VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 0923340
Sex: M
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Moderate to severe Chills; body and head aches; head aches; Fever (99.6 F); This is a spontaneous report from a non-contactable other hcp. A 32-year-old male patient received BNT162b2 (COVID 19, Lot number: EK9231, dose number was 1), intramuscular at right arm on 28Dec2020 08:00 AM at single dose for COVID-19 immunization in hospital. Medical history was none. There was no known allergies to medications, food, or other products. The patient's concomitant medications were not reported. There was no other vaccine in four weeks. The patient experienced Moderate to severe Chills, body and head aches, and Fever (99.6 F) on 28Dec2020 20:30(08:30 P.M). There was no treatment. There was no COVID prior vaccination nor COVID tested post vaccination. Outcome was recovering. Events were assessed as non-serious by the reporter. No follow-up attempts are possible. No further information is expected.; Sender's Comments: A causal association between BNT162B2 and the reported event chills cannot be excluded based on known safety profile of suspect drug and compatible temporal relation.

Other Meds:

Current Illness:

ID: 0923341
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: bell's palsy; This is a spontaneous report from a contactable physician. A female patient of an unspecified age (age: 37 unit: unknown), received BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not reported), via an unspecified route of administration on 29Dec2020 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced bell's palsy on 30Dec2020. The outcome of the event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: A possible causal association between administration of BNT162B2 and the onset of bell's palsy might not be excluded, considering the plausible temporal relationship. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0923342
Sex: F
Age: 49
State: TN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Patient complained of increased heart rate(148) and " mu throat feels funny" holding her hand to her throat. mild shortness of breath with great anxiety. 0.5 of epinephrine and 50 mg of Benadryl given IM and EMS notified , after evaluation by EMS ,and 30 minutes of time had elapsed,patient declined transport, stating " I am better" she called and family member and left with them. heart rate was 148, respiration 32 and blood pressure 186/102

Other Meds:

Current Illness:

ID: 0923343
Sex: F
Age:
State: MO

Vax Date: 12/29/2020
Onset Date:
Rec V Date: 01/06/2021
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: felt like she had the flu/ kind of like flu symptoms; dry cough; stated that her arm hurt; tingling going down arm/ tingling down to her fingers; A little nausea/nauseated; real tired/ exhausted; muscle aches, just achy feeling; a little dizzy; sinus congestion; feel bad enough; didn't have enough energy; swollen lymph node; its like a little bitty lump in her throat; lymph node's a little bit tender; stated that her head feels congested almost like sinus pressure; stated that her head feels congested almost like sinus pressure; This is a spontaneous report from a contactable nurse reported for self. This 51-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on an 29Dec2020 15:15 at single dose for covid-19 immunisation. Medical history included migraine, stated that the pressure triggers migraines and she was not going there. Concomitant medications were not provided. Past drug history included stated she took Excedrin migraine because she has history of migraines. She stated it felt like she had the flu, didn't have a temperature and never had a temperature. The first symptom was a dry cough and arm hurt so bad it was tingling going down arm/ tingling down to her fingers and now it felt much better and was able to move. A little nausea/ nauseated, kind of like flu symptoms, was real tired/ exhausted, muscle aches, just achy feeling. She was going to get up and go to work but felt the same symptoms but a little dizzy. Right now, she was feeling a little better but she had this like sinus congestion and the dry cough. She felt bad enough and didn't have enough energy to attend her aunts funeral and was fine yesterday. She also had a little bit of a swollen lymph node. She was not having difficulty breathing or anything like that. She was trying to eat something and its like a little bitty lump in her throat and her lymph node's a little bit tender." She stated she was starting to feel tired. Stated right now head feels congested almost like sinus pressure. Stated she does not have a headache. Stated that she does not have a temperature. Stated that she feels like crap. Stated that she called the nurse at the hospital and she stated that with the vaccination some people are testing positive for Covid. Stated that she was told that if she was having symptoms that she should go get a Covid test. Wanted to know if she should get a Covid test. Wanted to know if she should get the rapid test or 3 day. Outcome of the events felt like she had the flu/ kind of like flu symptoms, dry cough, arm hurt, tingling going down arm/ tingling down to her fingers, nausea, real tired/ exhausted, muscle aches, just achy feeling, a little dizzy, was recovering. Outcome of the event sinus congestion, feel bad enough, didn't have enough energy, swollen lymph node, its like a little bitty lump in my throat, lymph node's a little bit tender, her head feels congested almost like sinus pressure was unknown. Information on the Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923344
Sex: F
Age:
State: OK

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: heart rate (HR) was 180; tongue and lips tingled; walking for a short distance and felt "off; This is a spontaneous report from a contactable Nurse reported for herself. This 34-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EK9231), via an unspecified route of administration on 29Dec2020 15:15 at single dose on left arm for Covid-19 immunisation. Medical history included allergies to hepatitis B vaccine rhbsag (HEY B VACCINE) booster and poison ivy. Concomitant medication included biotin / calcium pantothenate / cyanocobalamin / folic acid / nicotinamide / pyridoxine hydrochloride / riboflavin / thiamine mononitrate (B COMPLEX), fexofenadine, ascorbic acid (VIT C) and Multivitamin. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Immediately after shot (29Dec2020 15:15), her tongue and lips tingled but it went away quickly. She was walking for a short distance and felt "off." The patient checked her pulse and pulse ox and her heart rate (HR) was 180. Her HR had bounced around from 150-180 with minimal exertion and was in the 90s at rest. No treatment received for the events. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of not recovered. The events were non-serious.; Sender's Comments: A causal association between BNT162B2 and the event heart rate increased cannot be excluded based on a compatible temporal relation. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds: B COMPLEX [BIOTIN;CALCIUM PANTOTHENATE;CYANOCOBALAMIN;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORI; ; VIT C

Current Illness:

ID: 0923345
Sex: M
Age: 50
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: None

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: 1011-2nd Dose of Pfizer administered; 1025 pt began feeling a quivering in his stomach about where his diaphragm is located. the feeling went away and pt went back to his office. 1045-Symptoms began again flushed/faintness accomapanied the initial quivering. Pt bean feeling tingling his fingers and toes and felt like a lump was in his throat, his neck felt tight. 1052-Reported back to COVID pop up vaccine clinic reporting symptoms to staff in the clinic. 1100-BP 200s/90s HR 110s SPO2 96%. pt interviewed by lead FNP and evaluated. PT given water and granola bar as he reported he did not eat that morning, only took Excedrin. 1115-BP 165/86 HR 92 SPO2 98%RA. pt reports symptoms starting to resolve. 1120-HR 84 SPO2 98%RA. 1122-Pt dc'd to work. pt asked to not leave the hospital for 4-6 hours, not even to work offsite. pt agrees to report to ED if symptoms return.

Other Meds: None

Current Illness: None

ID: 0923346
Sex: F
Age:
State: WI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: dizzy; fever; elevated blood pressure; flushed feeling day of vaccine. The next day she continued to feel flushed; This is a spontaneous report from a contactable pharmacist. This pharmacist reported for a 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via intramuscular route on 29Dec2020 15:00 at single dose for COVID-19 immunization. Medical history included COVID-19, hypertension and depression. Concomitant medications included vitamins received within 2 weeks of vaccination. The patient previously took duloxetine and experienced allergies. Facility that the most recent COVID-19 vaccine was administered in Workplace clinic. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. On 29Dec2020, the patient was dizzy, had fever, elevated blood pressure, and flushed feeling day of vaccine. The next day she continued to feel flushed that moved through her face and down her neck. It felt like she was on fire. The adverse events resulted in the following: Emergency room/department or urgent care. Outcome of the event feel flushed was recovered on 30Dec2020, outcome of other events was recovered in Dec2020. Treatment received for the adverse events included IV fluids, prednisone, diphenhydramine hydrochloride (BENADRYL). Events were reported as non-serious. Information on the lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the events dizzy, fever, elevated blood pressure and flushed feeing cannot be excluded based on a compatible temporal relation. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0923347
Sex: F
Age:
State: OK

Vax Date: 12/16/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: swelling/cellulitis in her left arm/redness, inflammation, swelling that looked like cellulitis to the arm/deltoid area; redness; to the arm/deltoid area; inflammation; to the arm/deltoid area; swelling/cellulitis in her left arm/swelling; to the arm/deltoid area; This is a spontaneous report from a contactable nurse reported for herself. A 28-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EK5730, expiry date unknown) intramuscular at left deltoid on 16Dec2020 16:45 at single dose for Covid-19 immunization at a hospital facility and not in a military facility. Medical history included ongoing acne. Concomitant medications included ongoing spironolactone for acne. The patient did not receive any other vaccines the day or 4 weeks prior Covid-19 vaccine. The patient informed that after 8 days of getting Covid vaccine she has swelling/cellulitis in her left arm. The patient got the COVID-19 vaccine and had kind of a delayed reaction. She got the vaccine on 16Dec2020 16:45 pm at her workplace. The patient informed that she had no reaction right after the vaccine. On 24Dec2020, the patient experienced redness, inflammation, swelling that looked like cellulitis to the arm/deltoid area. The patient got antibiotics and it has improved. The reporter informed that the events required visit to physician office. The outcome of the events swelling/cellulitis in her left arm/redness, inflammation, swelling that looked like cellulitis to the arm/deltoid area was recovering. The patient was queried regarding seriousness of the events and the patient stated "it could have potentially dangerous." The patient wanted to know if she should get second dose of the vaccine.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the events vaccination site cellulitis, vaccination site erythema, vaccination site inflammation and vaccination site swelling cannot be excluded.

Other Meds:

Current Illness: Acne

ID: 0923348
Sex: F
Age: 50
State: MN

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: . Woke up in the middle of the night with acute facial pain on the left side. From the scalp to the jaw line including the roof of my mouth. I took 3 Advil at the time and the woke again a couple hours later and took 2 more. In the morning it seemed fine. I have noticed a very slight change to my lower left eye - it seems lower.

Other Meds: Albuterol

Current Illness: none

ID: 0923349
Sex: U
Age:
State: HI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: very tired; foggy headed; slight sore injection site; feel very lethargic; hard to focus at work; just want to sleep; This is a spontaneous report from a contactable nurse (patient). An adult patient of an unspecified gender received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL1284), intramuscular in the left arm on 29Dec2020 17:45 at a single dose for COVID-19 immunization. The patient's medical history included allergies to bee stings. Concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took intravenous (IV) magnesium and experienced head to toe rash. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 30Dec2020 07:00, the patient was very tired, a bit foggy headed, slight sore injection site, overall just feel very lethargic/tired. The patient just want to sleep. It was a bit hard to focus at work. No treatment was received for the adverse events. Outcome of the events was unknown. The events were considered non-serious.

Other Meds:

Current Illness:

ID: 0923350
Sex: F
Age:
State:

Vax Date: 12/20/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
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: she had developed symptoms and tested positive to COVID-19; she had developed symptoms and tested positive to COVID-19; This is a spontaneous report from a contactable physician (patient). A female patient of unspecified age received BNT162B2 first dose on 20Dec2020 at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. She tested negative on 18Dec2020. She received the first dose of the COVID 19 vaccine on 20Dec2020. On the following Friday (25Dec2020), she had developed symptoms and tested positive to COVID-19. The outcome of the events was unknown. Information on the batch/lot number has been requested.; Sender's Comments: The causal relationship between BNT162B2 and the events drug ineffective and SARS-CoV-2 test positive cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available.

Other Meds:

Current Illness:

ID: 0923351
Sex: F
Age:
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: received the 1st dose of the COVID-19 vaccine on 21Dec2020, however, on 28Dec2020 she tested positive to COVID-19; received the 1st dose of the COVID-19 vaccine on 21Dec2020, however, on 28Dec2020 she tested positive to COVID-19; This is a spontaneous report from a contactable other healthcare professional (HCP) (patient) from a Pfizer-sponsored Program Pfizer First Connect. A 26-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1685), intramuscularly on left deltoid on 21Dec2020 (between 2:15PM and 2:30PM) at single dose (reported as 225mcg/.45ml intramuscular suspension) for COVID-19 immunization. The relevant medical history included birth control. Concomitant medications included ongoing ethinylestradiol, ferrous fumarate, norethisterone acetate (TAYTULLA) for birth control. The patient received the 1st dose of the COVID-19 vaccine on 21Dec2020, however, on 28Dec2020 she tested positive to COVID-19. She wanted to know if the vaccine could have caused a positive test result, if the test assesses IgM or IgG (to the viral spike proteins), could a false positive result be caused by the vaccine. She hadn't been able to get up with her primary care on the phone. This was her first dose. The window to get the second vaccine is 07Jan2021 through 11Jan2021. The patient did not require a visit to emergency room or physician office. The outcome of the events was unknown.; Sender's Comments: The causal relationship between BNT162B2 and the events drug ineffective and SARS-CoV-2 test positive cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available.

Other Meds: TAYTULLA

Current Illness:

ID: 0923352
Sex: F
Age: 31
State: CA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: flu vaccine

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

Symptoms: At about 10 to 12 minutes after she received the vaccine she felt that her throat "felt numb" and had trouble swallowing her own saliva. Approximately 30 minutes after the vaccine she noticed significant tongue and oral itching and then hoarseness. Vitals were normal. Did not notice any flushing, rash under skin or swelling. The symptoms all resolved after she received a dose of Benadryl (which she was able to swallow) followed by a dose of Zyrtec. ? 3 days after she received her injection she developed sore throat and body aches.

Other Meds: Zyrtec as needed

Current Illness: none

ID: 0923353
Sex: F
Age:
State: IN

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Eye swelling; This is a spontaneous report from a contactable nurse (patient). A 38-year-old female patient (no pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot Number: EL1284), on 28Dec2020 10:30AM (vaccine location: Left arm) via unknown route of administration at single dose (first dose) for COVID-19 immunization. Medical history and concomitant medications were reported none. There were no known allergies. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient experienced Eye swelling where Allergen filler was placed 7 weeks prior to the event on 30Dec2020 07:00AM. Patient did not receive any treatment. Patient did not have covid prior vaccination. Patient did not have covid tested post vaccination. The outcome of the event was not recovered. This case was assessed non-serious by reporter. The event did not result in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect.

Other Meds:

Current Illness:

ID: 0923354
Sex: M
Age:
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: acute pericarditis; This is a spontaneous report from a contactable physician. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot/batch number not reported), via an unspecified route of administration on 23Dec2020 at a single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. It was unknown if other vaccines were given in four weeks and unknown if patient had Covid prior vaccination. The patient experienced acute pericarditis on 24Dec2020. Clinical course as follows: Doctor colleagues at the institution admitted (at Emergency room/department or urgent care) and treated a patient with acute pericarditis who received his first dose of Pfizer SARS-CoV-2 EUA vaccine on 23Dec2020. The physician (reporter) considered the event as non-serious. The outcome of the event was recovering. Information about batch/lot number has been requested.; Sender's Comments: The causal relationship between BNT162B2 and the event acute pericarditis cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0923355
Sex: F
Age:
State: CA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: received the vaccine last week and tested positive for covid this week; received the vaccine last week and tested positive for covid this week; This is a spontaneous report from a contactable other Healthcare Professional (patient). A 30-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: Unknown), via an unspecified route of administration on 23Dec2020 at single dose by injection in the right arm for COVID-19 immunization (to be protected and to protect her family with other conditions like diabetes). The patient's medical history and concomitant medications were none. The patient got the first dose of the COVID vaccine last week on 23Dec2020 and then she tested positive for COVID on Monday on 28Dec2020. She was asking if it was safe to get the second dose. Patient was a pharmacy technician. The outcome of the events was not recovered. Information on the Lot/Batch number has been requested.; Sender's Comments: The causal relationship between BNT162B2 and the events drug ineffective and SARS-CoV-2 test positive cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available.

Other Meds:

Current Illness:

ID: 0923356
Sex: F
Age: 30
State: MD

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: Moderna COVID-19 Vaccine EUA Vaccine recipient stated that a few days after her vaccination she started noticing small mostly flesh colored raised "bumps" on both sides of her neck, behind her ears, and on her right cheek. She stated that the rash was not bothersome, but some of the bumps were red. If worsened, she would contact her PCP.

Other Meds:

Current Illness:

ID: 0923357
Sex: M
Age:
State: OR

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache; blurred vision; unable to read at time; Difficulty focusing; right hand numbness; This is a spontaneous report from a contactable Nurse (patient). A 35-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 28Dec2020 04:15 PM, Intramuscularly at single dose (Vaccine location: Left arm) for COVID-19 immunization. Medical history was reported none. Concomitant medications were not reported. Patient did not have any allergies. Patient did not receive other vaccine in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Patient experienced Headache, blurred vision and unable to read at time, Difficulty focusing and right hand numbness on 30Dec2020 12:00 AM. Patient did not receive any treatment. The outcome of the events was not recovered. This case was assessed non-serious by reporter. The events did not result in death, Life threatening, Caused/prolonged hospitalization, Disabling/Incapacitating, Congenital anomaly/birth defect. Information on the lot/ batch number has been requested.; Sender's Comments: The causal relationship between BNT162B2 and the events headache, vision blurred, cognitive disorder, disturbance in attention and hypoaesthesia cannot be excluded as the information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0923358
Sex: U
Age:
State: PA

Vax Date: 12/29/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
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: Nausea; Diarrhea; All over weakness; I have 100.4?F temp; Vomiting projectile; Body aches and pains; shortness of breath; This is a spontaneous report from a contactable consumer (patient). This patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number: EL0140), via an unspecified route of administration at single dose on 29Dec2020 06:30 at the hospital for Covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Dec2020, after receiving vaccine, the patient experienced nausea, diarrhea, all over weakness, I have 100.4?F temp, vomiting projectile, body aches and pains, shortness of breath. The outcome of the events was unknown. The patient stated: "I didn't have any of the symptoms until I got the vaccine, the nausea is a big issue for because I have connected tissue disease and I have to take my medication today. I take Cellcept and Prednisone, every day and I am hoping to get them. I just need to get it in."

Other Meds:

Current Illness:

ID: 0923359
Sex: F
Age: 38
State: MO

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulpha drugs, pertussis vaccine (cir. 1983), bee stings

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

Symptoms: around 1:00 a.m. I awoke with stomach pain and had diarrhea. I continued to have stomach pains and had diarrhea again around 2-3:00a.m. Stomach pain continued. At approximately 4:00 a.m. I vomited. I continued to have stomach pain, back pain, vomiting and diarrhea. I vomited every hour from 4:00 a.m. to 10:00 a.m. whether or not I consumed any liquids. At approximately 10:45a.m. I took an anti-nausea medication proscribed by a healthcare provider and the vomiting ceased. I continued to have stomach and back pains for the remainder of the day. I felt better the following day, but still had back pain/soreness.

Other Meds: Synthroid/Levothyroxine, Pre-natal vitamin, vitamin B complex, Aurobindo

Current Illness: occasional diarrhea

ID: 0923360
Sex: F
Age:
State: OH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: post nasal drip; cough; Hoarse voice; This is a spontaneous report from a contactable nurse (reporting for herself). A 57-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot EK5730, expiry date not reported), intramuscular in 29Dec2020 12:00 at a single dose in the left arm as Covid vaccine. Medical history included diagnosis is hypothyroidism, and patient have had reaction to almost all medications, wherein PCP (primary care provider) thinks patient have a reaction to the coating on tablets and to capsules. Patient had no covid prior vaccination. The patient was not pregnant at the time of vaccination. The patient's concomitant medications were not reported. About 20 minutes after receiving on 29Dec2020 12:00, started with post nasal drip, which caused a cough; hoarse voice. These symptoms lasted about 2 hours. Since they are not listed as side effects just wanted to share. Patient did have a negative covid test on the day of the vaccine (covid tested post vaccination on 29Dec2020). No treatments received for the events reported. The events were reported as not serious (not resulting in death, not life threatening, did no caused/ prolonged hospitalization, not disabling/Incapacitating, not congenital anomaly/birth defect). The outcome of the events post nasal drip, cough and hoarse voice was recovered on 29Dec2020 14:20.

Other Meds:

Current Illness:

ID: 0923361
Sex: F
Age:
State: MI

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
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: Hives, started in R Groin, traveled to R axila, back, neck, arms, leg and trunk; severe palm itching, severe feet itching; This is a spontaneous report from a contactable nurse. A 49-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; lot number: EK5730), via an unspecified route of administration on 22Dec2020 16:00 at single dose at left arm for COVID-19 immunization. Medical history included allergies Ct contrast. The patient's concomitant medications were not reported. ON 23Dec2020 04:00, 12 hours post injection- the patient experienced Hives, started in R Groin, traveled to R axila, back, neck, arms, leg and trunk. 24 hours after the first incident, the patient experienced severe palm itching, another 24 hours later, the patient then experienced severe feet itching. The AE resulted in emergency room/department care. The patient received treatment for the events (Solumedrol). The events was assessed as non-serious. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0923362
Sex: F
Age: 59
State: ID

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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 arm and flu like symptoms.

Other Meds:

Current Illness:

ID: 0923363
Sex: F
Age:
State: GU

Vax Date: 12/29/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
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: hard time breathing; This is a spontaneous report from a contactable consumer (patient's daughter-in-law). This consumer reported for two patients. This is the second of two reports. A 92-year-old female patient received single dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration on 29Dec2020 for immunisation. The patient's medical history and concomitant medications were not reported. The patient took the vaccine the day before reporting (29Dec2020). The patient had a "hard time breathing" at the start but was resolved now (Dec2020). The reporter was asking for recommendations.The event was considered as non-serious by the reporter. Information about Lot/batch no has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2020520754 same reporter/drug, different patient/event

Other Meds:

Current Illness:

ID: 0923364
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: She though she received the vaccine either intradermally or subcutaneously, because she noticed a red bump on her arm; She though she received the vaccine either intradermally or subcutaneously, because she noticed a red bump on her arm; I have not received the vaccine intramuscularly; I have not received the vaccine intramuscularly; This is a spontaneous report from a contactable pharmacist (patient). A female patient of an unspecified received a single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, batch/lot number and exp date not reported), via an unspecified route of administration on 29Dec2020 for immunization. The patient's medical history and concomitant medications were not reported. The patient received the first dose of Covid-19 Vaccine the day before reporting (29Dec2020) from work. She has not received the vaccine intramuscularly; the needle was a half inch. She thought she received the vaccine either intradermally or subcutaneously, because she noticed a red bump on her arm (onset date: 29Dec2020). Patient asked if the vaccine can be administered by an alternative route other than intramuscular. She wanted to know if she should restart the vaccination series as she received the first dose of Covid-19 vaccine by the wrong route. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923365
Sex: M
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Allergic to Penicillin

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

Symptoms: Fever of 101.6

Other Meds: none

Current Illness:

ID: 0923366
Sex: F
Age:
State: PA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: Low grade temp 99.6, chills, tired, headache; Low grade temp 99.6, chills, tired, headache; Low grade temp 99.6, chills, tired, headache; Low grade temp 99.6, chills, tired, headache; This is a spontaneous report from a contactable nurse (patient). A 50-year-old female received first single dose of BNT162B2, (Pfizer, Solution for injection, Lot number: EK 9231, exp date not reported), intramuscular (anatomical location: arm left) on 29Dec2020 09:15 for immunization. Medical history included asthma, hypothyroid, high cholesterol, and allergies: latex and shellfish. The patient was diagnosed with COVID-19 Prior to vaccination.Concomitant medication (Other medications in two weeks) include: magnesium sulfate, ibuprofen, cetirizine hydrochloride (ZYRTEC ALLERGY), levothyroxine sodium (SYNTHROID), montelukast sodium (SINGULAIR), simvastatin, and cimicifuga racemosa root, glycine max extract (BLACK COHOSH & SOY ISOFLAVONES). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Facility type vaccine: Hospital. The patient experienced low grade temp 99.6, chills, was tired, and headache on 29Dec2020 19:00. No treatment was received. Patient was not Covid tested post vaccination. The outcome of the events was unknown.

Other Meds: ; ; ZYRTEC ALLERGY; SYNTHROID; SINGULAIR; ; BLACK COHOSH & SOY ISOFLAVONES

Current Illness:

ID: 0923367
Sex: F
Age:
State: VA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Both Legs Became Completely Numb; This is a spontaneous report from a contactable nurse (patient). A 58-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK5730), intramuscular in the right arm on 28Dec2020 07:45 at a single dose for COVID-19 immunization. The patient's medical history included diabetes and blood pressure (BP) abnormal. The patient was not pregnant. Concomitant medications included losartan potassium (LOSATAN), metformin, and amlodipine besilate (NORVAC), clopidogrel bisulfate (PLAVIX). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously took codeine and experienced allergies to codeine. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 29Dec2020 19:00, the patient was sitting and both of her legs became completely numb for 20 minutes and then the symptoms went away. This never happen before. No treatment was received for the adverse event. Outcome of the event was recovered on 29Dec2020 19:20. The event was considered non-serious. Information on the lot/batch number has been requested.

Other Meds: LOSATAN; ; NORVAC; PLAVIX

Current Illness:

ID: 0923368
Sex: F
Age: 66
State: AK

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: NONE

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

Symptoms: SORE ARM

Other Meds: VIT C, B12,D3

Current Illness:

ID: 0923369
Sex: M
Age:
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: Severe Headache; muscle pain (neck and left shoulder); muscle pain (neck and left shoulder); joint pain; This is a spontaneous report from a contactable other healthcare professional (patient). A 55-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EK5730), via an unspecified route of administration in the left arm on 30Dec2020 12:45 at a single dose for COVID-19 immunization. The patient's medical history included diabetes, hypothyroidism, hypercholesterolemia, and obesity. Concomitant medication included metformin hydrochloride (GLUCOPHAGE), metformin, semaglutide (OZEMPIC), fluoxetine hydrochloride (PROZAC), levothyroxine sodium (SYNTHROID). The patient previously took varenicline tartrate (CHANTIX) and experienced nightmare and allergies to varenicline tartrate. The patient was not diagnosed with COVID-19 prior to vaccination and had not been tested for COVID-19 since the vaccination. On 30Dec2020 13:30, the patient experienced severe headache, muscle pain (neck and left shoulder), and joint pain. No treatment was received for the adverse event. Outcome of the event was recovered on Dec2020. The events were considered non-serious. The following information on the batch number has been requested.

Other Meds: GLUCOPHAGE [METFORMIN HYDROCHLORIDE]; ; OZEMPIC; PROZAC; SYNTHROID

Current Illness:

ID: 0923370
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/06/2021
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: high heart rate; This is a spontaneous report from a contactable other healthcare professional (patient). A 28-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced high heart rate on an unspecified date. Outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923371
Sex: F
Age: 45
State: FL

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, tetracycline and compazine

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

Symptoms: Fever, arm pain, diarrhea

Other Meds: Asa

Current Illness: No

ID: 0923372
Sex: F
Age:
State: FL

Vax Date: 12/16/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: vaccine site was pink, warm, indurated (size of tennis ball); vaccine site was pink, warm, indurated (size of tennis ball); vaccine site was pink, warm, indurated (size of tennis ball); vaccine site rt deltoid began to itch and had red blotches; vaccine site rt deltoid began to itch and had red blotches; Headache; low grade fever; sore throat; This is a spontaneous report from contactable healthcare professional . A 41-years-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at a right deltoid on 16Dec2020 11:00 at a single dose for COVID-19 immunization, at a hospital. Medical history included seasonal allergy. No known allergies to medication, food or other products. The patient's concomitant medications were not reported. On 19Dec2020 16:00, day 3 post vaccine, the patient experienced headache, low grade fever, and sore throat. On 27Dec2020, day 11, patient experienced vaccine site right (rt) deltoid began to itch and had red blotches. On 28Dec2020, day 12, the patient experienced vaccine site was pink, warm, indurated (size of tennis ball). Treated with paracetamol (TYLENOL), topical/oral diphenhydramine (BENADRYL) and topical 1% hydrocortisone. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not received any medications within 2 weeks of vaccination. The patient was tested for COVID-19 with via rapid test and PCR with nasal swab, both negative on 22Dec2020. The patient recovered from the events, headache, low grade fever, and sore throat on 24Dec2020, day 8 post vaccine and the rest of the events on 30Dec2020, day 14. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0923373
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Hives to opposite arm; redness to injection site; Itching; This is a spontaneous report from a contactable pharmacist. A 33-years-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EJ1685, expiry date not reported), intramuscular in 30Dec2020 09:00 at a single dose in the left arm as COVID vaccine. The patient's medical history and concomitant medications were not reported. The patient was not pregnant at the time of the vaccination. The patient had no known allergies. The patient had no allergies to medications, food, or other products. The patient had no COVID prior vaccination and patient was not tested for COVID post vaccination. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. On 30Dec2020 09:15, the patient experienced hives to opposite arm and redness to injection site, and itching. Started within 20 minutes, patient taken to the emergency room/department or urgent care for evaluation and medications. As treatment, patient received diphenhydramine, famotidine, prednisone in response to the events reported. The events reported as not serious (did not result in death, not life-threatening, did not cause/prolonged hospitalization, not disabling/incapacitating and not a congenital anomaly/birth defect. The outcome of the events hives to opposite arm and redness to injection site, and itching was unknown.

Other Meds:

Current Illness:

ID: 0923375
Sex: F
Age:
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Dizzy; Nausea; she broke out with what felt like a million bugs on her head and face, states it is burning and itching/burning and itching on face and head during hair appointment; felt bad/did not feel right all day; she broke out with what felt like a million bugs on her head and face, states it is burning and itching/burning and itching on face and head during hair appointment; there is a lot of paranoia; This is a spontaneous report received from a contactable consumer (who is also the patient). A 31-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EK9231), via an unspecified route of administration, on 28Dec2020, at single dose, for COVID-19 immunization. There were no medical history and concomitant medications. The patient stated she got the first dose of the Pfizer Covid vaccine on Monday, 28Dec2020. She mentioned that she read the list of side effects and all the print outs and stated her events were not on there. She wanted to make sure and stated maybe it was not even from the vaccine. She reported she just came from the hair dresser, had hair colored before many times, but today (30Dec2020), when she put the dye on her hair, she broke out with what felt like a million bugs on her head and face, stated it is burning and itching, maybe it is her imagination. She knows there is a lot of paranoia. She reported that she has had hair colored before and this has never happened, it occurred during hair coloring treatment. She also mentioned that on 30Dec2020 (also reported as "yesterday", pending clarification), she felt dizzy and nauseous; on 29Dec2020 (reported as "yesterday"), she felt bad and did not feel right all day, but says she knows those were listed symptoms. The outcome of the events dizziness, nausea, burning sensation and pruritus was recovering; the outcome of events paranoia and feeling abnormal was unknown.

Other Meds:

Current Illness:

ID: 0923376
Sex: F
Age: 22
State: WV

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: None noted

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

Symptoms: Patient received the Moderna COVID19 vaccine on 12/28/2020 approximately 10:00 AM. By approximately 1830 patient noticed she was beginning to have some peripheral vision disturbances. Patient noted to have slight head ache at the time. Two mornings, on Wednesday, patient reports being unable to see when entering a lighted room. Vision limitations being able to see minimally and what was able to be seen was very blurry with dark circles when squinting. This visual disturbance improved after 30 seconds to a few minutes of being in dim light. This occurred on Wednesday with headache developing later in the day. Ibuprofen helped headache. Has continued to have daily headaches since injection. Patient states headaches seem to be improving some as the week has gone on.

Other Meds: Nexplonon birth control

Current Illness: None noted

ID: 0923377
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: extreme soreness at injection site; GI upset; sleeplessness; mild fever; pain radiating down left arm and up to behind left ear; pain radiating down left arm and up to behind left ear; neck tightness; mild headache; This is a spontaneous report from a non-contactable Nurse (patient). A 39-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via unspecified route of administration at left arm on 29Dec2020 10:30 at single dose for Covid-19 immunization in a hospital facility. Medical history included hypothyroid, PCOS (polycystic ovarian syndrome), sulfa allergies. Concomitant medications included unknown medications. The patient did not receive any other vaccines within 4 weeks prior to the Covid vaccine. On 29Dec2020 13:00, the patient experienced extreme soreness at injection site, GI upset, sleeplessness, mild fever, pain radiating down left arm and up to behind left ear, neck tightness, mild headache. The patient has not been tested for Covid-19 since the vaccination. The patient did not receive treatment for the events. The outcome of the events extreme soreness at injection site, GI upset, sleeplessness, mild fever, pain radiating down left arm and up to behind left ear, neck tightness, mild head ache was recovering. The reporter considered the events non-serious; did not results in death, was not life threatening, did not cause/prolong hospitalization, was not disabling/incapacitating, and no congenital anomaly/birth defect. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 0923378
Sex: F
Age:
State: OK

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: now 2 hours later I have a rash on my belly; Metallic taste almost immediately; This is a spontaneous report from a contactable other healthcare professional (hcp). A 46-years-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number EK9231, expiry date not reported), via an unspecified route of administration on 30Dec020 16:45 at a single dose in the left arm as Covid vaccine. The patient's medical history and concomitant medications were not reported. The patient was not pregnant at the time of the vaccination. The patient previously took iodine and experienced allergies. The patient was not in other vaccine in four weeks. The patient had no prior COVID vaccination and was not tested for COVID post vaccination. The patient experienced metallic taste almost immediately (30Dec2020 16:45) and now 2 hours (18:45) later patient have a rash on the belly. No treatments received in response to the events reported. The events reported as not serious (did not result in death, not life-threatening, did not cause/prolonged hospitalization, not disabling/incapacitating and not a congenital anomaly/birth defect. The events metallic taste and rash on the belly was not recovered.

Other Meds:

Current Illness:

ID: 0923379
Sex: F
Age:
State:

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: mild rash; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received bnt162b2 (BNT162B2, Solution for injection, lot number and expiry date not reported), via an unspecified route of administration in Dec2020 at a single dose for Covid-19 Vaccine. The patient's medical history and concomitant medications were not reported. Patient just had her covid vaccine shot a week ago (Dec2020) and was experiencing mild rash. Patient was asking if she was contagious. The outcome of the event mild rash was unknown. Lot/Batch and Expiration date has been requested.

Other Meds:

Current Illness:

ID: 0923380
Sex: F
Age: 36
State: GA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: "About 2 hours after vaccine administration experienced severe fatigue. Went home and took 2 hour nap. Was still somewhat fatigued through the evening. Felt fine when waking up the next day."

Other Meds:

Current Illness:

ID: 0923381
Sex: F
Age:
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Arm soreness; stuffy nose/congestion; tired; knee pain; This is a spontaneous report from a contactable nurse (patient). A 21-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscularly on the left arm on 29Dec2020 12:30 at single dose for covid-19 immunisation. Medical history included tree fruit allergy. Concomitant medication included paracetamol (TYLENOL) and ibuprofen (ADVIL). The patient previously took cefaclor (CECLOR) and experienced drug allergy. The patient experienced arm soreness, stuffy nose/congestion, tired and knee pain on 29Dec2020 17:30. The patient did not receive treatment for the reported events. The patient underwent lab tests and procedures which included SARS-CoV-2 test: pending on 29Dec2020. Outcome of events was recovering. Information on the lot/batch number has been requested.

Other Meds: TYLENOL; ADVIL [IBUPROFEN]

Current Illness:

ID: 0923382
Sex: F
Age:
State: HI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: pain in arm at injection site; This is a spontaneous report from a contactable other healthcare professional (hcp). A 61-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EL1284, expiry date not given), intramuscular on 29Dec2020 18:00 at a single dose in the left arm as Covid Vaccine. Medical history included hypothyroid, low adrenal cortex and allergies to sulfa. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient was not pregnant at the time of the vaccination. Concomitant medication included fluoxetine. The patient had no vaccine in four weeks. The patient previously took amoxycillin and experienced allergies. On 29Dec2020 (reported as at 5:30 AM and 5:00 AM; pending clarification), the patient experienced pain in arm at injection site. Since the vaccination, the patient has not been tested for COVID-19. The event reported was not serious (did not result in death, not life-threatening, did not cause/prolonged hospitalization, not disabling/incapacitating and not a congenital anomaly/birth defect. The outcome of the event pain in arm at injection site was recovering.

Other Meds:

Current Illness:

ID: 0923383
Sex: M
Age: 33
State: IL

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/06/2021
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: None

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

Symptoms: Within 1 hour, increasing dizziness and vertigo like symptoms, loss of appetite, followed by fatigue weakness and febrile episodes by 10pm that evening. These persisted until 0300AM on the 19th.

Other Meds: None

Current Illness: None

ID: 0923384
Sex: F
Age:
State: NY

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
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: mild supraglottic swelling of my aryepiglottic folds; feel difficulty swallowing (globus); allergic response; This is a spontaneous report from a contactable physician. A 41-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK5730), intramuscular on 23Dec2020 12:30 at single dose for COVID-19 immunisation. Medical history included allergies to medications, food, or other products: Penicillin. There were no concomitant medications. The patient previously took benzoyl peroxide and experienced allergies. The patient experienced stated that on 23Dec2020 12:31, "I am an ENT surgeon. I received the first dose of the vaccine at 12:30pm. Within 1-2 minutes I started to feel difficulty swallowing (globus). I reported this to the nurse and she offered me ginger ale. My symptoms worsened and then stabilized after 10 minutes. I went upstairs and got the residents to perform a fiberoptic nasoendoscopy and this demonstrated mild supraglottic swelling of my aryepiglottic folds. I choose not to receive treatment as I did not want to dampen my allergic response and as an ENT surgeon manage airways on a daily basis. I stayed at the hospital for a further 6 hours and continued to work. My symptoms resolved after 9 hours". The outcome of the events was recovered on 23Dec2020.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the event laryngeal oedema cannot be excluded. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0923385
Sex: F
Age:
State: AR

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: chronic auto immune response; angioedema/tongue is swollen; urticaria/hives; This is a spontaneous report from a contactable other healthcare professional. A 35-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), intramuscular in the right arm on 28Dec2020 10:15 at a single dose for COVID-19 immunization. The patient's medical history was not reported. The patient was not pregnant. Concomitant medications included cetirizine hydrochloride (ZYRTEC), omeprazole (PROTONIX), naproxen sodium (ALEVE), and birth control. 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 and had not been tested for COVID-19 since the vaccination. On 30Dec2020 16:00, the patient have a chronic auto immune response in the form of urticaria and angioedema. The symptoms of hives as well as swollen tongue was maintained with antihistamines. Outcome of the events was not recovered. The events were considered non-serious. The following information on the batch number has been requested.; Sender's Comments: Based on the temporal relationship, the association between the events chronic autoimmune response in the form of urticaria and angioedema with BNT162b2 can not be completely excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; PROTONIX [OMEPRAZOLE]; ALEVE

Current Illness:

ID: 0923386
Sex: F
Age: 68
State: PA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Percocet

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient started feeling week, dizzy, panicky, and like her heart was racing immediately after leaving the room after receiving the shot. She sat down and then I had her lie down on the floor. She was given a bottle of water and then after about 1 min lying down on the floor she decided she felt ok to sit back up. After a couple of minutes sitting (<5 min) she felt ok to stand back up.

Other Meds: Atenolol, Januvia, Simvastatin, Amlodipine, Metformin, Methenamine, Tramadol, Glyburide, Levothyroxine, Losartan, Omeprazole

Current Illness:

ID: 0923387
Sex: F
Age:
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: bit achy and she can definitely tell where the injection was administered; This is a spontaneous report from contactable consumer. A 68-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1284), via an unspecified route of administration, at the left shoulder on 29Dec2020 around 3:00-4:00pm at single dose for immunisation . Medical history included ongoing Sjogren'ssyndrome, Raynaud's disease, antiphospholipid antibody syndrome, two other conditions which the patient cannot remember, was on blood thinner, immunocompromised or on medication that compromises your immune system-all of which apply to her. Concomitant medication included hydroxychloroquine (PLAQUENIL), warfarin, aspirin all from about 15-20 years ago as a blood thinner. On 29Dec2020, patient felt like the vaccine has affected her a bit as she was feeling a bit achy and she can definitely tell where the injection was administered because sometime last night she rolled over and thought well she won't be sleeping on that left arm after getting the vaccine injection in her left shoulder. She was not sure if her feeling a bit achy is just the day, or related to the vaccine. Patient did not read the product paperwork until last night when she got home after having been administered the vaccine. She was given an approximate date of her second scheduled dose around 19Jan2021; that is not necessarily the date she will get the second dose; that depends on the next clinic date at the county health department. No plan to change dose unless advised to. The patient has not yet recovered from the events.

Other Meds: PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; ; ASPIRIN [ACETYLSALICYLIC ACID]

Current Illness: Antiphospholipid syndrome; Raynaud's disease; Sjogren's

ID: 0923388
Sex: F
Age:
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: she just feels very weak now; room spinning; got very dizzy; This is a spontaneous report from a contactable consumer. A 72-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EK9231, expiry date not reported), via an unspecified route of administration on 29Dec2020 09:00 at a single dose in the left arm as COVID-19 vaccine. Medical history included blood pressure high (diagnosed a while ago at the time of the report), and she has been taking a medication for it for years. There were no concomitant medications. Patient said she had no new medications or other vaccinations administered with this vaccine. On 29Dec2020 22:00, he patient had a reaction where the room was spinning and she got very dizzy. She would like to know is that normal, since she has to go back for a second shot. She was given the vaccine by a nurse at the hospital she works as technician at which is not a military hospital. She said that the hospital is giving the vaccine to its employees. She got the vaccine yesterday morning around or after 09:00AM, and she was ok during the day. She said that the room spinning started before she went to bed at about 10:00PM, and when she got to her room she noticed everything was moving around. She said then she fell asleep, and it was better today, the room was not moving, she just felt very weak now (30Dec2020). Patient said as her treatment for room was spinning and she got very dizzy was that she fell asleep. The events room was spinning and she got very dizzy were recovering. The outcome of the event felt very weak was unknown.

Other Meds:

Current Illness:

ID: 0923389
Sex: F
Age:
State:

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 01/06/2021
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: Heart palpitations; Fatigue; Severe stomach cramping; High blood pressure; Cough; This is a spontaneous report from a contactable other HCP (patient). This female patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 23Dec2020 at single dose (lot number: EK5730) for covid-19 immunisation. Medical history and concomitant medications were unknown. The patient said she had a list of reported side effects that she was having from the COVID Vaccine. The patient received COVID-19 vaccine on 23Dec2020 (not clarified), and since then she had been having symptoms. She had been to the doctor about it and she was currently going to treatment for it. But she had been experiencing heart palpitations, fatigue, severe stomach cramping, high blood pressure and cough. That was all she got. Outcome of all events was unknown.

Other Meds:

Current Illness:

ID: 0923390
Sex: F
Age: 44
State: OH

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderate difficulty breathing for about 36 hours, relieved somewhat by Albuterol Inhaler.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm