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: 1827840
Sex: M
Age:
State: TX

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: LA

Lab Data: Test Name: throat culture; Result Unstructured Data: Test Result:everything went well

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: runny nose; fever; arm pain; sore throat; the second dose the symptoms got worse; This is a spontaneous report received from a contactable consumer (patient). A 35-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on an unspecified date as single dose for COVID-19 immunization and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on 20Apr2021 as single dose for COVID-19 immunization. Reportedly, patient received the second dose of the Pfizer Covid 19 vaccine 14 days ago. The next day patient had a fever and arm pain that lasted 2 days, five days later patient had a sore throat that hasn't gone and 3 days ago patient started with a runny nose. Patient asked if it was normal and how long will it last? Patient went to the doctor and took antihistaminics, ibuprofen, Tylenol and does not feel any improvement. Patient had same symptoms after the first dose and went to the doctor, he suggested a throat culture and everything went well, but after the second dose the symptoms got worse. Outcome of the events were unknown. No follow-up attempts are needed. No further information expected.

Other Meds:

Current Illness:

ID: 1827841
Sex: F
Age:
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: Fever; Fatigue; Headache; This is a spontaneous report from a contactable consumer (Patient) or other non-HCP. A 60-years-old female received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number was EN6203) via an intramuscular route of administration, administered in Arm Left on 10Mar2021 at 18:00 (age at the time of vaccination was 60 years old), as DOSE 2, SINGLE dose for COVID-19 immunization at Public Health Clinic/ Veterans Administration Facility. The relevant medical history included High blood pressure, Depression, High cholesterol, and Heart condition; all were ongoing from an unspecified date. Concomitant medications were not reported. The patient had no other vaccinations within four weeks prior to the first administration vaccine. Previously, the patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number was EL9266) via an intramuscular route of administration, administered in Arm Left on 17Feb2021 at 12:00, as a DOSE 1, SINGLE dose for COVID-19 immunization. Vaccine was not administered at Military Facility. Other Product were reported as no. On 11Mar2021, the patient experienced Fever, Fatigue and Headache. No treatment was received for adverse events. Emergency Room visit was not required. The clinical outcome of Fever was Resolved on 14Mar2021, clinical outcome of Headache was Resolved on 16Mar2021, while the clinical outcome of Fatigue was Resolving. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness: Blood pressure; Depression; Heart disease, unspecified; High cholesterol

ID: 1827842
Sex: F
Age:
State: FL

Vax Date: 04/19/2021
Onset Date: 04/26/2021
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:

Allergies:

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

Symptoms: Cold and cough; Cold and cough; She developed a rash, and it has progressed to different places on her body. He states it is now on her legs, knees, arms, and hand.; This is a spontaneous report from a Pfizer sponsored program from a contactable consumer (husband). A 78-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE, formulation: solution for injection, lot number: ER2613) via an unspecified route of administration, in arm left on 19Apr2021 at 11:30 as dose 1, single (age at vaccination 78 years) for covid-19 immunisation. Medical history included ongoing high blood pressure, was diagnosed 35 years ago; ongoing hypothyroidism was diagnosed 35 years ago, ongoing bloating around midsection, she was allergic to eggs, so flu shots made her sicker than dogs, the patient was in a wheel chair and the reporter had to get her around in that. The patient previously took sulfa drugs and had allergic reaction. The patient took Armor for a real long time for hypothyroidism. Concomitant medication(s) included levothyroxine sodium (SYNTHROID) taken for hypothyroidism within the past year since an unknown date, orally; atenolol taken for high blood pressure since an unknown date and ongoing; furosemide taken orally for bloating around her midsection since an unknown date and ongoing. On an 26Apr2021 the patient experienced Cold and cough, She developed a rash, and it has progressed to different places on her body. He states it is now on her legs, knees, arms, and hand. The patient experienced rashes after getting first dose. It was reported that a week later from getting the vaccine she developed a rash, and it had progressed to different places on her body. The reporter stated it was now on her legs, knees, arms, and hand. He stated that it originally just showed up on the side of her elbow but then progressively started spreading all over. He stated that it had not gone to her face yet. He stated that wife had a cold and she was coughing and he was having a hard time hearing over her. He stated that it was an allergy cold and she got them every other month. It started 26Apr2021 and was still ongoing and persisting. There was no history of previous immunization with the Pfizer vaccine considered as suspect. There were no additional vaccines administered on same date of the Pfizer suspect. Patient scheduled for the second dose 13May2021. The events did not require a visit to emergency room or physician office. The prior vaccinations (within 4 weeks) were not reported. The patient's family medical history relevant to events was not reported. There were no relevant tests. The outcome of the events was not recovered. Description of complaint: Furosemide: The reporter stated the patient was bloated around the midsection and the doctor can't get the excesses water out of her. He stated that it was very uncomfortable for her. He also stated that she was allergic to eggs, so flu shots made her sicker than dogs. No follow-up attempts are needed. No further information is expected.

Other Meds: SYNTHROID; ATENOLOL; FUROSEMIDE

Current Illness: Abdominal bloating; Blood pressure high (Patient was diagnosed 35 years ago); Hypothyroidism (Patient was diagnosed 35 years ago); Wheelchair user

ID: 1827843
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: she has pain in her arm; it's swollen; pain in her neck; red and hard; This is a spontaneous report from a contactable consumer (patient) from a Pfizer- sponsored program. This contactable consumer reported for herself that a female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: 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. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced, she has pain in her arm, it was swollen, red and hard and had pain in her neck. No treatment was received for events. She wants to know if this was normal. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827844
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:
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: Achiness when walking up and down stairs; Chills; Lingering cough; This is a spontaneous report from a contactable consumer (patient's mother). A male patient of an unspecified age received first and second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: Not Reported, Expiry Date: Not Reported), via an unspecified route of administration on an unspecified date as dose 1, single, for covid-19 immunisation. The patient medical history included covid-19. The patient's concomitant medications were not reported. On an unspecified date the patient experienced achiness when walking up and down stairs, chills, and lingering cough. The patient's mother was calling on behalf of her son regarding the Covid 19 vaccine. She was checking for her son. She had some generic questions. Her son had the Covid 19 virus and before he returned to work, he had to get a negative Covid 19 virus test. Sixteen days after he was diagnosed with the Covid 19 virus he was able to get his first Covid 19 vaccine. She was asking if that was ok. He had his first dose and like everyone else getting the vaccine he had some side effects, normal side effects. That was about two weeks ago. He was not due for his second Covid 19 vaccine until next week. All of a sudden, he was getting his side effects again. He was having achiness when walking up and down steps. He had chills but no fever. And he had a lingering cough. These are the same side effects he had when he first got the vaccine. Is that possible. 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: 1827845
Sex: F
Age:
State: NM

Vax Date:
Onset Date:
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: my ears are like red, my chest is like not a rash but you can tell that it is red; ears are itchy; palm of my hand is real itchy; my cheeks are like swollen; rubbing my hands and my face, I mean it's itchy; nauseated; bad headache; my hand was hurting a little bit; allergic reaction; This is a spontaneous report from a contactable consumer (patient). A 63-year-old female patient received BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot/batch number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as a dose number unknown, single for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date, the patient experienced ears are like red, ears are itchy and palm of her hand was real itchy and her face, when she rub her nose (incomplete sentence), her cheeks were like swollen and chest was like not a rash but you can tell that it was red, rubbing my hands and my face, she meant it's itchy nauseated, bad headache and allergic reaction. The patient stated that got the shot between 5 or 6 (Clarification unknown) and then she started noticing like oh my god, she just waited for like 2-3 minutes and then noticed her hand was hurting a little bit but not as bad and then it wasn't event 2-3 hours that she started itching. It was reported that the patient got her shot received at about 10 something in the Pharmacy and the problem was her ears are like red, ears are itchy and palm of her hand was real itchy, her face, it was like when I rub her nose (incomplete sentence), her cheeks were like swollen and chest was like not a rash but you can tell that it was red. When they were on the car for home, she told her brother that she needs air. She felt like she was car sick and it anyway 'she doubted' (Clarification unknown) about the allergic reaction and she was laying down and watching TV but still kept rubbing her hands and face, she meant it's itchy. She was nauseated earlier, she not now just had a bad headache. She asked would the itching go away and if she should take a hot shower and it will just stop, should she just wait to see if this goes away. When asked about lot number, she replied that the number they gave on the card. , that Pharmacy would be. Was not on the vaccination card. That was the only number on the card, and then call hung abruptly. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827846
Sex: U
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Woke up this morning with the rashes upper chest and neck; It feels like on fire; This is a spontaneous report received from a contactable consumer (patient). A patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as dose 2, single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTEC COVID-19 mRNA VACCINE, Solution for injection, lot number and expiry date were not reported), via an unspecified route of administration, on an unspecified date, as dose 1, single dose for COVID-19 immunization. The patient reported that the patient got second shot of covid-19 vaccine yesterday and on an unspecified date, the patient woke up this morning with the rashes on upper chest and neck. It felt like on fire and asked did the patient do anything or just ignore it. 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: 1827847
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
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: a gradual loss of taste since completing her Covid vaccine doses; This is a spontaneous report from a contactable consumer (patient's son) received via a sales representative. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date as dose 2, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection, Batch/Lot Number: unknown), 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 a gradual loss of taste since completing her Covid vaccine doses. It has been 4-6 weeks post 2nd dose. Event took place after use of product. The outcome of the event was unknown at the time of report. No follow up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827848
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: its a weird allergic reaction as it comes from few minutes to one hour after the dose; Bad Heartbeat; This is a spontaneous report from a contactable consumer or other non hcp. A patient of unspecified age and gender received bnt162b2 (BNT162B2 PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection (Batch/Lot Number: EW0171), dose 1 via an unspecified route of administration on 27Apr2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. It was reported that, On 27Apr2021 Consumer stated, " had a shot couple of days ago or two days, its says its a allergic reaction, it goes for two days, it's says that it's a weird allergic reaction as it comes from few minutes to one hour after the dose, Again on Tuesday and Wednesday, Tuesday for whole day it was fine and working. It was fine, it hurt little bit It was regular shot and know have been. Today had still had like bad heartbeat consumer want to know, I know it says that severe reaction happened in few minute to hour for couple of days but started this bad heartbeat. The outcome of the event was unknown on an unspecified date. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827849
Sex: F
Age:
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
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: fever of around 99 in the morning, 100 during the day; chills; I had little energy; annoying headache; mild pain; barely slept, tossing and turning all night; This is a spontaneous report received from a non-contactable consumer (patient). A 25-year-old non-pregnant female patient received bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0170), via an unspecified route of administration, administered in left arm on 26Apr2021 at 13:15 (at the age of 25-year-old), as DOSE 2, SINGLE for COVID-19 immunization at Public Health Clinic/Veterans Administration facility. The patient was not pregnant at the time of vaccination. The patient medical history included ADHD (attention deficit hyperactivity disorder), lactose, IBS (irritable bowel syndrome). Concomitant medications included METHYLPHENIDATE HYDROCHLORIDE and BUSPIRONE. Historical vaccine included first dose of bnt162b2 (BNT162B2, PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW0150), via an unspecified route of administration, administered in left arm on 05Apr2021 at 14:15 (at the age of 25-year-old), as DOSE 1, SINGLE for COVID-19 immunization. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Apr2021, the patient experienced mild pain and barely slept, tossing and turning all night. On 27Apr2021, the patient experienced fever of around 99 in the morning, 100 during the day, chills, little energy and annoying headache. The outcome of the event (I had little energy) was unknown and other events was recovered on an unspecified date in Apr2021. No follow-up attempts are needed. No further information is expected.

Other Meds: Methylphenidate Hydrochloride; BUSPIRONE

Current Illness:

ID: 1827850
Sex: M
Age:
State: OR

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: Test Date: 20210406; Test Name: Heart rate increased; Result Unstructured Data: Test Result:75; Comments: His resting heart rate was 65 or 66 and it had gone up. It wasn't much, it was 75, so maybe a 10 beat increase.

Allergies:

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

Symptoms: He got very tired for a couple of days and felt very exhausted; Slight fever; Sore throat and coughing; Sore throat and coughing; Slightly harder to breathe; Looked pale; soreness in the arm; Heart rate increased; Warm all over and kind of tingly; Warm all over and kind of tingly; Slight bit of chest pain; Got very dizzy/light headed and a little dizzy; This is a spontaneous report from a contactable consumer (patient). A 30-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: ER8729; Expiration Date: Jul2021) intramuscular, administered in Arm Left on 06Apr2021 15:15 (at the age of 30-year-old) as DOSE 1, 0.3 ML SINGLE for covid-19 immunisation. Medical history included Sleep apnea. The patient's concomitant medications were not reported. The patient experienced on 06Apr2021 warm all over and kind of tingly. Got pretty warm all over and kind of tingly for a brief moment. Had a slight bit of chest pain for just about a second, then went away. He then got very dizzy and was asked to pull over to the side and wait 10 to 15 minutes. He was also feeling light headed and a little dizzy. Is not sure if he would call it chills but was more like heat. He felt warm all over. His resting heart rate was 65 or 66 and it had gone up. It wasn't much, it was 75, so maybe a 10 beat increase. He wasn't going crazy or anything but he obviously felt some anxiety. Was probably because of his heart rate increase. The doctor had asked him some questions and told him to get some water. He rested a while, waited 10 minutes and he started feeling much better, he then went for a little walk to see if elevating and getting in motion would trigger some condition. Never had any issues before. Had vaccines but had not taken a vaccine in 8 to 10 years. Thinks the walk actually helped. He cooled down a little. On unspecified date He got very tired for a couple of days and felt very exhausted. In the previous days, before he got the vaccine, he had been doing some walks, hikes and getting from 10,000 to 20,000 steps a day. There was no problem when doing that, no shortness of breath ever and everything was fine. After the vaccine, he had a little walk up and down the driveway to get the mail and was completely exhausted and had to go lay down. His grandmother told him he looked pale. On 06Apr2021 It took about 8 hours to feel any soreness in the arm. He maybe had a slight fever but was not nauseas or dizzy. He thinks a couple of times he did feel like he wasn't breathing entirely normal. He does have sleep apnea. He did just get back from a trip and doesn't know if there is some jet lag going on. It wasn't like he was struggling to breathe or anything, it was just slightly harder to breathe. He never felt any more chest pain or anything. The next few days, he was just very tired and out of energy. Light headed and a little dizzy: lasted for minutes after the vaccine. When he was injected, he didn't fell anything or any pain. He felt it sort of rush through his body. He immediately felt a warm, tingly feeling. He then started feeling a slight dizziness and his chest hurt for a second and then went away immediately. No other treatments were given. He was tired for 3 to 4 days. Sore throat and coughing: Thinks he had a cough for a couple of days. Had a sore throat for sure. It was a decently sore throat. He was taking Halls soothing cough drops. Was coughing a decent amount. The sore throat and coughing stopped the day after. It lasted about 24 hours. They both occurred at the same time. It started with the sore throat, then the coughing. Is not sure if the lymph nodes were swelling or not. He doesn't think it was that bad. It was his lower throat that was quite sore. It stopped completely. He feels 100 percent normal now. Treatment: Took regular cough drops. Doesn't really take medication. Doesn't even take Tylenol or Advil, ever. One night he did take the THC, CBD oil and put it in his coffee. Lab test included heart rate increased: 75 on 06Apr2021 (His resting heart rate was 65 or 66 and it had gone up. It wasn't much, it was 75, so maybe a 10 beat increase). Therapeutic measures were taken as a result of, sore throat and coughing, sore throat and coughing. The outcome of event for Sore throat and coughing was recovered on 2021 and for rest event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827851
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data: Test Name: Checked for blood clots; Result Unstructured Data: Test Result:No blood clots

Allergies:

Symptom List: Rash, Urticaria

Symptoms: severe flu like symptoms for 3 and 1/2 days; fever; chills; diarrhea; vomiting; aches; This is a spontaneous report from a non-contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number, time the vaccination was given, NDC number and Expiry Date are unknown), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. Patient's age at time of vaccination was unknown. The patient's medical history was none. There were no concomitant medications. Additional vaccines administered on same date of the Pfizer suspect were unknown. Prior Vaccinations within 4 weeks were unknown. AE(s) following prior vaccinations was unknown. Family medical history relevant to AE(s) was unknown. On an unspecified date, the patient experienced severe flu like symptoms for 3 and 1/2 days, fever, chills, diarrhea, vomiting, and aches. The clinical course was reported as follows: the reporter was reading on social media and saw her friend (patient) posted a whole bunch of side effects she had. She may have reported them, she was not sure. The reporter became aware of these side effects the previous day evening on 29Apr2021. She responded back and got a response this morning. With the first shot the patient had severe flu like symptoms for 3 and 1/2 days. She had fever, chills, diarrhea, vomiting, aches, etc. The reporter clarifies that the symptoms listed are the only symptoms she read. Her friend posted on a site called, Did you receive any side effects after receiving the COVID 19 vaccine? which is what caught the reporters attention. The reporter was sharing all of the information she has. She was looking to see how far back the post goes to see when she received the vaccine. She does not know when any of the symptoms started. She does not know on what dates the patient received the first or second dose. She does not have an NDC, lot, or expiration date available for either dose. She does not know where she received the vaccine. The reporter expects it was as far back as February, then 7 weeks. That was everything the reporter knows. It was unknown if AE(s) required a visit to Emergency Room or Physician Office. It was unknown If the patient was hospitalized. The patient underwent lab tests and procedures which included they checked her for blood clots (blood test): No blood clots on an unspecified date. Reporter seriousness for fever, chills, diarrhea, vomiting and aches was Unspecified. The outcome of event, severe flu like symptoms for 3 and 1/2 days was recovered on an unspecified date while other events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827852
Sex: F
Age:
State: WA

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

Symptoms: Rash on her thighs; This is a spontaneous report received from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot number: Unknown), via an unspecified route of administration on an unspecified date as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. She just had her second one yesterday. How soon after her second shot can she be around other people. She stated that she had a rash before she got the second shot. She doesn't really think its from the COVID shot because she has to wear depends and it is tight around her thigh and that's where the rash on an unspecified date. The outcome of event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827853
Sex: F
Age:
State: MI

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: SYR
Vax Site: LA

Lab Data: Test Date: 20210322; Test Name: SARS-COV-2 RNA, QL, RT PCR (COVID-19); Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab; Test Date: 20210322; Test Name: SARS-COV-2 RNA, QL, RT PCR (COVID-19); Result Unstructured Data: Test Result:Negative; Comments: Nasal Swab

Allergies:

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

Symptoms: pain in the bones of my eyes hurt to move them; pain in the bones of my eyes hurt to move them; nauseous; fatigued; rash on left arm; severe headache/head pain; chills; visual disturbances; Could barely walk; Pain was extremely intense; This is a spontaneous report from a contactable 59-year-old female consumer (patient) reported. A 59-years-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; solution for injection, Lot Number: EN6202), dose 1 via an unspecified route of administration, administered in Arm Left on 27Feb2021 14:30 (at the age of 59-years-old) as a single dose for covid-19 immunization. Medical history included drug hypersensitivity -Penicillin, allergy to chemicals -soy, erythromycins. The patient had allergies with penicillin, soy, erythromycins. The patient's concomitant medications were not reported. The patient had no other vaccine within four weeks and no other medications received within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 27Feb2021 18:30, the patient experienced three waves of adverse reactions. 1) Had pain in the bones of her eyes, hurt to move them; nauseous, fatigued lasted from Feb 27 - Mar 2. 2) March 8 had rash on left arm, 3) March 11 severe headache came on quickly. Started on the left side in the back and moved up to the top of head. Nauseated, chills, visual disturbances. Had to lay down. Could barely walk. Pain was extremely intense. Since then, she had nonstop head pain, 24/7 to varying degrees. It has only been since April 16 she have been able to work on the computer for a longer period of time and have had some ability to think. April 23 was the first time she was able to lay down at night without an ice pack as laying down has been one of her worst positions. Saw primary care physician who had another patient with similar issue but not as severe as her; went to neurologist who put her on a muscle relaxer and anti-inflammatory, did bloodwork and ordered and MRI/MRA. Have had chiropractic adjustments, too. The adverse event result in doctor or other healthcare professional office/clinic visit. The patient received treatment for the adverse event with adjustments; muscle relaxer, anti-inflammatory. Since the vaccination, the patient had been tested for COVID-19. The patient underwent lab tests and procedures which included sars-cov-2 rna: negative on 22Mar2021- Nasal Swab, sars-cov-2 test: negative on 22Mar2021 Nasal Swab. Outcome of the event was not recovered, at the time of this report. Device Date was 30Apr2021 No follow-up attempts are needed. No further information is expected

Other Meds:

Current Illness:

ID: 1827854
Sex: M
Age:
State: WA

Vax Date: 02/24/2021
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: Test Name: Covid test; Result Unstructured Data: Test Result:Negative

Allergies:

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

Symptoms: Lot of extreme joint pain; Pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet; Pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet; Pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet; Pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet; Pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet; This is a spontaneous report from Pfizer sponsored program Support. A contactable 72-years-old male consumer (patient) reporter that he received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EL9266), via an unspecified route of administration on 24Feb2021 (at the age of 72-year-old) as DOSE 2, SINGLE for covid-19 immunisation (to prevent from corona virus). Medical history included blood pressure, Heart disorder; for other condition patient reported that only one was my heart, triple biceps and a couple stunts but that's about it. Concomitant medication(s) included amlodipine (AMLODIPINE) taken for blood pressure (diagnosed for a number of years so quite long), start and stop date were not reported; prasugrel (PRASUGREL, minimal dose) taken for cardiac disorder from an unspecified start date and ongoing; lovastatin (LOVASTATIN) taken for Heart disorder, start and stop date were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/Lot Number: EL1283), via an unspecified route of administration on 03Feb2021 (at the age of 72-year-old) as DOSE 1, SINGLE for covid-19 immunisation (to prevent from corona virus). Reported that patient completed his vaccination series about 2 months ago. On an unspecified date in Apr2021, the patient experienced lot of extreme joint pain, pains from my neck, my shoulder and then it went from my arm down in the past through the hips into my knees, not much down in the feet. No treatment was received for events. On an unspecified date patient thought he had maybe COVID so the patient underwent lab tests and procedures which included Covid test resulted as negative. The outcomes of events were not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: AMLODIPINE; PRASUGREL; LOVASTATIN.

Current Illness:

ID: 1827855
Sex: F
Age:
State: PA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: got period; injection site very hot to the touch; arm very sore at injection site; gland/lymph node in arm pit of injected arm was swollen and sore; gland/lymph node in arm pit of injected arm was swollen and sore; sweating profusely; freezing but clammy; freezing but clammy; Feeling run down; headache; nauseous; body stiffness, neck stiff; chest ache; blah feeling; menthol taste/feeling again but fine otherwise; This is a spontaneous report from a contactable consumer (patient). This consumer reported that a 36-year-old non-pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot Number: EW0153), via an unspecified route, administered in arm right on 12Apr2021 at 05:30 PM (age at vaccination was 36 year) as dose 2, single for covid-19 immunization. Medical history included asthma from an unknown date and unknown if ongoing. The patient's concomitant medications were not reported. The patient was not pregnant at the time of vaccination. No other vaccines were recieved within 4 weeks prior to covid-19 vaccine. The patient previously took dilaudid and experienced allergy and bnt162b2 (Batch/Lot Number was not reported), via an unspecified route, administered in arm right on 19Mar2021 at 08:15 AM (age at vaccination was 36 year) as dose 1, single for covid-19 immunization and experienced menthol taste/feeling in mouth/throat, had to start supplementing formula bc milk production dropped drastically. On 12Apr2021, the patient experienced feeling of menthol taste but was fine otherwise. On 13Apr2021, freezing but clammy, freezing but clammy, feeling run down, headache, nauseous, body stiffness, neck stiff, chest ache, sweating profusely and blah feeling. On 14Apr2021, arm very sore at injection site, gland/lymph node in arm pit of injected arm was swollen and sore and injection site very hot to the touch. On 28Apr2021, got period. On 13Apr2021, the menthol feeling had gone when the patient woke up. At around 01:15 she started feeling run down, freezing but clammy, headache, nauseous, body stiffness (like the patient was in a bad accident), chest ache. The patient felt asleep around 3, woke up around 5:30 sweating profusely but feeling mostly normal just a headache, blah feeling and stiff neck. On 14Apr2021, the patient woke up at 5:30 freezing again, arm was very sore at injection site and gland/lymph node in arm pit of injected arm was swollen and sore. 5:40 pm noticed injection site very hot to the touch. On 15Apr2021, the patient woke up feeling totally normal, injection site not hot at all, arm was still a little sore where injection was and arm pit was still sore. On 28Apr2021, the patient got her period even though she was nursing which she have never had. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, the patient was not tested for COVID-19. The outcome of the event injection site very hot to the touch was recovered on 15Apr2021; menthol taste/feeling again but fine otherwise was recovered on 13Apr2021; while outcome of all other events was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827856
Sex: M
Age:
State: CA

Vax Date: 03/24/2021
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: other than a bit of a "fog"; cramps in the back of my thighs; strong pain in the front of my shoulder joints/pain in hip; weakness in my hips and pain; numbness and tingling in my hands/feet; numbness and tingling in my hands/feet; have no fever but I feel flush; sore arm/pain and weakness in my hips and pain and weakness in my muscles of my forearms and hands.; am sensitive to heat; pain in my muscles of my forearms and hand; weakness in my muscles of my forearm and hand; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 58-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date were not reported), via an unspecified route of administration, administered in right arm on 24Mar2021 at 11:00 hours (Age at vaccination was 58 years) as dose 2, single for covid-19 immunization. The devise date was 28Apr2021. Medical history included atrial fibrillation, irritable bowel syndrome from an unknown date and unknown if ongoing. Patient did not have known allergies. The patient concomitant medications were not reported. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for covid since vaccination.The patient did not receive any other vaccine within four weeks and any other medications within two weeks. Previously patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, lot number and expiration date were not reported), via an unspecified route of administration, administered in left arm, on 24Feb2021 at 11:00 hours (Age at vaccination was 58 years) as dose 1, single for COVID-19 immunization and experienced sore arm. On an unspecified date in 2021 after second dose patient experienced very little side effects initially, other than a bit of a fog for about 24 hours and a sore arm. In the days or weeks that followed, he continued to have thigh cramps and pain in his shoulder joints. Patient also have new symptoms that are getting worse over the past few weeks including pain and weakness in his hips and pain and weakness in his muscles of his forearms and hands. He also had mild numbness and tingling in his hands or feet and was sensitive to heat in ways that didn't bother him before. Patient had no fever but he feel flush. Patient was concerned that the vaccine may had triggered some type of autoimmune response attacking his joints and muscles. Patient plan to see his doctor in a few weeks. Therapeutic measures were not taken. The outcome of events was not recovered. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827857
Sex: F
Age:
State: NV

Vax Date:
Onset Date:
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: Coughing and feel congested; Coughing and feel congested; This is a spontaneous report from a contactable consumer (husband of patient). This is a spontaneous report from a Pfizer sponsored program. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection) via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced coughing and feel congested 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: 1827858
Sex: F
Age:
State:

Vax Date: 05/02/2021
Onset Date: 05/01/2021
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: Test Date: 20210503; Test Name: fever; Result Unstructured Data: Test Result:101 Fahrenheit

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: fever of 101F; whole body aches, neck, legs feet; sore throat; Immense headache; This is a spontaneous report from a contactable consumer or other non hcp. An 18-years-old female patient received bnt162b2 (COMIRNATY PFIZER-BIONTECH COVID-19 MRNA VACCINE; Solution for injection Batch/Lot Number: EW0168; Expiration Date: Aug2021), dose 2 via an unspecified route of administration on 02May2021 as dose 2, single dose for an covid 19 immunization. The patient medical history and concomitant medications were not reported. It was reported that, The patient experienced fever of 101F, whole body aches, neck, legs feet / sore throat Immense headache with outcome of unknown.The patient underwent lab tests and procedures which included pyrexia: 101 Fahrenheit on 03May2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827859
Sex: F
Age:
State: CA

Vax Date: 04/21/2021
Onset Date: 04/01/2021
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: Rash on face; Feeling really very tired and felt like sleeping whole day; This is a spontaneous report from a contactable consumer (patient). A 35-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: ER8736) via an unspecified route of administration on 21Apr2021 (at the age of 35-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced rash on face and, feeling really very tired and felt like sleeping whole day in Apr2021. The outcome of events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827860
Sex: F
Age:
State:

Vax Date: 04/14/2021
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: 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: pain in her leg; pain in her breast; swelling in her neck on the side she had the vaccine; This is a spontaneous report from a non-contactable consumer (Patient). A female patient of unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH m-RNA COVID-19 VACCINE, formulation: Solution for injection, Lot number and expiry date was not reported), via an unspecified route of administration on 14Apr2021 as Dose 1, single for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient had her first Covid vaccine on 14Apr2021 and for the next 5 days (In Apr2021), she had side effects of pain in her leg, pain in her breast and swelling in her neck on the side she had the vaccine. The patient saw her doctor and had tests, and nothing was found to be wrong. Outcome of events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827861
Sex: F
Age:
State: NE

Vax Date: 04/26/2021
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: Vertigo; Dizziness; Headache; Upper chest and arm pain; Upper chest and arm pain; This is a spontaneous report from a Pfizer Sponsored Program Support. A contactable consumer (patient) reported a female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: Not Reported, Expiry Date: Not Reported), via an unspecified route of administration on 26Apr2021 as dose 2, single for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, solution for injection, Batch/Lot number: Not Reported, Expiry Date: Not Reported), via an unspecified route of administration on 30Mar2021 as dose 1, single for covid-19 immunisation. On an unspecified date, the patient experienced vertigo, dizziness, headache, upper chest, and arm pain. The patient was honestly just trying to get to nurse, or hotline, or something sort of like advice line if the patient should go to the hospital. The concern was she is asking about the side effects of vaccine, and she received the doses already completely, but she was given like more than 21 days for the first and second dose difference. The first dose was given on March 30 and the second dose was given on 26 April. 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: 1827862
Sex: U
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: This is a spontaneous report from a contactable consumer or other non-HCP. A patient, of unspecified age and gender, received the 2nd dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; solution for injection, batch/lot# not reported), via an unspecified route of administration, on an unspecified date, single dose, for COVID-19 immunisation. The patient's medical history and concomitant medications not reported. Patient previously took the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; solution for injection, batch/lot# unknown), via an unspecified route of administration, single dose, for COVID-19 immunisation. The patient had a headache, body aches, fever, injection site pain (moderate to severe) on an unspecified date; with outcome of unknown. No follow-up attempts possible. Information about batch/lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827863
Sex: F
Age:
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
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:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: slight swelling in throat and face; slight swelling in throat and face; Heart beats fast; very dizzy; cannot focus; This is a spontaneous report received from a contactable consumer (patient). A 49-year-old female patient received the first dose of bnt162b2 (Pfizer BioNTech Covid 19 vaccine, Formulation: Solution for injection, Batch/Lot Number: EW0169, Expiration Date: Unknown) via an unspecified route of administration, administered in Left Arm on 30Apr2021 10:50 (at the age of 49-year-old) as DOSE 1, SINGLE for COVID-19 immunization administered. Medical history included diabetes mellitus from an unknown date and unknown if ongoing, ongoing polyarteritis nodosa from an unknown date, Infection under right breast from an unknown date and unknown if ongoing, has had about a month. Concomitant medication(s) included azathioprine (MANUFACTURER UNKNOWN) taken for polyarteritis from an unspecified date and ongoing, has been taking 6 years; ongoing insulin aspart (NOVOLOG), ongoing metformin (MANUFACTURER UNKNOWN) has been taking about 20 years, ongoing insulin glargine (BASAGLAR); all three taken for diabetes mellitus from an unspecified date. The patient previously received Cefalexin (MANUFACTURER UNKNOWN) for an unspecified indication from an unknown date, (Finished antibiotic Cefalexin about a week ago). Prior vaccination within 4 weeks was reported as none. On 30Apr2021 11:45, the patient experienced slight swelling in throat and face, heart beats fast, very dizzy, cannot focus. The patient did not receive any treatment for the events. The event did not result in visit to physician office. The outcome of events slight swelling in throat and face and cannot focus was unknown. The outcome of event heart beats fast and very dizzy was not resolved. No follow-up attempts are needed. No further information is expected.

Other Meds: AZATHIOPRINE; NOVOLOG; METFORMIN; BASAGLAR.

Current Illness: Polyarteritis nodosum (Verbatim: Polyarteritis)

ID: 1827864
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: diffuse rash that looked like urticaria, in face and arms; diffuse rash that looked like urticaria, in face and arms; This is a spontaneous report from a contactable physician. This physician reported for a 23-years-old female patient who received 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. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced diffuse rash that looked like urticaria, in face and arms. Reported that 3 or 4 days later after vaccination had experienced event but not like contact dermatitis. It didn't have that appearance, maybe a little bit. It wasn't like poison ivy. She wasn't outside or anything. She wasn't exposed to anything else. She lived with it 2 or 3 weeks. Is wondering if she should have the second one. Had issues with other vaccines as well. It was reported that reporter seriousness for event was not serious. Event relatedness with Pfizer Covid 19 vaccine was reported as related. It was reported that this reaction was not life threatening. It was not a serious reaction, like this lady was going to die. Therapeutic measures were taken as a result of diffuse rash that looked like urticaria, in face and arms, she didn't try any soaps or anything right after the shot. Presumes that the shot did it. Does not have any reason to suspect anything else. He gave her meds, gave her a steroid. The outcomes of events were 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: 1827865
Sex: F
Age:
State:

Vax Date: 04/28/2021
Onset Date: 04/29/2021
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:

Allergies:

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

Symptoms: Taste Buds are off; loss of taste; This is a spontaneous report from a contactable consumer (patient). A 60-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot Number: EW0165) via an unspecified route of administration, administered in Arm Right on 28Apr2021 (at the age of 60-year-old) as dose 2, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot Number: EW0162) on 06Apr2021 (at the age of 60-year-old) as dose 1, single for covid-19 immunisation. Patient did not receive additional vaccines administered on same date of the Pfizer suspect. The patient experienced taste buds are off, loss of taste on 29Apr2021. The outcome of event was recovering. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827866
Sex: M
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: Mild chest pain; This is a spontaneous report from a contactable consumer or other non hcp (patient). A male patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA vaccine, Solution for injection), dose 1 via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in 2021, the patient experienced mild chest pain. that didn't last long. The patient had been taking ibuprofen which dulls the pain somewhat. The patient received treatment of ibuprofen. The outcome of the event was recovered on unspecified date. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827867
Sex: F
Age:
State:

Vax Date:
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data: Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: Test Result:Up to 109.9 Fahrenheit; Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: Test Result:102 Fahrenheit; Test Date: 202104; Test Name: Body temperature; Result Unstructured Data: Test Result:98.6 Fahrenheit

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Can you catch covid in between doses since I have been coughing even though I am a smoker?; This is a spontaneous report from a contactable consumer (patient). An unspecified age of female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution of injection, Lot Number was not reported) via an unspecified route of administration on an unspecified date as dose 1, single for COVID-19 immunization. Medical history included smoker from an unspecified date and ongoing. The patient concomitant medications were not reported. On an unspecified date in Apr2021, the patient experienced can you catch covid in between doses since I have been coughing even though I am a smoker. 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: Smoker

ID: 1827868
Sex: F
Age:
State: MI

Vax Date: 04/29/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Lump under my armpit the same arm where I got my shot at; It give me tingle all the way down my arm; Its like a paddy sack and its like very sore; Its like hard to open and close my arm; It still have a lymph node but they are excessively swollen on the one side; This is a spontaneous report from a contactable consumer (patient). A female patient of a 38-years-old received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number was not reported), dose 2 via an unspecified route of administration on 29Apr2021 (at the age of 37-years-old) as DOSE 2, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient received previously first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Batch/Lot number EW0164), dose 1 via an unspecified route of administration on 08Apr2021 (at the age of 37-years-old) as DOSE 1, SINGLE for covid-19 immunisation and reported my first time was just sore. On an unspecified date, the patient reported that I had developed a lump under my armpit the same arm where I got my shot at. I am kind of figure out what should I do, I because its like a paddy sack and it was like very sore and its like hard to open and close my arm, It gave me tingle all the way down my arm. This was my first time, my first time was just sore the second was when I had the tingles and lump under my arm. Patient stated no, it was just an armpit issue, it still had a lymph nodes but they were excessively swollen on the one side. The patient received Tylenol, 500mg, taking 3 so its 1500, only taking twice a day. The outcome of the event was not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827869
Sex: F
Age:
State: FL

Vax Date: 04/16/2021
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: RA

Lab Data: Test Name: Covid-19 test; Result Unstructured Data: Test Result:No anti-bodies

Allergies:

Symptom List: Nausea

Symptoms: Numbness below the knee; Severe joint pain; Muscle pain; Tiredness; Sore arm and swelling of the injection site; Sore arm and swelling of the injection site; Body aches; This is spontaneous report received from a contactable consumer (Patient). A 67-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number: EP7533 and expiry date: 31Jul2021) via an unspecified route of administration into left arm on 16Apr2021 as dose 1, single for Covid-19 immunization. Medical history included: Hypothyroidism about 8 years ago. The patient said, she has allergies to a number of antibiotics. The patient had an allergic reaction to antibiotics and cortisone shot. She was very apprehensive. The patient said the doctor advised her to get the shot, the doctors said they thought it would be good to get the shot. The patient had the cortisone shot twice in her life and she never had a problem. She says she had one in her knee, did have a flare up but it could have been that he hit a nerve. The patient took cortisone number of years ago. The patient neither took any prior Vaccinations within 4 weeks nor received any other vaccines on same date of Pfizer vaccine. Concomitant medications included: Ascorbic Acid (VITAMIN C) since years, Vitamin B Complex (Patient has been taking this for years and years, a long time, 40, 50). The patient reported that 3 weeks ago, she had her vaccine, the first one, on 16Apr2021 and was nervous about getting the vaccine. After the shot that evening (on 16Apr2021), her arm was sore and there was swelling of the injection site and had Tiredness. The patient was told that the arm would be sore where the injection site is. She was really tired, she took a shower, she iced it, and it went away Monday. The patient had was a flare up which was where, maybe 5 hours after the shot, you can't move; she couldn't move her leg. She spoke to the orthopedic doctor; he called her in the morning and told her he had it in his hand once. She says he said when he was given it it went away, it will go away, and it did go away. Then had body aches (In Apr2021). On 20Apr2021, the patient had muscle pain and said now it was more joint pain and the joint pain has not gone away. She was not certain if it is muscle pain or joint pain. It was in the wrist and hand, and it was in the scapula area and the neck, and she also has numbness below the knee; that was what she was experiencing right now. On 21Apr2021, joint pain was bad enough. Therefore, she had to take two Naproxen Sodium (ALEVE 220 mg caplet) at 220 mg twice a day (one in the morning and one in the evening with food) for joint pain on 21Apr2021. The patient took in the late morning and evening, sometimes after dinner, twice a day. She doesn't like to take it, she reduced it to one. The patient was not taking the second vaccine as it has caused her lot of discomfort. She saw an allergist who thought it would dissipate. The allergist said if she took the second shot then it will be a lot worse. The patient has been taking aleve at two a day for a week, 10 days, at two a day. The patient had bloodwork done that showed no antibodies for COVID-19. Outcome of Sore arm and swelling of the injection site was resolved with Sequel on 19Apr2021. Tiredness was recovered on 16Apr2021. Outcome of other events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: VITAMIN B COMPLEX; VITAMIN C [ASCORBIC ACID]

Current Illness:

ID: 1827870
Sex: F
Age:
State: CA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
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: Patient may or may not have received about half the recommended Covid 19 vaccine dose; the syringe malfunctioned; There was spray back from the syringe contents and the patient's blood that sprayed the nurse; This is a spontaneous report from a Pfizer sponsored program. A contactable pharmacist reported for a 22-year-old female patient. A 22-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mrna vaccine, solution for injection; Batch/Lot Number: EN6206), dose 2 via an unspecified route of administration on 04May2021 (at the age of 22-year-old ) as dose 2, single for covid-19 immunisation. The patient's medical history included asthma. The patient's concomitant medications were not reported. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRna vaccine, solution for injection), dose 1 via an unspecified route of administration on unspecified date (Batch/Lot Number: not reported) as dose 1, single for covid-19 immunisation. On 04May2021, the patient experienced patient may or may not have received about half the recommended covid 19 vaccine dose, the syringe malfunctioned, there was spray back from the syringe contents and the patient's blood that sprayed the nurse. Pharmacist reported that on 4May2021 there was a nurse who was gave a patient their second BNT162B2 vaccine and as the nurse injected the vaccine, the syringe malfunctioned. He estimated that maybe about half of the Covid 19 vaccine was injected before the syringe malfunctioned. The patient may or may not have received about half the recommended Covid 19 vaccine dose. There was spray back from the syringe contents and the patient's blood that sprayed the nurse. They cannot determine exactly how much the patient received. Pharmacist asked if the patient received enough vaccine to be protected or does the patient need to have another dose. At the time of this report, the outcome of event was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827871
Sex: F
Age:
State: PA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Swelling/pain in R axilla with enlarged tender axillary lymph node started day 3; ongoing; Swelling/pain in R axilla with enlarged tender axillary lymph node started day 3; ongoing; Swelling/pain in R axilla with enlarged tender axillary lymph node started day 3; ongoing; Swelling/pain in R axilla with enlarged tender axillary lymph node started day 3; ongoing; "Exhaustion" day 2 (day 1=day of vaccination); This is a spontaneous report from a contactable physician reported for a patient. A 53-year-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9264), via intramuscular route of administration, on 30Apr2021 (at the age of 53-year-old), in Arm Right, as dose 2, single for COVID-19 immunization. Medical history included coeliac disease from an unknown date and unknown if ongoing, gluten sensitivity from an unknown date and unknown if ongoing Known allergies: Gluten. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EW0158), via intramuscular route of administration, on 09Apr2021 (at the age of 53-year-old), in Arm Right, as dose 1, single for COVID-19 immunization. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient received within 2 weeks of vaccination reported as unknown. The patient had not diagnosed with COVID-19 prior to vaccination and patient had not been tested for COVID-19 since vaccination. On 01May2021 the patient experienced "exhaustion" day 2 (day 1=day of vaccination), on 02May2021, the patient had swelling/pain in r axilla with enlarged tender axillary lymph node started day 3; ongoing. Therapeutic measures were not taken as a result of AE. The clinical outcome of fatigue was recovered on unspecified date in 2021 and remaining events was not recovered. Query: The Pfizer US Drug safety unit recently received the attached report submitted by you via pfizersafetyreporting.com. Please help to confirm the date that you became aware of the adverse events in this report as this effects regulatory reporting timelines. This awareness date is the date you became aware of the occurrence of the reported events. If you are the patient in the case, your awareness date would be the date that you became aware you were experiencing the reported events. If you are not the patient in the case, your awareness date would be the date you became aware of the occurrence of the reported events. This awareness date represents the Pfizer receipt date of the report and reflects the earliest date that any Pfizer colleague learned of the adverse event. If you learned of these events from another Pfizer colleague, please provide the date that the first Pfizer colleague became aware of the events reported, as regulatory reporting due dates are calculated based on the first day that a Pfizer colleague became aware of the adverse events. Response: Thanks for your patience - in general I do not monitor my inbox on the weekend. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827872
Sex: F
Age:
State: CA

Vax Date: 05/07/2021
Onset Date: 05/08/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Extreme Fatigue; Chills; Cold; All over body muscle aches; Teeth sensitive to cold; Sore Tongue, like it was burnt, has bumps; Headache; Sore arm at injection site left arm; Sore Tongue, like it was burnt, has bumps; This is a spontaneous report from a contactable consumer, the patient. A 45-year-old non-pregnant female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0175) via an unspecified route of administration in the left arm on 07May2021 at 14:30 (at the age of 45-years-old) as a single dose for COVID-19 immunisation. The medical history included high blood pressure. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The concomitant medications included lisinopril (MANUFACTURER UNKNOWN), ibuprofen (ADVIL) and loratadine (CLARITIN), all for unknown indications from unknown dates and unknown if ongoing. The patient previously received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0162) via an unspecified route of administration in the left arm on 16Apr2021 at 14:30 (at the age of 45-years-old) as a single dose for COVID-19 immunisation. On 08May2021 at 03:45, the patient experienced extreme fatigue, chills, cold, all over body muscle aches, teeth sensitive to cold, sore tongue, like it was burnt and had bumps, headache and sore arm at injection site left arm. Therapeutic measures were not taken as a result of the reported events. The adverse events did not result in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events extreme fatigue, chills, cold, all over body muscle aches, teeth sensitive to cold, sore tongue, like it was burnt and had bumps, headache and sore arm at injection site left arm were resolving at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds: LISINOPRIL; ADVIL [IBUPROFEN]; CLARITIN [LORATADINE]

Current Illness:

ID: 1827873
Sex: U
Age:
State:

Vax Date: 03/02/2021
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:

Allergies:

Symptom List: Tremor

Symptoms: Rash; I have it all over my mid-section, my back, my upper legs and it's very itchy; It's very itchy; This is a spontaneous report from a contactable consumer. This consumer (patient) of unspecified gender and age reported that he/she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: unknown) via an unspecified route of administration on 02Mar2021 as dose 2, single for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 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. On an unknown date in 2021 about a week after the second dose patient started breaking out rash, had it all over his/her mid-section, back and upper legs. It was very itchy and patient went to doctors, dermatologist and nobody knew what it was. Patient wanted to know how to get rid of it and mentioned that he/she did not have any problem until he/she got the second shot. The event outcome was unknown. No follow-up attempts were needed; information about lot/batch number could not be obtained.

Other Meds:

Current Illness:

ID: 1827874
Sex: F
Age:
State:

Vax Date: 04/01/2021
Onset Date:
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: wanted to do sleep/sleep all the time; could barely lift her arms; Eyes swelled shut; This is a spontaneous report from a contactable consumer (patient). A 58-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 Vaccine, solution for injection, Lot number: not reported) via an unspecified route of administration on an unspecified date in Apr2021 as dose 1, single for covid-19 immunisation. Medical history included cholecystectomy and liver operation where the patient described as they took out her gallbladder and seared her liver from her diaphragm. The patient was in the hospital last year for 9 days The patient concomitant medications were not reported. On an unspecified date in 2021, the patient experienced wanted to do sleep/sleep all the time, could barely lift her arms, eyes swelled shut. The patient could not sleep anymore, her eyes were even swelled shut. All she did sleep all the time, she slept so much her eyes swelled It was reported that she was a real high energy person. Outcome of all the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained .

Other Meds:

Current Illness:

ID: 1827875
Sex: F
Age:
State:

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:

Allergies:

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

Symptoms: Somewhere under her armpits there was a big bump; This is a spontaneous report from a contactable consumer (patient child). 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 an unspecified date as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported that patient (reporter mother) took the COVID vaccine and under her armpits there was a big bump and her mom (patient) was asking if that was normal. The clinical outcome for the event was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1827876
Sex: F
Age:
State: NY

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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: left arm lymph node pain; pain when swallowing; pain in the arm; itchy rash patch on the arm; itchy rash patch on the arm; This is a spontaneous report from a non-contactable consumer, the patient. A 23-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ew0182) via an unspecified route of administration in the left arm on 01May2021 (at the age of 23-year-old) as a single dose for COVID-19 immunisation. The patient did not have medical history and known allergies. Concomitant medications were not reported. The patient did not receive other vaccines within 4 weeks prior to the COVID vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 01May2021, the patient experienced left arm lymph node pain, pain when swallowing, itchy rash patch on the arm and pain in the arm. The events did not result in a visit to the doctors or other healthcare professional office/clinic, and emergency room/department or urgent care. Since the vaccination, the patient had not been tested for COVID-19. Therapeutic measures were not taken as a result of the events. The clinical outcome of the events left arm lymph node pain, pain when swallowing, itchy rash patch on the arm and pain in the arm was not recovered at the time of this report. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1827880
Sex: M
Age:
State: CT

Vax Date: 04/13/2021
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:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: heat rashes or sun rash; heat rashes or sun rash; itching a little bit before the 2nd dose of the Pfizer COVID19 vaccine; This is a spontaneous report from a contactable consumer (patient). A 21-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; solution for injection, Batch/Lot Number: EW0158) via an unspecified route of administration, administered in left arm on 13Apr2021 01:45 (age at vaccination 21 year) as DOSE 1, SINGLE for COVID-19 immunization. Medical history was reported as none. Family history relevant to AE was reported as none. Concomitant medications were not reported. Patient had not received any other vaccine within 4 weeks. On an unspecified date in 2021, the patient had heat rashes or sun rash when he got in the sun and he was out in the sun a long time and itching a little bit before the 2nd dose of the Pfizer COVID19 vaccine reported that could be his anxiety getting the best of him right then but he wanted to know if it was ok to take Benadryl or if he needed to take more serious action. The patient was not received any treatment for events. The patient had no relevant laboratory test. Patient did not require to visit emergency room or MD office due to adverse events. Patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot Number: EW0173) via an unspecified route of administration administered in left arm on 04May2021 13:45 (age at vaccination 21 years) as DOSE 2, SINGLE for COVID-19 immunization and experienced adverse events. Outcome of the events was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1827891
Sex: F
Age: 66
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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:

Allergies:

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

Symptoms: undiluted vial of Pfizer vaccine was given to patine patine could have received upto 180mcg instead of 30mcg dose

Other Meds:

Current Illness:

ID: 1827892
Sex: M
Age: 74
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827893
Sex: F
Age: 70
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827894
Sex: M
Age: 72
State: MO

Vax Date: 10/04/2021
Onset Date: 10/12/2021
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: none

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

Symptoms: shingles on left shoulder blade

Other Meds: eliquis, crestor, pramipexole di hcl, sotalol, vascepa, cosamin ds, vitamin d3, escitalopram

Current Illness: none

ID: 1827895
Sex: F
Age: 24
State: SD

Vax Date: 10/21/2021
Onset Date: 10/27/2021
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: None

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

Symptoms: Significant soreness in arm 6 days after receiving 2nd dose Covid-19 vaccine.

Other Meds: None

Current Illness: None

ID: 1827896
Sex: U
Age: 65
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827897
Sex: M
Age: 86
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827898
Sex: M
Age: 71
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827899
Sex: M
Age: 81
State: CA

Vax Date: 09/23/2021
Onset Date: 09/23/2021
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: X-Ray 10-22-21 results 15 mm ovoid calcific versus ossified intra-articular loose body projects just anterior to the left tibial spines. Tripartile left patella. Left knee with medial compartment joint space narrowing. Dense vascular calcifications. MRI scheduled next week.

Allergies: none

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

Symptoms: The night I received the vaccine my left knee started hurting me. To the best of my knowledge my knee was normal before. I got up and went to bathroom, upon standing up it really hurt. A few days later my right knee started hurting but in a different location. My doctor suggested that the vaccine might have stirred up an old injury causing swelling. That might have contributed to the results (see below)

Other Meds: No prescriptions 2000 mg numeric 2000 mg vit D 1000 mg calcium 1000 mg Niacinamide 500 mg Potassium 400 mg magnesium 3 mg melatonin

Current Illness: Before first vaccination I developed MMP (Mucous Membrane Pemphigoid)

ID: 1827900
Sex: F
Age: 71
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827901
Sex: F
Age: 88
State: PA

Vax Date: 10/27/2021
Onset Date: 10/27/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: HIGHER THAN RECOMMENDED DOSE OF VACCINE WAS ADMINISTERED PATIENT HAD RECEPIVED UPTO 180MCG DOSE INSTEAD OF 30MCG. VIAL DILUTION WAS NOT DONE

Other Meds:

Current Illness:

ID: 1827902
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: Itchiness in our ear to our bottom of our feet.; terrible fatigue; Nausea; Headache; we are not doing well; my son got up crying this morning; This is a spontaneous report received from a non-contactable reporter (parents). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot Number: Unknown), via an unspecified route of administration on an unspecified date as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated, "This was not good for Pfizer they should have people who could concentrate because it was hard for us who had the shot. Reporter had kidney failure from the shot, reporter got chronic fatigue, reporter's son has terrible fatigue, they both have nausea, they both have headache, son got up crying this morning and they are not doing well and if reporter die from the shot reporter wanted to document that they are having adverse drug event from the Pfizer shot. Reporter stated, "This shot made us both very devastated, they have itchiness in ear to bottom of feet." The outcome of 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