VAERS 2021 Database www.vaers.hhs.gov

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

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1823993
Sex: F
Age:
State: MA

Vax Date: 04/08/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
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: high fever; vomiting,; sweating; cramps on both hands; couldn't move her hands; This is a spontaneous report from a contactable consumer (husband) from a Pfizer Sponsored Program. A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: Unknown), via an unspecified route of administration on 08Apr2021 as single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient received the first dose of the Pfizer OVID19 vaccine on 08Apr2021. According to (Name), the patient had some high fever, vomiting, lots of sweating and cramps on both hands this morning (09Apr2021) around 3 am, couldn't move her hands and she couldn't move her hands. Outcome of all the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1823994
Sex: M
Age:
State: TX

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 10/28/2021
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: Joint pain; Tiredness; This is a spontaneous report from a contactable consumer (patient). A 78-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EN1318) via an unspecified route of administration, administered in Arm Left on 05Feb2021 (at the age of 77-years-old) as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The concomitant medication includes patient was taking other medication (unspecified).On an unspecified date, patient experienced joint pain and tiredness. Consumer stated, "All I want to know is, I want some information okay. Is the tiredness and joint pain been reported before or just I provided. I want to know if it's possible. They said that the COVID Vaccine cause the irritation and symptoms that I am going through right now, is that (incomplete sentence)" No treatment received for adverse event. Patient was taking other medication. consumer stated, "I have had my second dose on 04Mar2021 at arm Left." Outcome of the events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1823995
Sex: F
Age:
State: NJ

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 20210412; Test Name: fever; Result Unstructured Data: Test Result:104.2; Comments: Adverse event: 104.2 fever lasted for almost 24 hours.

Allergies:

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

Symptoms: 104.2 fever lasted for almost 24 hours; This is a spontaneous report from a contactable consumer or other non hcp. A 49-years-old female patient received bnt162b2(PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration, administered in Arm Left on 11Apr2021 10:00(at 49-years of age) as DOSE 1, SINGLE for COVID-19 immunisation. Medical history included psoriatic arthropathy. Concomitant medication(s) included ustekinumab (STELARA), ibuprofen, pseudoephedrine hydrochloride (ADVIL COLD & SINUS) and pantoprazole. Prior to vaccination, the patient was not diagnosed with COVID-19.Since the vaccination, the patient has not been tested for COVID-19.The patient experienced 104.2 fever lasted for almost 24 hours on 12Apr2021 01:30.The patient underwent lab tests and procedures which included body temperature: 104.2 on 12Apr2021 Adverse event: 104.2 fever lasted for almost 24 hours. No treatment was given for the event.The event outcome was reported as recovered on 13Apr2021 at 01:30. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: STELARA; ADVIL COLD & SINUS; PANTOPRAZOLE.

Current Illness:

ID: 1823996
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 10/28/2021
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: Skin Legions began forming in arm pits and then spread on upper torso.; Skin Legions began forming in arm pits and then spread on upper torso.; The legions are irritating, flat red inflamed about the size of a penny all over front torso.; The legions are irritating, flat red inflamed about the size of a penny all over front torso.; Feeling of something crawling under skin is now sharp stabbing pain on legion areas- like needles poking my body.; Slight exhaustion; This is a spontaneous report received from a contactable consumer (patient). A 50 year-old female non pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Unknown (Reason: Unable to locate or read the details) via an unspecified route of administration, administered in Arm Left on an unspecified date (Age at Vaccination: 49 year-old) as DOSE 2, SINGLE for COVID-19 immunisation. The patient was not pregnant at the time of vaccination. The patient medical history was not reported. Concomitant medications included tetanus vaccine (TETANUS VACCINE) taken in Arm Right for an unspecified indication on 03Jan2021 (vaccines within 4 weeks prior to the COVID vaccine), other medications the patient received within 2 weeks of vaccination included sertraline hydrochloride (ZOLOFT), alprazolam (XANAX). The patient received other vaccines within 4 weeks prior to the COVID vaccine and Location of injection information was available for it. Prior to vaccination, was the patient was not diagnosed with COVID-19 and since the vaccination, the patient has not been tested for COVID-19. The patient previously took compazine [prochlorperazine maleate] and experienced Allergies, took bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Unknown) via an unspecified route of administration, administered in Arm Left on 20Jan2021 at 11:00 AM (Age at Vaccination: 49 year-old) as DOSE 1, SINGLE for COVID-19 immunisation and experienced Heat radiating through body, Skin lesion under left breast, feel sensations under my skin, like insects crawling under skin and Slight exhaustion. After the 2nd dose. Patient stated that her Skin Legions began forming in arm pits and then spread on upper torso. The legions were irritating, flat red inflamed about the size of a penny all over front torso. Had Feeling of something crawling under skin was now sharp stabbing pain on legion areas- like needles poking her body. She had no fever or other side effects, she felt slight exhaustion a few days after initially receiving vaccine. The adverse events resulted in doctor or other healthcare professional office/clinic visit. Treatment received for the adverse events was with Oral steroid and topical prescription lotions. Outcome of events at the time of last observation was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds: ZOLOFT; XANAX

Current Illness:

ID: 1823997
Sex: F
Age:
State: IN

Vax Date: 03/06/2021
Onset Date: 03/01/2021
Rec V Date: 10/28/2021
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: Other Vaccine same date vaccine date: 06Mar2021; Severe joint and muscle pain, tiredness, daily headache about 1 week after 1st injection and continued past 2nd injection up until 12Apr; Severe joint and muscle pain, tiredness, daily headache about 1 week after 1st injection and continued past 2nd injection up until 12Apr; Severe joint and muscle pain, tiredness, daily headache about 1 week after 1st injection and continued past 2nd injection up until 12Apr; Severe joint and muscle pain, tiredness, daily headache about 1 week after 1st injection and continued past 2nd injection up until 12Apr; This is a spontaneous report from a contactable consumer. A 71-year-old female patient received bnt162b2 (Formulation: Solution for injection; Batch/Lot Number: EN6199), dose 2 via an unspecified route of administration, administered in Arm Left on 06Mar2021 as dose 2, single for covid-19 immunisation (at the age of 71-year-old). Medical history included diabetes, hx breast cancer, arthritis from an unknown date and unknown if ongoing, Valium, rocephin, x-ray contrast ionic and non-ionic allergy from an unknown date and unknown if ongoing. Concomitant medications included metformin (MET-FORMIN) 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. The patient previously received first dose of bnt162b2 (Lot number FN6200) in Arm Left on 28Feb2021 09:30 AM as dose 1, single for covid-19 immunisation and experienced Severe joint and muscle pain, tiredness, daily head-ache. On an unspecified date of Mar2021 patient experienced severe joint and muscle pain, tiredness, daily headache about 1week after 1st injection and continued past 2nd injection up until 12Apr. The treatment was not received. Prior to vaccination, unknown if the patient diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The outcome of the event was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: METFORMIN.

Current Illness:

ID: 1823998
Sex: F
Age:
State: MN

Vax Date: 03/18/2021
Onset Date:
Rec V Date: 10/28/2021
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: severe muscle aches; headache; some facial nerve type pain; joint soreness; difficult to walk; This is a spontaneous report from a contactable consumer (patient). A 69-years-old non pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Lot Number: ER2613), via an unspecified route of administration, administered in left arm on 18Mar2021 at 18:45 (at the age of 69-years) as dose 1, single for covid-19 immunization. The patient medical history included situational depression. The patient had known allergies to sulfa (mild), flagyl and lactose intolerance. The patient previously received morphine and experienced severe itching; received naproxen and experienced stomach pain. The patient was not pregnant at the time of vaccination. The patient concomitant medications included bupropion (BUPROPION) 100 mg per day. The patient had not received any other vaccine within 4 weeks prior vaccination. Following vaccination on an unspecified date in 2021, the patient had experienced severe muscle aches, headache, some facial nerve type pain, joint soreness, difficulty to walk. The headache lasted for 3 days, muscle aches and joint soreness lasted for 2 weeks. The patient had not received any treatment for the events. The patient recovered with lasting effects. The patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The outcome of the events was recovered with sequelae on an unspecified date in 2021. No follow-up attempts are needed. No further information is expected.

Other Meds: BUPROPION

Current Illness:

ID: 1823999
Sex: F
Age:
State: MO

Vax Date: 04/03/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
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: soreness; had a large bump with itching for a week were shot was injected; I had fever off and on; had a large bump with itching for a week were shot was injected; I was extremely tired; body aches; During the night only I had nausea for a week; This is a spontaneous report from contactable consumer (Patient). A 26-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Lot number: unknown) via an unspecified route of administration, administered in left arm on 03Apr2021 at 08:30 (at the age of 26-Year-old) as dose 2, single for COVID-19 immunization. Medical history was none. There were no concomitant medications in two weeks. Patient had no known allergies. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, Lot number: unknown) via an unspecified route of administration, administered in left arm on 06Mar2021 at 08:30 (at the age of 26-Year-old) as dose 1, single for COVID-19 immunization and experienced within three hours sore arm and within 6 hours waves of being tired. All were gone the next day. The patient had not received any other vaccine within 4 weeks. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. It was reported that on 03Apr2021 "soreness within an hour, had a large bump with itching for a week were shot was injected. During that night I had fever off and on (even with taking Tylenol). On an unspecified date in Apr2021(the next day) I was extremely tired and body aches. On an unspecified date in 2021 during the night only I had nausea for a week". Patient received treatment for fever and did not receive any treatment for other adverse events. Outcome of the event was recovered on an unspecified date in 2021. No follow-up attempts are possible. No further information is expected. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1824000
Sex: M
Age:
State: OR

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 10/28/2021
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: the area that was still inflamed on my hands; enlarged blood vessels, hands, feet, lips and genitals; This is a spontaneous report from a contactable consumer (patient). A 63-year old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: en6205), via an unspecified route of administration in left arm on 04Mar2021 at 13:30 (at the age of 62 years old) as dose 1, single for covid-19 immunisation. Medical history included asthmatic taking montelukast sod 10mg. The patient had known allergies to eggs, nuts, eggplant, some seafood. Concomitant medications included hydrochlorothiazide, losartan potassium (LOSARTAN HCTZ) 25 mg; emtricitabine, tenofovir disoproxil fumarate (EMTRICITABIN TENOFOVIR) 300mg. The patient did not receive any other vaccines within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hasn't been tested for COVID-19. On 07Mar2021 at 12:00 patient experienced enlarged blood vessels, hands, feet, lips and genitals most went back to normal except two vessel on both hands, the second vaccination the same thing happened, but the area that was still inflamed on her hands doubled that has still not reduce but double in size with the second dose. The patient received second dose of BNT162B2 (Lot number: en6205) on 25Mar2021 via an unspecified route of administration in left arm for covid-19 immunisation. The event enlarged blood vessels, hands, feet, lips and genitals resulted in doctor or other healthcare professional office/clinic visit. The patient did not received treatment due to the events. The outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: LOSARTAN HCTZ; EMTRICITABIN TENOFOVIR

Current Illness:

ID: 1824001
Sex: F
Age:
State: FL

Vax Date: 03/22/2021
Onset Date:
Rec V Date: 10/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: itchy; This is a spontaneous report from a contactable consumer (patient). A 36-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EP7534) via an unspecified route of administration, administered in Arm Left on 22Mar2021 10:30 (at the age of 36-year-old) as single dose for COVID-19 immunization. Medical history included Asthma, year-round allergies, known allergies to shellfish, fish. No covid prior vaccination. Concomitant medication(s) included levonorgestrel (MIRENA); neomycin; polymyxin b, all taken for an unspecified indication, start and stop date were not reported; Allergy shots. The patient previously took amoxicillin and experienced allergy. It was reported that after first vaccine patient arm was just itchy after. The patient did not receive any treatment for the event. Post vaccination COVID was not tested. The outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: MIRENA; NEOMYCIN; POLYMYXIN B

Current Illness:

ID: 1824002
Sex: F
Age:
State: PA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 10/28/2021
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: 20210408; Test Name: Body Temparature; Result Unstructured Data: Test Result: 101.7 Fahrenheit.

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: soreness of arm (not as severe as 1st dose); severe chills & fever of 101.7?f; severe headache; extreme fatigue the next day.; severe chills & fever of 101.7?f; severe headache; extreme fatigue the next day; severe headache; extreme fatigue the next day; severe headache; extreme fatigue the next day; This is a spontaneous report from a contactable consumer (Patient) via COVID-19 Self-Reporting. A 51-years-old female patient received bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot Number: EP8734), via an unspecified route of administration, administered in right arm on 07Apr2021 at 10:15 AM (at the age of 51-year-old) as DOSE 2, SINGLE for COVID-19 immunisation at pharmacy. The patient medical history included ongoing breast cancer-dx from 2019 and ongoing treatment with aromatase inhibitor for it, Covid-19 (prior to vaccination) from an unknown date and unknown if ongoing. The patient previously took ciprofloxacin and experienced drug hypersensitivity, Known allergies to cipro antibiotic. Historical Vaccine include bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: EP7534) via an unspecified route of administration, administered in right arm on 17Mar2021 at 10:15 AM (at the age of 51-year-old) as dose 1 single for COVID-19 immunisation and experienced severe soreness of arm where injected (could not lift arm up for several hours), and experienced mild fever (100?F). The patient concomitant medication(s) (other medications in two weeks) included ARIMIDEX, CALCIUM, and VITAMIN D. The patient did not received any other vaccine in four weeks. There is no COVID tested post vaccination. On 08Apr2021 at 01:30 15 hours 15 minutes after the second dose, the patient experienced soreness of arm (not as severe as 1st dose), severe chills, & fever of 101.7 Fahrenheit. Started, severe headache and extreme fatigue the next day. The patient underwent lab tests and procedures which included on 08Apr2021, body temperature 101.7 Fahrenheit. Treatment not received for the events. Outcome of the events was resolved on an unspecified date in 2021. No follow up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds: ARIMIDEX; CALCIUM; VITAMIN D

Current Illness: Breast cancer (dx from 2019 and ongoing treatment with aromatase inhibitor for it)

ID: 1824003
Sex: F
Age:
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 20210407; Test Name: Body temperature; Result Unstructured Data: Test Result:100?

Allergies:

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

Symptoms: I experienced a fever of 100; Chills; Headache; Nausea; Sore arm; Fatigue; The nausea was bad enough to cause me to vomit a number of times.; This is a spontaneous report from a non-contactable consumer (patient). A 62-year-old female patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0158) via an unspecified route of administration, administered in the left arm on 07Apr2021 at 11:00 as DOSE 2, SINGLE for COVID-19 immunization (at the age of 62-years-old). The patient's medical history was none. The patient was very healthy. The patient had no known allergies. The patient did not receive any medications within two weeks of vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6208) via an unspecified route of administration, administered in the left arm on 12Mar2021 at 11:00 as DOSE 1, SINGLE for COVID-19 immunization and the patient experienced sore arm. The patient did not receive any other vaccine within four 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 07Apr2021 at 23:00, about 12 hours after receiving second dose, the patient experienced a fever of 100?, chills, headache, nausea, sore arm, fatigue and vomiting. This lasted for about 36 hours. It was bad enough to keep the patient in bed the whole while. The nausea was bad enough to cause the patient to vomit a number of times. The events did not result in doctor or other healthcare professional office/clinic visit. No therapeutic measures was taken for the events. The patient underwent lab test and procedures which reported as body temperature at 100? on 07Apr2021. The clinical outcome for the events was reported as recovered on 09Apr2021 at 11:00. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824004
Sex: F
Age:
State: CA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 10/28/2021
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: Slight sore arm; fever; malaise for 1 day; This is a spontaneous report from a contactable consumer (patient) reported for herself. A 62-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EW0158, Expiration date: unknown), via an unspecified route of administration, administered in Arm Right on 11Apr2021 12:30 (age at vaccination was 62 years) as dose 2, single for COVID-19 immunization. The patient's medical history included obesity, vertigo positional, hypertension, lipids increased, glucose tolerance impaired and covid-19 from Mar2020 to an unknown date. The patient have known allergies. Patient received bisoprolol, atorvastatin calcium (LIPITOR), paracetamol (TYLENOL) and calcium concomitant medications or other medications in two weeks. The patient previously took codeine and experienced pruritus and drug hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, it was unknown that the patient was diagnosed with COVID-19. Post the vaccination, the patient has not been tested for COVID-19. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EP7534, Expiration date: unknown) via an unspecified route of administration, administered in Arm Right on 21Mar2021 12:30 (age at vaccination was 62 years) as dose 1, single for COVID-19 immunization. After first dose patient experienced Slight sore arm, body aches, fever and malaise. On 11Apr2021 at 19:00, after second dose the patient experienced slight sore arm, fever and malaise for 1 day. No treatment was received for the adverse events. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: BISOPROLOL; LIPITOR; TYLENOL; CALCIUM

Current Illness:

ID: 1824005
Sex: F
Age:
State: MD

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 10/28/2021
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: Intense aches; chills; brain fog; fever; nausea; headache; Couldn't sleep; This is a spontaneous report from a contactable consumer or other non health-care-professional. This consumer reported that a 25-year-old non-pregnant female patient received BNT162B2 (Pfizer COVID 19 Vaccine Formulation: Solution for injection Batch/Lot number: Unknown) via an unspecified route of administration, administered in Left Arm on 31Mar2021 08:30 (Age at vaccination 25 year) as dose 2, single for COVID-19 immunization. Patient previously received Pfizer COVID-19 (Batch/Lot Number: Unknown) administered in Left Arm on 10Mar2021 10:45 AM as dose 1, single for COVID-19 immunization and experienced fatigued. The patient medical history and concomitant medications were not reported. No COVID-19 prior vaccination. Patient had no Known allergies. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was not tested for COVID-19 post vaccination. Patient states First dose made her fatigue but second dose hit her like a ton of bricks. On 31Mar2021 01:00 PM, patient experienced Intense aches, chills, brain fog, fever, nausea, headache and Couldn't sleep because of the pain. She was a generally very healthy person - this was legitimately the sickest she ever felt. Patient did not receive any treatment for events. Outcome of all events was recovered on an unspecified date in 2021. No follow-up attempts are possible, information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1824006
Sex: M
Age:
State: IL

Vax Date: 03/12/2021
Onset Date:
Rec V Date: 10/28/2021
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: Small pimple-like red bumps; Small pimple-like red bumps; This is a spontaneous report from a contactable consumer (patient). A 46-years-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Unknown), via an unspecified route on 12Mar2021 at 13:00 (at the age of 46-years) as dose 2, single in the left arm for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient had no known allergies. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: Unknown), via an unspecified route on 17Feb2021 at 10:30 (at the age of 46-years) as dose 1, single in the left arm for covid-19 immunisation and experienced upper body, arms, and thighs developed itchy rashes/hives and a number of tiny blood red dots on skin. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient experienced upper body (Chest and back) experienced delayed reaction of small pimple-like red bumps on unspecified date. Patient still have these red bumps 1 month after the 2nd shot. Patient visited to doctor or other healthcare professional office/clinic visit. Patient did not receive treatment for events. Patient stated 2 days after the 1st shot my upper body, arms, and thighs developed itchy rashes/hives and a number of tiny blood red dots on my skin. I took antihistamine Allegra D, but it wasn't effective. 10 days later I saw my doctor and was prescribed Triamcinolone Acetonide Cream, which helped to calm my skin inflammation. The rashes slowly faded, but left a few dark colour skin marks. My wife also experienced a minor reaction after her 1st shot. The small lymph node under her jaw was a bit swollen. It hasn't disappeared yet. The outcome of the events was resolved with sequel. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824007
Sex: F
Age:
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 10/28/2021
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: belly pain; fatigue; fever; arm pain; This is a spontaneous report from a contactable consumer (patient). A 42-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ew0151), via an unspecified route of administration in the left arm on 05Apr2021 at 11:45 (at the age of 42-year-old) as a single dose for COVID-19 immunization. Medical history included systemic lupus and Hashimoto's disease. Concomitant medication(s) included hydroxychloroquine sulfate (PLAQUENIL); escitalopram oxalate (LEXAPRO); colecalciferol (VITAMIN D), all taken for an unspecified indication, start and stop date were not reported. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: En6208), via an unspecified route of administration in the left arm on 12Mar2021 at 11:45 (at the age of 42-year-old), as a single dose for COVID-19 immunization and the patent experienced back pain after 2 hours, exhausted and headache next day with still pain, itching on 3rd day on an unknown date. The patient previously received intravenous iodine and experienced allergy. The patient did not receive any other vaccines within four weeks prior to the vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 05Apr2021 17:30 On 05Apr2021 at 17:30, the patient experienced stabbing belly pain within 6 hours, fatigue, fever and arm pain could barely move next day. Belly pain continued for 6 days, really exhausted and gets tired very easily usually the patient was very fit and exercise. No therapeutic measures were taken for the events. The clinical outcome of the event belly pain, fatigue, fever and arm pain was not resolved at the time of report. No follow-up attempts are needed. No further information is expected.

Other Meds: PLAQUENIL [HYDROXYCHLOROQUINE SULFATE]; LEXAPRO; VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1824008
Sex: F
Age:
State: FL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/28/2021
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: I'm still in chronic muscle spasms as of 11Apr2021; severe neck pain; severe shoulder pain; severe pain in my trap muscles; This is a spontaneous report from a contactable consumer or other non-health care professional (Patient). A 68-year-old non-pregnant female patient received bnt162b2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and Batch no/ Lot number: not reported) via unspecified route of administration, administered in Right arm on an unknown date in Mar2021 (age at the vaccination 68-years-old) as dose 2, single for covid-19 immunization. Medical history was Arthritis from an unknown start and stop date. Concomitant medication included other medications the patient received within 2 weeks of vaccination was alprazolam taken for an unspecified indication, start and stop date were not reported. No Allergies to medications, food, or other products. Historical vaccine included patient received bnt162b2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection and Batch no/ Lot number: not reported) via unspecified route of administration, administered in Right arm on an unknown date in Mar2021 08:45 AM (age at the vaccination 68-years-old) as dose 1, single for covid-19 immunization and experienced with sever muscle inflammation under left breast, she thought she broke a rib and intense pain. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. Since the vaccination, patient has not been tested for COVID-19. It was reported that Two weeks after her second shot, on an unknown date in Mar2021 patient experienced severe neck, shoulder and sever pain in her trap muscles. She went to withheld on 24Mar2021 after her second Pfizer shot and explained all of this to her doctor. Adverse event result in doctor or other healthcare professional office/clinic visit. Seriousness was reported as No. Therapeutic measures taken as results of events caused which she was prescribed with Baclofen and that has not helped her, also received Tramol. She was still in chronic muscle spasms as of 11Apr2021. Outcome of the all the events was not recovered. No follow-up attempts are possible; Information about lot/batch number cannot be obtained. No further information is expected

Other Meds: ALPRAZOLAM

Current Illness:

ID: 1824009
Sex: F
Age:
State: OH

Vax Date: 04/09/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: Test Date: 202104; Test Name: temps; Result Unstructured Data: Test Result:99.1, 99.7 and 100.9.

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: This is a spontaneous report from a contactable consumer (patient) or other non-health care professional. A 40-year-old non-pregnant female patient received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot Number: EW0162) via an unspecified route of administration, administered in left arm on 09Apr2021 (at the age of 40-year-old) as dose 2 , single for covid-19 immunization. Medical history included asthma, high blood pressure, pulses, mitral valve prolapse from an unknown date and unknown if ongoing. Patient was allergic to mild eggs, dairy, peanuts, severe mushroom from an unknown date and unknown if ongoing. The patient did not received any other vaccines within 4 weeks. 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, in two weeks included cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) taken for an unspecified indication, flecainide (FLECAINIDE) taken for an unspecified indication, valacyclovir [valaciclovir] (VALACYCLOVIR [VALACICLOVIR]) taken for an unspecified indication, hydrochlorothiazid (HYDROCHLOROTHIAZID) taken for an unspecified indication, start and stop date were not reported. Historical vaccine included BNT162B2 (solution for injection, lot number: ER2613) via an unspecified route of administration, administered in left arm on 17Mar2021 (at the age of 40-year-old) as dose 1 single for COVID-19 immunization and experienced Lymphedema. On an unspecified date in Apr2021 the patient experienced with in 8 hours chills, fever, nausea, diarrhea, body muscle aches, low energy, swollen lymph node. The patient underwent lab tests and procedures which included body temperature (reported as temps): 99.1, 99.7 and 100.9 on an unspecified date in Apr2021. No treatment received for the events. Outcome of the events were resolving. No follow up attempts are possible. No further information is expected.

Other Meds: ZYRTEC [CETIRIZINE HYDROCHLORIDE]; FLECAINIDE; VALACYCLOVIR [VALACICLOVIR]; HYDROCHLOROTHIAZID.

Current Illness:

ID: 1824010
Sex: F
Age:
State: MI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
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: Pain radiated into my scapula; started having pain/ unable to use the left arm/ arm hurt at rest and severe with movement; unable to sleep; The pain is with rotation of the left arm and lifting/ arm hurt at rest and severe with movement; Second dose was given in incorrect location, top/posterior area of left shoulder, not within the deltoid muscle.; This is a spontaneous report from a contactable other hcp. A 34-year-old female patient received second dose of bnt162b2 (BNT162B2, solution for injection, Lot Number: ER8733, expiry date was not reported), dose 2 via an unspecified route of administration, administered in Arm Left on 01Apr2021 12:00 as (Age at vaccination was 34-year-old), as dose 2, single for COVID-19 immunization. Patient was not pregnant at the time of vaccination. Medical history included hypertension from an unknown date and unknown if ongoing. No allergies to medications, food, or other products were reported. There were no concomitant medications. The patient previously received first dose bnt162b2 (BNT162B2, solution for injection, Lot Number: EN6206, expiry date was not reported), dose 2 via an unspecified route of administration, administered in Arm Left on Mar2021 04:00 PM as dose 1, single for COVID-19 immunization.On 01Apr2021 12:00, the patient experienced second dose was given in incorrect location, top/posterior area of left shoulder, not within the deltoid muscle, On 01Apr2021 15:00 pain radiated into my scapula, started having pain/ unable to use the left arm/ arm hurt at rest and severe with movement, unable to sleep, the pain was with rotation of the left arm and lifting/ arm hurt at rest and severe with movement. Patient received no treatment for the event. The patient had not received any other vaccine within 4 weeks. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The events were non-serous. The clinical outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1824011
Sex: F
Age:
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 202104; Test Name: fever up to 101.7; Result Unstructured Data: Test Result:101.7; Comments: fever up to 101.7

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: severe chills; fever up to 101.7; severe body aches; joint pain (back, abdomen, hips); Pain and swelling at site injection; Pain and swelling at site injection; residual lower back pain; This is a spontaneous report from a contactable consumer (Patient). A 55-year-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0150, Expiry date: Unknown) via an unspecified route of administration, administered in Arm Left on 09Apr2021 at 09:30 (age at vaccination: 55years-old) as dose 3 (booster), single for COVID-19 immunization. Medical history included glucose tolerance impaired and hypertension. Concomitant medication included losartan and metformin. Patient had no known allergies. Prior to vaccination, The patient was not tested positive for covid 19 and had not been tested post vaccination. 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 and received other medications 2 weeks prior to the COVID vaccine. The patient previously took dose 1 bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6205, Expiry date: Unknown) via an unspecified route of administration, administered in Arm Left on 12Mar2021 as dose 1, single (refrigeration issue - had to have 1st shot again on 19Mar) and dose 2 (Lot number: ER2613 / EN6205) via an unspecified route of administration, administered in Arm Left on 19Mar2021 at 09:30 AM and experienced pyrexia, chills and body aches continued for another 24 hrs (back pain) for COVID-19 immunization. On 09Apr2021 at 11:00 PM, the patient experienced severe chills started about 14 hours after shot, fever up to 101.7, severe body aches and joint pain (back, abdomen, hips). Fever subsided to low grade about 30 hours after shot continued for another 24 hours. Pain and swelling at site injection, still happening nearly 72 hours after shot. some residual lower back pain as well. fever is still about 1 degree higher than normal. No treatment received for the events. The patient underwent lab tests and procedures which included body temperature: 101.7 on an unspecified date in Apr2021 fever up to 101.7. The outcome of the event pyrexia, vaccination site pain and vaccination site swelling was not recovered and other events were recovering. No follow-up attempts are needed. No further information is expected.

Other Meds: LOSARTAN; METFORMIN

Current Illness:

ID: 1824012
Sex: F
Age:
State: MA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 20210216; Test Name: Fever; Result Unstructured Data: Test Result:103 degrees; Test Name: ColorTest; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210331; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: fatigue; body aches; chills; joint pain; dizziness/dizzy spells; fever that spiked at 103 degrees.; headache; confusion; forgetting words/brain fog; forgetting words/brain fog; tingling in face/lips; shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 35-years-old non-pregnant female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EL9264), via an unspecified route of administration, administered in Arm Right on 15Feb2021 as dose 2, single for covid-19 immunisation. Medical history included soya allergy from an unknown date and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient had not received any other vaccine within 4 weeks. Patient was not pregnant at time of vaccination. Concomitant medication(s) included Flagyl taken for an unspecified indication, start and stop date were not reported. The patient received first dose of BNT162B2 (PFIZ-ER-BIONTECH COVID-19 VAC-CINE, Lot number: EN5318) in right arm on 25Jan2021 at 03:15 (At the age of 35-year-old) for covid-19 immunisation with reaction Dizzy and a week later, intense dizzy, my ears felt clogged, I became sensitive to sound, allergies, Inflamed Eustachian tubes, Fluid in the ear. On 2021, the patient experienced shortness of breath, dizziness/dizzy spells, fever that spiked at 103 degrees, headache, confusion, forgetting words/brain fog, forgetting words/brain fog, tingling in face/lips. fatigue on, body aches, chills, joint pain on 16Feb2021. Patient had not been diagnosed with COVID-19 prior to vaccination and had not been tested since the vaccination. The day after the second vaccine, she had fatigue, body aches, chills, joint pain, dizziness, headache, and a fever that spiked at 103 degrees. When she received the first vaccine, felt a bit dizzy and a week later, intense dizzy spells began taking place, especially after eating. her ears felt clogged and be-came sensitive to sound, and thought she was allergic to food. Went to an allergist and discovered allergies, inflamed Eustachian tubes, and fluid in the ear. Allergist recommended a neurologist based on my described symptoms. After second vaccine, dizzy spells have continued almost daily, coinciding with confusion, forgetting words/brain fog, tingling in face/lips, and shortness of breath. Not sure if this is from the vaccine, but these symptoms began a week after her first vaccine and have continued after the second. Patient received no treatment for the event. The patient underwent lab tests and procedures which included body temperature was result 103 degrees on 16Feb2021, color vision tests: unknown results on unspecified date, sars-cov-2 test result was negative on 31Mar2021. The outcome of, dizziness/dizzy spells, confusion, forgetting words/brain fog, forgetting words/brain fog, tingling in face/lips not recovered. shortness of breath, joint pain, chills, body aches, fatigue, fever that spiked at 103 degrees, headache, on was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: FLAGYL [METRONIDAZOLE]

Current Illness:

ID: 1824013
Sex: F
Age:
State: NH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 10/28/2021
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: 20210327; Test Name: Heart rate; Result Unstructured Data: Test Result:racing heart over 150 bpm

Allergies:

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

Symptoms: Constant burning in center of chest; Multiple episodes of racing heart (over 150bpm); feeling of extreme dread, fear, anxiety; feeling of extreme dread, fear, anxiety; Daily feeling of fatigue; lethargy; Cold sensations on arms and back; This is a spontaneous report from a contactable consumer or other non HCP (patient). A 37-year-old non pregnant female patient received bnt162b2 (BNT162B2 formulation; Solution for injection Lot Number: EP6955) via an unspecified route of administration, administered in Arm Left on 27Mar2021 at 12:00 as dose 1, single (at the age of 37-year-old) for COVID-19 immunisation. The patient medical history included none relevant history. Concomitant medications (Other medications in two weeks) included colecalciferol (D3), Birth control pill and Multivitamin, all taken for an unspecified indication, start and stop date were not reported. The patient was not pregnant at the time of vaccination. The patient did not have COVID prior vaccination. No known allergies. The patient not received other vaccine in four weeks. The patient not tested for COVID post vaccination. On 27Mar2021 at 12:00, the patient experienced multiple episodes of racing heart (over 150bpm), feeling of extreme dread fear, anxiety, daily feeling of fatigue, lethargy, cold sensations on arms and back and constant burning in centre of chest. The events caused Emergency room and physician office visit. It was reported that events still expediting after almost 3 weeks post vaccine. The patient underwent lab tests and procedure which included heart rate resulted as racing heart over 150 bpm on 27Mar2021. No treatment received for the events. The outcome of events reported as not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: D3

Current Illness:

ID: 1824014
Sex: U
Age:
State: FL

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 10/28/2021
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: my upper arm is still hurting me; i could not sleep all night; there is a little swelling in that area; My upper arm is still hurting me; I could not sleep all night; There is a little swelling in that area; It is like a stinging pain; It is hurting me like the most; My upper arm is still hurting me; I could not sleep all night; There is a little swelling in that area; It is like a stinging pain; It is hurting me like the most; today, it is hurting me like the most; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration, administered in Arm Right (upper right arm) on 05Apr2021 (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. Consumer stated, I got my first shot on 05Apr2021, the Pfizer one (Covid Vaccine) and my upper arm is still hurting me. Last night, I could not sleep all night and when I woke up this morning, I saw that there is a little swelling in that area. How long it takes for pain to go away? It is like a stinging pain. Consumer further stated, I took two Tylenol (treatment) this morning and I am putting an ice pack right now. Today (08Apr2021), it is hurting me like the most. The outcome of event my upper arm is still hurting me and today, it is hurting me like the most was not recovered and rest all was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824015
Sex: F
Age:
State: MI

Vax Date: 03/31/2021
Onset Date:
Rec V Date: 10/28/2021
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: Bruising; This a spontaneous report from a contactable consumer (patient). A 59-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number and Expiry date was not reported) via an unspecified route of administration on 31Mar2021 (at the age of 59 years old) as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that patient takes lot of concomitants but was not reported and stated that patient was not going to sort out her medications right now. On an unspecified date, the patient experienced extreme bruising. It was very unusual for her to bruise like that. No treatment was received. The outcome of the event was unknown. No follow-up attempts are possible; Information about Lot/Batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824016
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/28/2021
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: Headache; Chills; Body ache; low soreness; Fatigue; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/lot number: Not Reported, Expiry Date: Not Reported), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient stated that the patient got the first Pfizer COVID shot, Thursday and the patient had low soreness but the patient was ok for the most part and then like Saturday night the patient just got fatigue, had a headache, the patient got the chills and really been the same thing since Saturday night one thing was left was the headache. The patient was wondering how long do the side effect would last? had been so fatigued. The patient had not been able to go to work. The patient stated that last Thursday had body ache. The patient questioned Is it normal and How long is this supposed to last. Outcome of the event headache was recovered on an unspecified date in 2021 and for rest all events the outcome was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1824017
Sex: F
Age:
State:

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: Test Result:102 Fahrenheit; Comments: 102-degree Fahrenheit

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: fever like 102-degree Fahrenheit; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number, Expiration date,, via an unspecified route of administration on 07Apr2021at 15:00 hours as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included patient received BNT162b2 (Pfizer BioNTech Covid-19 mRNA Vaccine, Solution for injection, Batch/Lot number, Expiration date, via an unspecified route of administration on an unspecified date, as dose 1, single for COVID-19 immunization. On Apr2021, patient had fever like 102-degree Fahrenheit. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1824018
Sex: F
Age:
State: PA

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 10/28/2021
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: I broke out in hives, my whole back had broke out and it turned really red and it has been around my back; I can feel it tingling around my neck, like I want to scratch it again; I started itching real bad; Last night it flared back up again; I broke out in hives, my whole back had broke out and it turned really red and it has been around my back; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: ER8727 and expiry date was not reported), via an unspecified route of administration, on 30Mar2021 (age at vaccination: 60 years), as dose 1, single dose for COVID-19 immunization. The patient's medical history included blood pressure high (hypertension, high blood pressure. I take medication), herniated disc on back, and chronic obstructive pulmonary disease (COPD, I'm on oxygen). Concomitant medications included amlodipine besilate (5 mg) for blood pressure high, losartan potassium (100 mg) for Blood pressure high, iron, and ascorbic acid, ergocalciferol, nicotinamide, retinol, riboflavin, thiamine hydrochloride (VITAMINS). The patient stated that she had the Pfizer shot and yesterday on 08Apr2021, she broke out in hives. She woke up yesterday, yesterday morning with a hive, she started itching real bad and her whole back had broke out and it turned really red and it has been around her back. So, she had her niece rub some A and D ointment in order to cool it down. Then last night it flared back up again. So she was on oxygen. she took a Benadryl. She could feel it tingling around her neck, like she wanted to scratch it again. Due date of 2nd shot of COVID-19 Vaccine, patient stated, it was supposed to be on Wednesday, but she was not sure if she was getting it. On 21April2021 was the next shot. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: AMLODIPINE BESYLATE; LOSARTAN POTASSIUM; IRON; VITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;NICOTINAMIDE;RETINOL;RIBOFLAVIN;THIAMINE HYDROCHLORIDE]

Current Illness:

ID: 1824019
Sex: F
Age:
State:

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 10/28/2021
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: Fever; This is a spontaneous report from a contactable consumer or other non hcp. This consumer reported for a female patient (Wife) of unspecified age that she received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot number was not reported, Expiry date: Unknown) via an unspecified route of administration on 08Apr2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on unspecified date for COVID-19 immunization. On 09Apr2021, the patient experienced fever. Patient got her second shot (Pfizer, Covid-19 vaccine) yesterday and this morning she got fever, the consumer wanted to know does patient need to take Aspirin for this situation or not. The outcome of event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824020
Sex: U
Age:
State:

Vax Date: 04/07/2021
Onset Date:
Rec V Date: 10/28/2021
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: Body ache; Arm was a real sore and bruised; arm was swollen and red; Chills; Headache; Arm was a real sore and bruised; arm was swollen and red; Arm was a real sore and bruised; arm was swollen and red; Arm was a real sore and bruised; arm was swollen and red; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 07Apr2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient experienced body ache, arm was a real sore and bruised, arm was swollen and red, chills, and headache. It was reported that this is my 1st shot, and the patient was just had a little concern, she took the Pfizer vaccine 2 days ago and noticed some side-effects like headache and body ache, my arm is a real sore, and bruised. She asks if there was anything she can do, take for it. This was the second day, today, chills, headache, her arm was swollen and red, she was trying to figure out was there anything she can do or take, and how long it will last. The outcome of the events was unknown. No follow-up attempts are possible, information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1824021
Sex: F
Age:
State: NC

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/28/2021
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: fever; headache; body ache; This is a spontaneous report from a contactable consumer (patient) reported in response to Non- HCP Follow-up letter sent in cross referenced case. A 69-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EN6203), via an unspecified route, administered in arm on 01Mar2021 at 11:15 (at the age of 69 years) as dose 2, single for COVID-19 immunization at a health clinic. The patient's medical history included ongoing allergies to environmental from Jun2020. The patient's concomitant medications included allergy immunotherapy once a week injection. There were none prior vaccinations. Family medical history relevant to adverse events was none. The patient took previously first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, lot number: EM9810), intramuscular, administered in arm on 08Feb2021 at 12:15 PM (at the age of 69 years) as dose 1, single for COVID-19 immunization. On 01Mar2021 at 23:23, the patient experienced fever, headache, body ache for 3 days. Relevant tests were none. The adverse event did not require the initiation of new medication / other treatment /procedure. The outcome of events was recovered on 04Mar2021. No follow-up attempts were possible. No further information was expected.

Other Meds:

Current Illness: Environmental allergy (Allery immunotherapy once a week injection)

ID: 1824022
Sex: F
Age:
State: GA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 20210414; Test Name: Heart rate; Result Unstructured Data: Test Result:125

Allergies:

Symptom List: Nausea

Symptoms: I feel fatigued; rapid resting heart rate of 125; out of breath; dizziness; This is a spontaneous report from a contactable consumer (Patient). This 22-year-old female (non pregnant) received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number: Unable to locate or read the details) on 14Apr2021at 08:30 via an unspecified route of administration in the left arm as DOSE 2, SINGLE for COVID-19 immunisation (age at vaccination:22-years-old).The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccination. The patient did not have Covid prior vaccination neither Covid tested post vaccination. The patient medical history included: Asthma. Previously the patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Batch/Lot Number: not reported) on unspecified date via an unspecified route of administration as DOSE 1, SINGLE for COVID-19 immunisation. On 14Apr2021, after the shot the patient was fine in the morning, but later at 18:00 she had rapid resting heart rate of 125, felt fatigued, dizziness and out of breath. Treatment details was not provided. The outcome of the events was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1824023
Sex: F
Age:
State: MI

Vax Date: 03/23/2021
Onset Date: 04/02/2021
Rec V Date: 10/28/2021
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: This is a spontaneous report from a contactable consumer (patient). A 59-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in Left arm on 23Mar2021 15:00 at the age of 59-years-old as dose 1, single for covid-19 immunisation at Hospital. Medical history included treated for breast cancer from an unspecified date in 2019. The patient had no known allergies. There were no concomitant medications. The patient did not receive other vaccine in four weeks of vaccination. The patient did not receive other medications in two weeks of vaccination. The patient was not diagnosed with COVID-19 prior vaccination. The patient has not been tested for COVID-19 post vaccination. On 02Apr2021 at 16:00, the patient experienced chills, body aches, low grade fever and loss of taste. The clinical course was reported as follows: After 10 days from her first vaccine, the patient had the chills, body aches, Low grade fever and the loss of taste. No treatment was received for adverse events. Adverse events resulted in none of the above. The outcome of the events was recovered on an unspecified date in 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1824024
Sex: F
Age:
State:

Vax Date:
Onset Date: 04/09/2021
Rec V Date: 10/28/2021
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: swelling and tenderness in breast on side of injection site; swelling and tenderness in breast on side of injection site; Swollen lymph nodes in neck and underarm; Intense arm pain and underarm pain; Intense arm pain and underarm pain; Swollen injection site; Rash on arm and neck near injection area; This is a spontaneous report from a non-contactable consumer (patient). This 24-year-old female patient reported for herself. A 24-years-old non-pregnant female patient (not pregnant at the time of vaccination) received BNT162B2 (PFIZER-BIONTECH COVID -19 VACCINE, solution for injection, Lot Number: not reported, Expiry date: not reported) via an unspecified route of administration, on an unspecified date (24-year-old at the time of vaccination) as dose number unknown, single for COVID-19 immunization. Medical history included penicillin allergy and sulfonamide allergy. Concomitant medications included ethinylestradiol, desogestrel (ENSKYCE) and daily vitamins (UNSPECIFIED DRUG), received within 2 weeks of vaccination for unknown indication. The patient took Doxycycline on an unknown date for unknown indication and experienced drug allergy. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. It was reported that the patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 09Apr2021 the patient experienced Swollen injection site, rash on arm and neck near injection area, swollen lymph nodes in neck and underarm, intense arm pain and underarm pain, swelling and tenderness in breast on side of injection site. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The outcome of the events swollen injection site, rash on arm and neck near injection area, swollen lymph nodes in neck and underarm, intense arm pain and underarm pain, swelling and tenderness in breast on side of injection site were resolving at the time of this report. No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds: ENSKYCE

Current Illness:

ID: 1824025
Sex: F
Age:
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 10/28/2021
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: 20210412; Test Name: Nasal Swab; Test Result: Negative

Allergies:

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

Symptoms: fever chills extreme body aches for 24 to 48 hours; fever chills extreme body aches for 24 to 48 hours; also developed a small red patchy itchy rash on my left fore arm after shot 2 approx. 3 hours after injection; also developed a small red patchy itchy rash on my left fore arm after shot 2 approx. 3 hours after injection; This is a spontaneous report from a contactable HCP (patient). A 62-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch Number: ER8734), dose 2 via an unspecified route of administration, administered in Arm Left on 08Apr2021 16:00 (age at vaccination 62-year-old) as dose 2, single for COVID-19 immunization. Medical history included diabetes mellitus, asthma, hypothyroidism, drug hypersensitivity being monitored by an immunologist from an unknown date. The patient having known allergies to vancomycin, penicillin, augmentin, bactrim, keflex, macrodantin. Concomitant medications included levothyroxine sodium (UNITHROID), insulin degludec (TRESIBA), metformin (METFORMIN), repaglinide (PRANDIN) taken for an unspecified indication, start and stop date were not reported. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch Number: ER8727), dose 1 via an unspecified route of administration, administered in Arm Left on 18Mar2021, 14:30 (age at vaccination 62-year-old) as dose 1, single for COVID-19 immunization. On 08Apr2021 19:00, 3 hours after vaccination fever chills extreme body aches for 24 to 48 hours, also developed a small red patchy itchy rash on my left forearm after shot 2 approx. 3 hours after injection. The patient received treatment for the events with Benadryl. The patient underwent lab tests and procedures which included sars-cov-2 test was negative on 12Apr2021. The outcome of the events was recovered on an unspecified date in Apr2021. No follow-up attempts are possible. No further information is expected.

Other Meds: UNITHROID; TRESIBA; METFORMIN; PRANDIN

Current Illness:

ID: 1824026
Sex: M
Age:
State: CT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 10/28/2021
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: After the second vaccine my left eye swelled up again Going on day four now and it's not getting any better.; This is a spontaneous report from a contactable consumer (Patient). A 56-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: Er8729, Expiry date was not reported), via an unspecified route of administration on 08Apr2021 at 15:15 (at the age of 56-year-old) in Arm Left as dose 2, single for COVID-19 immunization. Patient medical history reported as none. The Patient had no known allergies. The patient concomitant medications were not reported. Patient's historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: solution for injection, Batch/Lot Number: En6204 and Expiry date was not reported), via an unspecified route of administration on unspecified date, (at the age of 56-year-old) in Arm right as dose 1, single for COVID-19 immunization and experienced left eyelid swelled. The Patient was not received other vaccine in four weeks. The Patient was not diagnosed with COVID-19 prior vaccination. The Patient was not tested COVID-19 post vaccination. On 09Apr2021, the patient experienced after the second vaccine his left eye swelled up again going on day four now and it's not getting any better. The Patient was not received treatment for the event. The outcome for the event was not recovered. No follow up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824027
Sex: F
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 10/28/2021
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: swelling and itching of my eyes; swelling and itching of my eyes; full body rash abs patches of itching; This is a spontaneous report from a contactable consumer (patient). A 23-year-old non-pregnant female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date (Age at Vaccination was 23 years), as dose 2, single for COVID-19 immunization. The patient medical history included syncope, low blood pressure, menstrual issues, Environmental allergies, and allergic to mushrooms. Concomitant medications included Fluoxetine hydrochloride (PROZAC), Trazodone, and birth control. Patient did not receive any other vaccine in four weeks prior COVID vaccination. Patient was not diagnosed with COVID prior vaccination and not tested with COVID post vaccination. The patient previously received first does of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Lot number: EW0150) via an unspecified route of administration, administered in Arm Left on 07Apr2021 14:30 (Age at Vaccination was 23 years), as dose 1, single for COVID-19 immunization and on 07Apr2021 19:00, patient experienced swelling around her eyes and they were very itchy and received Oral steroids for swelling and itching. On an unspecified date, the patient experienced swelling and itching of my eyes, and full body rash abs patches of itching. The patient visited Emergency room as a result of events. Therapeutic measures were taken as a result of events which included Oral steroids for swelling and itching. The outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: PROZAC; TRAZODONE

Current Illness:

ID: 1824028
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/28/2021
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: have been sick; My husband had a fever for 3 days and can we possibly got the Covid from it.; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 2 patients. This is 2nd of 2 reports. This consumer reported for a patient (Husband). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, formulation: solution for injection, Lot Number: not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient have been sick and had a fever for 3 days and can we possibly got the COVID from it. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.; Sender's Comments: Linked Report(s) : PFIZER INC-2021416198 Same reporter/diff patient.

Other Meds:

Current Illness:

ID: 1824029
Sex: F
Age:
State: CO

Vax Date:
Onset Date:
Rec V Date: 10/28/2021
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: feel chilled like for 2 hours; This is a spontaneous report from a contactable consumer. This female consumer (patient) reported that: A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: unknown), dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient experienced feel chilled like for 2 hours. The patient assessed the event as non-serious. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot been obtained.

Other Meds:

Current Illness:

ID: 1824030
Sex: F
Age:
State: GA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Name: blood work; Result Unstructured Data: Test Result:throat hurt; Comments: He checked her and did blood work and said her throat hurt

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: This is a spontaneous report from a contactable Consumer or other non-HCP (patient). A 41-year-old female patient received bnt162b2 (PFIZER COVID VACCINE, solution for injection, Lot Number: ER8737, Expiry date and NDC number: Unknown), dose 1 via an Intramuscular route of administration, administered in the Arm Left in the muscle on 10Apr2021 at 18:00 (at the age of 41-year-old), as DOSE 1, SINGLE for COVID-19 immunisation. No investigation assessment was done. Medical history included Pain in left arm from injection, family medical history: none. No history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the pfizer suspect. Diagnosed allergies, compromised immune status, respiratory illness, genetic /chromosomal abnormalities, endocrine abnormalities (including diabetes) and obesity was reported as none. Concomitant medication(s) included paracetamol (TYLENOL) taken for Pain in left arm from injection from 10Apr2021 to an unspecified stop date. No other vaccines were given within 4 weeks. On 10Apr2021 at 18:00, the patient experienced left arm sore. On 11Apr2021 at 08:00, the patient experienced throat hurt, chilly and cold, body achy. On 12Apr2021 at 08:00, the patient experienced chest pain, stomach pain, leg left numb. The events Chest pain, Stomach pain, Throat hurt resulted into Physician Office Visit.The patient underwent lab tests and procedures which included blood test resulted throat hurt (Physician checked her and did blood work and said her throat hurt). Therapeutic measures were taken as a result of stomach pain, throat hurt and included with treatment Naproxen 375mg. Take 1 tablet twice daily by mouth as needed. She only took one and she had a pain in her stomach. Dicyclomine 10mg Take 1 tablet and she stopped because the pain was worse. Amoxicillin 500 mg one capsule by mouth 3 times daily. The doctor said not to stop this one, so she was still taking it. Reporter stated she has another appointment on 01May2021 to get second dose. She does not want to feel the way she felt the past couple of days. She wanted to get it but if she gets the second shot, will it be worse. She said she understood the flu shot will make you sick like the same thing. She did not have any prior flu shots and did not have a personal issue to report. The clinical outcome of the events chest pain, stomach pain, throat hurt, chilly and cold, body achy was reported as resolving and leg left numb was reported as not resolved at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds: TYLENOL

Current Illness:

ID: 1824031
Sex: F
Age:
State: FL

Vax Date: 03/08/2021
Onset Date: 03/01/2021
Rec V Date: 10/28/2021
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: On 1& 2 dose patient had silly cough that disappeared after couple hrs; between 1 & 2, had unusual asthma attack lasting couple days; This is a spontaneous report from a contactable consumer (patient herself). A 62-years-old female non-pregnant patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Batch/Lot number, Expiry date was not reported), via an unspecified route, administered in Arm Left on 08Mar2021 at 16:45 (Age at vaccination 62-years-old) as dose 1, single for covid-19 immunization at hospital. Medical history included high blood pressure and borderline diabetic from an unknown date and unknown if ongoing. The patient had no known allergies. Concomitant medications included levothyroxine (LEVOTHYROXINE), losartan (LOSARTAN), metformin (METFORMIN) and atorvastatin (ATORVASTATIN) taken for an unspecified indication, start and stop date were not reported. On an unspecified Mar2021, the consumer stated that on 1 & 2 doses, she had silly cough that disappeared after couple hrs and between 1 & 2, had unusual asthma attack lasting couple days. The adverse event resulted in emergency room/department or urgent care. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. Prior to the vaccination, the patient did not diagnose with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient received steroid inject, antibiotic, prednisone cough supp as treatment for the events. The second dose was schedule on 29Mar2021. The clinical outcome of the event on 1& 2 dose patient had silly cough that disappeared after couple hrs was resolved on an unspecified date in 2021 and between 1 & 2, had unusual asthma attack lasting couple days was resolving. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: LEVOTHYROXINE; LOSARTAN; METFORMIN; ATORVASTATIN

Current Illness:

ID: 1824032
Sex: F
Age:
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 10/28/2021
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: very tired-2days; pain in left hip joint that radiated all the way down left leg and leg felt like it would give out; Blisters on 3 toes of left foot/Painful to touch and felt like they were burning; Blisters on 3 toes of left foot/Painful to touch and felt like they were burning/sore are 2 days; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 83-year-old non pregnant female patient received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ew0158) via an unspecified route of administration, administered in arm left on 08Apr2021 14:30 (age at vaccination 83-year-old) as dose 2, single for COVID-19 immunization. Facility where the most recent COVID-19 VACCINE was administered was reported as other. Medical history included high blood pressure, type 2 diabetes, arthritis, degenerative disc disease and Spinal Stenosis. The patient had no known allergies. Concomitant medications included metformin, amlodipine besylate and lisinopril. The patient previously received BNT162B2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: er263) via an unspecified route of administration, administered in arm left on 18Mar2021 15:15 (age at vaccination 83-year-old) as dose 1, single for COVID-19 immunization and experienced pain in left hip joint, sore arm 2 days. The patient did not receive other vaccine in four weeks. Patient had no Covid prior vaccination and was not Covid tested post vaccination. On 08Apr2021 16:00, the patient experienced very tired-2days, pain in left hip joint that radiated all the way down left leg and leg felt like it would give out, blisters on 3 toes of left foot/painful to touch and felt like they were burning/ sore are 2 days. The patient did not receive any treatment for the adverse events. The outcome of the event very tired-2days was recovered on 10Apr2021 and other events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: METFORMIN; AMLODIPINE BESYLATE; LISINOPRIL.

Current Illness:

ID: 1824033
Sex: F
Age:
State: WA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 10/28/2021
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: 20210407; Test Name: Temperature; Result Unstructured Data: Test Result:101.5; Test Date: 20210408; Test Name: Temperature; Result Unstructured Data: Test Result:99; Test Date: 20210412; Test Name: Covid test; Test Result: Negative

Allergies:

Symptom List: Pain in extremity

Symptoms: Sensation on tongue changed; Runny nose; Loss of taste; Loss of smell; Metallic taste; Bed ridden; Body aches, from the hip up; Crushing fatigue; Uncomfortably dry nose; Elevated fever; This is a spontaneous report from a contactable consumer (patient). A 47-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection, Lot number: ER8737, Expiration Date: 31Jul2021) via an unspecified route of administration on 06Apr2021 (age at vaccination 47 years) as DOSE 2, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EN6208, Expiration Date: 30Jun2021) via an unspecified route of administration administered in left shoulder on 16Mar2021 (age at vaccination 47 years) as DOSE 1, SINGLE for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient had not received any other vaccine within 4 weeks. She gets a Flu shot every year. The patient reported that she wanted to report her unusual side effects. She also happened to have some of difficult side effects that were already known by Pfizer such as really high fever, aches, etc but once they passed, she lost her taste and smell which she never loses on 08Apr2021. She also reported that her doctor ordered her a COVID test to make sure she was not having COVID in addition to her vaccine, and the test came back negative. She didn't think she had COVID anyways because they stay so isolated. Her family stays very, very respectful of what that virus can do and how quickly it could spread so she knew it was not COVID. The patient knew some people report a metallic taste after the Pfizer vaccine. She knows that was not very common, but there have been reports of that, but for her, she did have some slightly metallic taste on 09Apr2021 but that was followed very quickly by four days of loss of smell and taste. On an unspecified date the sensation on her tongue changed. For example, tender chicken breasts felt like cardboard. She knows it's not life threatening or anything, but the loss of smell and taste is something that should be reported. The patient also had bedridden from that night until thursday mid-morning with a 101.5 fever. She clarifies Wednesday, 07Apr2021 and Thursday, 08Apr2021, she was bedridden. Her temperature remained at 101.5 for most of 07Apr2021, and then on Thursday, 08Apr2021, she had an elevated temperature of 99 and then her temperature was normal by the end of the day. On 08Apr2021, she noticed her sense of taste and fading. On Friday, her sense of taste and smell had faded more. On Saturday, her sense of taste and smell was almost completely gone. She tested it with tons of raw garlic, salt, chili, paprika. It's still not completely back today. It's like having a cold. However, because they were so isolated, she knows it was not a cold. She never had a runny nose, but she had one on 09Apr2021. She confirms it was still ongoing. She clarifies prior to the runny nose; she had an uncomfortably dry nose for no apparent reason on 08Apr2021. She explained the dry nose occurred on 07Apr2021 and 08Apr2021. She made sure she was super well hydrated with water and electrolytes. Then, the runny nose started on the 09Apr2021 which is still with her. The patient had body aches from the hip up, like in her torso on 07Apr2021. She was still having body aches, but it was fading every day. The crushing fatigue fades everyday but by 3:00PM, it was not normal mom fatigue, it's quite dramatic on 07Apr2021. She knows these symptoms were how some people describe COVID. The patient underwent lab test which included body temperature: 101.5 on 07Apr2021, body temperature: 99 on 08Apr2021 and, sars-cov-1 test: negative on 12Apr2021. Outcome of events uncomfortably dry nose, elevated fever, metallic taste and bed ridden recovered on 08apr2021; body aches, from the hip up, fatigue, loss of taste and loss of smell were recovering; runny nose was not recovered and sensation on tongue changed was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1824034
Sex: F
Age:
State: KY

Vax Date: 04/09/2021
Onset Date:
Rec V Date: 10/28/2021
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: has allergies; This is a spontaneous report from a Pfizer sponsored program Support a contactable consumer (patient). A female patient of an unspecified age received second dose of BNT162B2 (PFIZ-ER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not report-ed), via an unspecified route of administration on 09Apr2021 (Batch/Lot number was not reported) as dose 2, single, and first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 1 via an unspecified route of administration on 19Mar2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The reported stated that she received the 1st dose of covid 19 vaccine last 19Mar and received the 2nd dose last 09Apr. However, has allergies and some adverse events as of the moment. The outcome of the event unknown. No follow-up attempts are needed. information about lot/batch number can not be obtained.

Other Meds:

Current Illness:

ID: 1824035
Sex: F
Age:
State: NV

Vax Date: 04/08/2021
Onset Date: 04/01/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Name: low grade fever; Result Unstructured Data: Test Result:100.5; Comments: low grade fever.

Allergies:

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

Symptoms: This is a spontaneous report from a contactable consumer. This 51-year-old Female consumer (Patient) reported that: A 51-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot Number: EP7533; Expiration Date: 31Jul2021), via an unspecified route of administration, administered in left arm (as reported upper part of my arm the muscle part) as single dose on 08Apr2021 15:15 (at the age of 51-year-old) for COVID-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Historical vaccine included patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot Number: ER8727; Expiration Date: 31Jul2021), via an unspecified route of administration, as single dose on 18Mar2021 (at the age of 51-year-old) for covid-19 immunisation. Consumer stated that she had her second shot yesterday (on 08Apr2021) and of course they give you a paper say you gonna have some side effect which for her, patient had aching headache but now she had low grade fever and her question was can you take anything for low grade fever. When probed for the date of event started, Consumer stated yesterday probably about couple of hours, she had her shot because had her appointment at 3:15, patient had her shot then probably around 4 or 5 in the afternoon was when the headache and body ache started the fever didn't start until a couple of hours ago on 08Apr2021. Its 2 so about noon when the fever started on unspecified date in Apr2021. Patient just said that she don't know because on the paper they give you, you know they don't tell anything you can take anything. They said to contact her doctor, but she doesn't have any primary doctor, so she asked because she had a low grade fever, of 100.5. Consumer asked can she take any over the counter medicine for fever. Consumer confirmed that it was Pfizer Covid19 vaccination. When probed if the consumer was still experiencing the problem, she stated yes. Consumer stated that she haven't took anything that's why she called to see what she can take but she don't know what can take. Consumer just do not want to take something that can causes more side effect. At the time of this report, the outcome of events was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824036
Sex: F
Age:
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 10/28/2021
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: Fever; My sinus is killing me; Headaches are killing me; I got phlegm like yellow phlegm liquid is coming out of my nose and throat; phlegm coming out of my sinus and the liquid; I have itch in my throat like when you are getting the cold and you have itch; My eyes are like in pain, it hurts my eyes; Chills; I am developing like I had cold, but also starting to go to my throat; it's like a cold like something I never had something like this; This is a spontaneous report from a contactable consumer (patient). A 61-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number: EW0158 and expiry date was not reported), via an unspecified route of administration, in Arm Left, on 07Apr2021 (age at vaccination: 61 years), as dose 2, single dose for COVID-19 immunization. The patient's medical history included allergy and ringing in ears. Concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on 17Mar2021 (age at vaccination: 61 years), as dose 1, single dose for COVID-19 immunization. The patient stated that she got the second shot of Pfizer Vaccine and then she was developing like she had cold, but also starting to go to her throat to she might as well have side effect. she had fever and chill. Now like her sinus was killing her on 09Apr2021, headaches were killing her. She didn't know if that's the side effect of vaccination, she didn't have anything when she went there and she just feel like a 9-year-old. A strong headache yes. She had a little phlegm, she got phlegm like yellow phlegm liquid was coming out of her nose and throat. She wanted to know if you schedule anything to get rid of this thing. She wanted to report that, and she wanted to know if she should be taking anything to get rid of this thing. She wanted to know if she should be using any antibiotic or anything that could get rid of this cold, it's like a cold like something she never had something like this. The patient explained she had done her vaccination on Wednesday in the morning. Well that was Wednesday at night she started to feel the chills, very cold and she didn't have 'not even there condition she seemed like freezing' (not clarified further) and that was Wednesday night and then yesterday she felt all day like that and today she felt the headache and phlegm coming out of her sinus and the liquid, if she got a cold or something like that, that was what she was feeling and she had itch in her throat like when you were getting the cold and you have itch, your throat was itching, that's what she have got. Her eyes were like in pain, it hurts her eyes. She still felt the same thing she took a Claritin and Zyrtec none of them have helped at all and she still have the itch in it. She has been drinking Tylenol for the headache, but the Tylenol was not helping so much to be honest with you because it's like sinus pressure you know it's something weird. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824037
Sex: M
Age:
State: NC

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 10/28/2021
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: ear blockage; Eye pain in both eyes; out to go crazy; chills and fever; some of the most horrendous headaches; This is a spontaneous report from a contactable consumer (patient). A 79-years-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Lot Number: EN6202), via an unspecified route on 26Feb2021 at 11:00 (at the age of 79-years) as dose 1, single in the right arm for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced ear blockage, eye pain in both eyes and out to go crazy on unspecified date, chills and fever, some of the most horrendous headaches on 27Feb2021. Patient had chills and fever and everything and got in touch with his doctor's office and they said to set up an appointment to come in. The doctor couldn't find any reason for the chills and fever other than it might be a reaction from the Pfizer Covid Vaccine. Patient had been to his physical MD four times, and nothing has changed, everything was still the same. The outcome of the events chills and fever was recovered on unspecified date of 2021 and other events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824038
Sex: M
Age:
State:

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Headache; Fever; Joint pain; Muscle pain; Not feeling good; Chills; Tiredness; This is a spontaneous report from a contactable consumer. A 55-years-old male patient received bnt162b2 (PFIZER COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0150; Expiration Date: 31Aug2021) dose 1 intramuscular, administered in Arm Right on 01Apr2021 as DOSE 1, SINGLE for covid-19 immunisation (at the age 55 years). Medical history and concomitant medications were not reported. The patient experienced headache, fever, joint pain, muscle pain, not feeling good, chills, tiredness on 03Apr2021. When probed for concern, Reporter stated, they received the Pfizer vaccine a week ago Thursday. and my husband, we got it on Thursday (Date confirmed as 01Apr2021) and on Saturday (Date confirmed as 03Apr2021) was not feeling good, fever, he had almost the tiredness, the headache, the muscle pain, the chills, the joint pain, Fever and just feeling unwell that was everything left he could possibly feel. Now he felt horrible Saturday, Sunday was not bad then Monday, Tuesday and Wednesday, the day he is finally feeling better but he was not been able to work because it was so bad he not back to work. When paraphrased the concern, Reporter stated, Yes, he never missed his work. When told about the Pfizer medical information department, reporter stated, all he wanted to do was to knew if it was normal. Reporter stated, He was but today he is feeling better. He is not able to work from 05Apr2021 to 08Apr2021 (Confirmed as 8Apr2021), about concomitant medication Reporter stated, No, he does not take anything but he take something over the counter for muscle ache because he works, that was it. Therapy date for second shot of Pfizer vaccine was scheduled on 22Apr2021. When probed for lab test, Consumer Stated No. Therapeutic measures were taken included Tylenol and Motrin for pain (as a result of joint pain and muscle pain) and he would take 2 of each every 6 hours. It was 500 mg on the Tylenol. The clinical outcome of the events was recovered on 08Aug2021. No follow-up attempts are possible; information about lot/batch number cannot been obtained

Other Meds:

Current Illness:

ID: 1824039
Sex: F
Age:
State: ME

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 10/28/2021
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: severe lower back pain with first shot; developed weird rash and neck pain near my clavicle bone; developed weird rash and neck pain near my clavicle bone; This is a spontaneous report from a contactable nurse (patient). A 65-year-old female patient received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: EN6198; Expiry date: 30Jun2021), via an unspecified route of administration, administered in Arm Right on 10Mar2021 (age at vaccination was 65 years) as DOSE 1, SINGLE for Covid-19 immunisation. The relevant medical history was not reported. The concomitant medications were reported as none. Nurse (patient) stated, I had severe lower back pain with first shot on an unspecified date, and I took prednisone (Treatment) for it and on 14Mar2021, I developed weird rash and neck pain near my clavicle bone.It was reported that, there was no allergic reaction to vaccine. Patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: ER733, expiry date: 31Jul2021) via an unspecified route of administration, administered in left arm on 29Mar2021, for Covid-19 immunisation and experienced the event lot of pain on 29Mar2021. The treatment medication included prednisone for severe lower back pain on 14Mar2021. Outcome of the events was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1824040
Sex: F
Age:
State: TN

Vax Date: 03/03/2021
Onset Date: 03/01/2021
Rec V Date: 10/28/2021
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: headache; neck pain; fever; This is a spontaneous report from a contactable consumer (patient herself) from a Pfizer-sponsored program. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Not reported, Expiration date: Unknown), via an unspecified route of administration on 03Mar2021 as dose 1, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced headache, neck pain and fever after the first dose on an unspecified date in Mar2021. The patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: Not reported, Expiration date: Unknown), via an unspecified route of administration on 24Mar2021 as dose 2, single for COVID-19 immunization. It was reported that she got the 2 doses of the Pfizer vaccine. She noticed that the record in her vaccination card, the second dose only had the expiration date while the first dose did not have any expiration date. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824041
Sex: F
Age:
State: ME

Vax Date: 04/10/2021
Onset Date:
Rec V Date: 10/28/2021
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: chest pain; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on 10Apr2021 as dose 1, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On unknown date in 2021 the patient experienced chest pain. Outcome of the event was unknown. No follow-up attempts are possible; information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1824042
Sex: M
Age:
State:

Vax Date: 04/05/2021
Onset Date: 04/09/2021
Rec V Date: 10/28/2021
Hospital:

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

Lab Data: Test Date: 20210409; Test Name: Liver function test; Result Unstructured Data: Test Result:liver enzymes to be elevated

Allergies:

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

Symptoms: liver enzymes to be elevated; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: was not reported), via an unspecified route of administration on 05Apr2021 as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. 09Apr2021, the blood work they conducted showed his liver enzyme to be elevated. The patient underwent lab tests and procedures which included liver enzymes to be elevated on 09Apr2021. At the time of reporting, the outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am