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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0995064
Sex: F
Age: 28
State:

Vax Date: 12/07/2020
Onset Date:
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, fatigue, aches

Other Meds:

Current Illness:

ID: 0995065
Sex: F
Age: 42
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Codiene

Symptoms: Within 15 minutes of recieving the shot, I got very hot and my neck, face, right and left arms turned red and my breathing was starting to feel different. Another 15 minutes past and my right hand and left side of my face went numb. The school nurse gave me two Benadryl, some water, and cold cloth. When I returned home I took Motrin and later in the evening another Benadryl. The redness and heat subsided at the school but the numbness lasted throughout the evening.

Other Meds: Metformin Aldactone Crestor Vit. D

Current Illness: None

ID: 0995066
Sex: M
Age: 75
State: CA

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness Bloch about 2 inch diameter at/around injection spot

Other Meds: None

Current Illness: None

ID: 0995067
Sex: F
Age: 50
State: PA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: unknown

Allergies: Ceclor Iodine IV Contrast Percocet Sulfa

Symptoms: Shortness of breath and flushing reported at time of vaccination. 1231: HR 9, BP 135/80 and pulse ox 97%. Patient felt like it was her asthma and did not have inhaler along. Offered benadryl, refused. 1239 pulse ox 96%, 1249 pulse ox 97%. Continued to report tightness in chest but no worse. Offered patient to go to ED. Patient refused. 1257: bp 126/62, HR 89 and pulse ox 97%. Patient stated they would go to the ED if their inhaler did not work. released home.

Other Meds: unknown

Current Illness: unknown

ID: 0995068
Sex: F
Age: 50
State: NV

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Day of injection I was fine, I even felt more energetic than usual, at 2am I woke up feeling Flu like symptoms, fever of 100, and achy all over and my arm hurt terribly. I Took a Motrin 800, fell asleep and woke only to drink water, take temp, more Motrin, and back to sleep. I slept about 20 hours only up to move to couch, then back to bed. I was lethargic, symptoms similar to the flu. That was Sunday, Monday was slightly better but exhausted and barely functional. I am VERY nervous to get the second shot as I do not want to feel that bad, let alone worse (which I've heard is the case) . I'm scheduled to go this Saturday 2/6/2021 for the second dose. I know that these are already noted symptoms so I knew I was in the category with others that experienced the same thing, I just want to confirm that I was another individual that had a tough time after the shot and that perhaps there are more people that have the common feeling just are not reporting. I am pretty tough usually, (having homebirths, dealing with pain that I didn't think was that bad) this took me down. I was very surprised that I had that tough of a time.

Other Meds: none

Current Illness: n/a

ID: 0995069
Sex: F
Age: 37
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Morphine, Percocet, hydrocodone

Symptoms: Headache Muscle pain Chills Fever 100.8 Fever 103.4 Nausea Swollen lymph nodes Night sweats Took Tylenol which helped some

Other Meds: Gabapentin, meloxicam, cyclobenzaprine, tizanidine

Current Illness:

ID: 0995070
Sex: F
Age: 47
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None. Just a phone call to the Help Line and going to get a covid test tonight.

Allergies: None that I know of

Symptoms: Almost immediately after the shot I could feel it/taste it in my mouth. I had some swelling/tingling of the tongue mouth. They had me wait the additional 15 mins. Did the pulse/ox. I was normal. Advised to take antihistamine, which I did when I got home. Felt better that day. On Friday, Jan. 29 I noticed a rash on my torso - stomach, back from bra line down to buttocks. I texted a pic to my friend who is a pediatrician. She said it looked pityriasis rosea. It doesn't itch. I also began having tingling on my tongue again. As of today, 2/2, I still have the rash and some tingling on the tongue. I've been taking a generic claritan in the morning and a benadryl in the afternoon and before bed. I also received a notice at work on Friday and a phone call from the county on Saturday that I may have been exposed to covid on Jan. 26. I have had none of the symptoms typical of covid. Just the rash and the tongue tingling. I called the number today. They advised I complete this form. I am getting a covid test tonight.

Other Meds: Generic claritan

Current Illness: None

ID: 0995071
Sex: F
Age: 88
State: OK

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

Lab Data: NOne

Allergies: Many allergies to prescribed medicaiton. Demeral, Anati-biotics, Prolaia, Metoprolol, Gabapenton. and others thru the years.

Symptoms: Pain an swelling around shot area. Weakness, Muscle Pain Headache Leg cramps Lasted about 24 Hours.After that time it gradually subsided. Tjis was on Friday and It was gone by Monday

Other Meds: Levothroxine, Allopurinal,Pravistation,Valsartan,Eliquis, Preser Vision . B12, Calcium with Vit. D

Current Illness: Neurothapy,arthritis A-fib. Kidney disease

ID: 0995072
Sex: F
Age: 36
State:

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: An itchy rash appeared at my injection site about a week after the vaccine. It was a circular, red rash.

Other Meds:

Current Illness:

ID: 0995073
Sex: F
Age: 31
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site red irritated

Other Meds:

Current Illness:

ID: 0995074
Sex: M
Age: 36
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: On the same day of vaccine in the night I started to have chills & body ache. They lasted through the next day they lasted for about 18hrs.

Other Meds: Lisinopril once a day 20mg; Loratadine 10mg daily

Current Illness: Believe I got Covid

ID: 0995075
Sex: F
Age: 16
State: TX

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The Covid 19 vaccine was given to a 17 year old female.

Other Meds: N/A

Current Illness: None

ID: 0995076
Sex: F
Age: 90
State: MN

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Redness, itchy rash erupted on 1/28/21 on the upper left arm where vaccine was administered. Resident reported event today 2/2/21 to nurse at assisted living. Resident stated that this is 2 weeks and 2 days after being vaccinated. Resident does not report any other symptoms. Daughter will be notifying medical provider.

Other Meds: Eliquis, Metoprolol, Vitamin C & Vitamin D

Current Illness: None

ID: 0995077
Sex: F
Age: 46
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site red irritated

Other Meds:

Current Illness:

ID: 0995078
Sex: F
Age: 39
State: CA

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: pt states a week after the covid vax she noticed her left arm is warm and swollen around the injection site. Pt said she will contact PCP to let them know about her symptoms.

Other Meds: hypertension medicine and potassium, vitamin B, D

Current Illness: no

ID: 0995079
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: None stated.

Other Meds:

Current Illness: N/A

ID: 0995080
Sex: F
Age: 24
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site red irritated

Other Meds:

Current Illness:

ID: 0995081
Sex: F
Age: 82
State: CA

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

Lab Data:

Allergies: None

Symptoms: Chills, Fever, Breathing, Weakness, Headache. This started in afternoon 1 day after receiving vaccine. Took 2 Tylenol 4 hours later took 2 Advil. Chills went away. Had a fever , but this morning it is gone. I have never had a reaction to any kind of vaccination before exept for a minor sore arm. If I had a reaction to the first one, should I have a reaction to the second does also?

Other Meds: Metoprolol 50mg. 1xdaily

Current Illness: None

ID: 0995082
Sex: F
Age: 30
State: IN

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

Lab Data: n/a

Allergies: n/a

Symptoms: slight fever, headache, body/muscle aches and local injection site reaction (rash). Symptoms did not appear until about 14 hours post vaccination.

Other Meds: Took Tylenol 20 hours post vaccination to ease symptoms.

Current Illness: N/a

ID: 0995083
Sex: F
Age: 49
State: FL

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: PCN Sulfa

Symptoms: Over an hour later patient was at lunch when she developed a flushed feeling, felt a little dizzy. Went to the bathroom and saw her eyes bloodshot red, chest red and flushed. She notified other healthcare worker and was signed in immediately to see physician. No sob but felt pressure on her chest and felt jittery inside her body. She frequently was clearing her throat which her fellow associates said she was not doing prior to injection. Was treated with NS bolus and medications and was discharged home. Doctor wants her to stay out of work tomorrow.

Other Meds: fish oil estrace Vit D3

Current Illness:

ID: 0995084
Sex: F
Age: 33
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site red irritated

Other Meds:

Current Illness:

ID: 0995085
Sex: F
Age: 59
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: N/A.

Allergies: Gluten (Celiac) Atrovent, RXN: chest pain adhesives, RXN: blisters INH, RXN: elevated liver enzymes

Symptoms: Fever x 2 days, severe dizziness, headache, nausea, fatigue. Dizziness, fatigue, and headache, while reduced, are still present on day after vaccine administration.

Other Meds: Synthroid 137mcg daily Losartan 50mg daily Gabapentin 600mg Q HS Tramadol100mg BID APAP 1gm BID Relief Factor 3 packs a day (fish oil, icariin, resveratrol, curcumin)

Current Illness: none

ID: 0995086
Sex: F
Age: 47
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Patient has redness on injection site 1 week after receiving the vaccine. Patient states is warm to touch and is slowly going down and has applied ice to the area.

Other Meds: none

Current Illness: none

ID: 0995087
Sex: F
Age: 64
State: MN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day after vaccine developed fever, chills, body aches temp 100.2 F lasted for 4-5 hours.

Other Meds:

Current Illness:

ID: 0995088
Sex: F
Age: 78
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Red circle, appx. 1 1/2 inch diameter on upper left shoulder in area of Vaccine administered. Tingling and pain in mouth and gums

Other Meds: Propafenone 225 mg, clonazepam .5mg

Current Illness: acid reflux

ID: 0995140
Sex: F
Age:
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delusional and confrontational; Unable to take meds or eat; Seemed to be having a mental breakdown; Constantly obsessing over minutia that was not pertinent to what she is being asked to do; She gets very upset and anxious and angry; This is a spontaneous report from a contactable nurse. An 87-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number/expiration date not reported), intramuscular (left arm) on 15Jan2021 13:30 at a single dose for COVID-19 immunization. Medical history included depression, cerebrovascular accident (CVA), chronic heart failure (CHF), emphysema, and angina, all from unknown dates and unknown if ongoing. Concomitant medication included furosemide (LASIX), amlodipine, losartan, sertraline, nortriptyline, methazolamide, quetiapine fumarate (SEROQUEL), dorzolamide, tiotropium bromide (SPIRIVA), ciclesonide (ALVESCO), albuterol (ALBUTEROL [SALBUTAMOL]), carvedilol, calcium magnesium, iron, curcuma longa (TURMERIC), clarithromycin (CLARITIN), magnesium citrate, cyanocobalamin (B 12), paracetamol (TYLENOL), estradiol (ESTRACE) , d-mannose, vitamin D3. Concomitant medication also includes multivitamin, and stool softeners. It was reported that on 15Jan2021 at 15:30 the patient became delusional and confrontational and unable to take meds or eat. The patient seemed to be having a mental breakdown. No physician (MD) in ER would address the issue. It happened approximately two hours after the vaccine. She will not eat or take meds; she is constantly obsessing over minutia that was not pertinent to what she is being asked to do. For example, she comes up with steps she needs to take before she can eat, but she doesn't know them, so she gets very upset and anxious and angry. The events were assessed as life-threatening. The outcome of the events was unknown. Information on the Batch/Lot number has been requested.; Sender's Comments: A possible contributory role of the suspect products cannot be excluded for the reported events based on the known safety profile and temporal association. However high age of the patient and underlying medical conditions cannot be ruled out a contributory factors 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: LASIX [FUROSEMIDE]; AMLODIPINE; LOSARTAN; SERTRALINE; NORTRIPTYLINE; METHAZOLAMIDE; SEROQUEL; DORZOLAMIDE; SPIRIVA; ALVESCO; ALBUTEROL [SALBUTAMOL]; CARVEDILOL; CALCIUM MAGNESIUM [CALCIUM;MAGNESIUM]; IRON; TURMERIC [CURCUMA LONGA]; CLARITIN

Current Illness:

ID: 0995141
Sex: F
Age:
State: IL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: kind of fainted; Body feels tender and skin feels tender to touch; dizziness; Weakness; Fatigue; Headache; Chills; Left arm hurting really bad; A 54-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), intramuscular on 18Jan2021 07:15 at single dose in left arm for covid-19 immunisation. Medical history included menopause from May2020 and ongoing (She is going through menopause, which started 7 months ago). There were no concomitant medications. Received call from consumer regarding the Pfizer BioNtech COVID vaccine. She had first vaccine yesterday morning and is experiencing some side effects. It looks like it was prescribed by a pharmacist, but she is not able to see the name and does not have any contact details to provide. She signed up at the online thing for reporting. Her arm is much better this morning. She woke up at 03:00 with the headache and still has it. Dizziness and weakness started 06:30 this morning. She kind of fainted. She was walking from one room to the next and she just gave out. It has improved and she is not really dizzy any more. She is having a little fatigue though. Chills began at 06:30 and they come and go. She is going through menopause and it could have something to do with it. She was unable to answer outcome for this. She just wants the headache to stop. She has not been able to do anything today. She is going through menopause, which started 7 months ago. She would like to know if there is something she can take for the headache. AE Details and time of onset: Left arm hurting really bad 18:00. When she first got it, she did not feel it. As the day progressed, she could feel the pain. Headache 03:00. Dizziness and weakness 06:30. Fatigue 06:30. Chills 07:00-07:30. She layed down at that point. Body feels tender and skin feels tender to touch 09:00. NO ER or physician's office required. No prior Vaccinations (within 4 weeks). The outcome of the event dizziness was resolved, Chills was unknown, Headache was not resolved, while the outcome of the other events was resolving. Information on the lot/batch number has been requested.

Other Meds:

Current Illness: Menopause (She is going through menopause, which started 7 months ago.)

ID: 0995142
Sex: F
Age:
State: NY

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Short fainting spell; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/lot number: EJ1686), intramuscularly on 14Jan2021 after 15:00 (her appointment was at 1510 but she had to wait past her appointment time before she received it) in upper right arm at single dose for Prevent Covid in hospital. No history of all previous immunization with bnt162b2 considered as suspect. No additional vaccines administered on same date of bnt162b2. Medical history included breast cancer from 9 years before 19Jan2021 (2012) and she has been Anastrozole since, she was only supposed to take Anastrozole for 5 years and when she was one month away from being done with it she had a Seizure and she was found to have a Tumor in her brain, she had had Srs surgery on her brain on 13Apr2016, she was prescribed Levetiracetam, a seizure medication, for two years and had not had any problem since. Concomitant medication included ongoing anastrozole taking for about 9 years for Post breast cancer. No prior vaccinations within 4 weeks. The patient previously took levetiracetam for seizure, she stopped taking Levetiracetam 750mg about 2 or 3 years before 19Jan2021, flu shot on 05Dec2020 for immunization at the age of 66-year-old. The patient reported that she had a short fainting spell around 8:30am on 19Jan2021 and she was not sure if it was related to the Covid vaccine. She described that she had been sitting for a while and when she got up she felt like this black curtain coming down which she has felt before in the past but she usually recovered and never lost control to where she fainted. Her husband was there to catch her. She clarified that she never passed out. She did not have any reactions in the past few days since she received the covid vaccine, she did not even have soreness at injection site. The event was not required a visit to Emergency Room nor Physician Office. Relevant Tests was none. The outcome of the event was unknown.

Other Meds: ANASTROZOLE

Current Illness:

Date Died: 01/26/2021

ID: 0995146
Sex: M
Age: 72
State:

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Narrative: Patient experienced cardiac arrest with PEA and a witnessed collapse upon arrival to the emergency department on 1/24/21. Patient received his first dose of the COVID vaccine on 01/15/2021and felt poorly thereafter. He was describing shortness of breath to his wife and requiring 5L of O2 at home to maintain saturations in 80s, while he usually was on 3L to maintain saturations in the mid 90s. He had been oriented but more fatigued than normal and described bilateral shoulder pain (which was not new for him) as well as indigestion. Took Tylenol with some relief. He had decreased PO intake and less appetite. The patient's wife encouraged him to come to the hospital daily for a week prior to admission, but the patient did not want to because he felt his side effects were secondary to the vaccine. Symptoms:RespDepression, Palpitations, Syncope & cardiac arrest Treatment: EPINEPHRINE 1 MG ONCE 3 rounds given ,CALCIUM CHLORIDE 1000 MG ONCE

Other Meds:

Current Illness:

ID: 0995217
Sex: U
Age:
State: VA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No other information available.; Caller reports administration of ROTATEQ after temperature excursion; This spontaneous report was received from a health professional, referring to a patient of unknown age and gender. Information regarding the patient's pertinent medical history, concurrent conditions, concomitant therapies, and previous drug reactions or allergies was not provided. On 18-JAN-2021, the patient was vaccinated with an improperly stored rotavirus vaccine, live, oral, pentavalent (ROTATEQ), at a dose of 2 milliliters (ml), administered orally (po) (dose and vaccination scheme frequency were not reported; lot number 1691141, which have been verified to be a valid lot number, expiration date reported and validated as 01-NOV-2021) as prophylaxis (product storage error). The administered dose of the vaccine experienced a temperature excursion of 1.3 degrees Celsius (C) for 19 minutes, as recorded by a data logger. There was no previous temperature excursion reported. No adverse events were reported.

Other Meds:

Current Illness:

ID: 0995218
Sex: U
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: a temperature excursion for VARlVAX, were administered to patients; This spontaneous report was received from a Licensed Practical Nurse and refers to a patient of unknown age and gender. No information regarding the patient's concurrent conditions, medical history, drug reactions or allergies and concomitant medications was provided. On 12-JAN-2021, the patient was vaccinated with improperly stored dose of varicella virus vaccine live (oka/merck)(VARIVAX) injection, 0.5 milliliter (ml) (dose described as 0.5 mL SQ x 1 dose), lot # S038698, expiration date: 01-DEC-2021 (dose number, route of administration and anatomical location were not reported) for prophylaxis. It was reported that the dose of the product administered to the patient was not stored properly for the time frame of 4 hours in the temperature 32.4 degrees Fahrenheit (F). There was no previous temperature excursion. Digital Data Logger was involved. This is one of several reports received from the same reporter.; Sender's Comments: US-009507513-2101USA010369: US-009507513-2101USA010348: US-009507513-2101USA010358: US-009507513-2101USA009977:

Other Meds:

Current Illness:

ID: 0995219
Sex: U
Age: 70
State: WV

Vax Date: 06/18/2012
Onset Date:
Rec V Date: 02/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: other zoster-related conditions; shingles; Information was received from a lawyer regarding a case in litigation concerning a patient (pt) of unknown age and gender. The pt's past medical history, concurrent conditions, and concomitant therapies were not provided. On or about 18-JUN-2012, the pt was administered the zoster vaccine live (ZOSTAVAX) vaccine (strength, lot #, expiration date, dosage, route of administration or anatomical location were not provided) by a healthcare provider at a pharmacy, for the long-term prevention of shingles and zoster-related conditions. Subsequently, the pt was treated by a physician at a hospital, for the following injuries resulting from zoster vaccine live (ZOSTAVAX) use: shingles (herpes zoster) and other zoster-related conditions (ill-defined disorder). The outcome of herpes zoster and ill-defined disorder was not reported.

Other Meds:

Current Illness:

ID: 0995220
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Name: COVID-19 test; Result Unstructured Data: (Test Result:Negative,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: pAIN; Fever; Upset stomach; This case was reported by a consumer via other manufacturer and described the occurrence of generalized aching in a elderly female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included adalimumab (Humira) for ulcerative colitis. On an unknown date, the patient received the 2nd dose of Shingrix and Humira (subcutaneous) at an unknown dose and frequency. On an unknown date, immediately after receiving Shingrix, the patient experienced generalized aching, fever and upset stomach. The action taken with Humira was unknown. On an unknown date, the outcome of the generalized aching, fever and upset stomach were unknown. It was unknown if the reporter considered the generalized aching, fever and upset stomach to be related to Shingrix. Additional details were provided as follows: Age at vaccination was not reported. The patient did not have any medical history. Concomitant drugs not reported. It was reported that the patient experienced vaccination adverse reaction fever, body aches, and upset stomach that occurred right after second shingrix vaccine with humira (adalimumab). On an unknown date, the patient's COVID 19 test was Negative. It was unknown if the reporter considered the generalized aching, fever and upset stomach to be related to Humira.

Other Meds:

Current Illness:

ID: 0995221
Sex: M
Age: 58
State: NY

Vax Date: 11/18/2020
Onset Date: 11/22/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash / on the left abdominal wall; On the left abdominal wall / some irritation; Herpes zoster; This case was reported by a nurse via and described the occurrence of rash in a 58-year-old male patient who received Herpes zoster (Shingrix) (batch number 9H3Z4, expiry date 27th August 2022) for prophylaxis. On 18th November 2020, the patient received Shingrix .5 ml. On 22nd November 2020, 4 days after receiving Shingrix, the patient experienced rash, skin irritation and herpes zoster. On an unknown date, the outcome of the rash, skin irritation and herpes zoster were unknown. It was unknown if the reporter considered the rash, skin irritation and herpes zoster to be related to Shingrix. Additional details were provided as follows: This case was reported by nurse. The patient received 1st dose and experienced rash,abdominal wall with some irritation and herpes zoster. On 24th November the patient visited physician office and was diagnosed with Herpes zoster. The current outcome was unknown. The reporter consented to follow up. No further information was available.

Other Meds:

Current Illness:

ID: 0995222
Sex: F
Age: 37
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lost consciousness; Lightheaded/Dizzy; Lost balance; Broke into a sweat; Site injection soreness; A spontaneous report was received from a 37 year old, female, consumer who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced site injection soreness, lightheaded, dizzy, broke into a sweat, lost balance and lost consciousness. The patient's medical history was not provided. No relevant concomitant medications were reported. On 19 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: B28L20A) intramuscularly for prophylaxis of COVID-19 infection. On 19 Jan 2021, after receiving the vaccine, the patient had site injection soreness at night. On the morning of 20 Jan 2021, the patient woke up feeling lightheaded and dizzy. She tried to walk and broke into a sweat, lost her balance and lost consciousness. A few moments later, everything came back. No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The events, site injection soreness, lightheaded, dizzy, broke into a sweat, lost balance and lost consciousness were resolved on 20 Jan 2021.; Reporter's Comments: Very limited information regarding these events has been provided at this time. Based on possible temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 0995223
Sex: M
Age:
State:

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data: Test Name: Heart Rate; Result Unstructured Data: 20 heart beats per minute

Allergies:

Symptoms: Passed out; Low heart rate; Possible pneumonia; A spontaneous report was received from a consumer concerning an 84-year-old male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced passed out, low heart rate, and possible pneumonia. The patient's medical history was not reported. There were no concomitant medications provided. On 15 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (Lot # unknown) intramuscularly, for prophylaxis of COVID-19 infection. On 17 Jan 2021, the patient was hospitalized for passed out, low heart rate, and possible pneumonia. The reporter's mom found the patient passed out on the floor. It was thought he may have passed out about 4 or 5pm. The patient was taken to the emergency room (ER) via ambulance. At that time his heart rate was 20 bpm. Physicians said he may have pneumonia. It was noted the patient still works and walks miles every day. The patient was still hospitalized at the time of this report. There was no treatment information provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome for the events of passed out, low heart rate, and possible pneumonia was unknown at the time of this report.; Reporter's Comments: This case concerns a 84 year old male patient who experienced a serious unexpected events of passed out, low heart rate, and possible pneumonia.The event occurred 2 days 7 hours after first dose of the vaccine. Very limited information regarding the events has been provided at this time. Based on temporal association between the use of the product and the start date of the event/s, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

Date Died: 01/19/2021

ID: 0995224
Sex: F
Age:
State: TX

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cardiac arrest; Pain on her upper right chest; Lot of pain in lower abdomen; Pain underneath arm; Thought it was muscle aches; A spontaneous report was received from a nurse concerning a 92-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed upper right chest pain and underneath the arm, severe abdominal pain, muscle aches and cardiac arrest. The patient's medical history was not provided Concomitant product use was not provided by the reporter. On 14 Jan 2021, approximately five days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the arm for prophylaxis of COVID-19 infection. On 19 Jan 2021, the patient developed upper right chest pain and pain underneath the arm. They thought it was muscle aches. Sometime later, the patient developed a lot of pain in the lower abdomen. The called emergency services and an ambulance arrived but the patient then suffered cardiac arrest. Treatment for the event included tramadol. Action taken with mRNA-1273 in response to the events was not applicable due to the patient was died. The patient died on 19 Jan 2021. The cause of death was reported as cardiac arrest. Autopsy were not provided.; Reporter's Comments: Company Comment: This case concerns a 92-year-old female patient who experienced unexpected serious events of cardiac arrest, upper right chest pain and underneath the arm, severe abdominal pain, muscle aches. The event occurred 5 days after the administration of the first dose of the vaccine mRNA-1273 vaccine (Lot #: unknown, expiration date-unknown). Although a temporal association exist between the events and the administration of the vaccine, in the absence of critical details such as the patient's medical history, any diagnostic test or autopsy result, adequate evaluation and assessment cannot be established. Main field defaults to ?possibly related' for all events.; Reported Cause(s) of Death: Cardiac arrest

Other Meds:

Current Illness:

ID: 0995225
Sex: F
Age:
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Felt like something dripping out of her; Felt like something dripping out of her; A spontaneous report was received from a consumer who was also a female patient, who received Moderna's COVID-19 Vaccine and experienced felt like something dripping out of her. The patient's medical history was not provided. Concomitant product use was not provided. On 18 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (batch number not reported) intramuscularly for COVID-19 infection prophylaxis. The patient reported that when the nurse took the needle out, she then gently squeezed the site where the patient got the shot and the patient felt something dripping out of her. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided. The event, felt like something dripping out of her, was considered resolved on 18 Jan 2021.; Reporter's Comments: This case concerns a female patient who received the first of two planned doses of mRNA-1273 (batch number not reported) intramuscularly for COVID-19 infection prophylaxis and experienced felt like something dripping out of her. There were no reported adverse events after the vaccine was administered in this case of injection site extravasation and incomplete dose administered

Other Meds:

Current Illness:

ID: 0995226
Sex: F
Age:
State: OH

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

Lab Data: Test Date: 20210115; Test Name: Nasal Swab; Test Result: Negative ; Comments: covid test post vaccination

Allergies:

Symptoms: pressure across chest; eyes were very swollen; flu symptoms; severe aches/ Pain radiated bilaterally up neck, mandibular area, trigeminal and into head; abdominal pain; nausea; Injection site very painful, could not touch; This is a spontaneous report from a contactable nurse reported for herself. This 62 Years old patient (not pregnant) received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via intramuscular on 12Jan2021 13:15 on Arm left at single dose (Lot # EL0142) for covid-19 immunisation. Medical history included hashimoto disease, allergies to maxide. Prior to vaccination, was the patient did not diagnose with COVID-19. Concomitant medications included levothyroxine sodium (SYNTHROID), valsartan, Pravastatin, docusate sodium (COLACE), wool fat (EUCERIN) and Vitamin D Nos. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via intramuscular on 22Dec2020 13:15 on Arm left at single dose (Lot # EK5730) for covid-19 immunisation. The patient woke up 13Jan2021 at 2:00 AM with flu symptoms - severe aches, abdominal pain and nausea. By 13Jan2021 4:30 eyes were very swollen. Slept 14 hours. Next night 14Jan2021 at 1AM, severe arm pain radiating across chest to other armpit - pressure across chest. Pain radiated bilaterally up neck, mandibular area, trigeminal and into head. Injection site very painful - could not touch in Jan2021. As the pain at injection site subsided - so did the symptoms. Events were non serious. No treatments were received. On 15Jan2021, laboratory details included nasal swab which showed negative. Outcome of the events was recovered.

Other Meds: SYNTHROID; VALSARTAN; PRAVASTATIN; COLACE; VITAMIN D NOS; EUCERIN

Current Illness:

ID: 0995227
Sex: F
Age:
State: NY

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At approximately 7 hrs after first injection started feeling extremely dizzy. Became severe. Has lasted approximately 6-8 hrs Feeling slightly less now; This is a spontaneous report from a contactable consumer (patient). A 24-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3247 and expiration date not provided), via an unspecified route of administration (left arm) first dose on 17Jan2021 13:45 at single dose for covid-19 immunisation. The patient medical history was not reported. The patient was not pregnant at time of vaccination. The patient's concomitant medication included escitalopram and ethinylestradiol, norgestrel (LOW-OGESTREL). The patient previously took Vitamin E and experienced Allergy. On 17Jan2021 21:00 approximately 7 hours after first injection, the patient started feeling extremely dizzy. Became severe. Has lasted approximately 6-8 hrs Feeling slightly less now. The patient did not received treatment for the event. The outcome of the event was unknown.

Other Meds: ESCITALOPRAM; LOW-OGESTREL

Current Illness:

ID: 0995228
Sex: F
Age:
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: glands/throat swollen; glands/throat swollen; bad problem swallowing.; face started to get puffy; After 15 minutes, felt light headed; throat felt tight; This is a spontaneous report from a contactable consumer (patient). A 67-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: BL1284), via an unspecified route of administration on 14Jan2021 09:00, at right arm, at single dose for covid-19 immunization. Medical history included Allergies chronic and known allergies to Shellfish, papaya, cats, latex, wool, pollens, mold. Concomitant medication included azelastine. After 15 minutes vaccination, the patient felt lightheaded and throat felt tight. Took an Allegra and seemed better after about 30 minutes. Took a benedryl that afternoon and night, and next day (Friday, 15Jan2021) seemed ok. Took benedryl on Friday night because face started to get puffy. Then awoke at 3:50 am Saturday (16Jan2021) morning and glands/throat swollen and was having bad problem swallowing. Treatment steroid was received to get selling down. The outcome of the events lightheaded and throat felt tight was recovered on 15Jan2021. The outcome of the other events was unknown. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No seriousness criteria: no Results in death, no Life threatening, no Caused/prolonged hospitalization, no Disabling/Incapacitating, no Congenital anomaly/birth defect.

Other Meds: AZELASTINE

Current Illness:

ID: 0995229
Sex: F
Age:
State: PA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site pain; chills on and off yesterday; stomach hurting; feels cruddy and doesn't feel well / Feels cretty and does not feel well; feels cruddy and doesn't feel well / Feels cretty and does not feel well; nausea; diarrhea; This is a spontaneous report from a contactable other HCP (patient). A female patient of an unspecified age (age: 59; units: unknown) received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/lot number: EL3246), via an unspecified route of administration on 16Jan2021 at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient stated that she received the first dose of the Covid vaccine on Saturday (16Jan2021). Saturday night (16Jan2021) she experienced nausea and diarrhea, in which she was still experiencing diarrhea this morning. The patient also reported injection site pain, chills on and off yesterday (17Jan2021), and her stomach hurting. She stated that she felt cruddy and didn't feel well on 17Jan2021. The treatment reported as No. The outcome of event diarrhea was not resolved, outcome of other events was unknown. Information on the Lot/Batch Number has been requested. Follow-up (18Jan2021): New information received from a contactable other HCP included: patient weight and height, lot number of vaccine, no treatment.

Other Meds:

Current Illness:

ID: 0995230
Sex: F
Age:
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles left sacrum along S4 with pain radiating to left medial thigh down to left medial knee; Shingles left sacrum along S4 with pain radiating to left medial thigh down to left medial knee; rash; right inguinal large tender lymphadenopathy appeared same time; fatigue; muscle aches; This is a spontaneous report from a contactable nurse reporting for herself. A 56-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EJ1685) via an unspecified route of administration on 12Jan2021 14:00 at single dose in left arm for COVID19 immunisation. Patient age at time of vaccination was 56 Years. The patient was vaccinated at hospital. No other vaccine was given within 4 weeks prior to the COVID vaccine. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EJ1685) administered on 22Dec2020 at 14:00 in left arm. The patient has allergies to Duricef, milk, almonds. Prior to vaccination, the patient was diagnosed with COVID-19. The patient received unspecified concomitant medications. On 13Jan2021 the patient experienced Shingles left sacrum along S4 with pain radiating to left medial thigh down to left medial knee; rash appeared 18 hours after 2nd Covid vaccine; right inguinal large tender lymphadenopathy appeared same time; also had normal fatigue, muscle aches from vaccine. The events resulted in doctor or other healthcare professional office/clinic visit. As treatment for the events the patient received Acyclovir 800 mg QID x 7 days and terrasil ointment. The events were reported as non serious. Since the vaccination, the patient has not been tested for COVID-19. The events had not resolved.

Other Meds:

Current Illness:

ID: 0995231
Sex: F
Age:
State: NY

Vax Date: 12/28/2020
Onset Date: 01/14/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Name: fine needle biopsy; Result Unstructured Data: Test Result:negative; Test Name: blood work; Result Unstructured Data: Test Result:unknown result; Test Name: physical; Result Unstructured Data: Test Result:noticed a lump; Test Date: 20201106; Test Name: COVID test; Result Unstructured Data: Test Result:Positive; Test Date: 20210114; Test Name: COVID test; Result Unstructured Data: Test Result:Positive; Test Date: 202101; Test Name: full thyroid work up; Result Unstructured Data: Test Result:fine

Allergies:

Symptoms: she had positive COVID test; she had positive COVID test; This is a spontaneous report from a contactable nurse. A 52-year-old female received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EK5730), intramuscularly in the left arm on 28Dec2020 16:00 at a single dose for covid-19 immunisation. The patient's medical history included tested positive for covid on 06Nov2020. The patient had recent physical in Dec2020, patient did blood work. Twelve years ago (2009) she had a partial thyroidectomy and at the physical they noticed a lump. The goiter was enlarged on her neck. She doesn't know if it a result from COVID, but she has Hashimoto's disease in Dec2020. She has to have surgery to removed the goiter, but she can't because of COVID. She has looked it up and it is an autoimmune disease. She had a fine needle biopsy and it was negative and she had a full thyroid work up that was fine in the beginning of Jan2021.The patient's concomitant medications were not reported. On 14Jan2021, the patient's test came back positive for covid. It was further reported that the patient tested negative on the Friday after holiday. She has been getting tested twice weekly since that time and they had all been negative. Patient was scheduled to get her second dose of the vaccine today (18Jan2021). The outcome of the event was unknown.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. However, full immunity is only expected 2 weeks after the second dose.

Other Meds:

Current Illness:

ID: 0995232
Sex: F
Age:
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Name: Blood; Result Unstructured Data: Test Result:negative/normal; Comments: recently had within the last month or so. I had two or one and blood and everything was negative, everything was normal; Test Name: I had two or one; Result Unstructured Data: Test Result:negative/normal; Comments: recently had within the last month or so. I had two or one and blood and everything was negative, everything was normal

Allergies:

Symptoms: arm soreness/Arm hurt; headache; swollen glands; head "felt stuffy"; very weak muscles (had to be helped to the bathroom); very weak; not feeling well; very sick; This is a spontaneous report from a contactable consumer (patient). This 70-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, on 12Jan2021 at single dose for COVID-19 immunisation. Age at vaccination was 70-year-old. Medical history included Sars-Cov-2 infection (Mar2020), sick for 5 or 6 days, who knowingly has antibodies, and has donated plasma on multiple occasions, asthma but does not report respiratory symptoms, mild hypertension, migraines, vascular problems, and chronic portal vein thrombosis (PVT). Concomitant medications included linaclotide (LINZESS), hydrochlorothiazide, rosuvastatin, montelukast, levothyroxine, clopidogrel. On 13Jan2021 at night, she reports arm soreness/arm hurt, and that when she woke up the next day she 'felt like she had Covid all over again' with: headache, swollen glands, head 'felt stuffy', very weak muscles (had to be helped to the bathroom), no fever but caller did state that she took a Tylenol. From Wednesday to Saturday she didn't feeling well, but every day she felt a little better. She has asthma - drug out my peak flow meter (as reported). No asthma sx during this whole thing. She reported adverse events and thinks some might have been stunted by the Tylenol she took after the first dose. She reported she was very sick, she still had like waves of not feeling well. She had most of the symptoms that she had was when she had Covid. She was sick, she was in bed and could not move. The most severe symptoms were on 13th and slowly each day felt better and it was until Saturday was when she really started to feel a 100 percent herself. Events were reported as non-serious. She had recently lab test within the last month or so. She had two or one and blood and everything was negative, everything was normal. Outcome of very sick and not feeling well is not recovered, while the outcome of the other events is recovering. She should receive the second dose on 02Feb2021. Information about lot/batch number has been requested.

Other Meds: CLOPIDOGREL; HYDROCHLOROTHIAZIDE; LEVOTHYROXINE; LINZESS; MONTELUKAST; ROSUVASTATIN

Current Illness:

ID: 0995233
Sex: F
Age:
State: FL

Vax Date: 01/15/2021
Onset Date: 01/01/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Date: 20210118; Test Name: Covid test; Test Result: Positive

Allergies:

Symptoms: tested positive; tested positive; being a little tired/she was tired after it; This is a spontaneous report from a contactable consumer (patient). A 76-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283, expiry date: 30Apr2021) solution for injection, via an unspecified route of administration on 15Jan2021 at a single dose for Covid-19 immunization. Medical history included hearing aid. There were no concomitant medications. The patient reported she received her first dose on Friday 15Jan2021 and she lost her sense of smell and taste on Sunday 17Jan2021 and she went and got tested today, Monday 18Jan2021 and her rapid test was positive (Covid test). her taste and smell ability disappeared. She stated that yesterday at 3:30PM all of sudden that her taste and smell ability disappeared. Stated that she just had a rapid test done. Stated that she had not felt bad and had no symptoms before the shot. Patient wanted to know if they had any reactions like this. Stated that she will know more when the test comes back, and she will hear shortly. Patient stated that she was tired after it (Jan2021). She was being a little tired. Stated she has a hearing aid which she had prior to getting the vaccine. Outcome of the events lost her sense of smell and taste/her taste and smell ability disappeared were not recovered, while outcome of the other events was unknown. No follow-up activities are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 0995234
Sex: F
Age:
State:

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

Lab Data: Test Date: 202101; Test Name: Tested; Result Unstructured Data: Test Result:Positive; Test Date: 202101; Test Name: Tested; Result Unstructured Data: Test Result:Negative

Allergies:

Symptoms: Tested positive shortly thereafter; Tested positive shortly thereafter; This is a spontaneous report from a contactable other healthcare professional (patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date not provided), via an unspecified route of administration on 04Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had the first dose of the vaccine on 04Jan2021 and then on an unspecified date in Jan2021, the patient tested positive thereafter. She stated that she is now negative for COVID and wants to know if she needs to wait to get the 2nd dose of the vaccine. The outcome of the events was unknown. Information about lot/batch number has been requested.; Sender's Comments: A causal association between BNT162B2 and the reported events cannot be excluded based on a compatible temporal relation. However, full immunity is only expected 2 weeks after the second dose.

Other Meds:

Current Illness:

ID: 0995235
Sex: F
Age:
State: MI

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:160s over 108-114; Comments: Her previous blood pressure readings have been in the 160s over 108-114.; Test Date: 20210114; Test Name: Blood pressure; Result Unstructured Data: Test Result:high; Test Date: 20210118; Test Name: Blood pressure; Result Unstructured Data: Test Result:165/108

Allergies:

Symptoms: high blood pressure/her blood pressure is 165/114; This is a spontaneous report from a contactable consumer (patient). A 42-year-old female patient received the first dose of BNT162B2 (Pfizer-BIONTECH Covid-19 Vaccine; Lot number: EK9231), via an unspecified route of administration in the left arm on 12Jan2021 at 09:30 as a single dose for COVID-19 immunization. The patient had no relevant medical history and had no concomitant medications. History of all previous immunizations with Pfizer Vaccine considered as suspect was reported as none (this was the first dose received), did not have additional vaccines administered on the same date as the Pfizer vaccine, and did not have any prior vaccinations within four weeks. The patient mentioned that after getting the first shot of the COVID-19 vaccine, her blood pressure was 165/114 in the morning of 14Jan2021. She has never had high blood pressure and wanted to know if this was normal after getting the vaccine. The last three days she has been taking her blood pressure and it had been high. On 18Jan2021, the patient's blood pressure was 165/108. Her previous blood pressure readings have been in the 160's over 108-114. Reiterated that she has never had high blood pressure before. She was scheduled to get second dose on 02Feb2021. The event did not require a visit to the Emergency Room or Physician's Office and she has not gone yet to the hospital. Everyone wanted her to, but she did not want to go. She stated she did not like hospitals. Outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 0995236
Sex: F
Age:
State: TN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Test Date: 20210115; Test Name: Fever; Result Unstructured Data: Test Result:101 Fahrenheit

Allergies:

Symptoms: 101F fever/101 degree fever; chills; headache; Sore arm; This is a spontaneous report from a contactable consumer reporting for herself. An 80-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247), via unspecified route of administration, on right arm, on 14Jan2021 15:30 at single dose for COVID-19 immunization. Vaccination Facility type was at Health department gave it at the fairgrounds. Medical history included ongoing COPD, blood pressure high, GERD, former smoker she quit 30 years ago, had COVID while she was in a rehab center in Aug2020, for which she said it felt like bronchitis; broke her hip last August (Aug2020). Ongoing concomitant medications included hydrochlorothiazide, telmisartan (TELMISARTAN HCTZ) for blood pressure high, pantoprazole for GERD, vitamins, ascorbic acid (VITAMIN C), zinc, colecalciferol (VITAMIN D), acetylsalicylic acid (ASPIRIN), magnesium. On 15Jan2021, patient had a 101F fever, a headache and chills all day. Her concern was that she had never had any kind of reaction to any kind of vaccine before. From what she's heard, people have had a worse reaction to the 2nd shot, and since the first shot was so bad she was worried about getting the 2nd one. She was scheduled for her 2nd dose on 02Feb2021, and she had an appointment scheduled with a specialist on 03Feb2021. The morning after getting the vaccine, she woke up and got dressed but kept thinking that she was cold so she put on an extra sweater. Stated that even with the extra sweater on, she still had the chills, then she started to get the headache, and then she took her temperature. Stated that she had also had a sore arm, it's finally starting to feel better today. The outcome of event sore arm was resolving, outcome of other events were resolved on 16Jan2021.

Other Meds: TELMISARTAN HCTZ; PANTOPRAZOLE; VITAMINS NOS; VITAMIN C [ASCORBIC ACID]; ZINC; VITAMIN D [COLECALCIFEROL]; ASPIRIN [ACETYLSALICYLIC ACID]; MAGNESIUM

Current Illness: COPD

ID: 0995237
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer (patient). This female patient of unspecified age received the 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 06Jan2021 at single dose for covid-19 immunisation. Medical history and concomitant medications were unknown. The patient received the vaccine on 06Jan2021. A week after, she started getting itchy on may Wednesday or Thursday. She went outside at night, and maybe got bitten by mosquito bites, but she itched. Saturday night, her back was really itching and she put alcohol on it, and it stopped the itching. On Sunday, it was really getting itchy, and her doctor said to get Benadryl. She got Benadryl by pharmacy. She got vaccine in left arm and her left shoulder got red. She thought it was hives but never seen before and it went away within 5 minutes. When she took the Benadryl, the itching went away after half an hour. Now it's almost 12 hours later, and she's starting to get a little itchy, but not as bad. Her doctor said she needed one more dose of Benadryl. She had also had a very, very slight headache on the right side and she felt her glands were swollen in her neck. All event started on Jan2021. She was due for her next dose on 27Jan2021. Outcome of event itchy was recovering. Outcome of other events was unknown. Information on the lot/ batch number has been requested. Follow-up (18Jan2021): New information reported from a contactable consumer (patient) includes: reaction data (add hives). Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm