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
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0985955
Sex: F
Age:
State: WV

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210113; Test Name: COVID Test; Test Result: Negative

Allergies:

Symptoms: This is a spontaneous report from a contactable nurse (patient herself). A 28-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK4176, expiry date not reported), via an unspecified route of administration in the left deltoid on 09Jan2021 at single dose for COVID-19 immunisation. Medical history included ongoing ulcerative colitis from 2009 and exposure to a positive COVID patient on 08Jan2021. The patient also had a sinus drainage down the back of her throat. It went away but started back up on 09Jan2021. It is the same since last night but had improved from over the weekend. Concomitant medications were not reported. The patient previously took first dose of bnt162b2 (lot number: EH9899, expiry date not reported) on 21Dec2020 at single dose for COVID-19 immunisation. The patient had her second COVID19 Vaccine dose last Saturday and reported having a "weird reaction". She had already gone to urgent care and was told to call. She experienced rash from Monday evening in the knees and elbows which spread to face and joint areas (knees, ankles, toe, hip, wrist), which occurred as splotches of red; some were raised bumps with symptoms relieved with Benadryl. Patient said that she was not sure if she was having a reaction or not to the Pfizer COVID Vaccine. She was just in urgent care that morning and was going to primary care that afternoon. Urgent care thought she was having a reaction. She got her second dose of the vaccine on Saturday morning, 09Jan2021. That night she had the typical immune response. She had chills, sore muscles, sore throat, fatigue, and facial pain from sinus pressure, which lasted through Sunday. She took Sudafed PE and Monday when she woke up, she felt normal. She experienced rash from Monday evening in the knees and elbows which spread to face and joint areas (knees, ankles, toe, hip, wrist, fingers, feet, face, upper arms), rash which occurred as splotches of red; some were raised bumps with symptoms relieved with Benadryl. Benadryl helped it get better, but after it wears off the rash comes back and it gets worse. It had spread to different areas. Sometimes, it will be really bad on her knees, then other times really bad on her elbows or hips. Her hips were bad last night. Now it is on the bottom of her feet and on her knees again. She asked if these were something that have been previously reported. All of these symptoms, besides the rash, she felt like she had the flu. It knocked her on her ass it was pretty terrible. But it went away and she felt better. It was a typical immune response so she would say it was not serious. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 13Jan2021. Clinical outcome of events chills, sore muscles, sore throat, fatigue, and facial pain from sinus pressure was recovered on 11Jan2021, while for the other events was not recovered.

Other Meds:

Current Illness: Ulcerative colitis (Verbatim: Ulcerative colitis)

ID: 0985957
Sex: F
Age: 46
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NA

Allergies: FISH

Symptoms: 1115 resident w hx congenital weakness to R arm reporting R arm tingling sensation after Moderna COVID 19 injection at 1100. On assessment, injection site without bleeding or edema, R arm warm, dry, pink, cap refill <2 sec in R hand. R hand grip 4/5. Continue to monitor. 1130: sensation resolving, physical exam unchanged. 1140: sensation completely resolved. Resident to report any new or worsening. Report in VAERS.

Other Meds: THERA-GESIC ANALGESIC CREAM (PAIN RELIEVING CREAM) Cream na N/A Topical MYLANTA (ANTACID/SIMETHICONE LIQUID) SUSPENSION 30 ml Oral OMEPRAZOLE Capsule 40 mg Oral ACETAMINOPHEN Tablet 650 mg Oral

Current Illness: Coronavirus infection, unspecified, resolved 4/17/20

ID: 0985958
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm was only slightly sore; This is a spontaneous report from a contactable consumer. A patient of unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: unknown), via an unspecified route of administration on an unspecified date at single dose for Covid-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient's arm was only slightly sore on an unspecified date. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0985959
Sex: F
Age:
State: LA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: Low grade fever; Chills; Rash; This is a spontaneous report from a contactable healthcare professional. A 75-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), intramuscular on 10Jan2021 at single dose for COVID-19 immunization. Medical history included urinary tract infection (UTI). Patient stated she was on an antibiotic for a UTI before having the vaccine. No other vaccine in four weeks. No COVID prior vaccination. The patient had no known allergies. The patient was not pregnant at the time of vaccination. The patient's concomitant medications were not reported. Patient stated that she broke out with a rash across chest and legs approximately 24 hours (on 11Jan2021) after having the vaccine. Patient states she had a low grade fever and chills 4 days post covid-19 vaccination (on 14Jan2021). The events resulted in doctor or other healthcare professional office/clinic visit The patient received treatment for the events. The patient was given a steroid shot by dermatologist. Patient was tested for COVID test post vaccination (covid test type: Nasal Swab) which showed negative result. The outcome of the events was not recovered. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0985960
Sex: U
Age:
State: MA

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210113; Test Name: Covid-19; Test Result: Positive ; Comments: 13Jan2021 tested positive for Covid-19

Allergies:

Symptoms: tested positive for Covid-19 (asymptomatic); tested positive for Covid-19 (asymptomatic); This is a spontaneous report from a contactable pharmacist. A patient of unspecified age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were unknown), via an unspecified route of administration on 04Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient tested positive for Covid-19 (asymptomatic) on 13Jan2021. The pharmacist wanted to know if a person who was administered with the first dose of the Covid-19 vaccine on administered on 04Jan2021 and on 13Jan2021 tested positive for Covid-19 (asymptomatic) and needs to quarantine can proceed with the second dose of the vaccine or if it's contraindicated. The pharmacist also wanted to know if it was okay to give the second dose as long as 90 days if a person with Covid-19 is deferred after recovering, and also asked when the second dose can be received if somebody did not recover fully from Covid. The outcome of the event was unknown. Information on the batch/lot number has been requested.; Sender's Comments: Based on available information, a possible contributory role of BNT162B2 cannot be excluded for reported "tested positive for Covid-19".

Other Meds:

Current Illness:

ID: 0985961
Sex: F
Age: 53
State: OK

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: no

Allergies:

Symptoms: knot in arm, slight rash

Other Meds: amlodipine, hydrochlorothiazide, biotin, vitamin D 5000iu, Hair Skin & nails vitamins

Current Illness: none

ID: 0985962
Sex: F
Age:
State: CA

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

Lab Data: Test Date: 20210106; Test Name: Body temperature; Result Unstructured Data: Test Result:100.7; Test Date: 20210107; Test Name: Body temperature; Result Unstructured Data: Test Result:100.7; Test Date: 20210108; Test Name: Body temperature; Result Unstructured Data: Test Result:98.8; Test Date: 20210110; Test Name: Body temperature; Result Unstructured Data: Test Result:99.9; Comments: Low grade; Test Date: 20210111; Test Name: Body temperature; Result Unstructured Data: Test Result:99.0; Test Date: 20210112; Test Name: Body temperature; Result Unstructured Data: Test Result:97.7; Test Date: 20210110; Test Name: oxygen; Test Result: 89 %; Test Date: 20210111; Test Name: oxygen; Test Result: 92 %; Test Date: 20210112; Test Name: oxygen; Test Result: 96 %; Test Date: 20210114; Test Name: oxygen; Test Result: 96 %

Allergies:

Symptoms: heaviness in chest with right flank pain; lots of phlegm; Pulse oximeter 89%; difficulty breathing heaviness in chest/Shortness of breath; difficulty breathing heaviness in chest/ heaviness in chest with right flank pain; Chills; Sensitive skin; Super Thirsty; Fever 100.7/Low grade fever 99.9/ Low grade fever 99.0; Joint Pain; Congestion; Right arm injection site severe pain; This is a spontaneous report from a contactable other healthcare professional (Patient). A 63-year-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL1284), via an unspecified route of administration on 06Jan2021 10:30 at single dose in Right arm for COVID-19 immunization. Medical history included hypertension. Concomitant medication included benazepril hydrochloride, hydrochlorothiazide (BENAZEPRIL/HCTZ, 10-12.5 MG Tablet), ascorbic acid, biotin, boron, calcium, calcium pantothenate, chlorine, chromium, colecalciferol, copper, cyanocobalamin, folic acid, iodine, magnesium, manganese, molybdenum, nickel, nicotinamide, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol, riboflavin, selenium, silicon dioxide, thiamine hydrochloride, tocopherol, vanadium, zinc (CENTRUM SILVER). The patient previously took codeine and experienced allergy. There were no other vaccines received in four weeks. The patient did not have covid-19 prior vaccination. The patient did not have covid-19 tested post vaccination. On 06Jan2021 20:00, the patient experienced Fever 100.7, Joint Pain, Congestion, Right arm injection site severe pain. On 07Jan2021, the patient experienced Chills, Fever 100.7, Sensitive skin, Super Thirsty. On 08Jan2021, the patient had Temperature 98.8, No Chills, Thirsty. On 09Jan2021, the patient was Some relief, no fever, no chills, no joint pain. On 10Jan2021, the patient experienced low grade fever 99.9, Pulse oximeter 89%, difficulty breathing heaviness in chest. On 11Jan2021, oxygen was 92%, Low grade fever 99.0. On 12Jan2021, vital signs stable no fever 97.7, oxygen 96%. On 13Jan2021, Vital Signs stable. On 14Jan2021, the patient experienced Shortness of breath, heaviness in chest with right flank pain, lots of phlegm, Temperature 98.0, Oximeter 96%. Coricidin HBP taken to relieve Congestion. Therapeutic measures were taken as a result of all reported events. The outcome of event chills was recovered on 08Jan2021, outcome of event Fever (event onset date: 06Jan2021 20:00) was recovered on 09Jan2021, outcome of event Low grade fever (event onset date: 10Jan2021) was recovered on 12Jan2021, outcome of event Joint Pain was recovered in Jan2021. The outcome of the other events was recovering.

Other Meds: BENAZEPRIL/HCTZ; CENTRUM SILVER [ASCORBIC ACID;BIOTIN;BORON;CALCIUM;CALCIUM PANTOTHENATE;CHLORINE;CHROMIUM;COLECALCIF

Current Illness:

ID: 0985963
Sex: M
Age:
State: MD

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer. A 45-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EJ1686), via an unspecified route of administration in the left arm on 14Jan2021 10:45 at a single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was not diagnosed with covid-19 prior vaccination. The patient was not tested for covid-19 post vaccination. The patient had no known allergies. On 14Jan2021 11:00, the patient's face starting itching and developed a rash. No treatment was received for the events. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 0985964
Sex: F
Age: 73
State: CO

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

Lab Data: I had an xray at the dentist office on the Monday after the 29th on Monday January 4, 2021. I also had a CT scan of my jaw/mouth.

Allergies: I am allergic to pine, hazel and brazil nuts.

Symptoms: I had right upper arm pain with right neck pain with right sided facial pain, right jaw pain that persisited for 5 days at the site of a wisdom tooth that had not caused pain previously.

Other Meds: I take vitamin D and a thyroid medication.

Current Illness: No

ID: 0985965
Sex: F
Age:
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Pending

Allergies:

Symptoms: This is a spontaneous report from a contactable pharmacist (patient). A 44-year-old female patient received first dose of bnt162b2 ( COVID-19 VACCINE; lot EK9231, expiration date unspecified), via an unspecified route of administration on 08Jan2021 at single dose (left arm) for COVID-19 immunization. Medical history included mild sleep apnea. The patient had no known allergies. The patient was not pregnant. There were no concomitant medications. On 09Jan2021, the patient experienced injection site pain and arm soreness on day 1 and day 2, patient was also very tired on day 1. Patient also had occasional sneezing and mild headache since day 1. On day 2, energy level was back to normal. However, on 11Jan2021, on day 3, the patient started to develop occasional shortness of breath and continued today, day 7. The shortness of breath comes and goes. On 14Jan2021, on day 6, the patient experienced occasional coughing and continued today, day 7. Since the patient was working in a pharmacy, she cannot rule out if symptoms were from vaccine or Covid exposure, so patient decided to get Covid test done today, day 7. The patient had no treatment received for the events. The patient had no other vaccine in 4 weeks and no other medications in 2 weeks. Patient had no Covid prior vaccination and was Covid tested post vaccination. The patient underwent lab tests and procedures which included nasal swab with pending results on 14Jan2021. Outcome of events was not recovered.

Other Meds:

Current Illness:

ID: 0985966
Sex: F
Age: 30
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None yet. waiting to hear back from doctor.

Allergies: very sensitive (rash, fever, vomiting, stool issues) - varies based on these medications: tetracycline, doxycycline, cipro, dilaudid, morphine, amoxicillin

Symptoms: I was totally fine for 4 hours. After 4 hours I started to get injection site pain, headache, tiredness, muscle pain, joint pain, fever, feeling unwell, and swollen lymph nodes. All of this lasted for 2 days. At the end of the 24 hour mark I started having a heartbeat 15-20 bpm higher than my normal, chest tightness, difficulty breathing, and dizziness. I'm now 3.5 days post vaccine dose 1 and still having all of the symptoms in my last sentence plus extreme exhaustion, muscle pain, and fever.

Other Meds: Nasonex, Metformin, birth control pill, prilosec, lexapro

Current Illness: none

ID: 0985967
Sex: M
Age:
State: OH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tinnitus; loss of hearing on Left side; This is a spontaneous report from a contactable physician (patient himself). A 63-year-old male patient received his second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231) via an unspecified route of administration on the left arm on 06Jan2021 at a single dose for COVID-19 immunization at hospital facility. Medical history included benign prostatic hyperplasia (BPH) and hypothyroidism. The patient had no known allergies and did not have COVID prior to vaccination. Concomitant medications included levothyroxine sodium (SYNTHROID), tamsulosin hydrochloride (FLOMAX), and finasteride taken within two weeks of vaccination. The patient had no other vaccine in four weeks. The patient previously received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK8330) via intramuscular route on the left arm on 16Dec2020 at 6:15AM. The patient experienced tinnitus and loss of hearing on left side on 13Jan2021, 7 days post 2nd dose. The adverse events resulted in Doctor or other healthcare professional office/clinic visit, Disability or permanent damage. Prednisone taper was given as treatment for the events. The patient had not been tested for COVID post vaccination. The outcome of the events was unknown.; Sender's Comments: Based on the information provided, the possible contribution of suspect BNT162B2 to the events tinnitus and loss of hearing cannot be totally excluded given the time association. The detailed clinical course about these events would be helpful for further assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: SYNTHROID; FLOMAX [TAMSULOSIN HYDROCHLORIDE]; FINASTERIDE

Current Illness:

ID: 0985968
Sex: F
Age:
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210108; Test Name: heart rate; Result Unstructured Data: Test Result:excessively high resting heart rate

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer. A 41-year-old female patient received her second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EJ1685) on her left arm, via an unspecified route of administration on 08Jan2021 11:00 at a single dose for COVID-19 immunization. The patient medical history was not reported. Concomitant medication included spironolactone, loratadine (CLARITIN) and fish oil. Historical vaccine included bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on 19Dec2020 (first dose). The patient experienced severe chills with body shaking for 6 hours, excruciating headache, fever, sore throat, nausea and excessively high resting heart rate (over 100- usually under 60); all on 08Jan2021 20:30. No treatment was received for the events. The outcome of the events was recovered on 09Jan2021 02:30.

Other Meds: SPIRONOLACTONE; CLARITIN [LORATADINE]; FISH OIL

Current Illness:

ID: 0985969
Sex: F
Age: 92
State: SC

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

Lab Data:

Allergies:

Symptoms: Dizziness, high blood pressure

Other Meds:

Current Illness:

ID: 0985970
Sex: M
Age:
State: NJ

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

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer. A 32-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection; lot/batch number and expiration date were unknown), via an unspecified route of administration on the left arm on an unspecified date in Dec2020 at a single dose for COVID-19 immunization administered at the hospital. The patient had no medical history. He had no known allergies. Concomitant medication included sertraline hydrochloride (ZOLOFT). The patient had no other vaccine in four weeks. The patient had no Covid prior vaccination. He was not tested for Covid post vaccination. The patient's injection arm and entire upper body was sore for roughly 3 days on an unspecified date in Dec2020. The patient did not receive any treatment for the events. The patient recovered from the events on an unspecified date. Information on the lot/batch number has been requested.

Other Meds: ZOLOFT

Current Illness:

ID: 0985971
Sex: F
Age:
State: AL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable healthcare professional (patient). A 30-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283) solution for injection, intramuscular on right arm 14Jan2021 12:30 at a single dose for Covid-19 immunization. Medical history included chronic sinusitis due to allergies, asthma; allergies to corn, wheat, Penicillin, Sulfa, and cephalosporins. The patient was not pregnant. Concomitant medications included ethinylestradiol, ferrous fumarate, norethisterone acetate (AUROVELA FE 1/20), and salbutamol (ALBUTEROL HFA). The patient experienced hives - full body on 14Jan2021 17:00 (as reported), experienced it approximately 4-6 hours after receiving vaccine. It was resolved with Benadryl. Patient stated that to be fair, she has a lot of allergies and she does occasionally experience full body hives on days when she has not received a vaccine or changed her diet/detergents. Patient did not have COVID prior vaccination. Patient has not been tested for COVID-19 after receiving the vaccine. Outcome of the events was recovered. No follow-up activities are needed. No further information is expected.

Other Meds: AUROVELA FE 1/20; ALBUTEROL HFA

Current Illness:

ID: 0985972
Sex: F
Age:
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the vaccine was administered too far up and may have been given subcutaneously; developed a lump and redness in the injection site; developed a lump and redness in the injection site; Pain; This is a spontaneous report from a contactable nurse reporting for herself. A 38-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1284), subcutaneous on 13Jan2021 at single dose for covid-19 immunization. The patient's medical history was not reported. Concomitant medication included unspecified medications (patient take medications). She received on Wednesday (on 13Jan2021) the second dose of the Covid vaccine and she developed a lump and redness in the injection site. In her opinion the vaccine was administered too far up and may have been given subcutaneously, the patient did not know if the injection was too far up while getting on the muscle. She would like to know if this was a side effect of the medication. The patient also experienced pain on 13Jan2021. The patient tried taking Tylenol for pain and took a dose of Motrin for pain, but that was it, the nurse assessed causal relationship between pain and COVID Vaccine was Yes. The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 0985973
Sex: F
Age: 62
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None.

Allergies: Antibiotic ointment and nickel.

Symptoms: When she woke up at 1/28/21 had the general body aches, headache, and chills. Then today that has resolved, but is having a stabbing, throbbing head pain in one spot. Had been taking regular Tylenol but took Tylenol with Codeine as it is limiting her to what she can do. Had trouble sleeping last night due to it. Just hoping that it goes away.

Other Meds: Synthroid, Bystolic, Buproprion, vitamin D, B complex, probiotic, Estring.

Current Illness: None.

ID: 0985974
Sex: M
Age:
State:

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Atrial Fibrillation; his heart was racing and was something very unusual; This is a spontaneous report from a contactable consumer (patient himself). An 80-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 05Jan2021 at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient mentioned that he was a pretty healthy at 80 years old. He and his wife got vaccinated for the 1st shot last 05Jan2021. He experienced no side effects for a week. On 12Jan2021, he experienced his first ever episode of atrial fibrillation and said that his heart was racing and was something very unusual. He mentioned that his I-watch first notified him of this and he went to consult his doctor who confirmed this. He was prescribed with baby aspirin but had not taken it yet. Outcome of events were unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 0985975
Sex: F
Age:
State: WV

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injected way below her deltoid and at the time of the report it had been a red hot bump; injected way below her deltoid and at the time of the report it had been a red hot bump; injected way below her deltoid and at the time of the report it had been a red hot bump; it was inadvertently administered subcutaneously; This is a spontaneous report from a contactable physician (patient). A 48-year-old female patient received the second dose of BNT162B2 (COVID-19 MRNA VACCINE BIONTECH), via subcutaneous on 14Jan2021 at single dose for COVID-19 immunization. The relevant medical history was not reported. Concomitant medications included ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE) for birth control. The patient had the second dose of the COVID-19 vaccine yesterday (14Jan2021) and it was inadvertently administered subcutaneously. She said that the vaccine was injected way below her deltoid and at the time of the report it had been a red hot bump. She also mentioned that she had 0 symptoms and no muscle paint. She was wondering whether there were recommendations for her disposition. The patient also stated that it was subcutaneous, it was way off, it was not her deltoid at all. The outcome of the event was unknown. Information about Lot/Batch number is requested.

Other Meds: LO LOESTRIN FE

Current Illness:

ID: 0985976
Sex: F
Age: 75
State: CO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Flu like symptoms, headache, chills, joint pain, nausea, fatigue, sore arm. Aspirin helped symptoms. Started 8:00 pm 1/27 over by 10:00pm 1/28

Other Meds: Metoprolol, vit C, vit D, vit E, omega 3 fish oil

Current Illness: No

ID: 0985977
Sex: M
Age:
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: His Arm had a little bump on it; he was experiencing tiredness; headache; fever; nauseous; muscle pains/muscle aches; couldn't sleep last night, and a general feeling of unwellness; couldn't sleep last night, and a general feeling of unwellness; joint pain; chills; This is a spontaneous report from a contactable consumer (patient). A 72-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot number: EL3302, expiration date: 05Feb2021) via an unspecified route of administration on the left arm on 14Jan2021 09:45 at a single dose for COVID-19 immunization. Medical history included ongoing diabetes, ongoing heart stent from Nov2019, COVID-19 in Mar2020 and blood thinner. Concomitant medication included ongoing metformin for diabetes, ticagrelor (BRILINTA) for blood thinner and carvedilol as beta blocker related to heart stent. The patient received the first of the vaccine yesterday and experienced all of the side effects on the fact sheet. On 14Jan2021, the patient experienced that his arm had a little bump on it, he was experiencing tiredness, a headache, a fever, nauseous, muscle pains, couldn't sleep last night, and a general feeling of unwellness. He was asking asking how long these side effects should last. He was fine all morning and afternoon after getting the vaccine until around 11:30pm-12:00am when he started hurting; talking about a headache; muscle aches; chills; fevers; joint pain; he could not sleep. Outcome of the events was not recovered.

Other Meds: METFORMIN; BRILINTA; CARVEDILOL

Current Illness: Diabetes; Stent placement

ID: 0985978
Sex: F
Age: 75
State: NV

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

Lab Data:

Allergies:

Symptoms: Pt states she has left arm muscle pain, chills, mild headache, and upset stomach

Other Meds:

Current Illness:

ID: 0985979
Sex: F
Age:
State: NC

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: Fever; Result Unstructured Data: Test Result:103.9 Fahrenheit; Test Date: 20210114; Test Name: O2 saturation; Test Result: 86 %

Allergies:

Symptoms: fever 103.9F at 12 hours; Constant Coughing; severe body pain; numbness in hand (vaccine affected arm); numbness in hand (vaccine affected arm) with edema of hand; broke all the blood vessels in both eyes; O2 saturation's dropped to 86%; Headache within 1 hour; This is a spontaneous report from a contactable nurse. A 57-year-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0142), via an unspecified route of administration on arm right from 14Jan2021 12:00 to 14Jan2021 12:00 at SINGLE DOSE for covid-19 immunisation. Medical history included End-Diastolic Heart Failure, osteopenia and arthritis. Concomitant medication included losartan, furosemide (LASIX [FUROSEMIDE]), metronidazole (FLAGYL [METRONIDAZOLE]) and omeprazole. The patient took his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899), from 22Dec2020, 09:00 AM to 22Dec2020, 09:00 AM on Left arm (patients age: 57 years). The patient previously took tetracycline and erythromycin and had known allergies. On 14Jan2021, the patient had headache within 1 hour, then also on 14Jan2021, at 23:00 the patient also had fever 103.9F at 12 hours, constant coughing, O2 saturation's dropped to 86%; broke all the blood vessels in both eyes; severe body pain; numbness in hand (vaccine affected arm) with edema of hand. Outcome of the events was recovering.; Sender's Comments: Based on temporal association, a possible contributory role of suspect BNT162B2 cannot be excluded for reported events broken blood vessel in eye and oxygen saturation low. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: LOSARTAN; LASIX [FUROSEMIDE]; FLAGYL [METRONIDAZOLE]; OMEPRAZOLE

Current Illness:

ID: 0985980
Sex: F
Age:
State: IL

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: supraclavicular lymphnode swelling/mobile; lymph node is not as painful, but is still tender and is mobile.; This is a spontaneous report from a contactable physician (patient). A 28-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot number requested) in the hospital via intramuscular route of administration on 04Jan2021 at 10:00 AM at a single dose on the right deltoid for COVID-19 prophylaxis. The patient medical history was not reported and there were no concomitant medications. The patient was previously administered a flu vaccine on an unspecified date for immunization and experienced sore arm. The patient had no prior vaccinations within 4 weeks. It was reported that the patient developed supraclavicular lymphnode swelling on 11Jan2021 and was calling to see if this is normal or if it was something others have experienced. She noticed that last week or about 5 days (also reported as 11Jan2021) after receiving the vaccine her supraclavicular lymph node was swollen. She stated that it was just that one lymph node on the same side that she received the injection. She added that the lymph node is not as painful, but is still tender and is mobile. She said that it is tender if she pushes on it. The outcome of the events was recovering. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0985981
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Date: 20210114; Test Name: Blood pressure; Result Unstructured Data: Test Result:up to 217; Test Date: 202101; Test Name: Blood pressure; Result Unstructured Data: Test Result:187/92; Test Date: 20210115; Test Name: Blood pressure; Result Unstructured Data: Test Result:127/65

Allergies:

Symptoms: my blood pressure, it was up to 217; This is a spontaneous report from a contactable consumer (patient). A 80-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date unknown), via an unspecified route of administration on 13Jan2021 at 12:00 PM at a single dose for COVID-19 immunization . The patient's medical history and concomitant medications were not reported. On 13Jan2021, the patient received the first shot then had no problems. On 14Jan2021, 24 hours afterwards, the patient had two doctors supposed to get her iron injections and they checked her blood pressure, it was up to 217, they got it down a little and finally gave the iron. They recommended the patient went over the ER and be checked. The patient spent a good 10 hours there having medications to get it down. Finally, it went down: 187/92 and everything fine there. The patient was given injection through the IV and finally got one that worked; got the lowest it would come. The patient came home on 15Jan2021 at 3:00 AM, went to bed then got up and her husband took her blood pressure: 127/65 and informed that it has not been taken since 8:00 AM. The patient was told by doctors that they did not think it was related to the COVID-19 vaccine. The outcome of the event was recovered on 15Jan2021. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0985982
Sex: F
Age:
State: PA

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

Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:Fast/High

Allergies:

Symptoms: believed the heart rate might be a result of being nervous; Tightness of throat/throat tightness; Laboured breathing; Fast HR/high heart rate; This is a spontaneous report from a contactable nurse, reporting for herself. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were not reported), via an unspecified route of administration on 03Jan2021 at a single dose for COVID-19 immunization. Medical history included sensitivity to pollen, sensitivity to narcotics and allergic reactions to perfume, all from unknown dates and unknown if ongoing. There were no concomitant medications. The patient previously received pneumonia vaccine and flu vaccine, both for immunization and experienced pain on the side. The patient also previously took cortisone to lower her immune system. It was reported that on 03Jan2021, the patient developed a slight reaction immediately after first dose of Pfizer Covid vaccine which included tightness of throat along with laboured breathing with fast HR/heart rate was high (she believed it was greater than 80 BPM; her heart rate is usually in the 60's) which resolved after a few minutes. The nurse was going to give her Benadryl but did not as her signs and symptoms were resolving. She was asking for recommendations/clarifications on whether she should get the second dose given her reactions. She never had that type of reaction before. She had had sensitivity to pollen and narcotics. She read that she should not receive the second dose given her reactions but was asking for clarification. She would like to get the second dose and bought an Epi pen. Throat tightness and high heart rate didn't last for more than two minutes maximum. She visited websites and was directed not to get the second dose. She wanted to be 100% certain in regards to whether or not she should receive the second dose. Stated tightness in throat wasn't really that bad. She felt throat tightness previously when smelling perfume. Stated it wasn't anything to be frightened about. She also stated some websites said it does not matter and some websites said not to get the second dose. Also wanted to know if having the Epi Pen would help. She added that she explained reaction to the physician who advised her to get an Epi Pen for the second COVID Vaccine dose. She only had allergic reactions to pollen and perfume. Got the vaccine for Pneumonia and Flu. Did not get adverse reactions, but stated she only had pain on the side. Confirmed she has no NDC/Lot/Exp for the Pneumonia vaccine and Flu vaccine. She also got Coronavirus three months prior to receiving the COVID vaccine. She clarified that she diagnosed herself and it was the weirdest thing. She took cortisone to lower her immune system. Received first dose of COVID Vaccine on 03Jan2021. She wa due for second COVID Vaccine on 26Jan2021. She stated she is a psychologist with specialty in mental health. She believed the heart rate might be a result of being nervous. When she is nervous her heart rate goes up. Tightness of throat made her concerned. When asked about the indication, she stated that her husband works and the right thing to do was to be protected. She read she should have stopped taking Ibuprofen 10 days prior to the COVID Vaccine. She was not taking Ibuprofen any longer. Has no NDC/Lot/Exp for Ibuprofen at time of call. Confirmed she did not use the Epi Pen after the first dose of COVID Vaccine. She bought it for the second dose. The nurse who administered COVID Vaccine to the patient suggested she take Benadryl. By that time, she was feeling better. She stated it was questionable for half an hour. The outcome of the event Tightness of throat/throat tightness and fast HR/high heart rate was recovered on 03Jan2021 while the outcome of all other events was unknown. Information on the batch/lot number has been requested.; Sender's Comments: The patient had medical history included sensitivity to pollen, sensitivity to narcotics and allergic reactions to perfume. The reported events were likely related to first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) due to plausible temporal relationship and clinical course. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0985983
Sex: F
Age: 30
State: NY

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Eight days after my vaccination, the injection site became red and slightly itchy. This only seemed to last for about 12 hours as I noticed it at night and when I woke up, while my arm was still slightly red, it was reduced.

Other Meds: Birth control and a women's multivitamin gummy

Current Illness: None

ID: 0985984
Sex: F
Age:
State: GA

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

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer (patient). A 78-year-old female patient received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 vaccine, lot no: EL0142), via an unspecified route of administration on 12Jan2021 at a single dose on the right arm because she doesn't want to get Covid. Medical history includes the patient being sick before she got the shot, she had the flu since an unspecified date in Dec2020 during Christmas time. She didn't feel well before. She thought it was Covid and her friend was also sick that time and did have Covid. She stated that her own symptoms were like the flu, no fever, just regular flu symptoms. There were no concomitant medications. The patient reported that got her first vaccine this past Tuesday, 12Jan2021. She has been fine, but her arm is quite red since an unspecified date in Jan2021, and was tender since 13Jan2021 but was not hurting. When she took off the band aid the next day to take a shower, everything was okay. On Thursday, 14Jan2021 when she woke up she noticed redness and it was tender. SHe added that her arm is quite red and tender to the touch. She was asking if she should put hear or ice on it or just leave it alone. She wanted to know if this was normal. She stated that she has had a dull headache since an unspecified date after receiving the vaccine. Her arm was also swollen on an unspecified date after receiving the vaccine and sore. The patient wants to know if there are any recommendations for treatment. The outcome of the event vaccination site erythema was not recovered, the outcome of the event vaccination site pain was recovering the outcome of the other events was unknown.

Other Meds:

Current Illness:

ID: 0985985
Sex: F
Age:
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed a cluster type headache that lasted all night/severe cluster headache; developed pinpoint itching all over her body/mild itching today 'like when a nerve lights up'; she felt her left outer ear was burning until around 22:00 at night; This is a spontaneous report from a contactable consumer (patient). A 71-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Solution for injection, lot no. EL0142 and expiry date:Mar2021) , via an unspecified route of administration on 13Jan2021 16:15 at a single dose in left arm for covid-19 immunization. There were no medical history and concomitant medications reported. She states that she had the first dose of the vaccine on Wed 13Jan2021 at 16:15 together with her husband, right after receiving the dose on left arm she felt her left outer ear was burning until around 22:00 at night and was milder the next day. She states that last night 14Jan2021 around 20:00, she developed a cluster type headache that lasted all night, she took ibuprofen (ADVIL) and around 22:00 the same night she developed pinpoint itching all over her body. She reported she still has some mild itching today 'like when a nerve lights up' and still has a 'little bit of a headache.' She wants to know if these were common side effects. The outcome of the event burning sensation recovered on 14Jan2021, while cluster headache and itching were recovering.

Other Meds:

Current Illness:

ID: 0985986
Sex: F
Age: 47
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: skelaxin (a muscle relaxer no longer prescribed)

Symptoms: Left arm was so sore I could barely lift it, which was expected but later in the day I experienced extreme fatigue, aches in my muscles and joints, severe headache, nausea and fever of 100.5 for several hours. Tylenol did help alleviate some of the symptoms. Some symptoms persist today, 2nd day post vaccine, such as headache, fatigue and arm soreness.

Other Meds: none

Current Illness: none

ID: 0985987
Sex: F
Age:
State: MO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable other healthcare professional (patient). A 36-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3248), intramuscular (left arm) on 08Jan2021 15:00 at single dose for Covid-19 immunization. The patient's medical history included skin cancer removal in September and Covid (reported as prior vaccination); no known allergies. Concomitant medications included spironolactone, ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE), desvenlafaxine succinate (PRISTIQ), escitalopram, sambucus nigra (ELDERBERRY), and apple cider vinegar (gummies), and daily vitamin (unspecified). The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient is not pregnant. The patient reported that she had flu symptoms all weekend after she got the vaccine. It included chills, fatigue, headache, dizziness and she had bad muscle cramps in calves. She then started having pain in lymph nodes under left arm a couple days ago. The adverse events start date was reported as 09Jan2021. There was no treatment received for the adverse events. The outcome of events was recovered with sequel (reported as recovered with lasting effects) on an unspecified date. The patient has not been tested for COVID-19 since the vaccination.

Other Meds: SPIRONOLACTONE; LO LOESTRIN FE; PRISTIQ; ESCITALOPRAM; ELDERBERRY [SAMBUCUS NIGRA]; APPLE CIDER VINEGAR

Current Illness:

ID: 0985988
Sex: M
Age:
State: NM

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: Test Date: 202101; Test Name: blood work; Result Unstructured Data: Test Result:fine; Test Date: 202101; Test Name: CT; Result Unstructured Data: Test Result:CT was clean; Test Date: 202101; Test Name: electrocardiogram; Result Unstructured Data: Test Result:Results Unknown; Test Date: 202101; Test Name: x ray; Result Unstructured Data: Test Result:clean; Comments: the chest x ray was clean

Allergies:

Symptoms: He woke up could not walk; dizziness; lots of difficulty walking; This is a spontaneous report from a contactable consumer (patient's daughter) A 77-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on 13Jan2021 at 15:00 at single dose via an unspecified route of administration on right arm for COVID-19 immunization. Relevant medical history included borderline diabetic. It was also informed that patient had a little bit of cognitive decline predating the vaccine and he didn't drive. Concomitant medications were not reported. On 14Jan2021 the patient woke up and could not walk. On the same day (14Jan2021) the patient also experienced dizziness and lots of difficulty walking. He was admitted to hospital on 14Jan2021. Reported the CT was clean, chest x ray was clean and blood work was fine. Patient was planning to receive the next dose of vaccine on 03Feb2021. At the time of the reporting the patient was recovering from dizziness and had not yet recovered from other reported events. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0985989
Sex: F
Age: 41
State: LA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/27/2021 09:52:40 AM > Patient c/o dizziness and lightheadedness, BP 100/80, P 89, O2 99, states she is hypertensive with a normal BP of 130/80's , Juice and cookies given with additional observation time. 1000: BP 120/62 with patient still c/o dizziness, will continue to monitor. 1015: BP 130/82, patient states dizziness has improved slightly and that she has a ride and not driving, nurse encouraged patient to go to the nearest ER if symptoms persist. RN 1/28/2021 01:58:49 PM > contacted patient to f/u, message left

Other Meds:

Current Illness:

ID: 0985990
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: had arm pain that radiated up that side to my neck; had arm pain that radiated up that side to my neck; This is a spontaneous report from a non-contactable nurse (patient). A 49-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE lot/batch number and expiration date not reported) via an unspecified route of administration on an unspecified date in Dec2020 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that in Dec2020 following the first dose the patient had arm pain that radiated up that side to her neck. 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: 0985991
Sex: F
Age:
State: MI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: Test Name: labs; Result Unstructured Data: Test Result:Unknown Results; Test Name: X-rays; Result Unstructured Data: Test Result:Unknown Results

Allergies:

Symptoms: Right breast implant exploded and spread to her neck where she was having difficulty breathing/Right breast implant erupted. Silicone in breast implant spread into her neck where patient was having difficulty breathing; Right breast implant exploded and spread to her neck where she was having difficulty breathing/Right breast implant erupted. Silicone in breast implant spread into her neck where patient was having difficulty breathing; This is a spontaneous report from a contactable Physician. A 28-year-old female patient started to receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# unknown), intramuscular on 13Jan2021 10:00 at single dose for covid-19 immunisation. Medical history was none. There were no concomitant medications. Vaccine location was right arm. No prior vaccinations within 4 weeks. Patient called stating she wasn't feeling well. She was in the resident lounge and all of a sudden, the right breast implant just popped. Silicone in her breast implant spread into her neck where patient was having difficulty breathing on 14Jan2021. The patient was hospitalized on 14Jan2021, with pain medication and will have to have the implants removed. They think it is vaccine related. Patient was waiting for general surgery. The outcome of right breast implant exploded was unknown. The outcome of difficulty breathing was not recovered. Information on the Lot/batch number has been requested.; Sender's Comments: The reported breast implant rupture and associated difficulty breathing were more likely due to breast implant surgery and the quality of implant, and unlikely causally related to the use of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE). The case will be reassessed should additional information become available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 0985992
Sex: F
Age:
State: MI

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen Lymph Node on left side of lower neck; This is a spontaneous report from a contactable healthcare professional (patient herself). A 39-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration in the left arm on 11Jan2021 at a single dose for COVID-19 immunization. The patient's medical history was not reported. The patient had no known allergies and was not pregnant. She had no COVID prior her vaccination. Concomitant medication in two weeks included intrauterine contraceptive device (IUD). The patient had no other vaccine in four weeks. She received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231) via unspecified route of administration in the left arm on 28Dec2020 02:15 PM. The patient experienced swollen lymph node on left side of lower neck on 14Jan2021 that resulted in doctor or other healthcare professional office/clinic visit. No treatment was administered due to the event. The patient was not Covid tested post vaccination. The outcome of the event was unknown.

Other Meds: IUD NOS

Current Illness:

ID: 0985993
Sex: F
Age: 34
State: TX

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Home urine pregnancy tests positive x 2 on 1/22/2021. HCG 56 mIU/mL and progesterone 0.5 ng/mL on 1/22/2021. HCG 17 mIU/mL and progesterone <0.5 ng/mL on 1/25/2021.

Allergies: Egg ovalbumin, raw - rash/hives

Symptoms: Previously G1P1, delivered normal healthy baby July 20, 2020. Second pregnancy conception 12/15/2020. First vaccine dose 12/22/2020. Vaginal bleeding started 1/2/2021 and tapered down 1/4/2021. Light bleeding continued 1/4/2021 - 1/18/2021. Second vaccine dose administered 1/12/2021. Bleeding increased from light/none to medium flow on 1/19/2021 - 1/22/2021. Home urine pregnancy tests positive x 2 on 1/22/2021. HCG 56 mIU/mL and progesterone 0.5 ng/mL on 1/22/2021. HCG 17 mIU/mL and progesterone <0.5 ng/mL on 1/25/2021. Bleeding decreased to light flow 1/22-1/25 and gone 1/26/2021. Dr. diagnosed as early pregnancy loss/miscarriage.

Other Meds: omega 3 fatty acids 1gm PO BID NP thyroid 60 mg PO QAM

Current Illness: None

ID: 0985994
Sex: F
Age:
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Test Name: Height; Result Unstructured Data: Test Result:shrunk; Test Name: weight; Result Unstructured Data: Test Result:154 lbs; Comments: Maybe 154 pounds. She was 170; Test Name: weight; Result Unstructured Data: Test Result:170 lbs; Comments: Maybe 154 pounds. She was 170

Allergies:

Symptoms: She has shrunk; weighs less. Maybe 154 pounds. She was 170; she got first dose of Pfizer COVID vaccine on Monday 04Jan2021/She will get the second dose on 01Feb2021; she got first dose of Pfizer COVID vaccine on Monday 04Jan2021/She will get the second dose on 01Feb2021; had congestion; Coughing; choking; body was more than hot it was burning/body turned very hot; could not sleep/two sleepless nights; This is a spontaneous report from a contactable consumer. A 78-year-old female patient received the 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), via an unspecified route of administration on 04Jan2021 at a single dose for COVID-19 immunization, ciprofloxacin (CIPRO), via an unspecified route of administration from an unspecified date at an unknown dose and frequency for an unspecified indication and pirfenidone (ESBRIET), via an unspecified route of administration from an unspecified date at an unknown dose and frequency for an unspecified indication. Medical history included pulmonary fibrosis (diagnosed between 2007-2010), Lymphoma type B, blood pressure (abnormal), cholesterol (abnormal), vertigo, biopsy, tightening of legs and feet, drip (nasal) and pain. Concomitant medication included gabapentin for tightening of her legs and feet, diphenhydramine hydrochloride (BENADRYL) for drip (nasal) and meloxicam for pain. It was reported that the patient took the vaccine and had two sleepless nights on 05Jan2021, her body turned very hot but she have some conditions. Sleepless nights: they have been really rough nights. Scary. Coughing and choking. She thinks the vaccine kicked in and started beating the hell out of it. The patient clarified that she is having sleepless nights because of the coughing, choking, and burning and she feels that it is related to the vaccine kicking in. She slept last night, 14Jan2021. The cough is starting again today (as reported). She hopes it calms down. When she said her body was hot, like burning she was describing her sleepless nights. She is afraid. She is keeping in contact with her doctor. She figured she better call because more people are on this medication. The patient also experienced congestion on 06Jan2021. It was reported that the patient has shrunk and weighed less. Maybe 154 pounds. She was 170. The action taken for ciprofloxacin and pirfenidone was unknown. The outcome of the event congestion was not recovered, while unknown for the rest of the events.

Other Meds: GABAPENTIN; BENADRYL; MELOXICAM; CIPRO [CIPROFLOXACIN]; ESBRIET

Current Illness:

ID: 0985995
Sex: F
Age: 68
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: Swelling at the injection site, red rash area about 2 inches wide below injection site that nearly encircled the arm, itchy -- all lasting about a week; had no reaction to the first shot

Other Meds: Tamoxifen, triamterene, diclofenac, calcium citrate, magnesium

Current Illness: none

ID: 0985996
Sex: M
Age:
State: PA

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

Lab Data:

Allergies:

Symptoms: join pain initially in bilateral shoulders then within a few hours hurt all different areas around body especially in joints; Within first hour of injection slight nausea that lasted a few hours; pain in hands; This is a spontaneous report from a contactable healthcare professional. A 41-year-old male patient received bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot number: EK5730), via an unspecified route of administration in the left arm on 28Dec2020 10:15 at a single dose for covid-19 immunisation. Medical history included food allergies to dairy and nuts. Concomitant medication was not reported. On 28Dec2020 11:00, the patient experienced slight nausea that lasted for few hours, along with join pain initially in bilateral shoulders then within a few hours hurt all different areas around body especially in joints. By end of day the patient could not type on phone due to pain in hands. Ongoing joint pain for almost three weeks now. The patient did not receive treatment for the events. The outcome of event nausea was recovered in Dec2020; all other events was not recovered.

Other Meds:

Current Illness:

ID: 0985997
Sex: F
Age:
State:

Vax Date:
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: eye pain; eye pain and swelling/eye is swollen; chills; headache; This is a spontaneous report from a contactable pharmacist via a Pfizer-sponsored program Pfizer. A 23-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was given COVID vaccine today and was experiencing a side effect that caller believed has not seen documented, the patient was experiencing eye pain and swelling on 13Jan2021. The eye pain started 6 hours after receiving the vaccine. The patient got a headache, chills, and eye pain on 13Jan2021. On 14Jan2021, the chills subsided, the headache was minor, eye pain was the same, and today on unspecified date, the patient has no more chills and no more headache, but still has eye pain and now her eye is swollen. The eye swelling is now hurts to blink. The first dose was 21 days from Wednesday on unspecified date. The patient was not given vaccination cards, the only thing she was given was information. The caller has hasn't seen vaccines cause eye problems. The causality for chills and headache was unknown. The outcome of the events chills and headache was recovered on unspecified date. The outcome of the remaining events was not recovered. Information requested on Lot/ Batch number of suspect product.

Other Meds:

Current Illness:

ID: 0985998
Sex: M
Age: 36
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Reports EKG performed at employers office 01/28/2021.

Allergies: Sulfite, Shrimp

Symptoms: Reports temp of 101 at 9:30pm. States around 10am began feeling heart flutters and used pulse oximetery at home. Reports heart rate up to 160.

Other Meds: None

Current Illness: Asthma

ID: 0985999
Sex: F
Age:
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: Test Date: 20210111; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative; Test Date: 20210112; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Negative

Allergies:

Symptoms: Persistent shortness of breath; Chest pain; Runny nose; Dry cough; Dizzy; This is a spontaneous report from a contactable other healthcare professional (patient). A 37-year-old female patient received the second dose of bnt162b2 (COVID-19 vaccine, brand: Pfizer) via an unspecified route of administration in right arm, on 07Jan2021 09:15 at a single dose for COVID-19 immunization in a hospital. Medical history included narcolepsy from an unknown date and unknown if ongoing and ongoing persistent shortness of breath from an unknown date. No known allergy. Concomitant medication included armodafinil, sertraline hydrochloride (ZOLOFT), and dextroamphetamine (DEXAMFETAMINE). The patient previously received the first dose of bnt162b2 on 21Dec2020 12:00 in right arm for COVID-19 immunization at age 37 years old. The patient had no COVID prior to vaccination. On 07Jan2021, the patient experienced shortness of breath, chest pain, runny nose, dry cough, dizzy. The patient had 2 ER visits and admission, and ongoing work up. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care, hospitalization for 1 day. The patient received albuterol and alprazolam (XANAX) as treatment. The patient underwent covid test post vaccination: Nasal swab on 11Jan2021 and on 12Jan2021 with both with result negative. The patient had not recovered from the events. Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal association, a possible contributory role of suspect BNT162B2 cannot be excluded for reported events shortness of breath, chest pain, runny nose, dry cough and dizzy. The patient's underlying ongoing shortness of breath and psychiatric disorder treated by sertraline may also be contributory. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: ARMODAFINIL; ZOLOFT; DEXTROAMPHETAMINE [DEXAMFETAMINE]

Current Illness: Shortness of breath

ID: 0986000
Sex: F
Age: 54
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pt states she has sore left arm around the injection site and looks like she had two injection marks. Pt states she has had headaches and pain in the clavicle area with swelling in her lymph nodes on the left side.

Other Meds: none

Current Illness: none

ID: 0986001
Sex: F
Age:
State: NY

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

Lab Data: Test Name: stress test; Result Unstructured Data: Test Result:normal; Test Name: Heart rate; Result Unstructured Data: Test Result:fast heartbeat; Test Name: labs; Result Unstructured Data: Test Result:Normal

Allergies:

Symptoms: Headache; Chills; not feeling well; tingling all over her arms, face and legs; severe fast heartbeat; Dizziness; difficulty breathing; This is a spontaneous report from a contactable consumer. A 58-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EL0142, expiry: Mar2021), via an unspecified route of administration on 03Jan2021 at a single dose for covid-19 immunization. The patient has no medical history and no concomitant medications as the patient reported she was healthy. The patient experienced severe reactions, she was in the hospital twice. On 10Jan2021, the patient experienced difficulty breathing, severe fast heartbeat and dizziness. On 13Jan2021, patient had headache, chills, not feeling well, and tingling all over her arms, face and legs. The patient further stated that a week after getting the vaccine, last Sunday, she had a severe reaction and was hospitalized twice due to the events. Exactly one week after receiving the vaccine, on Sunday 10Jan2021, patient ended up in an ambulance due to dizziness, fast heart rate, and difficulty breathing which all started on 10Jan2021. She confirms that she was admitted to the hospital that day, and she was discharged the next day, on 11Jan2021 in the afternoon. On 13Jan2021, in the afternoon, the other symptoms of headache, chills, not feeling well, and tingling all over her arms, face and legs, started. Patient went back to a different hospital, to the emergency room, on Wednesday 13Jan2021, but was not admitted at that time. Patient mentioned the difficulty breathing was okay, but she does not want to say it was 100% better because she was still having a little bit of difficulty. Caller states that the dizziness and fast heart rate are still pretty serious. It was reported that the patient was hospitalized for the event fast heart rate from 10Jan2021 to 15Jan2021, and chills, not feeling well, and tingling all over her arms, face and legs on unspecified date. Patient was due to get the second dose on 24Jan2021, and she does not know if she should because she had side effects to the first dose. Patient seen several doctors and she had a cardiologist that was monitoring her, and she has had a stress test and labs and those are all normal. patient confirms that the product was no specifically prescribed to her, but it was given via workplace policy as she works for a hospital. The outcome of the events difficulty breathing was recovering and not recovered for all the other events. No follow-up attempts are possible; information about batch number has been obtained.

Other Meds:

Current Illness:

ID: 0986002
Sex: F
Age:
State: MO

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable other healthcare professional (patient). A 59-year-old female patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EK4176), via an unspecified route of administration in left arm on 14Jan2021 10:15 at single dose for COVID-19 immunization. Facility type vaccine was workplace clinic. Medical history included ''Known allergies: Penicillin; Bee stings; Red meat; seasonal''. No COVID prior vaccination. Concomitant medications included estrogens conjugated, medroxyprogesterone acetate (PREMPRO), ergocalciferol (VITAMIN D). The patient previously received first dose bnt162b2 (lot number= EH9899) via an unspecified route of administration in left arm at the age of 59-year-old on 28Dec2020 10:15 for COVID-19 immunization. The patient experienced severe body aches, severe headache, arm sore on 14Jan2021 21:00. No treatment received for the events severe body aches, severe headache, arm sore. No COVID tested post vaccination. The patient not received other vaccine in four weeks. Patient was not pregnant. The outcome of events severe body aches, severe headache, arm sore was recovering. The outcome of other event was unknown.

Other Meds: PREMPRO; VITAMIN D [ERGOCALCIFEROL]

Current Illness:

ID: 0986003
Sex: M
Age: 25
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: About 5 minutes after the vaccine, I felt my vision going dark and blurry. I then lost consciousness and was told my eyes rolled back and slightly convulsed. I regained consciousness after a short time frame.

Other Meds: Licorice supplement, D-Limonene supplement, antihistamine, Zinc supplement

Current Illness: None

ID: 0986005
Sex: M
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had vomit/I'm still vomiting; I had fever; pain in the bones; shivers; severe headache; I cannot stand up. If I stand up, I feel like I'm going to fall to the ground; This is a spontaneous report from a contactable consumer. A 45 (unit: unknown) male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiry date were unknown) via an unspecified route of administration, on 13Jan2021 at 12:00, at a single dose, for COVID-19 immunization. Medical history included exposure to COVID-19 (reported as "My wife came up being COVID positive this morning. She is getting steroid shot to help the lungs. I will get tested today".). Concomitant medications were not reported. The patient received the Pfizer COVID shot on 13Jan2021 at 12 pm. Last night (on 14Jan2021) he had vomit, fever, pain in the bones, shivers, and severe headache. Patient was still vomiting. He cannot stand up. If he stands up, he feels like he is going to fall to the ground. He called his doctor and a nurse answered, and they have not given him any advice yet. His wife came up being COVID positive this morning and she was getting steroid shot to help the lungs. Patient stated further, "I will get tested today and if I come out positive today with the virus, and if my doctor prescribes any medications for me, will that interfere with the Pfizer Covid vaccine?" Outcome of the event vomiting was not recovered, while for the other events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 0986006
Sex: M
Age:
State: WA

Vax Date:
Onset Date:
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: His reaction was swollen lymph nodes nearly blocking his airway; His reaction was swollen lymph nodes nearly blocking his airway; This is a spontaneous report from a contactable consumer (pharmacy intern) reported a male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date not reported), via an unspecified route of administration from an unspecified date at a single dose for Covid-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date, the patient reaction was swollen lymph nodes nearly blocking his airway. He did not seek treatment and it did subside. It was reported that a patient received the first dose of the Pfizer Covid vaccine and it seems like there was swelling of the lymph nodes in the neck to the point where it started to block the airway. Patient had no swelling of the tongue or shortness of breath, but there was swelling that was starting to block the airway due to that. Patient had no anaphylaxis reaction. They are wondering if he should get the second vaccine. Knows there is extensive guidance on the CDC and on Pfizer website about not to get the second dose if anaphylaxis occurs, but they don't consider this anaphylaxis reaction in this case. Should patient get it or not or if he can get it to go to a facility where he can be monitored and have Epipen on stand by if needed. They know normally it would be treated with steroids, but they tend to counter interact with the vaccine which can affect the immune system. Outcome of the events was recovering. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm