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: 1827790
Sex: F
Age:
State: MI

Vax Date: 04/10/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: Fever; Got sick; I am exhausted all time; Feels like I got flu; This is a spontaneous report received from a contactable consumer (patient). A 52-year-old female (patient) received 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, in Arm Left, on 10Apr2021 (age at vaccination: 52 years), as dose 1, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that she took her first shot on 10Apr2021 and then a week later that was on Sunday, on 17Apr2021, she got sick, and she was still sick a whole week later. She didn't know like what's going on and what should she do. On an unspecified date in Apr2021, she was exhausted all the time. She means she always got a fever on 18Apr2021. It's felt like she got a flu every day and asked should she go to the doctor. The patient's second shot vaccination due date was 01May2021. The patient took Aspirin, Ibuprofen and cold or Flu medicine as treatment. Outcome of the events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827791
Sex: F
Age:
State: MI

Vax Date: 03/23/2021
Onset Date: 03/01/2021
Rec V Date: 10/29/2021
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: increased sweating after receiving first dose; spotting about two weeks after she received the first dose.; She has had increased swelling since she received the first dose; She feels like she is going through menopause.; This is a spontaneous report from a contactable consumer (patient) received from a Pfizer sponsored program. A 71-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: ER2613, NDC number and Expiry Date are Unknown), via an unspecified route of administration, administered in Right arm on 23Mar2021 at the age of 71-years-old as dose 1, single for covid-19 immunisation. The patient's medical history including any illness at time of vaccination included Diabetes from 1976 and ongoing, it started as gestational diabetes on unspecified date. It is controlled by diet. She can only hear out of one ear from an unspecified date. Confirmed that this started prior to getting the vaccine. She hasn't seen her doctor about this. She was sweating a little prior to getting the first dose of the vaccine. AE(s) following prior vaccinations included Vaginal bleeding on an unspecified date. Family medical history relevant to AE(s) included Her mother passed away 05May2020 from Covid. She also had a heart condition and hypertension from unspecified date. Her father died of cancer on an unspecified date. Concomitant medications included paracetamol (TYLENOL) taken for an unspecified indication, start and stop date were not reported, unspecified anti-diarrheal medications and unspecified effervescent pain reliever medication from unspecified date. History of all previous immunization with the Pfizer vaccine considered as suspect was none. Relevant tests were none. On an unspecified date in Mar2021, the patient experienced increased sweating after receiving first dose. On an unspecified date in 2021, she started spotting about two weeks after she received the first dose. It stopped and then started again last night. It was not profuse bleeding. She never had symptoms of menopause. On an unspecified date in 2021, she has had increased swelling since she received the first dose. She felt like she was going through menopause. AE(s) did not require a visit to Emergency Room or Physician Office. Reporter seriousness for increased sweating after receiving first dose was unspecified. The outcome of events, increased sweating after receiving first dose and spotting about two weeks after she received the first dose was not recovered while other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: TYLENOL

Current Illness: Diabetes (Verbatim: Diabetes)

ID: 1827792
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
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 Name: Body temperature; Result Unstructured Data: Test Result: 101 Fahrenheit; Comments: fever of 101?F.

Allergies:

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

Symptoms: This is a spontaneous report received from a contactable consumer or other non-healthcare professional (patient). A 17-year-old patient, of an unspecified gender, received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# not reported), via unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunization. The patient's medical history and concomitant medications not reported. Historical vaccine included the 1st dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, solution for injection, batch/lot# not reported), via unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunization. On an unspecified date, patient had body aches, fatigue and fever of 101?F. Event took place after use of product. On an unknown date, patient underwent lab tests and procedure, which included body temperature results 101?F of fever. The outcome of the events: unknown. No follow-up attempts possible. Information about batch/lot number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1827793
Sex: F
Age:
State: MI

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 10/29/2021
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: Red Rash on both my Cheeks; Bad Headache; Croupy Cough; This is a spontaneous report from a contactable consumer (patient herself). A 63-years-old female patient BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0158; Expiration Date: unknown) via an unspecified route of administration on 24Apr2021 11:15 (at the age of 63-years-old) as DOSE NUMBER UNKNOWN, SINGLE for COVID-19 immunization. Medical history included thyroid disorder from an unknown date and unknown if ongoing. Concomitant medication included levothyroxine sodium (TIROSINT) taken for thyroid disorder. It was reported that, patient had a shot of vaccine on Saturday afternoon and at night on 24Apr2021 16:00 she developed like a croupy cough and then she had the cough next day on 25Apr2021 she had bad headache. She was feeling better now but she did not go to work. She just wanted to take rest. She enquired that this was normal to develop like a croupy cough or was that having a reaction to the shot or not. She finally took a Tylenol (as a treatment) for headache and her headache went away. She just get worried about taking pills. Patient did get a rash on her cheeks and she got like red rash on both her cheeks on her face on an unspecified date. The outcome of croupy cough and red rash on both my cheeks was unknown while headache was resolved on 26Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds: TIROSINT

Current Illness:

ID: 1827794
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
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: Sore shoulder; metal taste in mouth; tiredness; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 7-decade-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), dose 2 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE 1, SINGLE for covid-19 immunisation. On an unknown date, the patient experienced sore shoulder, metal taste in mouth, and tiredness lasting about a day after the second COVID shot. The outcome of all the events was recovered on an unknown date. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827795
Sex: F
Age:
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 10/29/2021
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: Tongue and throat swelled up; Tongue and throat swelled up; This is a spontaneous report from a contactable consumer (patient). A 74-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: ER8737; Expiration Date: 31Jul2021), via an unspecified route of administration, administered in Arm Left on 08Apr2021 at 16:30 (at the age of 74-year-old) as DOSE 1, SINGLE for covid-19 immunisation (Persuasion of Family). Medical history included Severe Acid Reflux (Probably diagnosed with about 30 years ago), allergic to Penicillin, sulfa, and all kinds of food. The patient concomitant products included takes Allergy shots from 2016 to Ongoing) for allergies. The patient previously took Myocins [methocarbamol] and aspirin [acetylsalicylic acid] and experienced allergy. On 08Apr2021, the patient experienced tongue and throat swelled up. Reported that events lasted for about 30 minutes with no lasting effects. She said that it was a kind of delayed reaction. States it didn't happen until after caller left the facility that administered the vaccine. Caller didn't' require any hospitalization or anything. It was reported that patient contacted her doctor via phone the day after receiving the first dose Pfizer Covid Vaccine and the Doctor doesn't think the first dose Pfizer Covid Vaccine had anything to do with it. The Doctor thinks the severe acid reflux comes up into the esophageal tubes real bad and the doctor thinks this was what happened. Patient have the second dose scheduled for 05May2021 and don't know if its safe to go ahead and take the second dose Pfizer Covid Vaccine. Want to know if she can take Allegra or Benadryl before receiving her second dose Pfizer Covid Vaccine. The outcomes of events were recovered on 08Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827796
Sex: F
Age:
State:

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

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

Lab Data: Test Date: 20210423; Test Name: body temperature; Result Unstructured Data: Test Result:101.6 degrees Fahrenheit; Comments: 101.6 degrees Fahrenheit; Test Date: 20210425; Test Name: body temperature; Result Unstructured Data: Test Result:99.9 degrees Fahrenheit; Comments: 99.9 degrees Fahrenheit

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Second dose: Tiredness; Second dose: Headache; Second dose: Fever of 101.6 degrees Fahrenheit; Second dose: Muscle pain; Second dose: Chills; Second dose: Joint pain; Second dose: Nauseous; Second dose: Swollen lymph node gland under her left arm pit; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: EW0150, Expiry date: 21Aug2021) (age at the time of vaccination was 65 years), via unspecified route administered Arm left on 23Apr2021 as dose 2, single for COVID-19 immunization. The patient's medical history included colitis and high blood pressure. The patient's concomitant medication included lisinopril hctz and delepamil for high blood pressure. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: not provided), via an unspecified route of administration, on 06Apr2021 as dose 1, single for COVID-19 immunization. No investigation assessment. On 23Apr2021 at 09:00 PM, the patient started symptoms. The patient has tiredness, joint pain, fever dropped down to 100.8 degrees fahrenheit. The patient has been checking for a fever, on an off and had headache. On 25Apr2021, the body temperature was 99.9 degrees fahrenheit. The patient had swollen lymph node gland under her left arm pit. The patient received the covid vaccine in her left arm which began in between 4:00 or 5:00 PM. It was about the same, a little bit better. Treatment received included tylenol for headache and fever. The patient underwent lab test and procedures included body temperature: 101.6 degrees Fahrenheit on 23 Apr2021 and 99.9 degrees Fahrenheit on 25Apr2021. The outcome of the events second dose: tiredness was resolving, Second dose: Headache, Second dose: Muscle pain, Second dose: Chills, Second dose: Joint pain, Second dose: Nauseous resolved on 26Apr2021, Second dose: Fever of 101.6 degrees Fahrenheit resolved on 25Apr2021, Second dose: Swollen lymph node gland under her left arm pit not resolved. No follow-up attempts were needed. No further information as expected.

Other Meds: LISINOPRIL HCTZ.

Current Illness:

ID: 1827797
Sex: F
Age:
State: DE

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 10/29/2021
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: get very itchy rash that was on hands and arms and on chest; This is a spontaneous report from a contactable consumer (patient). This is the first case out of 2 cases. This is for wife. A 68-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: EN6207), via an unspecified route of administration, administered in arm right on 02Apr2021 (at the age of 68-year-old) as dose 2, single and dose 1 of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; Batch/Lot Number: EN6205), via an unspecified route of administration, administered in arm right on 12Mar2021 as dose 1, single, both doses for COVID-19 immunization. The patient relevant medical history and concomitant medications were not reported. On 02Apr2021, after getting injection and all of a sudden, started breaking out and get very itchy rash that was on hands and arms and on chest and went to the doctor that was already seeing everybody. He was really excited about her reaction because that was not the usual one. He was taking me all around to show the nurses. After about half hour or 40 minutes the rash started going away and the itching started to go away and had no longer symptoms after that. The caller reported that, well my husband and I both had our second COVID vaccine on April the 2nd. I got a rash immediately and I stayed, and I was fine, and my husband seemed to be fine. However, he then started getting headache and he had fever and then he said chills and my question is I don't know if you have any kind of information on that or not, he has had shingles in the past and he has had the shingles shot and I think last year. He also has Herpes which is being dormant for many years because he takes the medication Valacyclovir. Now since the second vaccination he has you know he has continued all of this time to exhibit that kind of symptom. He was very weak. His balance past 2 to 3 weeks was been a little off and we just wonder if the vaccine could have awakened all of these other viruses that he has that has been dormant and he was not showing any reasons from Herpes but it just the exhaustion he was getting he was subjected to headache anyway and he had them for long time but these are one he classified as the viral headache different from the other one he gets and I am just wondering if this could be associated with the vaccine or if this was you know not associated with the vaccine but it just seems he was doing ok until after he get the vaccine. He is 83 years old and does he have many health issues and is on many different medications. But he didn't have these effects after the first one at all. All seems to happen right after the second vaccination and he keep saying I think the second vaccination which is making me feel this way, but I know normally whatever all the symptom he has having are the symptom has been talked about but only the last four couple of days but for him, he still having them two or three weeks before, neither of us had any kind of side effect after the first one. The patient did not receive any medication for event. Outcome of the event was recovered on 02Apr2021. No follow-up attempts are needed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021488605 Same reporter, different patient/events

Other Meds:

Current Illness:

ID: 1827798
Sex: M
Age:
State: MI

Vax Date: 04/24/2021
Onset Date:
Rec V Date: 10/29/2021
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: it's just oozing just clear liquid/blisters got extremely large and poppy, the one on my left leg started to leak and ooze/leak like clear the clear liquid; allergic reaction to something; started getting blisters all over my legs and then they got worsen, bigger and now some of the blisters on my left leg is popped/bottom of my legs between my knees and my ankles; This is a spontaneous report from a contactable consumer. A 54-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: not repored) via an unspecified route of administration on 24Apr2021 (at the age of 54 years old) as a DOSE 2, SINGLE for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient received first dose of BNT162B2 (PFIZ-ER-BIONTECH COVID-19 VACCINE, Lot number: not reported) on unspecified date for covid-19 immunisation. On unspecified date the patient experienced that consumer got second shot from Pfizer on Saturday and Sunday I started getting blisters all over my legs and then they got worsen, bigger and now some of the blisters on my left leg is popped, it's just oozing just clear liquid, and I wanted, it said to my doctors, that I don't have a doctor, and well, they told me go it cost me 150 bucks, and I don't have a 150 bucks, So, but I want someone to look at my legs because this is not normal, like I'm having allergic reaction to something, similar to an reaction to, 'marks'(Not further clarified hence not captured in tab) or whatever the heck that stuff that was. Consumer experienced yesterday, Sunday morning and it's been slowly getting worse. When probed for vaccination center where vaccine administered, Consumer stated, "Okay, I got my shot on Saturday, I sat in recovering area, I went home, I laid down watch TV and I fell sleep, I woke up Sunday morning, bottom of my legs between my knees and my ankles, started to form blisters and by yesterday afternoon, the blisters got extremely large and poppy, the one on my left leg started to leak and ooze, and leak like clear the clear liquid. Prior to my vaccination date, did I not have anything else is that what you are asking me. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827799
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Bleeding nose/he had bleeding in his nose very bad; This is a spontaneous report from a contactable consumer (patient's brother). 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 around 3:25 o'clock as dose number unknown, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced bleeding nose/he had bleeding in his nose very bad. The seriousness for Bleeding nose was unspecified. The outcome of the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827800
Sex: M
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm; Fever; Headache; very painful on whole left side side of his head; when he is walking, it hurts a lot; This is a spontaneous report from a contactable consumer (parent). A male patient of an unspecified age 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 as DOSE 2, SINGLE for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. Historical vaccine included first 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 as DOSE 1, SINGLE for covid-19 immunisation. On an unspecified date, the patient experienced sore arm, fever, headache; very painful on whole left side of his head; when he is walking, it hurts a lot. Reported that he has his 2nd dose of vaccine on 30th like in afternoon and fever ended on Saturday. It was like Friday and Saturday he had a headache since he got the vaccine, he doesn't get normally headache, so it got worse last night, it feels very painful on whole left side of his head. The outcomes of events (sore arm, fever) were recovered on an unspecified date in 2021, the outcome of event (headache; very painful on whole left side of his head; when he is walking, it hurts a lot) was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1827801
Sex: M
Age:
State: TX

Vax Date: 04/03/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: I start feeling bad; then suddenly I feeling horrible; I start feeling bad; then suddenly I feeling horrible; I was having cold chills; chills; Body aches; I was running fever; headache; This is a spontaneous report from a Pfizer sponsored program, Support. A contactable 64-year-old male consumer (patient) reported. A 64-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID -19 VACCINE, solution for injection, Lot Number: not clear, Expiry date: 14May2021) via an unspecified route of administration, on 03Apr2021 (64-year-old at the time of vaccination) as dose 1, single for COVID-19 immunization. Medical history included Arthritis problem, Heart Condition and Acid Reflux. Concomitant medications include blood thinner (unspecified medication) for taking 20mg. On an unspecified date on Apr2021, the patient start feeling bad; then suddenly i feeling horrible, i was having cold chills; chills, body aches, running fever and headache. It was reported that patient stated he got his first shot of the vaccine, and he is on his blood thinner (Unspecified Medication), and he wants to know if that is okay to take the first dose and also he is facing side effects like chills and headache. Probably going in and then Friday, he was feeling bad and then suddenly he felt horrible. He had cold chills, running fever, body ache, its usual pain. The shot he had some body aches all the time. I mean because I have arthritis problem other than that then he had, I was running fever and had chills and stuff. some fever and chills and some body aches and stuff like that but I am only on blood thinner and if paperwork was saying something about it. That's what he was concerned about. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827802
Sex: U
Age:
State: MD

Vax Date: 04/13/2021
Onset Date: 04/18/2021
Rec V Date: 10/29/2021
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: Five days after my second dose of vaccine, I developed itching; This is a spontaneous report from a contactable consumer. This consumer (patient) reported for self that, A 72-years-old patient of an unspecified gender received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot Number: ER8727) (at the age of 72 years old), dose 2 via an unspecified route of administration, administered in arm left on 13Apr2021 as dose 2, single for covid-19 immunisation. Historical vaccine, the patient took first dose bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot Number: EN6198), dose 1 via an unspecified route of administration, administered in arm left on 22Mar2021 as dose 1, single for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. It was reported that, after patient's second dose of vaccine patient developed itching and it has already been seven days when they got itchy. Patient was taking Benadryl for the event. The outcome for the event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827803
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data: Test Name: Body temperature; Result Unstructured Data: Test Result:67.2.

Allergies:

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

Symptoms: Chest was tight; Nose keeps running; Low grade fever; Has no taste; She feels like she just had the car accident again. She is in another world again; It is like a bad flu; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: Solution for injection, lot number: ER8736, Expiry date: unknown), via unspecified route on an unspecified date as dose number unknown, single for COVID-19 immunization. The patient's medical history included asthma, Chronic obstructive pulmonary disease, car accident, She got run over by a car 3 times. She was dead for 12 minutes. This was 2 years ago and she was in the hospital. She wonders when this nightmare is going to end. The patient's concomitant medication was not reported. On an unknown date, the patient doesn't feel good after the shot. The patient had a card in her hand. The patient had chest was tight not even 2 or 5 minutes after the shot. The patient's nose keeps running. She never experienced this in her life. The patient does have asthma and it was okay with that. She asks how long this experience lasts. The patient had low grade fever of 67.2. It was a couple digits down from 98.6. It was like a bad flu, It was probably normal. The patient didn't call an ambulance. She can't take needles or intravenous. The patient forced herself to water her plants outside because they were ready to die. It was so humid out. The patient can't walk into the store to get a sandwich because she was afraid, might fall or pass out. She was not a crippled, but out of it. The patient had to cancer her appointment with the pain physician. The patient had a broken back and needs her pain medication. The patient want a decongestant. It might hep. She has no way to get it. She has been taking a decongestant, but she can barely read it. It sucks getting old. Her vision is going out and everything goes out on you. It is supposed to be a decongestant. It seems to be helping a little bit. She thinks it says golf. She can't read it. It says 600mg, golf. She read the paper and it says some kind of decongestant. She is confused. She wishes she had a magnifying glass. Let her try her other glasses. The patient has no taste. It was like they gave it to her and now she has all the symptoms. The patient wonders it they injected her with a disease from someone that was dead. The patient was confused and feels like she just had the car accident again. she was in another world again. She was starting to get a little bit of an appetite, but she can't taste anything. She just ate olives and didn't taste them. It's like a flu, It's not an emergency. She was not going to the hospital to be treated by some dog. That's how they treat her. The patient has to call the pain management and reschedule for next week. The patient was feeling little bit better. She has been sleeping and taking care of herself. She didn't know she was bleeding internally from the bone in the middle of her chest. She could have died because they wanted to operate and put a wire in her. The patient was a psychic reader and started with a blog. The patient was getting good over the phone. She asks if the call handler has two children. She was not even under a florescent light. It happens in stores within 20 minutes. The patient underwent lab test and procedure included body temperature: 67.2. The outcome of the events was unknown. No follow-up attempts were needed. No further information was expected.

Other Meds:

Current Illness:

ID: 1827804
Sex: M
Age:
State: CA

Vax Date: 04/11/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: Big red spot on my chest; Headache; my back is itching; I am scratching a lot; This is a spontaneous report from a contactable consumer (patient himself). A 54-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EW0161, Expiration date: Unknown), via an unspecified route of administration in right arm on 11Apr2021 as dose 1, single (at the age of 54-years-old) for COVID-19 immunization. The patient's concomitant medications included chlorphenamine maleate (CHLORTAB [CHLORPHENAMINE MALEATE]) taken for allergy, naproxen and hydrocodone taken for knee, start and stop date were not reported. On an unspecified date in Apr2021, the patient experienced big red spot on my chest and his back was itching, he was scratching a lot and headache. It was reported that he noticed mark on chest and he was wondering. He just noticed it today. It was reported that he had the headache might be from his sinus. The patient did not receive any treatment in response to the events. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: CHLORTAB [CHLORPHENAMINE MALEATE]; NAPROXEN; HYDROCODONE

Current Illness:

ID: 1827805
Sex: F
Age:
State: WV

Vax Date: 04/06/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: does not feel a bit good; actually feels dizzy; sick at stomach; had a big case of diarrhea; sick and is you know hurting a little bit in chest; sick and is you know hurting a little bit in chest; has got an extreme headache; no energy, no energy; Arm every you know every couple of days or few days or something like that gets a real soreness in that arm and can feel it; Arm every you know every couple of days or few days or something like that gets a real soreness in that arm and can feel it; This is a spontaneous report received from a contactable consumer (patient). A 66-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: not provided) (age at the time of vaccination was 66 years) via unspecified route of administration on 06Apr2021 as DOSE 2, SINGLE for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number: not provided) via unspecified route of administration on 16Mar2021 as DOSE 1, SINGLE for COVID-19 immunisation. It was reported that on an unknown date the patient does not feel a bit good, actually feels dizzy, sick at stomach, had a big case of diarrhea, sick and is you know hurting a little bit in chest, has got an extreme headache, no energy, no energy. Does not feel a bit good: began right after took that shot, within a week of the second shot. she explains she was worsened. Arm every you know every couple of days or few days or something like that gets a real soreness in that arm and can feel it: What caller was going to tell agent was that the arm caller took vaccine in, caller was told by person's up there at Rite Aid, where the vaccine was administered what they think it is. Caller's arm every you know every couple of days or few days or something like that gets a real soreness in that arm and can feel it. Actually, feels dizzy: Caller states this began the first week after receiving the second dose Pfizer Covid Vaccine. Caller was still dizzy. Caller just walked in a room to get vaccination card and is now laying down. Caller is laying down now and does not feel like agent knows. Caller states it was the same as it has been the last two or three days. Caller was still dizzy and still does not not have energy and caller begins to mention something about her stomach but stops and says it has been probably been 45 minutes to an hour and caller does not feel like too much more talking. The outcome of the events does not feel a bit good and actually feels dizzy was not recovered and unknown for other events. No follow-up attempts are needed. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827806
Sex: F
Age:
State: CA

Vax Date: 04/30/2021
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: headache only at the left side of her head; pain on her left shoulder and arm after the first dose; pain on her left shoulder and arm after the first dose; 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: Not Reported) via an unspecified route of administration on 30Apr2021 as dose 1, single for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date, the patient experienced headache only at the left side of her head and pain on her left shoulder and arm after the first dose. Patient needed to go to work and asked if she can take Ibuprofen. Outcome of the events was unknown. No follow-up attempts are needed, Information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1827807
Sex: U
Age:
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/29/2021
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: Tiredness; Headache; Muscle pain; Joint pain; Feeling unwell/continually felt worst ever since; I never experienced this kind of pain and ache; This is a spontaneous report from a contactable consumer, the patient. A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: unknown), via an unspecified route of administration on Mar2021 as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously took received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, lot number: unknown), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunization. The patient had second shot of vaccine 2 weeks ago. On an unknown date in Mar2021, in first two three days after second shot patient did pretty good. The patient guessed continually felt worst ever since and patient was going over the paper with the list. The patient experienced tiredness, headache, muscle pain, joint pain and feeling unwell/ continually felt worst ever since. The patient never experienced this kind of pain and ache before, and the only thought could even relate to was that shot. The outcome of the events was unknown. No follow-up attempts were needed; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1827808
Sex: U
Age:
State:

Vax Date: 04/30/2021
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Under my arm like armpit, it's very tender and bruise; Had a bruising which happened the first time as well; Under my arm like armpit, it's very tender and bruise; Had a bruising which happened the first time as well; 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, Batch/Lot Number: EW0172), dose 2 via an unspecified route of administration on 30Apr2021 as dose 2, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8729), via an unspecified route of administration on 09Apr2021 as dose 1, single for covid-19 immunization. The patient experienced under my arm like armpit, it's very tender and bruise; had a bruising which happened the first time as well on an unspecified date. The outcome of events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827809
Sex: F
Age:
State: FL

Vax Date: 03/12/2021
Onset Date: 03/01/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shortness of breath; Fatigue; This is a spontaneous report from a Pfizer sponsored program via a contactable consumer (patient) reported for herself. A 71-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: EN6208, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on 12Mar2021 (age at vaccination was 70 years) as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: unknown, Expiration date: unknown) via an unspecified route of administration, administered at an unspecified anatomical location on an unspecified date (age at vaccination was unknown) as dose 1, single for COVID-19 immunization. On an unspecified date in Mar2021, the patient experienced shortness of breath and fatigue. It was reported that the event started on 17Mar2021 or 18Mar2021. The patient wanted to know how long shortness of breath and fatigue last after getting vaccinated and how long would it be. The outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827810
Sex: F
Age:
State: NC

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Extreme joint pain; Sore arm; Fatigue; This is a spontaneous report from a non-contactable consumer or other non hcp. A female patient of unspecified age 25 (unknown units) received bnt162b2 (BNT162B2), (Formulation: Solution for injection, Batch/Lot Number: Unknown; Expiration Date: Unknown) dose 2, single via an unspecified route of administration on 26Apr2021 for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. Historical vaccine received bnt162b2 (BNT162B2), (Formulation: Solution for injection, Batch/Lot Number: Unknown; Expiration Date: Unknown) dose 1, single via an unspecified route of administration on an unknown date for covid-19 immunisation. On 27Apr2021 (Starting 24 hours after injection) the patient experienced extreme joint pain and fatigue and sore arm. The outcome of all events was not recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1827811
Sex: F
Age:
State: MA

Vax Date: 03/06/2021
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Hives; This is a spontaneous report from a sponsored program Support. A contactable consumer (patient's mother) reported for patient (daughter). An unspecified age of female patient received BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: not reported), via an unspecified route of administration on 13Feb2021 as DOSE 2, SINGLE for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient received first dose of BNT162B2 (PFIZ-ER-BIONTECH COVID-19 VACCINE, Lot number: not reported) on 13Feb2021 for covid-19 immunisation. On unspecified date the patient experienced that reporter and reporter daughter had their first dose the 13th of February and second dose last 6th of March. reporter daughter had Hives all over her body (reactions) 2 weeks after the second dose. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827812
Sex: M
Age:
State: CT

Vax Date: 04/25/2021
Onset Date:
Rec V Date: 10/29/2021
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: he had a cough; sore throat; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported for himself that, a male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number was not reported, Expiry date: Unknown) via an unspecified route of administration on 25Apr2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient said that after the 1st dose he felt that he had a cough and sore throat on an unspecified date. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827813
Sex: U
Age:
State:

Vax Date: 04/28/2021
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data: Test Name: CBC; Result Unstructured Data: Test Result:Unknown

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: I had a sore arm; fatigue; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number was not reported, Expiry date: Unknown) via an unspecified route of administration on 28Apr2021 as dose 2, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Historical vaccine include dose 1 bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number was not reported, Expiry date: Unknown) via an unspecified route of administration on 29Mar2021 as dose 1, single for COVID-19 immunization and experienced sore arm, warmth at injection site and fatigued on 30Mar2021. On 18Apr2021 before bed around 22:00, patient noticed a small number of petechia on chest and a few (small number) on arm. Patient woke up and find new: 4 on back, single one on neck, 1-2 on each leg. On an unspecified date it was reported that patient had a sore arm and fatigue starting late last night and lasting throughout the day today 29Apr2021 and tonight at the time of reporting. The patient underwent lab tests and procedures which included full blood count: unknown on an unspecified date. The outcome of the events were unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827814
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I am sick and my whole mouth is swollen; I am sick and my whole mouth is swollen; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported, NDC number, UPC number and Expiry Date are unknown), via an unspecified route of administration on an unspecified date in 2021 as dose number unknown, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient experienced i am sick and my whole mouth is swollen. The clinical course was reported as follows: The patient got the Covid vaccine shot on 19th (not clarified) and it has been five days, he was sick and his whole mouth was swollen. Reporter seriousness for I am sick and my whole mouth is swollen was unspecified. The outcome of 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: 1827815
Sex: F
Age:
State: CA

Vax Date: 04/26/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data: Test Date: 202104; Test Name: body temperature; Result Unstructured Data: Test Result:101.3

Allergies:

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

Symptoms: I kept getting muscle spasm; Woke up this morning absolutely cold; I was like okay, got the chills; Headache; I just took my temperature, 101.3; I am foggy; I could not concentrate on anything if I wanted to; The weirdest side effect are extreme thirst; I am so thirsty I wanted to drink a gallon of water; I was very thirsty; My eyes are blood shot; Woke up this morning absolutely cold; I was like okay, got the chills; I am foggy; I could not concentrate on anything if I wanted to; tired; muscle ache; I had a little bit of problem with my nose; This is a spontaneous report from a contactable consumer (patient). A 61-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 26Apr2021 14:00 (Lot number: It looks like ER8731) as dose 2, single (at the age of 61-year-old) for covid-19 immunisation. Medical history included High cholesterol, thyroid, Sciatic nerve. Concomitant medication(s) included atorvastatin (ATORVASTATIN) taken for blood cholesterol increased; levothyroxine (LEVOTHYROXINE); gabapentin (GABAPENTIN). Previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number ER8732) via unspecified route on 25Mar2021 (at the age of 61-year-old) as dose 1, single for covid-19 immunisation. On Apr2021 the patient experienced I kept getting muscle spasm. Now that might be, I have sciatic nerve and I take Gabapentin also, but I was having muscle spasm last night and then woke up this morning, absolutely cold, I was like okay, got the chills now so, trying to stay warm. Gabapentin was I took 3 of 100mg capsule, so I took 300mg. When paraphrased, consumer stated, Chills, headache, I just took my temperature, 101.3, which I did not expect and I was foggy and I could not concentrate on anything if I wanted to. Found interesting that my work wanted me to come in today, I was like no. The weirdest side effect was extreme thirst. I was so thirsty I wanted to drink a gallon of water. I was very thirsty and the other side effect are my eyes were blood shot. I was not having any nasal discharge or it was nasal drip when I had Covid back in January. I had a little bit of problem with my nose but nothing really bad. I had not taken the Tylenol yet because I wanted to check my temperature an hour after the first time and then I will take it, Tylenol. I got the muscle ache, my arm is not really soar but I do have kind of muscle ache and I was tired and I wanted to take a nap. The patient underwent lab tests and procedures which included body temperature: 101.3 on Apr2021. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds: ATORVASTATIN; LEVOTHYROXINE; GABAPENTIN

Current Illness:

ID: 1827816
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
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: Rash under arm that seems to itch and won't go away; Rash under arm that seems to itch and won't go away; Injection arm aches off and on; This is a spontaneous report from a contactable consumer (Patient). A female patient of an unspecified age received second dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch number/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 2, SINGLE for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Batch number/Lot number was not reported), via an unspecified route of administration on an unspecified date as DOSE 1, SINGLE for covid-19 immunization. On an unspecified date, the patient experienced rash under arm that seems to itch and won't go away, and injection arm aches off and on. Patient got the second shot. Had this rash under her arm that seems to itch and won't go away. Her injection arm aches off and on. Doesn't know if it was connected to the rash and itching. The clinical outcome of the event rash and itchy was not recovered and Injection arm aches off and on was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827817
Sex: F
Age:
State: MD

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

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

Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:99.1 degree Fahrenheit

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Insomnia; Fever/Her temperature has consistently been 99.1 degrees Fahrenheit.; flushed hot cheeks; severe headaches especially when bending over; muscular pain around lymph nodes from collar bone up; really sore neck; really sore jaw; soreness from back of neck from chest up; Muscle stiffness; Fatigue; This is a spontaneous report from a contactable consumer (patient herself). A 37-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: EN6205, Expiration date: Unknown), via an unspecified route of administration in left arm on 23Apr2021 at 14:45 as dose 2, single (at the age of 37-years-old) for COVID-19 immunization. History of all previous immunization with the Pfizer vaccine considered as suspect were none. Additional vaccines were administered on same date of the Pfizer suspect were none. The patient's medical history included rheumatoid arthritis from Dec2019, lupus from Mar2021, antiphospholipid antibodies syndrome from Feb2020, narcolepsy with cataplexy from Jan2019, ADD (attention deficit disorder), generalized anxiety disorder, HSV2 (herpes simplex) from Jun 2020 and presumed latent tuberculosis from Feb2020 and were ongoing. The patient's concomitant medications included isoniazid 300mg by mouth daily taken for latent tuberculosis from 06Mar2021, hydroxychloroquine 200mg by mouth twice daily taken for rheumatoid arthritis and lupus from Dec2019, acetylsalicylic acid (BABY ASPIRIN) 81mg by mouth daily taken for antiphospholipid antibodies from Feb2020; valaciclovir hydrochloride (VALTREX) 1gram by mouth daily taken for HSV-2 (Herpes simplex) from Jul2020, amfetamine aspartate monohydrate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (MYDAYIS) 15mg daily taken for nacolepsy with catalepsy and ADD (attention deficit disorder) from 2015; amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) 20mg by mouth twice daily taken for nacolepsy with catalepsy and ADD (attention deficit disorder) from an unspecified start date, clonidine hydrochloride (CLONIDINE HCL) 2mg by mouth, two at bedtime taken for off label: narcolepsy with cataplexy from an unspecified start date; clonazepam (KLONOPIN) 2mg by mouth daily taken for generalized anxiety disorder from an unspecified start date; norethindrone 35mg by mouth daily taken for progestin only birth control due to history of migraines from an unspecified start date and sulfasalazine (SULFASALAZINE (ENTERIC COATED)) 1000mg three times daily taken for rheumatoid arthritis from Jul2020 and ongoing. The patient previously received the past drug BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number: ER8727, Expiration date: Unknown), via an unspecified route of administration on 02Apr2021 as dose 1, single for COVID-19 immunization. On 23Apr2021, the patient experienced fatigue. On 24Apr2021, the patient experienced muscular pain around lymph nodes from collar bone up, really sore neck, really sore jaw, soreness from back of neck from chest up, muscle stiffness and severe headaches especially when bending over. On 25Apr2021, the patient experienced fever, her temperature had consistently been 99.1 degrees Fahrenheit and flushed hot cheeks. On 27Apr2021, the patient experienced insomnia. She had an appointment with her physician today. She was calling because auto immune disorders were not included in the studies. It was reported that they didn't test in clinical trials with people with auto immune conditions. That was unexpected. She was in a group and everyone was nervous and freaking about the vaccine. The adverse event did not require visit to emergency room and physician office. The patient underwent lab tests and procedures which included body temperature: 99.1 degrees Fahrenheit. The outcome of the events muscular pain around lymph nodes from collar bone up, really sore neck, really sore jaw, soreness from back of neck from chest up and muscle stiffness was recovering. The outcome of the events severe headaches especially when bending over, fever, her temperature had consistently been 99.1 degrees Fahrenheit and flushed hot cheeks was not recovered. The outcome of the event insomnia was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: ISONIAZID; HYDROXYCHLOROQUINE; BABY ASPIRIN; VALTREX; MYDAYIS; ADDERALL; CLONIDINE HCL; KLONOPIN; NORETHINDRONE [NORETHISTERONE]; SULFASALAZINE (ENTERIC COATED)

Current Illness: ADD (Verbatim: ADD); Antiphospholipid antibodies (Verbatim: Antiphospholipid antibodies syndrome); Generalized anxiety disorder (Verbatim: Generalized anxiety disorder); Latent tuberculosis (Verbatim: Presumed latent tuberculos); Lupus syndrome (Verbatim: Lupus); Narcolepsy (Verbatim: Narcolepsy with cataplexy); Rheumatoid arthritis (Verbatim: Rheumatoid arthritis)

ID: 1827818
Sex: M
Age:
State: IN

Vax Date: 04/03/2021
Onset Date: 04/13/2021
Rec V Date: 10/29/2021
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: after his first shot he had a rash on his belly; This is a spontaneous report from a contactable consumer (patient). A 41-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8732, Expiry date: unknown), via an unspecified route of administration, administered in Arm Left on 03Apr2021 (at the age of 41 years old) between 12:00- 12:15 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. No vaccinations (within 4 weeks) prior to the first administration date of the suspect vaccine. No Adverse events following prior vaccinations. No significant family medical history relevant to adverse event. No additional vaccines administered on same date of the Pfizer suspect. The patient experienced a rash on his belly after his first shot on 13Apr2021. Adverse event did not require a visit to Emergency Room/Physician Office. Patient went the following day. Therapeutic measure (patient used an Itch Cream) was taken as a result of the event. The outcome of the event was recovered on 21Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827819
Sex: F
Age:
State: TX

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Bump, described as red welt at injection site, right arm, after second vaccine; Bump, described as red welt at injection site, right arm, after second vaccine; Right arm, was sore and burning, after second vaccine; Right arm, was sore and burning, after second vaccine; Itching, after second vaccine; Arm felt hot, after second vaccine; This is a spontaneous report from a contactable consumer (patient). A 69-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EP8731), via an unspecified route of administration, administered in right arm on 24Apr2021 at 11:00 (at the age of 69-years-old) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included ongoing nerve pain, ongoing Vitamin D deficiency, degenerative joint disease that causes the pain in her back, she had pain from a torn meniscus in her knee, pain 4 years ago and Covid virus in Jun2020 before vaccines. Concomitant medications included tramadol (TRAMADOL) taken 50 mg as needed orally for pain from an unspecified start date started 2 years ago and ongoing; gabapentin (GABAPENTIN) taken 300 mg, 3 times per day orally for nerve pain from an unspecified start date from 2 or 3 years ago and ongoing; colecalciferol (VITAMIN D3) taken 5000 UNK, 1 times per day for Vitamin D deficiency from an unspecified start date and ongoing; ascorbic acid, betacarotene, biotin, calcium, chromium, copper, folic acid, iodine, iron, magnesium, manganese, molybdenum, nicotinic acid, pantothenic acid, phosphorus, pyridoxine hydrochloride, retinol, riboflavin, selenium, thiamine, vitamin b12 nos, vitamin d nos, vitamin e nos, vitamin k nos, zinc (CENTRUM WOMEN 50+) taken 1 per day (2 gummy tablets by mouth once a day) for an general health from an unspecified start date and ongoing. Patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EP6955), via an unspecified route of administration, administered in right arm on 24Mar2021 at 11:00 (at the age of 69-years-old) as DOSE 1, SINGLE for covid-19 immunisation. Patient had not received any vaccination within 4 weeks and no AE(s) following prior vaccination. On 25Apr2021, at the afternoon, around 1 or 2 pm, patient experienced right arm, was sore and burning, after second vaccine, arm felt hot and itching (Itching, after second vaccine, Arm felt hot, after second vaccine). On 26Apr2021, at night around 7 to 8 pm, the patient experienced bump, described as red welt at injection site, right arm, after second vaccine. Patient did not visit emergency room and physician office for the event. The outcome of the event was not recovered (worsened). No follow-up attempts are needed. No further information is expected.

Other Meds: TRAMADOL; GABAPENTIN; VITAMIN D3; CENTRUM WOMEN 50+

Current Illness: Nerve pain; Vitamin D deficiency

ID: 1827820
Sex: U
Age:
State:

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 10/29/2021
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: I got a second Covid shot Pfizer this morning; I just had a nose bleed out of nowhere; This is a spontaneous report from a contactable consumer (patient). A patient of unspecified age and gender received second dose of bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Unknown [LOT#: Consumer stated, "ER873 I think it's a 5 or an S, it might be an S (Further not clarified)] via an unspecified route of administration on 27Apr2021 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of bnt162b2 (PFIZER BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: Not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. It was reported that patient got a second Covid shot Pfizer this morning on 27Apr2021, and patient just had a nosebleed out of nowhere since about 2 or 3 hours ago they got the shot on 27Apr2021, patient just was wondering if that has anything to do with shot, they just want to get some information. Seriousness of the event was non serious. 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: 1827821
Sex: F
Age:
State: OH

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 10/29/2021
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: 20210422; Test Name: fever that spiked for a couple of days/fever got up to 101; Result Unstructured Data: Test Result:101

Allergies:

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

Symptoms: rash was swollen, red, inflamed, and was in her right arm right in the middle which she verified is also where she received her injection; rash was swollen, red, inflamed, and was in her right arm right in the middle which she verified is also where she received her injection; rash was swollen, red, inflamed, and was in her right arm right in the middle which she verified is also where she received her injection; rash was swollen, red, inflamed, and was in her right arm right in the middle which she verified is also where she received her injection; Rash/the rash was swollen, red, inflamed/The rash is ongoing and is about the same except that it is darker; fever that spiked for a couple of days/fever got up to 101; injection site pain; arm was sore; This is a spontaneous report from a contactable female consumer (patient). A 54-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection; Lot Number: EW0169; Expiration Date: 31Aug2021), via intramuscular route, administered in right arm (as reported right middle arm) as dose 1, single on 22Apr2021 08:20 (at the age of 54-year-old) for covid-19 immunisation at hospital. Patient's Medical History (including any illness at time of vaccination) Illness/AE was reported as none. Concomitant medications were not reported. No patient's medical History (including any illness at time of vaccination) Illness/AE. History of all previous immunization with the Pfizer vaccine considered as suspect was reported as no. No additional Vaccines Administered on Same Date of the Pfizer Suspect. Prior Vaccinations (within 4 weeks) and any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was reported as none. Caller received the Pfizer COVID vaccine on 22Apr2021, and she now had a rash that won't go away and stated she will call her doctor. She had a band-aid on her arm for about 24 hours and she took it off when she got in the shower. She noticed the rash on 23Apr2021 about 7am, she remembered this because she started work at 7:30AM. She described the rash was swollen, red, inflamed, and was in her right arm right in the middle which she verified was also where she received her injection. She clarified injection site as the middle of her right arm, right below the length of the t-shirt. The rash was ongoing and was about the same except that it was darker on 23Apr2021. She had pictures of the rash and was agreeable to provide them. Caller also reported she had a fever that spiked for a couple days, and fever got up to 101. She experienced a slight temperature around 8:30pm on 22Apr2021 and she remembered this because she went to bed early which was out of her routine. Caller also reported her arm was sore on 22Apr2021. She specifically stated it did hurt, she's not going to lie, and when asked when the pain started, she reported when she got the vaccine. She's not sure exactly when the injection site pain went away because she was caught up with everything else but reported that it was completely resolved as of today (at the reporting time). States she needs to call her doctor to see if they will give her something to treat this rash because she doesn't want it to continue to go untreated. Adverse events did not require a visit to emergency room and physician office. Therapeutic measure was taken as a result of adverse event fever was Tylenol. She was concerned about getting the second one and will talk to her doctor about all of this. The patient underwent lab tests and procedures which included body temperature: 101 on 22Apr2021. Other relevant diagnostic and confirmatory testing, lab work, treatments was reported as none. Therapeutic measures were taken as a result of fever that spiked for a couple of days/fever got up to 101 she took Tylenol and an alcohol bath, and it finally broke on Saturday. At the time of this report, the outcome of event arm was sore, injection site pain was recovered on unspecified date in 2021 and fever was recovered on 24Apr2021 and all the other events were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827822
Sex: F
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pain she is having in her left shoulder/Joint pain; states the pain radiates from her back of neck and shoulder from part of her back.; since she had the vaccine she has had a pain in her left arm and it subsided today and it has gotten worse; states the pain radiates from her back of neck and shoulder from part of her back/and she can barely move her arm up; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation : solution for injection, Batch/Lot number : unknown, expiry date: not reported), via an unspecified route of administration, administered in the right arm on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced pain in her left shoulder, states since she had the vaccine she had a pain in her left arm and it subsided today and it has gotten worse and she can barely move her arm up; states the pain radiates from her back of neck and shoulder from part of her back, joint pain. Caller states that she was having joint pain and wanted to know if that is one of the listed side effects. Caller asked how long the report would take because she was in pain. Caller declined to complete the full report at this time and states she would like to ask how she should handle this or if she should go to the emergency room but was unable to provide treatment recommendations or medical advice and she was referred to her HCP. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1827823
Sex: F
Age:
State: TN

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 10/29/2021
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: She bled real heavy; Her menstrual cycle came/Covid-19 vaccine made her menstrual cycle come early; Stomach started feeling crampy; Arm was sore when she went to sleep on the night; This is a spontaneous report from a contactable consumer (patient). A 48-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: EW0161), via an unspecified route of administration in the left arm on 21Apr2021 at 12:45 (at the age of 48-years-old) as dose 2, single for COVID-19 immunization. Medical history included ongoing hypertension, she was diagnosed with high blood pressure when she was 37, about 11 years ago. Patient reported that she had 2 sisters that had Covid-19, one in May2020 and one in Jan2021. Concomitant medication(s) included amlodipine taken for high blood pressure from an unspecified start date and ongoing, she began taking amlodipine about 2 years ago, she took a different medication prior to amlodipine. Historical vaccine included first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: ER8734), via an unspecified route of administration in the right arm on 30Mar2021 (at the age of 48-years-old) as dose 1, single for COVID-19 immunization and her arm was swollen and hurt for a couple of days, nagging headache, pain was right between her nose. The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. Patient reported that her menstrual cycle came on Friday, 23Apr2021, reported that she bled real heavy on Saturday, 24Apr2021, Sunday, 25Apr2021. She reported that she had to keep changing her pad every 3 hours because it kept filling up, she was just bleeding real, real heavy. Patient reported that she had been moving around a lot on Saturday and Sunday and thought that could have been the cause of the heavy bleeding. Patient reported that the event scared her because her cycle isn't supposed to come until 01May2021, so the Covid-19 vaccine made her menstrual cycle come early. Patient further reported that her cycle was real light and perfect that day, 27Apr2021, she reported that at first, she thought that maybe she did too much and want to go to bed. She reported that before she went to bed, she realized that she needed to change her menstrual pad and thought to herself that she had just changed it, heavy cycle kept messing her clothes up. Her stomach started feeling crampy on Thursday, 22Apr2021, and she thought that her menstrual cycle was coming, she reported that she cramped Thursday, 22Apr2021 and Friday, 23Apr2021 and then her cycle came on. The cramps went away when her menstrual cycle started on 23Apr2021, she normally gets cramps before her menstrual cycle and thought that it was odd because she already had a period in Apr2021. Patient also noticed that her arm was sore when she went to sleep on the night of 21Apr2021. The clinical outcome for the event, her menstrual cycle came/Covid-19 vaccine made her menstrual cycle come early and she bled real heavy was recovering, arm was sore when she went to sleep on the night and stomach started feeling crampy was recovered on 23Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds: AMLODIPINE

Current Illness: Blood pressure high (She was diagnosed with high blood pressure when she was 37, about 11 years ago)

ID: 1827824
Sex: U
Age:
State:

Vax Date: 04/26/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: Face swelling; lips were all swelled up; eyes were all swelled up and my cheeks; Face swelling; lips were all swelled up; eyes were all swelled up and my cheeks; Face swelling; lips were all swelled up; eyes were all swelled up and my cheeks; Hives all over my body; This is a spontaneous report from a contactable consumer or other non hcp (patient). A patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0176, Expiry Date: Unknown) via an unspecified route of administration on 26Apr2021 as single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Previously, the patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EP7534, Expiry Date: Unknown) via an unspecified route of administration on 29Mar2021 as single dose for COVID-19 immunization. The patient experienced face swelling, lips were all swelled up, eyes were all swelled up and patient cheeks and hives all over patient body on an unspecified date in Apr2021. No treatment received for the events. The clinical outcome of all events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827825
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:103 Fahrenheit; Comments: I showed fever and it kind of went up to 103; Test Name: body temperature; Result Unstructured Data: Test Result:102 Fahrenheit; Comments: I have again showing 102

Allergies:

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

Symptoms: Hot flashes; Leg pain; back again aching; I was confused; Chills/ mild shivers; Fever; This is a spontaneous report from a Pfizer sponsored program from a contactable consumer (patient). A female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE, formulation: solution for injection, lot number: EW0164) via an unspecified route of administration on 26Apr as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Historical Vaccine included bnt162b2 as dose 1 for covid-19 immunisation. On an unspecified date, the patient experienced hot flashes, leg pain, back again aching, i was confused, chills/ mild shivers and fever. The patient stated that she had chills and hot flashes in the night and from morning she showed fever and it kind of went up to 103 and she took a Tylenol (treatment), fever and leg pain that was in the morning. So, after taking Tylenol she felt good. Again from an hour, one hour, one and half hour she experienced mild shivers and her back again aching and she had again showing 102. The patient reported that she was confused. The patient underwent lab tests which included body temperature: 103 fahrenheit and 102 fahrenheit on an unknown date. Therapeutic measures were taken as a result of fever. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827826
Sex: F
Age:
State: CA

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: I have had some nasal congestion but its allergy; I have had some nasal congestion but its allergy; This is a spontaneous report from a Pfizer Sponsored program. This is a spontaneous report from a contactable Consumer (patient). A 40-year-old female received bnt162b2 (Pfizer-biontech COVID-19 vaccine, Solution for injection, Batch/lot number: LNER8737) via an unspecified route of administration on 07Apr2021 as DOSE 1, SINGLE for COVID-19 immunization (at an age of 40 years). The patient medical history was nasal congestion but its allergy and concomitant were not reported . On an unknown date in Apr2021 the patient had experienced some nasal congestion but its allergy. Patient has an query ,wanted to ask her second dose is scheduled tomorrow for the last week she have had some nasal congestion but its allergy. She gets this every year. She was not experiencing any other symptoms or anything like that. she wants to make sure its ok for her to still get her second vaccine. The clinical outcome of the events was unknown. No follow-up attempts are needed. No further information is expected. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827827
Sex: F
Age:
State: WI

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
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: body temperature; Result Unstructured Data: Test Result:unknown; Comments: unknown; Test Name: heart rate; Result Unstructured Data: Test Result:80-90/min; Comments: 80 to 90 beats per minute anyway; Test Date: 20210117; Test Name: heart rate; Result Unstructured Data: Test Result:132/min; Comments: 132 beats per minute

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Injection site pain; Chills; Fever; Heart racing; This is a spontaneous report from a contactable consumer or other non hcp (patient). A female patient of an unspecified age received bnt162b2 (BNT162B2, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose number unknown, single for covid-19 immunisation. Medical history included covid-19 from 17Jan2021 to an unknown date she reports that she had the Covid virus on 17Jan2021, before the Covid vaccine, and her heart rate was up to 132 beats per minute. The patient's concomitant medications were not reported. The patient experienced injection site pain, chills, fever on an unspecified date with outcome of unknown, 15 minutes to an hour after the vaccine she had her heart racing she didn't notice it until last night which is usually high, around 80 to 90 beats per minute anyway on an unspecified date. The patient underwent lab tests and procedures which included body temperature: unknown on an unspecified date, heart rate: 132/min 132 beats on 17Jan2021, 80 to 90 beats per minute on an unspecified date.. The outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827828
Sex: M
Age:
State: MD

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data: Test Date: 20210422; Test Name: A1C; Result Unstructured Data: Test Result:11; Test Date: 20210423; Test Name: Fever; Result Unstructured Data: Test Result: Normal.

Allergies:

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

Symptoms: Slight Headache; Extreme Chills; Fever was 101; Weakness in my body was to the point where I could not get up; This is a spontaneous report from a contactable consumer (patient himself). A 61-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: EW0171; Expiration Date: unknown) via an unspecified route of administration on 22Apr2021 (at the age of 61-years-old) as DOSE 1, SINGLE for COVID-19 immunization. Medical history included diabetes mellitus and hypertension from an unknown date and unknown if ongoing. Concomitant medications included lisinopril (LISINOPRIL) taken for hypertension and insulin (INSULIN) taken for diabetes mellitus. It was reported that patient had taken the first shot of Pfizer vaccine and he just wanted to report that 24 hours after the shot he had the adverse reactions. On 23Apr2021 he had extreme chills, fever was 101, the weakness in his body was to the point where he could not get up, slight headache. The patient underwent lab tests and procedures which included glycosylated haemoglobin (A1C): 11 on 22Apr2021 and pyrexia: normal on 23Apr2021. The outcome of all events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL; INSULIN.

Current Illness:

ID: 1827829
Sex: F
Age:
State: NY

Vax Date: 03/29/2021
Onset Date:
Rec V Date: 10/29/2021
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: a small swelling underneath left armpit; a pain underneath left armpit; This is a spontaneous report from a contactable consumer. This 52-year-old female consumer(patient) reported for herself. A 52-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE; formulation: solution for injection, Lot Number: ER8730 and expiration date was not reported), dose 1 via an unspecified route of administration, administered in left arm on 29Mar2021 as DOSE 1, SINGLE followed by patient also took bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE; formulation: solution for injection, Lot Number: ER8736 and expiration date was not reported) dose 2 via an unspecified route of administration, administered in left arm on 26Apr2021 as DOSE 2, SINGLE (at the age of 52-years-old) both for COVID-19 immunization. The patient medical history included diabetes, and hypertension. Concomitant medications included lisinopril (tablet 12.5 mg, 1x/day) taken for hypertension from an unspecified start date and ongoing, patient did not remember the start date and specified it has been long time, many years ago; and metformin (tablet, 500 mg, 2x/day) taken for diabetes from an unspecified start date and ongoing. On an unspecified date of 2021, the patient experienced a pain, a small swelling underneath left armpit. The patient had side effects from both the doses. From the first, one the patient had the same thing and after second vaccine, the same thing had occurred. The patient did not report the 1st one but did have same dose, the same side effect from the first and the second shot. Therapeutic measures were taken as a result of the events and treatment for events included Tylenol 250 mg, 2 of them once a day orally. The patient queries whether to visit the doctor and stated would go to private practitioner. The patient considered that the events were related to the COVID-19 vaccine. The clinical outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: LISINOPRIL; METFORMIN

Current Illness:

ID: 1827830
Sex: F
Age:
State: CT

Vax Date: 04/02/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: After the first vaccine she had pain on her arm after the first couple of hours; She has recovered completely from the bruises from the first vaccine; This is a spontaneous report from a contactable consumer or other non health care professional (patient). A 50-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; formulation: Solution for injection, Lot Number: ER8733), via an unspecified route of administration, administered in Arm Left on 02Apr2021 12:55 (at the age of 50-years-old) as DOSE 1, SINGLE for covid-19 immunization. Medical history included blood cholesterol from an unknown date. No family history. Vaccination Facility Type: caller stated it was like an area where they have groups for the vaccine. Vaccine Administered at Facility? No, it's like one of those places they have concerts. On 02Apr2021, after the first vaccine she had pain on her arm after the first couple of hours. It started on 02Apr2021 then went away on 04Apr2021. She had recovered completely from the bruises. Patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: ER8733), via an unspecified route of administration, administered in Left arm on 23Apr2021 (at the age of 50 years-old) as dose 2, single for COVID-19 immunization. No prior vaccinations within 4 weeks. The outcome of pain in extremity was recovered on 04Apr2021 and out come of bruises was recovered on an unspecified date in Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827831
Sex: F
Age:
State: CA

Vax Date: 04/16/2021
Onset Date: 04/01/2021
Rec V Date: 10/29/2021
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: headache; Fever; It's the extremities, from her wrist to the tips of her fingers and around her ankles to her toes; joint pain in fingers, hands, wrists, feet and toes/It's not like her entire body hurts, it's her shoulders, hips and elbows; It's the extremities, from her wrist to the tips of her fingers and around her ankles to her toesIt's the extremities, from her wrist to the tips of her fingers and around her ankles to her toes; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EW0162) via an unspecified route of administration, administered in Arm Left on 16Apr2021 14:00 (at the age of 42-year-old) as single dose for COVID-19 immunization. Medical history included ongoing hypothyroidism diagnosed in 2016. Concomitant medication(s) included levothyroxine taken for hypothyroidism from 2016 and ongoing. The patient did not have any history of previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer Suspect. The patient did not receive any other vaccine within 4 weeks prior to the COVID vaccine. The patient took the 1st dose on 16Apr2021, and it will be 2 weeks. The first evening (16Apr2021) was the worst headache she had ever felt in her life. She had a bad headache the next day, it lingered then it was fine. Then on the 17,18,19 headache got better. She prepared herself. She was running a fever and was not used to that. She had pain in her joints of her fingers, hands, wrist, feet and toes. It was not so painful that she could not function. The joint pain began a week after the shot, because her headache was so intense, she thinks it began the week of the 19th at midweek. If she takes Tylenol, it helps. It was definitely there. Patient worked as a medical writer and spend a lot of time on a computer, so it was definitely bothersome to her. She described it as trying to grip something, like holding a jar to open it. It was hurtful. Squeezing a lemon, these were mundane things, and nothing new to her. She wanted to build her immunity, and it was better to get the vaccine than get the infection and not be able to fight it. Patient enquired if other people experienced this kind of symptom. She knew headache, fever, body ache and fatigue. It's not like her entire body hurts, it's her shoulders, hips and elbows. It's the extremities, from her wrist to the tips of her fingers and around her ankles to her toes. AE(s) did not require a visit to Emergency Room or Physician Office. Her 2nd shot was scheduled for 07May2021. The patient had no relevant tests. Outcome of the event headache was recovered on 20Apr2021; fever was unknown; other events was not recovered. No follow-up attempts are needed. No further information is expected

Other Meds: LEVOTHYROXINE

Current Illness: Hypothyroidism

ID: 1827832
Sex: F
Age:
State: AZ

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Felt a pain on her armpit, the same one, her right arm as she had the shot; Sees a bulge on her right armpit; could barely put her arm all of the way down because of the bulge; Couldn't Sleep; Feeling Tired and Lethargic; Arm was sore; Feeling Tired and Lethargic; This is a spontaneous report from a contactable pharmacist (patient). A 52-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0169), via an unspecified route of administration, administered in Arm Right on 25Apr2021 (at the age of 52-year-old) as DOSE 1, SINGLE for covid-19 immunisation. Medical history included ongoing PVC, ongoing abdominal discomfort, covid-19 from Dec2020 to an unknown date (after she got Covid in December, she had an accelerated heartrate from time to time), heart rate increased (after she got Covid in December, she had an accelerated heartrate from time to time). Concomitant medication(s) included metoprolol succinate 25 mg once a day (TOPROL) taken for PVCs from an unspecified start date and ongoing, multivitamin taken for an unspecified indication from an unspecified start date and ongoing; omeprazole (PROTONIX) taken for abdominal discomfort from an unspecified start date and ongoing. Caller stated since yesterday, so 2 days after the vaccine (on 27Apr2021), she felt a pain on her armpit, the same one on which she had the shot. Caller stated the pain was on her right arm pit and she saw a bulge on her armpit. Caller stated she was calling to see if maybe it was her nodules because she was having an immune response. Caller stated yesterday she could barely put her arm all of the way down because of the bulge and there was still a bulge there. Clarified she was still feeling the bulge and discomfort. Caller stated she works from home, and she did not work on Monday (26Apr2021) because she was feeling tired and lethargic, and her arm was sore, and she could not sleep that night, so she called in at work. Stated she was okay yesterday (27Ap2021) and she started working and she noticed that it was uncomfortable on her armpit, she touched it and felt a bump and she tried to go deeper to see if it was her nodules or what, but it hurt, and she could barely put her arm all the way down closer to her armpit. Stated she said she would take some Tylenol. Stated she had read they do not suggest females to go have mammogram until 2-3 weeks after their Covid shot because some females in that situation get a wrong reading or they are worried about possible nodules linked with needing more research to see if there is cancer involved but it is due to the shot. Stated she was like okay, but that wasn't her case because she had her mammogram over 2 months ago. She said she does not know if it will be like gone in another 24 hours and what can she do. She wanted to know if other people reported the same thing as to know if it was something she should worry about or not worry about. Stated the blood filters infections and she wanted to know if it was okay and when she should worry. Patient received treatment as Tylenol 500mg PRN, does not take it every 4-6 hours, takes 2 a day. The outcome of events Armpit pain and sees a bulge on her armpit was not recovered, Arm discomfort, Pain in arm was recovering, Feeling Tired and Lethargic was recovered on 27Apr2021, Sleep disorder recovered on 26Apr2021. Follow up attempts are completed. No further information is expected.

Other Meds: TOPROL; MULTIVITAMIN [VITAMINS NOS]; PROTONIX [OMEPRAZOLE]

Current Illness: Premature ventricular contractions; Stomach discomfort

ID: 1827833
Sex: F
Age:
State: NJ

Vax Date: 04/18/2021
Onset Date: 04/24/2021
Rec V Date: 10/29/2021
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: Warm at injection site; Soreness under left armpit; Swelling under armpit; Rash on her neck and chest on left side; Injection site swelling; Redness around injection site; Little tender at injection site; This is a spontaneous report from a contactable consumer (herself). A 45-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was unknown) dose 1 via an unspecified route of administration, administered in Arm Left on 18Apr2021 15:45 as DOSE 1, SINGLE for covid-19 immunisation (at the age 45 years). Medical history included hypertension (Verbatim: High blood pressure), anxiety (Verbatim: Anxiety). The patient's concomitant medications were not reported. The patient previously took penicillin nos and experienced hypersensitivity, wellbutrin and experienced hypersensitivity. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No history of all previous immunization with the Pfizer vaccine considered as suspect. The patient previously took flu shot at the age of 44. Caller stated the lot number is either EW0171 or EW0121, but it is probably more EW0171. Caller stated she also sees PS1285 which is on the same line as product name slash manufacturer. Caller stated she has high blood pressure, general allergies, and anxiety but she does not think they are relevant to her symptoms. The patient experienced injection site swelling, redness around injection, little tender at injection site, rash on her neck and chest on left side on 24Apr2021, soreness under left armpit, swelling under armpit on 27Apr2021 and warm at injection site on 28Apr2021. Caller stated just the normal symptoms of tenderness and pain in the arm. Caller stated she is calling about the COVID 19 vaccine. Caller stated she had the first dose on 18Apr2021 and she did not actually start getting any reactions until 24Apr2021 and she definitely has injection site swelling and redness around the injection site also at the site it is a little tender and hot. Caller stated she also has a rash on her neck and chest on the left side but it is a mild rash and then soreness under her left armpit which she thinks is just her lymph nodes and swelling too under her armpit. The patient did not received any treatment for all the events. The patient did not visit any emergency room or physician office. The clinical outcome of all the event was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827834
Sex: F
Age:
State: IN

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
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: my arm is swollen and have like a welt on the side and it's hot; my arm is swollen and have like a welt on the side and it's hot; my arm is swollen and have like a welt on the side and it's hot; my arm is sore the whole top of my arm is swollen; still like experiencing headache sinus pain like in a neck ya neck pain; like severe tiredness and cough; like severe tiredness and cough; still like experiencing headache sinus pain like in a neck ya neck pain; still like experiencing headache sinus pain like in a neck ya neck pain; This is a spontaneous report from a contactable consumer (patient). A 48-year-old female patient received bnt162b2 (BNT162B2, solution for injection, Lot Number: EW0164, Expiry date: Unknown, NDC and UPC number: Unknown), dose 2 via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. No investigation assessment was given. Medical history included depression. Concomitant medication(s) included ongoing Wellbutrin dose 20 mg taken for depression; Celexa one time a day, still taking, it's been couple of years. Patient previously took first dose of bnt162b2 (BNT162B2, solution for injection, Lot Number was not reported) dose 1 via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunisation. On an unspecified date, after second shot of the Pfizer vaccine had side effects after six days the patient experienced my arm was swollen and have like a welt on the side and it's hot, my arm was sore the whole top of my arm was swollen, still like experiencing headache sinus pain like in a neck ya neck pain, like severe tiredness and cough. The clinical outcome of the events was reported as unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: WELLBUTRIN; CELEXA [CELECOXIB]

Current Illness:

ID: 1827835
Sex: F
Age:
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 10/29/2021
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: Right arm hurts really bad; Right shoulder hurts; Right neck hurts; This is a spontaneous report from a contactable consumer (patient). A 54-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: ER8731), via an unspecified route of administration, administered in Arm Right on 15Apr2021 09:30 (at the age of 54-years-old) as a single dose for covid-19 immunization. Medical history included ongoing diabetes mellitus - diagnosed 15 years ago, lower limb fracture -in a wheelchair because she broke her leg that had nothing to do with the Pfizer Covid 19 vaccine. Stated that she got the Pfizer Covid 19 vaccine after she broke her leg. Concomitant medication(s) included insulin aspart (NOVOLOG) taken for diabetes mellitus. On 15Apr2021 12:30, the patient had first shot 13 days ago, her right arm hurts really bad. Stated also her right shoulder and right side of her neck hurts. Stated that she is supposed to get it on 06 May. Stated that she is getting the second one and wanted to know if she should get it in the same arm. Patient is very grateful for the vaccine. Stated that her right arm, shoulder and neck started hurting in the first 3 hours. The adverse event did not resulted in any visit emergency room or physician office. Outcome of the event right shoulder hurts was unknown and rest was not recovered, at the time of this report. No follow-up attempts are needed. No further information is expected.

Other Meds: NOVOLOG.

Current Illness: Diabetes.

ID: 1827836
Sex: F
Age:
State: NV

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 10/29/2021
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: Test Date: 20210313; Test Name: Body temperature; Result Unstructured Data: Test Result:she experienced normal body aches and temperature

Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Body aches and temperature after first dose; Body aches and temperature after first dose; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 49-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number: EN6206, Expiry date was not reported) via an unspecified route of administration, administered in the left arm on 12Mar2021 (age at the time of vaccination was 49-year-old) as dose 1, single for COVID-19 immunisation. The patient's medical history included coronavirus infection from May2020 to an unknown date, hives from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. On 13Mar2021, the patient experienced normal body aches and temperature, states it only lasted 10 hours and went away. The patient underwent lab tests and procedures which included body temperature was she experienced normal body aches and temperature on 13Mar2021. The outcome for the events was resolved. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827837
Sex: M
Age:
State: CA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 10/29/2021
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: Low Blood sugar; had the fever after given half an hour suddenly; I got really sick; This is a spontaneous report from a contactable consumer (patient). A 25-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, formulation: solution for injection, lot number was not reported, expiration date was not reported), via an unspecified route of administration on 20Apr2021 (at the age of 25-years-old) as dose 1, single for covid-19 immunization. The patient medical history was not reported. There were no concomitant medications. It was reported that patient had the vaccine (Further clarification was unknown hence captured as unspecified vaccine) shot on tuesday and wednesday night on 21Apr2021 around 6pm he started having really he guess bad effects like he got low blood sugar. He got really sick. He actually had the fever after given half an hour suddenly. He was wandering is this the allergic reaction to shot. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827838
Sex: F
Age:
State: NY

Vax Date: 03/09/2021
Onset Date: 03/01/2021
Rec V Date: 10/29/2021
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: 2021; Test Name: Investigation; Result Unstructured Data: Test Result:Her lungs are clear and the oxygen in her blood is; Test Date: 2021; Test Name: Oxygen saturation; Result Unstructured Data: Test Result:oxygen in her blood is okay

Allergies:

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

Symptoms: terrible cough; She has inflammation of the bronchiol tubes; chronic asthma; This is a spontaneous report from a contactable consumer (patient) received via Pfizer Sponsored Program Support. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Solution for injection, Lot Number: unspecified), via an unspecified route of administration on 09Mar2021 as dose 1, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Patient reported that she developed a terrible cough 2 weeks after (Mar2021) getting first dose. She has chronic asthma, inflammation of the bronchial tubes (2021). She got some tests done, her lungs were clear and the oxygen in her blood was okay. She wanted to know if that was happening because of the vaccine. The patient underwent lab tests and procedures which included investigation: her lungs were clear and the oxygen in her blood was okay and oxygen saturation: oxygen in her blood was okay on an unspecified date in 2021. The clinical outcome for the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827839
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever; Vomiting; This is a spontaneous report from a non-contactable consumer. A 16-Years-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: not reported) on an unspecified date via an unspecified route of administration as DOSE 2, single for covid-19 immunisation. Patient medical history and concomitant medication was not reported. On an unspecified date, after the second dose, the patient experienced Vomiting and fever. Treatment information not reported. 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:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am