Result:unknown

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Ever since she got the Vaccine acid reflux reported as side effects; she is been like very tight and just like a burning sensation burning, like heartburn; Ever since she got the Vaccine acid reflux reported as side effects; she is been like very tight and just like a burning sensation burning, like heartburn; Ever since she got the Vaccine acid reflux reported as side effects; she is been like very tight and just like a burning sensation burning, like heartburn; Ever since she got the Vaccine acid reflux reported as side effects; she is been like very tight and just like a burning sensation burning, like heartburn; This is a spontaneous report received from a contactable consumer. A 18-Year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0173, Expiry Date: 31Aug2021), via an unspecified route of administration, administered in right arm on 28May2021 (at the age of 18 years old) as a single dose for COVID-19 immunisation. The patient's medical history included Type 1 diabetes mellitus and Anxiety from an unknown date and unknown if ongoing. The patient's concomitant medication included Humalog (INSULIN LISPRO) taken for Type 1 diabetes mellitus and zoloft (SERTRALINE HYDROCHLORIDE) taken for anxiety, start date and stop date was not reported. The patient had not received any prior vaccinations within 4 weeks. On an unspecified date the patient experienced ever since she got the Vaccine acid reflux reported as side effects; she has been like very tight and just like a burning sensation burning, like heartburn. The patient reported the patient did not know this question or not patient's daughter and they got the first dose of Pfizer Vaccine this past Friday. The patient's daughter is 19 years old and the patient ever since got the Vaccine. The patient could not find anywhere was any suggestions acid reflux was that thing reported as side effects. The patient received antacid like a Pepcid as treatment for the events. The patient underwent lab tests and procedures which included blood test on 02Jan2021. The outcome of the events was unknown. Follow-up attempts completed. No further information expected.

Other Meds: HUMALOG; ZOLOFT

Current Illness:

ID: 1812827
Sex: U
Age:
State: MS

Vax Date: 05/28/2021
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: Nausea; never vomit but start Nausea; Fatigue; my arm is swell up and the fever and cold was just for one day; Fever; I started feeling sick Saturday; my arm is swell up and the fever and cold was just for one day; had cold the next minute was hot; This is a spontaneous report from a contactable consumer. This 40-year-old consumer (patient) reported for himself that : A 40-years-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0124) via intramuscular route of administration in arm left (upper arm) on 28May2021 time probably 9:30 (age at vaccination: 40-year-old) as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient previously took bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection) via unspecified route of administration on 02May2021 as DOSE 1, SINGLE for COVID-19 immunisation. Patient had side effect from Pfizer shot which was received on 28May2021 Friday. Patient experienced nausea, fever, cold, fatigue and arm is swell up, fever and cold was just for one day. On Saturday patient started feeling sick then nausea, never vomit but start nausea then cold next minute (I was hot), fever during night so when patient woke up on Sunday felt better, it like come and go it never stay it was bad as it was at Saturday. Probably something make sure that is side effect from shot and really want to find out to make sure side effect from medicine is nothing to worried about it. The clinical outcome of the event was unknown. No follow-up attempts are possible. No further information is expected

Other Meds:

Current Illness:

ID: 1812828
Sex: M
Age:
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Epistaxis; This is a spontaneous report from a contactable physician. This physician (Patients parent) reported for a 14-year-old male patient that: A 14-year-old male patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0173), via an unspecified route of administration on 22May2021 10:00Am (At the age of 14 years) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. No known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient medical history was not reported. Concomitant medications were not reported. The patient received other medications within 2 weeks of vaccination. On an unspecified date May2021 01:00 PM, the patient had experienced epistaxis. No treatment was received in response to the adverse events. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, patient was not tested for COVID-19. On an unspecified date in May2021, the event was recovered. Follow-up attempts are completed. No further information is expected.

Other Meds:

Current Illness:

ID: 1812829
Sex: M
Age:
State: AZ

Vax Date: 05/11/2021
Onset Date: 05/13/2021
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: Coughing up his lungs two days after his second injection. Hes still doing it today; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: Ew0176, Expiry date: unknown) (age at the time of vaccination was 55 years), administered in Arm Left on 11May2021 at 15:30 as dose 2, single for COVID-19 immunization. The patient's medical history included pulmonary embolism. The patient's concomitant medication was not reported. The patient did not take any other vaccine in four weeks prior COVID -19 vaccine. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: Ew0151), via an unspecified route of administration, via unspecified route on 20Apr2021 at 15:30 as dose 1, single for COVID-19 immunization. On 13May2021 at 05:00, the patient started coughing up his lungs. The patient was still doing it today. No treatment received. The outcome of the event was not resolved. Follow-Up (01Jul2021): Follow-up attempts were completed. No further information was expected.

Other Meds:

Current Illness:

ID: 1812830
Sex: F
Age:
State: FL

Vax Date: 05/24/2021
Onset Date: 05/25/2021
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: RA

Lab Data: Test Name: Fever; Result Unstructured Data: Test Result:102.6 Fahrenheit

Allergies:

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

Symptoms: Severe dizziness; Tightness in chest; Nausea; Increased headache; Confusion; Large raised swollen and red at injection site on left deltoid; Large raised swollen and red at injection site on left deltoid; Developed high fever 102.6F; This is a spontaneous report from a contactable other hcp. A 46-year-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EP6955), dose 1 via an unspecified route of administration, administered in Arm Left on 24May2021 15:30 as dose 1, single for covid-19 immunisation (at the age of 46-year-old). Medical history included covid-19 from an unknown date and unknown if ongoing. Concomitant medications included ergocalciferol (VIT D), ascorbic acid (VIT C), acetylsalicylic acid, caffeine, paracetamol (EXCEDRIN MIGRAINE), Vit B taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 25May2021 22:45 PM patient experienced developed high fever 102.6F, Severe dizziness, tightness in chest, nausea, increased headache, confusion. Large raised swollen and red at injection site on left deltoid. Adverse event resulted in doctor or other healthcare professional office/clinic visit. The patient did not receive treatment. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the events was recovered with lasting effects. Follow-up attempts are completed. No further information is expected.

Other Meds: VIT D; VIT C; EXCEDRIN MIGRAINE

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am