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: 1000408
Sex: F
Age: 38
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, Soreness and bump at injection site, congestion, some chills, and tiredness.

Other Meds: L-Lysine, Multi-Vitamins

Current Illness: None

ID: 1000412
Sex: F
Age: 24
State: VA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: None that I am aware of.

Symptoms: 7 days after the shot, the arm that received the shot got very itchy, irritated, and a little red. It is currently 8 days after the shot and my arm is still very itchy and feels a little swollen.

Other Meds: Spirolactone, gummy vitamins, vitamin C

Current Illness: None

ID: 1000415
Sex: M
Age: 55
State: WV

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Light headed and aches within two hours. At 2am next morning, I could hardly stand due to muscle pain and weakness, neck to toes, with associated nausea and low-grade fever of 99/100 the rest of the day. I took Advil and Tylenol every 4-6 hours. Some pain and weakness and nausea remain on 2/4/2021 but fever is gone and feeling well enough to return to work.

Other Meds: Metoprolol Limiter Low dose aspirin

Current Illness: Diverticulosis

ID: 1000418
Sex: M
Age: 47
State: PR

Vax Date: 12/15/2020
Onset Date: 01/04/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: TEE: Normal 2DEcho: Normal CXR: Left pleural effusion

Allergies: Acetaminophen Aspirin Dextromethorphan Shellfish

Symptoms: Pleuritic chest pain. Admitted due to acute pericariditis. Course complicated with new onset atrial fibrillation.

Other Meds: None

Current Illness: None

ID: 1000419
Sex: F
Age: 29
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Left half of face (same side as injection) from chin/neck to scalp was numb for approximately 8 hours. Felt very similar to the numbness of after dental work. Did NOT have face paralysis like that of Bell's Palsy just face numbness. After approximately 8 hours feeling was restored. As of 2+ weeks later no lasting effects.

Other Meds: Nexium

Current Illness:

ID: 1000421
Sex: F
Age: 72
State: FL

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

Lab Data: CBC, CMP, Glomerular Filtration Rate, Creatinine Clearance(estimated)

Allergies: none

Symptoms: Chills and headache the night of the injection. Next morning at 6:00 was sitting up in bed and became unconscious and unresponsive to painful stimulus. Called 911 medics. After about 20 minutes - started to regain conscious. At that point Bp was 50/40. Taken to Hospital . Vomiting and Diarrhea. Was given 1 bag IV saline and adavan. Release after 4 hours.

Other Meds: Desmopressin .1mg AM & PM Levoxyl 75 mcg daily Lexipro 10mg 1/day Gabapentin 2 @300mg Centrum Gummies vitamins ? bid Phillips Fiber Gummies 4/day Posture-D - bid Botox ? bladder injections 10/8/20 Prolia 60ml twice per year 1/5/21 Vala

Current Illness:

ID: 1000423
Sex: F
Age: 41
State: FL

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

Lab Data: no

Allergies: MACROBID

Symptoms: Within 12 hours of receiving vaccine I began to feel fatigue in my muscles and a mild headache. The next morning I experienced brain fog, inability to formulate thoughts correctly, difficulty thinking, lack of concentration, muscle soreness, aches all over body, tired easily, shortness of breath, fever, chills, and nausea. 36 hours after receiving vaccine, I still feel uneasy on my feet, light headedness, muscle soreness, stiff neck, nose bleeds, headache, nausea and extreme fatigue.

Other Meds: NONE

Current Illness: NO

ID: 1000426
Sex: F
Age: 44
State: MA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: nine

Allergies: none

Symptoms: enlargement of lymph nodes under left axilla; no treatment to date, lumps are still there after 3 weeks

Other Meds: none

Current Illness: none

ID: 1000429
Sex: F
Age:
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Gluten,soy

Symptoms: Flu like symptoms. Arm pain. Redness at injection site that has not stopped spreading since receiving vaccine.

Other Meds:

Current Illness:

ID: 1000480
Sex: M
Age:
State: NJ

Vax Date: 09/21/2018
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Name: ELIZA; Test Result: Negative ; Test Name: Rubella antibody test; Test Result: Positive ; Test Name: Mumps antibody test; Test Result: Positive ; Test Name: Measles antibody; Test Result: Positive

Allergies:

Symptoms: He has no immunity to the vaccine, his immunity is less than 1 .4.; This spontaneous report was received from a physician and refers to a 13-year-old male patient. No information regarding the patient's concurrent conditions, medical history, drug reactions or allergies and concomitant medications was provided. On an unknown date in 2008 and an unknown date in 2011, the patient was vaccinated with varicella virus vaccine live (oka/merck)(VARIVAX) injection (dose number, dose, route of administration, anatomical location, lot # and expiration date were not reported for any) for prophylaxis. Then, on 21-SEP-2018 and on 26-OCT-2018, he received his dose of varicella virus vaccine live (oka/merck)(VARIVAX) injection (dose number, dose, route of administration, anatomical location, lot # and expiration date were not reported for any) for prophylaxis. On an unknown date, the patient had "no immunity to the vaccine", his immunity was less than 1.4 (units not provided) (antibody test negative). It was also reported, that his ELIZA was negative and Measles, Mumps and Rubella was positive. The physician could not find more sensitive test. The outcome of no immunity was not reported. The causality assessment between the event of no immunity and varicella virus vaccine live (oka/merck)(VARIVAX) was not provided.

Other Meds:

Current Illness:

ID: 1000481
Sex: F
Age:
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: expired dose; This spontaneous report was received from a registered nurse and refers to a 19 month old female patient. The patient's concurrent conditions, medical history and concomitant therapies were not provided. On 20-JAN-2021, the patient was vaccinated withan expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II), lot# reported as "S021617,", expiration date 09-JAN-2021, 1 dose (vaccination site and route were not provided). for prophylaxis.

Other Meds:

Current Illness:

ID: 1000482
Sex: U
Age:
State:

Vax Date: 12/08/2020
Onset Date: 12/09/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: woke up hurting all over; This case was reported by a consumer and described the occurrence of general body pain in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of no adverse event (received 1st dose on an unspecified date). On 8th December 2020, the patient received the 2nd dose of Shingrix. On 9th December 2020, 1 days after receiving Shingrix, the patient experienced general body pain. On an unknown date, the outcome of the general body pain was unknown. It was unknown if the reporter considered the general body pain to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but it was selected as adult as per the vaccine indication. The patient received Shingrix and woke up hurting all over and no problem with the first dose.

Other Meds:

Current Illness:

ID: 1000483
Sex: M
Age: 68
State: NV

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: blisters all over his entire body. which are painful.; blisters all over his entire body. which are painful.; This case was reported by a consumer and described the occurrence of blister in a 68-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of rash (received 1st dose in september 2020, refer case US2020244427). In November 2020, the patient received the 2nd dose of Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced blister and pain. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the blister and pain were unknown. It was unknown if the reporter considered the blister and pain to be related to Shingrix. Additional details were reported as follows: The patient received Shingrix and breaking out in blisters all over entire body which are painful. The reporter consented to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2020244427:same reporter

Other Meds:

Current Illness:

ID: 1000484
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: feel terrible; This case was reported by a consumer via interactive digital media and described the occurrence of feeling bad in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. On an unknown date, the patient received Shingrix and Influenza vaccine Quadrivalent unspecified season. On an unknown date, unknown after receiving Shingrix and Influenza vaccine Quadrivalent unspecified season, the patient experienced feeling bad. On an unknown date, the outcome of the feeling bad was unknown. It was unknown if the reporter considered the feeling bad to be related to Shingrix and Influenza vaccine Quadrivalent unspecified season. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but it was selected as adult as per the vaccine indication. The patient received Shingrix shot and a flu shot at the same time and feel terrible.

Other Meds:

Current Illness:

ID: 1000485
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Fever; Weakness; This case was reported by a consumer and described the occurrence of fever in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced fever and weakness. On an unknown date, the outcome of the fever and weakness were unknown. It was unknown if the reporter considered the fever and weakness to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but it was selected as adult as per the vaccine indication. The patient received Shingrix and had fever and weakness. The reporter asked how long did the fever and weakness last after the 2nd Shingrix shots.

Other Meds:

Current Illness:

ID: 1000486
Sex: F
Age:
State: AL

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

Lab Data:

Allergies:

Symptoms: fever; arm pain; feeling bad; This case was reported by a nurse and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of pain in extremity (received 1st dose on unknown date, refer case US2020AMR246222). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced fever, pain in arm and feeling bad. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the fever, pain in arm and feeling bad were unknown. It was unknown if the reporter considered the fever, pain in arm and feeling bad to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The patient experienced arm pain, fever and feeling bad for 3 days. The reporter did not consent to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR246222:same reporter

Other Meds:

Current Illness:

ID: 1000487
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: became nauseous; This case was reported by a consumer and described the occurrence of nausea in a patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced nausea. On an unknown date, the outcome of the nausea was not recovered/not resolved. It was unknown if the reporter considered the nausea to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The age group was not reported but it was captured as adult as per vaccine indication. The patient received the dose and became nauseous. The patient asked was there any advice to minimize this side effect and he or she was scheduled to get the second dose soon.

Other Meds:

Current Illness:

ID: 1000488
Sex: F
Age:
State: MS

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Name: Creatinine; Result Unstructured Data: Test Result:1.2; Comments: normal 1.2 or something; Test Name: Temp; Result Unstructured Data: Test Result:normal; Test Name: CRP antigen; Result Unstructured Data: Test Result:raised; Test Name: Liver function; Result Unstructured Data: Test Result:normal; Test Name: PO2; Result Unstructured Data: Test Result:between 96 and 99 which is normal; Comments: normal; Test Name: COVID test; Test Result: Negative ; Test Name: COVID test; Result Unstructured Data: Test Result:normal; Test Name: white cell count; Result Unstructured Data: Test Result:marginally raised

Allergies:

Symptoms: white cell count was marginally raised; CRP antigen was raised; Her hands are worse and she can't grip; hands are swollen; neurological thing; tenosynovitis; didn't sleep last night; She is becoming weaker and weaker; sweating and chills and some headaches; bodyache/pain; headache; severe chills; fever; This is a spontaneous report from a contactable physician. A 79-years-old female patient (Reporter's wife) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/lot number: EL8982, expiry date: unknown), via an unspecified route of administration on 14Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient received the first vaccine on 14Jan2021 and at the same night experienced severe chills, fever, headache, and bodyache. Headache and bodyache has progressively gotten worse and patient was given tylenol and motrin which was starting to get less effective. It has been 6 days since the patient had these events, and reporter would like information specific to headaches and bodyaches lasting this long and how they were managed. It was further reported that the patient is too feeble and weak to talk right now. She is becoming weaker and weaker. She had the vaccine on 14Jan2021. That night she had sweating and chills and some headaches. The next day she had headache and pain all over her body. It got worse. It was a serious headache and serious pain. They talked to people who said it was a normal reaction. On the fourth day she got worse. She is getting weaker. He(reporter) wanted to make sure she did not have active COVID. They went to doctor's office and did COVID test, it was negative. Came back and she still had persistent headache. He took her back to the doctor on Sunday. Her CRP antigen was raised, liver function was normal. temp was normal. PO2 was between 96 and 99 which is normal. Her Creatinine was normal 1.2 or something. Her white cell count was marginally raised. Did PCR COVID test and it was normal. That night she slept well. Increased pain medication, Tylenol and nonsteroidal anti-inflammatory over the counter. That relieves the pain for only an hour or two and it comes back again. He clarified that his wife is taking Tylenol 1000mg and the over the counter nonsteroidal anti-inflammatory is Motrin 400mg every six hours. Today when she got up she said she was no better. She can't get out of the chair. It looks like a neurological thing. Her muscle power has reduced. The pain is severe. Her hands are worse and she can't grip. She has tenosynovitis in both hands so it is difficulty to assess. She had injections four or five weeks ago and it got better, but now she can't make a fist and her hands are swollen. Now the pain is intolerable. She is getting weaker and weaker. She is very lively. She may be seventy some years old, but you wouldn't know it. She didn't sleep last night. He is helping her get up and go to the bathroom. She is hurting and suffering. They were asking if there are any patients or people who had this reaction six of seven days after the vaccine. He is taking her to a neurologist today. Another doctor is coming to see her at their house. The outcome of the events bodyache/pain and headache was not recovered, while for other events was unknown. Therapeutic measures were taken as a result of bodyache/pain, headache.; Sender's Comments: Based on temporal association, the causal relationship between bnt162b2 and the events pain and headache cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes 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: 1000489
Sex: M
Age:
State:

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I may have a blood clot in my leg.; This is a spontaneous report from a contactable consumer (patient). A male 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 20Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient got the first dose of the vaccine on 20Jan2021 and is going to visit his doctor because they think that he may have a blood clot on his leg on an unspecified date. He wanted to know if it was okay if they give him a shot of something like contrast to see the ultrasound. The outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000490
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Shingles; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) in Jan2021 at a single dose, with route of administration unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. In Jan2021, the patient had contracted shingles. The outcome of the event, shingles, was unknown. The patient would like to know if she should receive the second dose of vaccination. Information about batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1000491
Sex: M
Age:
State: TN

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

Lab Data:

Allergies:

Symptoms: experiencing some arm pain where the injection was given; This was supposed to be under 70 Degrees Fahrenheit. They were keeping it out side and giving the injection; This was supposed to be under 70 Degrees Fahrenheit. They were keeping it out side and giving the injection; This is a spontaneous report from a contactable consumer (consumer). A 79-year-old male patient received first dose of BNT162B2 (lot number and expiry date not reported), via an unspecified route of administration on an unspecified date at single dose in the arm for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. This patient reports receiving his first injection of the Pfizer-BioNTech COVID-19 vaccine and experiencing some arm pain where the injection was given. Also he just noticed that when the nurse was going to give it to him that she had the syringe with the vaccine in it in her hand. She talked to him several minutes before administering. He thought this was supposed to be under 70 Degrees Fahrenheit. They were keeping it outside and giving the injection. He doesn't understand why they had it out in the weather. It was kind of warm in the state. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000492
Sex: F
Age:
State: NJ

Vax Date: 01/19/2021
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: did not get enough dose of the vaccine; not administered to her properly because as soon as the syringe from her deltoid, a big gush of blood came out; was not administered to me properly because as soon as she took the needle out, a bunch of blood just ran down my arm; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received her first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 19Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that the patient was given the vaccine yesterday and she was afraid that it was not administered to her properly because as soon as the syringe from her deltoid, a big gush of blood came out. The patient was thinking she did not get enough dose of the vaccine. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000493
Sex: F
Age:
State: NM

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea; Feels tired; anxiety; This is a spontaneous report from a contactable pharmacist. A 58-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EL1284), intramuscular (left arm), on 23Dec2020 18:00, at single dose, for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported nausea, but it went away, feels tired and after conversation, possibly just anxiety. These adverse events started on 23Dec2020 18:00. No treatment was received for the events reported. The patient recovered from the events on an unspecified date. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not have COVID prior vaccination and have not been COVID tested post vaccination. The COVID call center advised to return to work.

Other Meds:

Current Illness:

ID: 1000494
Sex: F
Age:
State: MA

Vax Date: 12/28/2020
Onset Date: 12/01/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe headache; extreme fatigue; This is a spontaneous report from a contactable healthcare professional (patient). A 32-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: Ej1686), intramuscular in left arm on 28Dec2020 at single dose for COVID-19 immunization. Medical history included high blood pressure from an unknown date and unknown if ongoing. Concomitant medication included metoprolol. The patient was not pregnant. About 8 hours after the first shot in Dec2020, the patient had extreme fatigue and a severe headache for about 24 hours. The facility where the most recent COVID-19 vaccine was administered was in the nursing home. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was recovered on unspecified date.

Other Meds: METOPROLOL

Current Illness:

ID: 1000495
Sex: F
Age:
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210115; Test Name: blood pressure; Result Unstructured Data: Test Result:increased; Test Date: 20210115; Test Name: heart rate; Result Unstructured Data: Test Result:rapid; Test Date: 20210118; Test Name: Nasal Swab; Test Result: Negative ; Comments: Rapid; Test Date: 20210120; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: Weakness; fatigue; small breathes like slightly short of breath; body aches/ severe tender and painful lymph nodes-to neck and groin and around sides; low grade fever; abdominal pain one day; all days lymph nodes pain /neck lymph node aches/ severe tender and painful lymph nodes-to neck and groin and around sides, under ribs; tenderness, especially around the side rib cage and waist area; tenderness especially around the side rib cage and waist area/ severe tender and painful lymph nodes-to neck and groin and around sides; feeling really bad like i want to cry; slight headache; night sweats; rapid heart rate; increased blood pressure; severe tender and painful lymph nodes-to neck and groin and around sides, under ribs; severe tender and painful lymph nodes-to neck and groin and around sides, under ribs; tenderness to flank area; difficult to turn in bed and lie on right side; Itchiness but no visible rash; first dose of bnt162b2 on 28Dec2020 and second dose on 12Jan2021; This is a spontaneous report from a contactable nurse (patient). A 49-year-old female patient received the second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: Unknown), via an unspecified route of administration at the right arm on 12Jan2021 at a single dose for COVID-19 immunization. Medical history included taking medication for focus (adult adhd?); perimenopausal. She also has known allergies: sulfa; shrimp, strawberry/raspberry flavored foods or candies. The patient was not pregnant at the time of vaccination. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) for focus, perimenopausal. The patient previously received the first dose of bnt162b2 intramuscularly at the right arm on 28Dec2020 at 2:30 PM at the age of 49 years for COVID-19 immunization (Lot number: EL3249). On 15Jan2021, the patient experienced weakness, fatigue, small breathes like slightly short of breath/ short of breath, body aches, low grade fever, abdominal pain one day, all days lymph nodes pain and tenderness especially around the side rib cage and waist area, more on right side then left, neck lymph node aches, feeling really bad like the patient wanted to cry, slight headache, night sweats. Lymph node pain and tenderness is the worse along with body aches and weakness. Also, on 15Jan2021, patient experienced rapid heart rate, increased blood pressure, severe tender and painful lymph nodes-to neck and groin and around sides, under ribs and tenderness to flank area. Mainly right below right ribs and right waist, right flank painful and difficult to turn in bed and lie on right side. There were also Itchiness but no visible rash. According to the reporter the events started on 15Jan2021 at 1AM. The patient received the first dose of bnt162b2 on 28Dec2020 and second dose on 12Jan2021. The patient had nasal swab, rapid on18Jan2021 result was negative and nasal swab on 20Jan2021 result was negative. The vaccine was administered in a hospital. The patient has not received any other vaccines within 4 weeks prior to the COVID vaccine. The outcome of the events was recovering except for abdominal pain one day which recovered on 16Jan2021.

Other Meds: ADDERALL

Current Illness:

ID: 1000496
Sex: U
Age:
State:

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

Lab Data: Test Name: covid testing; Test Result: Negative

Allergies:

Symptoms: allergic reaction; swelling; This is a spontaneous report from a non-contactable pharmacist. A patient of unspecified age and gender receive the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had an allergic reaction on an unspecified date, after receiving the 1st dose of vaccine. The patient experienced swelling. The reporter wanted to know if it is still advisable for the patient to get the 2nd dose of the vaccine. The patient did covid testing the same day he received his 1st dose, patient tested negative. Outcome of the events was unknown. No follow-up attempts are possible, information about batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1000497
Sex: F
Age:
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe diarrhea; This is a spontaneous report from a contactable consumer (patient). A 69-year-old non-pregnant female patient received bnt162b2 (BNT162B2 reported as PFIZER COVID 19 VACCINE; unknown lot number and expiration date), via an unspecified route of administration on 19Jan2021 12:45 at a single dose for covid-19 immunization. Medical history included RA (rheumatoid arthritis), cardiomyopathy, intervertebral disc degeneration, and known allergies to wheat and dairy. The patient was not diagnosed with covid prior vaccination. Concomitant medications included unspecified medication. The patient has not had other vaccine in the last 4 weeks. The patient previously took clindamycin but had allergies. The patient had severe diarrhea on 20Jan2021 12:00 PM. No treatment was received. The patient was not covid tested post vaccination. The outcome of the event was not recovered. The following information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1000498
Sex: F
Age:
State: AR

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

Lab Data: Test Name: heartbeat; Result Unstructured Data: Test Result:Fast

Allergies:

Symptoms: hallucination; fever; fast heartbeat; Sick; This is a spontaneous report from a contactable consumer. A 54-year-old female patient received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein, lot number and expiration date unknown), at a single dose, and influenza vaccine at an unspecified dose, both, via an unspecified route of administration, on an unspecified date for immunization. Medical history included heart trouble, asthma and low blood trouble/low blood sugar. The patient's concomitant medications were not reported. Patient was concerned about getting the Covid- 19 vaccine. Patient would like to know if she can get the covid vaccine with her history of medical conditions. The patient reported that the last time she got a flu and pneumonia shot together it made her sick on an unspecified date. She had a fast heart beat, fever and hallucinations, all on an unspecified date. She was told it could have been too much giving them together. She would be getting the Covid-19 vaccine. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000499
Sex: M
Age:
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: angio edema of lips and periorbital area; Nasal and sinus congestion; rash on chest and face; wheezing; This is a spontaneous report from a contactable physician. A 55-year-old male patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date were not reported), intramuscular in left arm on 17Jan2021 at a single dose for COVID-19 immunization. Medical history included mixed hyperlipidemia. The patient had no known allergies. The patient's concomitant medications were not reported. The patient previously received the first dose of bnt162b2 on Jan2021 via intramuscular. On 17Jan2021, the patient experienced nasal and sinus congestion, rash on chest and face, angioedema of lips and periorbital area and wheezing. The outcome of the events was not recovered. The patient received an OTC antihistamine and monitored the condition. Information on the batch/lot number has been requested.; Sender's Comments: Based on a chronological association and known product safety profile, a causal relationship between event angioedema and BNT162B2 ((PFIZER-BIONTECH COVID-19 VACCINE) cannot be excluded. 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: 1000500
Sex: F
Age:
State: NM

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Feeling some nausea; Feeling hot; This is a spontaneous report from a contactable pharmacist. A 71-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL1284; Expiration date was not reported), intramuscularly on the left arm on 29Dec2020 (12:45) at a single dose for COVID-19 immunization at the hospital. The patient's medical history and concomitant medications were not reported. The patient was not pregnant at the time of vaccination. On 29Dec2020 (13:00), the patient was feeling some nausea; and was feeling hot. The patient had received an unspecified treatment for 'feeling hot'; and had received ondansetron for 'nausea'. The outcome of the events, 'feeling some nausea' and 'feeling hot', was recovered on an unspecified date. The patient was not tested for COVID-19 post-vaccination.

Other Meds:

Current Illness:

ID: 1000501
Sex: F
Age:
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red swollen big bump on arm that didn't go away for 5 days; Red swollen big bump on arm that didn't go away for 5 days; This is a spontaneous report from a non-contactable healthcare professional (the patient). A 23-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number EH9899), via an unspecified route of administration in the left arm on 30Dec2020 at 14:15 (at the age of 23-years-old) as a single dose for COVID-19 immunization. Medical history included the patient had COVID prior to vaccination. The patient had no known allergies. The patient was not pregnant at the time of vaccination. Concomitant medications were not reported. On 30Dec2020, the patient experienced red swollen big bump on arm that didn't go away for 5 days. The patient did not receive any treatment for the events. The clinical outcome of red swollen big bump on arm was recovered on 04Jan2021. It was also reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1000502
Sex: M
Age:
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210108; Test Name: temperature; Result Unstructured Data: Test Result:101.7.

Allergies:

Symptoms: upset stomach; diarrhea; temperature to 101.7; I was tired and sleepy; I was tired and sleepy; fever; This is a spontaneous report from a contactable physician (patient). A 64-year-old male patient received bnt162b2 (Pfizer-BioNTech COVID-19 mRNA vaccine), second dose on 07Jan2021 07:00 (lot number: EJ1685) via an unspecified route of administration in the left arm at a single dose for covid-19 immunization. Medical history included diabetes mellitus (DM), coronary artery disease (CAD), hypertension (HTN), HLD, glaucoma, retinal tears and overweight. Concomitant medication included diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP) via an unspecified route of administration in the left arm, first dose on 31Dec2021. The patient previously received first dose of bnt162b2 on 18Dec2020 16:45 (lot number: EL3248) for covid-19 immunization. On 08Jan2021 07:00, the patient experienced upset stomach, diarrhea, temperature to 101.7, tired and sleepy and fever. The patient received Pepto-Bismol and Azithromycin as treatment for the events. The patient did not have covid prior vaccination and had not tested positive for covid post vaccination. Events fever ad temperature to 101.7 recovered on 09Jan2021; event diarrhea recovered on 11Jan2021; all other events resolved with sequel.

Other Meds:

Current Illness:

ID: 1000503
Sex: F
Age:
State: NY

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm; This is a spontaneous report from a contactable consumer (patient herself). A 33-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EL3247, expiration date was unknown), via an unspecified route of administration on the left arm on 20Jan2021 at 08:45 at a single dose for COVID-19 immunization administered at the clinic. Relevant medical history included allergies to Penicillin. The patient's concomitant medications were not reported. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On an unspecified date, the patient experienced sore arm, which was assessed as non-serious. The patient did not receive any treatment for the adverse event. The outcome of the event was unknown.

Other Meds:

Current Illness:

ID: 1000504
Sex: F
Age:
State: NC

Vax Date: 01/16/2021
Onset Date: 01/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: she felt very cold and unwell; she felt very cold and unwell; dizziness; headache; extreme fatigue; fogginess/Foggy brain was described as she was not able to focus very well; Strong chills was not going away almost like a feeling of ice in her veins; Arm ache at the site; She was not able to get work done due to extreme fatigue and foggy brain/It was very disturbing and interfering with ability to do work; This is a spontaneous report from a contactable consumer (patient). A 74-year-old female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EL1283), via an unspecified route of administration in the left arm on 16Jan2021 at a single dose for COVID-19 immunization. There were no medical history and no concomitant medications. The patient had her first COVID19 vaccine dose. Immediately, on 16Jan2021, she felt very cold and unwell. She also experienced dizziness, headache that started right after the shot, extreme fatigue that started later in the day and fogginess that started right after the shot. Strong chills was not going away almost like a feeling of ice in her veins. She is taking paracetamol (TYLENOL) and ibuprofen for these. The events were not improving. She was just surprised, she was ok with a day's worth, but it was hanging on dizziness (not enough to fall down), but she has to hold onto a rail to go upstairs which was not normal. She doesn't feel like she is real anchored. Headache was described as very bad and is not changing. Foggy brain was described as she was not able to focus very well. She was not able to get work done on Jan2021 due to extreme fatigue and foggy brain. She also experienced arm ache at the site on 06Jan2021 for which the patient expected. It is reducing some, the ache is not as bad as it was while the other things seem to be growing and it is still there. She had to be set aside when she took the shot, because she had these reactions after she got the shot. She had to be watched because of her almost immediate reactions. The patient wants an advice on what to do now, if there is any help for the side effects, and if this will go away. It was very disturbing and interfering with ability to do work. Outcome of the vaccination site pain was recovering while of the remaining events was not recovered.

Other Meds:

Current Illness:

ID: 1000505
Sex: F
Age:
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I broke out in shingles; Relevant medical history: type 1 diabetes mellitus and lupus; Relevant medical history: type 1 diabetes mellitus and lupus; This is a spontaneous report received from a contactable consumer (patient) via a Pfizer-sponsored program. A 35-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0142, expiry date: unknown), via an unspecified route of administration in the left arm, on 08Jan2021 at 11:00 to 11:45 (as reported), at single dose, for COVID-19 immunization, in the hospital. Medical history included ongoing type 1 diabetes mellitus (diagnosed at 8 years old, maybe around 1993-1994), lupus from 2004 and ongoing, TTP (blood clotting disorder) from 2019 and ongoing and allergies to sulfa drugs. There were no concomitant medications. Historical vaccine included flu shot for immunization which she believes that was well before 4 weeks. The patient stated, 'My doctor wanted me to call and get information. I received my first vaccine but a week later I broke out in shingles and I'm due to get my second dose in a week or so. Any advice on that? My doctor suggesting putting the second dose off for a few weeks. Does it become ineffective? Is there a timeline? What is the timing of the second dose of Pfizer-BioNTech COVID-19 vaccine, and can I receive it earlier or later than 3 weeks?". The patient reported that she received the first dose of the COVID vaccine. A week after, she came down with shingles. She was wondering if she could get the second dose after coming down with shingles. She clarified that on 15Jan2021 (Friday), she went with what she initially thought was a pinched nerve. She had radiating pain starting from her shoulder coming down into her hands and fingers. She had the rash probably on Friday (22Jan2021). She then started getting a small blister/rash on 23Jan2021. On 24Jan2021, she returned to the Urgent Care and the rash had spread at that point and they were pretty sure it was the shingles virus. She reported she had gone to Urgent Care over the weekend twice, they suspected that was what it was. She saw the doctor on 19Jan2021 (yesterday) and gave the official diagnosis of shingles. The outcome of the events was unknown.

Other Meds:

Current Illness: Clotting disorder; Lupus erythematosus; Type 1 diabetes mellitus (Diagnosed at 8 years old, maybe around 1993-1994)

ID: 1000506
Sex: F
Age:
State: IN

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20201223; Test Name: Temp; Result Unstructured Data: Test Result:100; Comments: 10:00

Allergies:

Symptoms: Temp 100; malaise; body aches; very sore arm; This is a spontaneous report from a contactable nurse (patient herself). A 59-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number EK5730), via an unspecified route of administration (left arm), on 22Dec2020 19:00, at single dose, for covid-19 immunization. Medical history included asthma and; Covid (prior to vaccination). The patient has no known allergies. Concomitant medications included niacin; colecalciferol (D3); cyanocobalamin (B12); loratadine and; fluticasone furoate, vilanterol trifenatate (BREO ELLIPTA). The patient was also taking ginger. The patient experienced temp 100, malaise, body aches, and very sore arm - all on 23Dec2020 10:00. The patient recovered from all the events on an unspecified date. No treatment was received for all the events reported. The patient did not receive any other vaccines within 4 weeks prior to the vaccination and; have not been COVID tested post vaccination.

Other Meds: NIACIN; D3; B12 [CYANOCOBALAMIN]; LORATADINE; BREO ELLIPTA

Current Illness:

ID: 1000507
Sex: F
Age:
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Skin redness/hands were red/red patches; hands were red and itchy; hands were red and itchy, burning.; extensive hives starting over dorsal hand surface, then wrists,eventually covering entire arms and patches over knees and lower legs; This is a spontaneous report from a contactable nurse (patient). This 45-year-old female patient received the fist dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1284 and expiry date unknown), via an unspecified route of administration on 19Jan2021 09:15 at a single dose on the left arm for COVID-19 immunization. Medical history included COVID-19 and allergies: PCN. Concomitant medication included colecalciferol (VITAMIN D). The patient received no other vaccine in four weeks. Patient is not pregnant. On 20Jan2021 08:30, the patient developed skin redness, her hands were red, itchy, and burning. This was followed by extensive hives starting over dorsal hand surface, then wrists, and eventually covering entire arms. The patient also had patches over knees and lower legs. The events resolved with 20 mg prednisone and Allegra after a couple hours, except for the flat red patches which remained over the knees and surrounding skin. The patient has not been tested for COVID-19 post-vaccination. Outcome of the event "skin redness/hands were red/red patches" was not recovered and of the other events was recovered on an unspecified date.

Other Meds: VITAMIN D [COLECALCIFEROL]

Current Illness:

ID: 1000508
Sex: F
Age:
State: MA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Soreness in arm at injection, 24 hrs; Day after debilitating lower back pain; Day after debilitating lower back pain which moved down towards buttocks & legs by 3rd day.; Day after debilitating lower back pain which moved down towards buttocks & legs by 3rd day.; This is a spontaneous report from a contactable other healthcare professional (patient). A 41-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EL3302), via an unspecified route of administration on 18Jan2021 09:30 AM at single dose on the right arm for COVID-19 immunization. Patient is not pregnant. Medical history included psoriasis, hypothyroidism and insomnia. Patient has no known allergies. No COVID prior vaccination. Concomitant medications (Other medications in two weeks) included levothyroxine, trazodone (reported as "Trazadone"), phentermine and ergocalciferol (VIT D). No other vaccines in four weeks. Facility type vaccine was Workplace clinic. The patient experienced "soreness in arm at injection, 24 hrs. Day after debilitating lower back pain which moved down towards buttocks & legs by 3rd day. Pain in walking, sitting & movement", all on 19Jan2021 11:00 AM which resulted in Doctor or other healthcare professional office/clinic visit. Treatment was received for the events, also reported a s "Call into pcp but was not helpful". Outcome of the events was not recovered. Patient was not tested for COVID since the vaccination.

Other Meds: LEVOTHYROXINE; TRAZODONE; PHENTERMINE; VIT D

Current Illness:

ID: 1000509
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: her arm got really really sore for several days up into her shoulder; her arm got really really sore for several days up into her shoulder; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age (reported as 80, no unit) received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. Medical history was not reported. The patient has a lot of unspecified underlying conditions. The patient had a flu shot on an unknown date and she stated even with the regular flu shot it makes her arm sore at the site every time. The patient was on unspecified blood thinners. On an unspecified date, her arm got really really sore for several days up into her shoulder. Investigation assessment was not provided. The outcome of the events was unknown. Information on the batch/lot number was requested.

Other Meds:

Current Illness:

ID: 1000510
Sex: F
Age:
State: KY

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

Lab Data: Test Name: Heart Rate; Result Unstructured Data: Test Result:Rapid

Allergies:

Symptoms: rapid heart rate; This is a spontaneous report from a contactable consumer (patient). A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number not reported, via an unspecified route of administration from an unspecified date as single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient would like to know if there's anything in the ingredients of the COVID vaccine that will stimulate the heart, she states she takes medication because she has a rapid heart rate. The patient states her niece received the second shot of the vaccine today and she didn't know that she should not take Tylenol or Ibuprofen and she took two Tylenol or Ibuprofen, patient would like to know if her niece should receive the second dose again. Patient heard that several people died after receiving the vaccine, she would like to know if this is true. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000511
Sex: F
Age:
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flu-like symptoms; chills; headache; left arm was bruised - still black and blue; Pain in arm; body ache; changes from her lower extremities freezing and sometimes it was her whole body; changes from her lower extremities freezing and sometimes it was her whole body; This is a spontaneous report from a contactable consumer (patient's husband). A 73-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 right arm on 12Jan2021 at a single dose for covid-19 prophylaxis; apixaban, oral from an unspecified date and ongoing at 5 mg, twice daily as blood thinner medication and atrial fibrillation. Medical history was not reported. Concomitant medication included ongoing dronedarone hydrochloride (MULTAQ) for blood pressure and heart beat, ongoing pravastatin for cholesterol, and dronedarone for blood pressure. For the past couple of days, she had had flu like symptoms. She has had a headache, body aches and chills. It changes from her lower extremities freezing and sometimes it was her whole body. Patient also had a pain in arm. Her left arm was bruised - still black and blue. All of these occurred on 13Jan2021. She did not have a fever. Today (20Jan2021), she was ok. When they went through the check in they asked if patient was on a blood thinner and she was. The patient's husband was wondering if the reactions had anything to do with the vaccine and if the blood thinner medication (Apixaban) she was taking would have caused the bruise. The patient was supposed to get the second vaccine 02Feb2021. Reporter was asking if it is ok to get the second dose. The action taken in response to the event for apixaban was unknown. Outcome of event chills was recovered on 19Jan2021, after 6 days; events flu like symptoms and lower extremities freezing and sometimes it was her whole body was unknown while recovering for other events.

Other Meds: MULTAQ; PRAVASTATIN; DRONEDARONE; APIXABAN

Current Illness:

ID: 1000512
Sex: F
Age:
State:

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20201216; Test Name: COVID test; Test Result: Negative ; Test Date: 20201230; Test Name: COVID-19 PCR test; Test Result: Positive ; Test Date: 20210103; Test Name: COVID-19 PCR test; Test Result: Negative ; Test Date: 20210104; Test Name: COVID-19 PCR test; Test Result: Negative

Allergies:

Symptoms: Caller got the first dose of the pfizer covid 19 vaccine on 26Dec2020 and tested positive for covid on 30Dec2020.; Caller got the first dose of the pfizer covid 19 vaccine on 26Dec2020 and tested positive for covid on 30Dec2020.; This is a spontaneous report from a contactable consumer (patient). A 49-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Batch/lot number: EL5738)on 26Dec2020 at single dose into right arm for COVID-19 immunization. Medical history was none. Concomitant medication included gummy bear vitamins, no further details provided. Patient did her first COVID test on 16Dec2020, prior to getting the vaccination, and was negative. Patient got the first dose of the vaccine on 26Dec2020 and on 30Dec2020 tested positive (via COVID-19 PCR test) for Covid . She was tested negative on 03Jan2021 and 04Jan2021 (both via COVID-19 PCR tests). She clarified that she went to a nursing home and was tested every 14 days when she went to see her mom and all times prior to getting the vaccine doses she was negative. She said her first dose of the vaccine was on 26Dec2020, then four days after that it was time to go get tested to go see her mom and the test was positive within no time it lights up. She said as a medical worker (she was a patient registration clerk at the emergency room- ER) she can wait 5 days after that for it to come up after being positive and after that if it was showing up negative she had to wait 24 hours to confirm negative test and repeated the test within 24 hours, which was negative too. Patient stated that other than having positive tests for COVID she has had no symptoms. Outcome of the event was unknown. Patient wanted to know if this was a herd immunity vaccine and if the vaccine had covid in it.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021077994 same patient, different dose

Other Meds:

Current Illness:

ID: 1000513
Sex: F
Age:
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210115; Test Name: heart rate; Result Unstructured Data: Test Result:Elevated

Allergies:

Symptoms: Elevated heart rate immediately after vaccine; shortness of breath with 90 minutes that's persisted on and off for 5 days so far; This is a spontaneous report from a non-contactable healthcare professional reporting on behalf of the patient. A 40-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Unknown lot number and expiration), intramuscular in left arm on 15Jan2021 at 09:30 AM at a single dose for COVID-19 immunization in a hospital. Medical history included asthma. The patient has no known allergies to medications, food, or other products. Concomitant medications included antibiotics, prenatal vitamins, and probiotics. On 15Jan2021, the patient experienced elevated heart rate immediately after vaccine and shortness of breath with 90 minutes that's persisted on and off for 5 days so far. The patient received albuterol for the event. The patient did not receive other vaccines within 4 weeks prior to the COVID vaccine. The events resulted in doctor or other healthcare professional office/clinic visit. The patient was not diagnosed with COVID-19 prior to vaccination and has not been tested for COVID post vaccination. The patient recovered from the events with sequelae. The events were assessed as non-serious. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds: PROBIOTICS

Current Illness:

ID: 1000514
Sex: F
Age:
State: NC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210113; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: fever; dizziness; aching joints; headache; shortness of breath; swollen and painful lymph nodes in left armpit only; swollen and painful lymph nodes in left armpit only; This is a spontaneous report from a contactable other healthcare professional (HCP) (patient). A 39-years-old non-pregnant female patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247, expiration date: unknown), intramuscular on the left arm on 30Dec2020 at 15:00 at a single dose for COVID-19 immunization. Medical history included gastroparesis, low thyroid, iron anemia, and known allergies: latex, apples, kiwi and avocado. Concomitant medications included bifidobacterium infantis (ALIGN), colecalciferol (VITAMIN D [COLECALCIFEROL]), cetirizine hydrochloride (ZYRTEC [CETIRIZINE HYDROCHLORIDE]), duloxetine hydrochloride (CYMBALTA), ethinylestradiol, ferrous fumarate, norethisterone acetate (LO LOESTRIN FE), folic acid (FOLIC ACID), levothyroxine (LEVOTHYROXINE), omeprazole (OMEPRAZOLE), and pantoprazole (PANTOPRAZOLE). The patient had no other vaccine in four weeks. On 30Dec2020, the patient experienced (first shot) fever, dizziness, aching joints, headache, shortness of breath, swollen and painful lymph nodes in left armpit only, 24 hours after the shot and lasted for two weeks. The patient had no COVID prior vaccination and tested negative post-vaccination through nasal swab on 13Jan2021, which resulted negative. No treatment was administered for the events. The event swollen and painful lymph nodes in left armpit only resolved on 14Jan2021 while the rest of the events had not resolved. Information on the lot/batch number has been requested.

Other Meds: ALIGN; VITAMIN D [COLECALCIFEROL]; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; CYMBALTA; LO LOESTRIN FE; FOLIC ACID; LEVOTHYROXINE; OMEPRAZOLE; PANTOPRAZOLE

Current Illness:

ID: 1000515
Sex: M
Age:
State: PA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210101; Test Name: pain; Result Unstructured Data: Test Result:3-4/10

Allergies:

Symptoms: more arthralgias than usual/ developed arthralgias in his DIP joints of his left hand/ pain was about 3-4/10. Mostly 3rd and 4th digit/ persisted for more than a day or two; This is a spontaneous report from a contactable physician (patient). A 59-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) Solution for injection (lot number and expiry date unknown) via an unspecified route of administration on 31Dec2020 15:00 at a single dose on the left arm for COVID-19 immunization. The patient's medical history included hand arthralgias from an unknown date and unknown if ongoing. The patient's known allergies indicated codeine. There were no concomitant medications. The patient did not receive any other medication within two weeks and did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient had not been tested for COVID-19. It was reported that after vaccination, almost three weeks ago, on 01Jan2021, the patient felt more arthralgias than usual. He developed arthralgias in his DIP joints of his left hand (vaccine was in left arm), pain was about 3-4/10. Mostly 3rd and 4th digit. No warmth or swelling that he can discern. It was odd to him because he has had hand arthralgias, but nothing that has persisted for more than a day or two. It seems to be a bit better now. Therapeutic measures which includes administration of Ibuprofen was done in response to the event. The outcome of the event was not recovered Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000516
Sex: F
Age:
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Test Date: 20210120; Test Name: Fever; Result Unstructured Data: Test Result:101

Allergies:

Symptoms: chills; fatigue; muscle aches; fever of 101; This is a spontaneous report from a contactable consumer (patient). A 26-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: 1284 and expiry date: unknown), via an unspecified route of administration on the left arm, on 19Jan2021 14:30 at a single dose for COVID-19 immunization. There were no medical history. Patient was not pregnant at the time of vaccination. There were no other medications received within 2 weeks of vaccination, and no other vaccine in 4 weeks. The patient chills, fatigue, muscle aches and fever of 101 on 20Jan2021 11:00. No treatment was received. Outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1000517
Sex: F
Age:
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe vomiting and diarrhea 2 hours following vaccination; Severe vomiting and diarrhea 2 hours following vaccination; This is a spontaneous report from a contactable consumer (patient reported for herself). A 77-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, batch/lot number and expiration date were not reported), via an unspecified route of administration at the left arm on 20Jan2021 at 16:00 (04:00 PM) at single dose for Covid-19 immunization, administered in a hospital. The patient was not pregnant at the time of vaccination. The patient's medical history included prior malignancy s/p chemo and targeted therapy (last dose approximately 3 years ago). The patient had no allergies to medications, food, or other products. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced severe vomiting and diarrhea 2 hours following vaccination on 20Jan2021 at 18:30 (06:30 PM). Therapeutic measures were taken as a result of the events which included ondansetron, oral fluids, and lorazepam. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1000518
Sex: F
Age:
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

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

Allergies:

Symptoms: Dizziness; extreme fatigue (unable to drive and doze off during conversations); headache; muscle aches; vomiting still after 8 days.; This is a spontaneous report from a contactable healthcare professional (patient herself). A 40-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283, expiry date not reported), via an unspecified route of administration in the right arm on 12Jan2021 09:00 at single dose for COVID-19 immunisation. Medical history included bipolar disorder and ovarian cyst. The patient was not pregnant at the time of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was vaccinated at a hospital. The patient was not diagnosed with COVID-19 prior to vaccination. Since the vaccination, the patient has been tested for COVID-19. Concomitant medications included trazodone, desvenlafaxine succinate (PRISTIQ), and oxcarbazepine (TRILEPTAL). The patient previously took morphine sulfate and experienced allergies. On 12Jan2021 19:00, the patient experienced dizziness, extreme fatigue (unable to drive and doze off during conversations), headache, muscle aches and vomiting still after 8 days. The patient underwent lab tests and procedures which included SARS-CoV-2 test: negative on 12Jan2021. No treatment was received for the adverse events. Clinical outcome of the events was not recovered.

Other Meds: TRAZODONE; PRISTIQ; TRILEPTAL

Current Illness:

ID: 1000519
Sex: U
Age:
State:

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

Lab Data: Test Name: Covid-19 test; Test Result: Positive ; Comments: received the first dose, and then tests positive for COVID-19

Allergies:

Symptoms: A patient who has received the first dose, and then tests positive for COVID-19; A patient who has received the first dose, and then tests positive for COVID-19; This is a spontaneous report from a contactable pharmacist reported that a patient of unspecified age and gender received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at a single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The pharmacist asked if there any information available for scheduling the second vaccine dose of the series in a patient who has received the first dose, and then tests positive for COVID-19 after already receiving the first dose. The outcome of the events was unknown. Information about batch/lot number has been requested.; Sender's Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of COVID-19 test positive and suspected LOE due to temporal relationship. There is limited information provided in this report. This case will be reassessed once additional information is 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: 1000520
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Having some on and off pain like body aches; This is a spontaneous report from a Pfizer-sponsored program, received from a contactable consumer (patient). A female patient of an unspecified age received her first dose of bnt162b2 (BNT162B2 reported as PFIZER-BIONTECH COVID-19 VACCINE; unknown lot number and expiration date), via an unspecified route of administration, on an unspecified date, at a single dose for COVID-19 immunization. Medical history included COVID-19 from Apr2020 to an unknown date as she had COVID in Apr2020 and she has had after effect symptoms long term, diabetes, blood pressures (blood pressure abnormal) and cholesterol (blood cholesterol abnormal). Concomitant medication included lisinopril for blood pressures, metformin for diabetes and simvastatin for cholesterol. The patient reported that she received the first dose of the COVID vaccine on Sunday (unspecified date). She mentioned that she has been having some on and off pain like body aches on an unspecified date. She added that she had COVID in Apr2020 and she has had after effect symptoms long term. She stated that she thought these symptoms would disappear after first dose of COVID vaccine, but this did not happen, and she is hoping it will happen after the second dose. She inquired if she can take ibuprofen (MOTRIN) for body aches. The outcome of the event was unknown. The following information on the batch/lot number has been requested.

Other Meds: LISINOPRIL; METFORMIN; SIMVASTATIN

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm