VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1004504
Sex: M
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Hypertension; This is a spontaneous report from a contactable consumer (the patient) from a Pfizer-sponsored program. A male patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date (age at vaccination unknown) as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient just had his first dose of the vaccine. He said before the vaccine, his blood pressure was in a normal range. After the first dose of the vaccine, he noticed that he was experiencing hypertension. The clinical outcome of hypertension was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004505
Sex: U
Age:
State: MD

Vax Date: 01/05/2021
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe tooth pain; This is a spontaneous report from the Pfizer-sponsored programs. A contactable consumer 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 05Jan2021 at single dose for Covid-19 immunization. The patient medical history and concomitant medications were not reported. Reporter was calling for a patient that was in severe tooth pain since there was no doctor available to ask. Reporter said that the patient had the first dose on 05Jan2020. Reporter was asking if there is interference of drugs like, ibuprofen, antibiotic, and anti-inflammatory. Reporter was asking if there is a website to check regarding these interactions. Reporter also said that it was an emergency since the patient would take a strong antibiotic for root canal. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004506
Sex: M
Age:
State: NC

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: passing blood in stool; stomach cramping; This is a spontaneous report from a contactable consumer. A 72-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot# EL3248), via an unspecified route of administration at single dose on 18Jan2021 for covid-19 immunisation. Medical history was none. There were no concomitant medications. The patient experienced passing blood in stool on 21Jan2021, stomach cramping on 20Jan2021, he had a couple of bowel movements this morning much more dark, not bright red blood like they were before on 22Jan2021. The patient was hospitalized for passing blood in stool from 21Jan2021 to 22Jan2021. The outcome of passing blood in stool was recovered on 22Jan2021, of stomach cramping was recovered on 21Jan2021, of had a couple of bowel movements this morning, much more dark, not bright red blood like they were before was unknown

Other Meds:

Current Illness:

ID: 1004507
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: experienced a little sore in the arm after the first dose; This is a spontaneous report from a contactable consumer (patient) via a Pfizer sponsored program. A female patient of an unspecified age received first dose of COVID-19 vaccine (UNSPECIFIED TRADE NAME), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced a little sore in the arm after the first dose on an unspecified date with outcome of unknown. Information on lot number/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004508
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fatigue; headache; This is a spontaneous report from a non-contactable consumer (patient) received via a sales representative. A female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history included COVID-19 from Oct2020 to an unspecified date. The patient's concomitant medications were not reported. On an unspecified date, the patient experienced fatigue and headache. The patient outcome of the events was recovered (symptoms only lasted for about 24 hours). No follow-up attempts are possible, information about batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004509
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: she had a sore arm and a little nausea for a few hours; she had a sore arm and a little nausea for a few hours; This is a spontaneous report from a contactable healthcare professional (the patient). A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date (age at vaccination unknown) as a single dose for COVID-19 immunization. The patient had no underlying conditions. The patient's concomitant medications were not reported. After the injection, the patient had a sore arm and a little nausea for a few hours but felt great now and looked forward to completing the series. She was happy with the vaccine. She will soon receive the second dose. The clinical outcome of sore arm and a little nausea was recovered on an unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004510
Sex: F
Age:
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: had a sore arm; her head felt heavy; This is a spontaneous report from a contactable consumer (parent). A contactable consumer (parent) reported for a female of unknown age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Lot number/Exp. date unknown) on 23Dec2020 at single dose for covid-19 immunisation. Medical history and concomitant medication were not provided. The patient stated that she received her first dose of the Covid-19 vaccine on 23Dec and had a sore arm and her head felt heavy. She was normal by the next day. The events outcome was recovered on 24Dec2020. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1004511
Sex: F
Age:
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: she was vomiting and felt nauseous; she was vomiting and felt nauseous; This is a spontaneous report from a contactable consumer (patient). This female patient of an unspecified age received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at single dose on 13Jan2021 for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Previously the patient received the first dose of BNT162B2 on 23Dec2020 for covid-19 immunisation and had a sore arm and her head felt heavy. On 13Jan2021 about an hour after the second dose, the patient was vomiting and felt nauseous with outcome of recovered on 14Jan2021. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004512
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: not feeling too great; This is a spontaneous report from a non-contactable consumer (patient) via Pfizer sales representative. This patient of unspecified age and gender received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at single dose on unspecified date for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Previously the patient received the first dose of BNT162B2 on an unspecified date for covid-19 immunisation. The patient experienced not feeling too great on an unspecified date with outcome of unknown. No follow-up attempts are possible. Information about Lot/Batch could not be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1004513
Sex: F
Age:
State:

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash on neck/ shoulders/ upper back; This is a spontaneous report from a contactable consumer (patient) A 33-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunization on 16Jan2021 at single dose. Medical history included spasmodic dystonia and migraines. The patient's concomitant medications were not reported. On 18Jan2021, approximately 36 hrs after injection, patient experienced rash on neck/ shoulders/ upper back with outcome of unknown.Information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 1004514
Sex: F
Age:
State: MN

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever/low grade fever; Headache; This is a spontaneous report from a Pfizer Sponsored Program via a contactable nurse (patient). A 44-years-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: EV1685) via an unspecified route of administration in right deltoid on 13Jan2021 14:30 at single dose for COVID-19 immunisation. She received her first dose of BNT162B2 on 23Dec2020 13:30 (at age of 44 years old) for COVID-19 immunisation. There was no medical history. The patient's concomitant medications were not reported. The patient received the second dose of her Pfizer vaccine on 13Jan2021. She has a headache and fever (on Jan2021), which lasted a whole week. She still had a headache and a low grade fever and today is day 8th. Inquiring if that is a normal side effect, with the vaccine is it common or how long should she expect this. She received Advil and Tylenol as treatment. She had COVID test yesterday (20Jan2021) it was negative. Relatedness of drug to events headache and fever was reported as related by reporter because she had them since the second dose. Events outcome was not recovered.

Other Meds:

Current Illness:

ID: 1004515
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: body aches; sore arm; runny stools; fatigue; This is a spontaneous report from non-contactable consumer, the patient via Sales Representative. A 77-year-old male consumer (patient) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: Unknown), via an unspecified route of administration on an unspecified date as a single dose, for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On an unspecified date the patient experienced body aches, sore arm, runny stools, and fatigue. The clinical outcome of body aches, sore arm, runny stools, and fatigue was unknown. No follow-up attempts are possible. Information about lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1004516
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: feeling fatigued; achy with lymphadenopathy; achy with lymphadenopathy; This is a spontaneous report from a contactable nurse reported for herself. A female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) for COVID-19 immunization. After receiving the second dose of the vaccine, she reported feeling fatigued, achy with lymphadenopathy. Event took place after use of product. The outcome of events was unknown. Information on batch/lot number was requested.

Other Meds:

Current Illness:

ID: 1004517
Sex: M
Age:
State:

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Caller Got covid vaccine 12Jan- tested positive on 19Jan; Caller Got covid vaccine 12Jan- tested positive on 19Jan; This is a spontaneous report from a Pfizer sponsored program. A non-contactable male consumer (Patient) reported a male patient of an unspecified age 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 immunization. The patient's medical history and concomitant medications were not reported. The patient experienced tested positive on 19Jan2021 and wondering if it's okay to get the second dose. The outcome of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained

Other Meds:

Current Illness:

ID: 1004518
Sex: M
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: spine pain; headache; light headed; Temp of 105; This is a spontaneous report from a contactable consumer, the patient, via the Pfizer-sponsored program. A male patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 20Jan2021, reported as between 16:00-17:00, (at an unspecified age) as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On 20Jan2021, the patient experienced spine pain, headache, lightheadedness and a temperature of 105 (units not provided). The patient was treated for the events, reportedly he took an ibuprofen (ADVIL) the morning of 21Jan2021 and coffee throughout the day. The clinical outcome of spine pain, headache, lightheadedness and a temperature of 105 was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004519
Sex: F
Age:
State:

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: achy; little diarrhea; This is a spontaneous report from a contactable consumer from a Pfizer-sponsored program. A female patient of an unknown age received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose via an unknown route on 19Jan2021 for Covid-19 immunization. Medical history and concomitant drug were not provided. Patient got the first dose on 19Jan2021 (last Tuesday) and now (22Jan2021) experienced little diarrhea and achy. Outcome of the events was unknown. No follow up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004520
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: passed out; This is a spontaneous report from a Pfizer sponsored program from a non-contactable consumer. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 20Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient woke up next morning on 21Jan2021 to go to bathroom and passed out. The outcome of event was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004521
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: sharp, shooting pain in the tips of her fingers; shooting pain in the tips of her fingers, joints and back; shooting pain in the tips of her fingers, joints and back; pains woke her from her sleep; This is a spontaneous report from a contactable consumer. This report was received via a sales representative. A 35-year-old female patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot/batch number and expiration date not provided), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), at single dose for COVID-19 immunization. Patient experienced sharp, shooting pain in the tips of her fingers, joints and back. The symptoms started 10 hours after administration of the 2nd dose of the bnt162b2 on an unspecified date, and lasted for 12 hours. The pains woke her from her sleep. Event took place after use of product. The outcome of the events was recovered on unspecified dates. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004522
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: immunocompromised patient; immunocompromised patient; tested positive for COVID/nasal congestion; tested positive for COVID/nasal congestion; This is a spontaneous report from a contactable physician. A 65-year-old female patient (nurse) received bnt162b2 (Pfizer BioNTech COVID 19 vaccine), via an unspecified route of administration, the first dose on an unspecified date and the second dose on 14Jan2021, at single dose for covid-19 immunisation. The patient's medical history included immunocompromised. Concomitant medications were not reported. The immunocompromised patient received her second dose of Pfizer vaccine on 14Jan2021. On 20Jan2021, she developed nasal congestion and her son became sick the same day. Both tested positive for COVID. The physician asked would you consider giving the monoclonal ab to her? Physician knew the expectation was mild disease not severe but would you consider giving her the monoclonal? Outcome of the events was unknown. Information about lot and batch number had been requested.; Sender's Comments: Based on available information, a possible contributory role of BNT162B2 cannot be excluded for reported "tested positive for COVID".

Other Meds:

Current Illness:

ID: 1004523
Sex: U
Age:
State: KY

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever; Chills; Body aches; Vomiting; Diarrhea; This is a spontaneous report from a contactable Nurse, received via a Pfizer Sales Representative. This Nurse reported similar events for 3 patients. This is the second of 3 reports. This patient of unspecified age and gender received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On an unspecified date, the patient experienced fever, chills, body aches, vomiting and diarrhea. The symptoms began almost immediately after receiving the vaccination and lasted for about 12 hours. The clinical outcomes of the fever, chills, body aches, vomiting and diarrhea were unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021072645 ;US-PFIZER INC-2021072647

Other Meds:

Current Illness:

ID: 1004524
Sex: F
Age:
State: TN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: soreness in her arm /sore around the injection site, pain; This is a spontaneous report from a contactable consumer. This consumer (patient's husband) reported for an 84-year-old female patient that she received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EL3248), via an unspecified route of administration at arm on 21Jan2021 13:00 at single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The patient experienced soreness in her arm /sore around the injection site, pain on 21Jan2021 with outcome of unknown.

Other Meds:

Current Illness:

ID: 1004525
Sex: F
Age:
State: IL

Vax Date: 01/10/2021
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: fatigue; arm soreness; flare up of right hip pain; flare up of right hip pain; This is a spontaneous report from a contactable Nurse (patient). A 65-years-old female patient received second dose of bnt162b2 (BNT162B2, LOT: EL 3248), via an unspecified route of administration from on 10Jan2021 10:30 at SINGLE DOSE on Left arm for covid-19 immunisation. Medical history included Prediabetes, spinal stenosis of right back, right hip pain, known allergies: Penicillin, sulfa, yellow jacket venom. No pregnant. The patient had no covid-prior-vaccination. The patient Historical Vaccine included COVID 19 for covid-19 immunisation at 65 years old, product=COVID 19, brand=PfizerBioN Tech, lot number=EJ 1685, administration date=20Dec2020, administration time=08:00 AM, vaccine location=Left arm; and After 12 hours (08:00 PM) experienced Blurred vision, fatigue , dizziness, tachycardia, arm soreness, after first vaccine 20Dec2020. Concomitant medication included gabapentin (GABAPENTIN), metformin (METFORMIN), paracetamol (TYLENOL), diclofenac (DICLOFENAC), zinc (ZINC). The patient experienced fatigue and arm soreness, and flair up of right hip pain after had received a epidural right hip block 5 days before 2nd injection since Jan2021. No treatment received. The event recovered in Jan2021. No covid-tested-post-vaccination.

Other Meds: GABAPENTIN; METFORMIN; TYLENOL; DICLOFENAC; ZINC

Current Illness:

ID: 1004526
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: She is currently experiencing arm ache; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer reported for self. This female patient of unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose on an unspecified date for COVID-19 immunization. Medical history and concomitant medication were not reported. Patient was asking if it's okay to take ibuprofen (ADVIL) after the 1st dose. She was currently experiencing arm ache. The outcome of event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004527
Sex: M
Age:
State: CO

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: not feeling well/feeling unwell; aches all over his body/Aches all over with muscles pains; muscle pains; headache; joint pain; chills; Injection site pain on left arm; body slightly warm/felt slightly warm; This is a spontaneous report from a contactable consumer (Patient's wife). A 81 years old male patient received first dose BNT162B2 (Pfizer BioNTech Covid 19 vaccine, lot number EL3247 or EL3427), via an unspecified route of administration at Arm Left on 21Jan2021 09:33 at the 81 years old at single dose for COVID-19 immunization. The medical history was none. The family medical history was none. The concomitant medications included warfarin from Mar2012 for Atrial fibrillation( AFib) and standard medications . The patient was not feeling well. All occurred on 21Jan2021 18:00, the patient developed symptoms, such as aches all over his body, aches all over with muscles pains with muscle pains, headache, joint pain, chills, injection site pain on left arm, body slightly warm, felt slightly warm, feeling unwell. He had chills all night and could not get warm. The reporter had not taken the patient's temperature yet. The patient takes regular medications. The patient was on warfarin and standard medications. The reporter stated the vaccine cards were mixed up because they did not write their names on them and the vaccine lot numbers looks like they were mixed up. Someone probably made a mistake because one says EL3247 and the other says EL3427, so she is not sure which it is. The handwriting is different on the cards. There was no Additional Vaccines Administered on Same Date of the Pfizer Suspect. There was not Emergency Room Visit or physician's office required Prior Vaccinations (within 4 weeks). The outcome of the event was not recovered.

Other Meds: WARFARIN

Current Illness:

ID: 1004528
Sex: U
Age:
State: IN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: trouble sleeping; Was very achy all day yesterday with headache; Was very achy all day yesterday with headache; Minor chills; This is a spontaneous report from a contactable consumer reporting for themself. A patient of an unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EL8982/expiration date: not provided), via an unspecified route of administration, on 21Jan2021 as a single dose for COVID-19 IMMUNIZATION. Relevant medical history included patient got sick and had suspected COVID on "03Aug" and became a long hauler and still have lingering symptoms. The patient previously received the first dose of BNT162B2 on an unknown date. Concomitant medication was not reported. On 21Jan2021, the patient had trouble sleeping that night, was very achy all day with headache and had minor chills. The woke up feeling well. The outcome of the events had trouble sleeping that night, was very achy all day with headache and had minor chills was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1004529
Sex: F
Age:
State: OH

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: COVID 19 PCR test positive; COVID 19 PCR test positive; This is a spontaneous report from a contactable nurse (patient) via a Pfizer-sponsored program. A 57-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EL3249, Expiry Date: 31May2021), intramuscularly into left arm on 15Jan2021 at a single dose for COVID Prevention. The patient medical history was not reported. There were no concomitant medications. The patient experienced tested positive for COVID on 21Jan2021 after taking 1st dose of COVID vaccine. The patient tested positive for COVID after taking 1st dose of COVID vaccine and was calling to see what she should do about her 2nd dose. The reporter saw in the news that patients can wait up to 6 weeks after receiving the first dose of the vaccine to receive the second, she wants to confirm this information. The reporter was calling on behalf of herself as the patient. The patient got the Pfizer COVID-19 Vaccine last Friday (15Jan2021), and she took a COVID 19 PCR test on 21Jan2021, and the results came back as positive for COVID 19 today 22Jan2021. The patient was wondering what the recommendations are for getting the second dose if a patient tested positive for COVID 19, following having received the first dose. The patient was not complaining about the product, because the product has not had time to work yet. The patient believed the seriousness, it was medically significant because she was losing work over it. Causality: The reporter (patient) did not believe that she got COVID 19 because of the vaccine not working, she just did not think the vaccine had enough time to work before she was exposed. She had no other vaccines on the same day. After she got her first dose, there were a few side effects that she had but nothing was bad, so she was mad when she realized she had gotten COVID, therefore it was not the vaccines fault she got COVID. The reporter had some questions about how this vaccine works in the body. Her doctor thought that her now having tested positive for COVID, that might increase the immune response. The outcome of events was unknown. Relatedness between reaction COVID-19 PCR test positive and bnt162b2, was unrelated by source of assessment: primary source reporter per method of assessment: Global Introspection.; Sender's Comments: Based on the information currently available, COVID-19 and lack of efficacy of the suspected vaccine BNT162B2 cannot be completely excluded. However, individuals may not be protected until at least 7 days after their second dose of the vaccine. It is unlikely that the patient would have fully developed immunity due to the very short time lag between the first vaccine dose and the event onset.

Other Meds:

Current Illness:

ID: 1004530
Sex: F
Age:
State: WI

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: very bad arm and leg lump getting bigger and bigger; This is a spontaneous report from a Pfizer-sponsored program via a contactable consumer (patient). This female patient of an unspecified age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date in Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previously took bnt162b2 on an unspecified date for COVID-19 immunization. Patient experienced very bad arm and leg lump getting bigger and bigger after taking the 2nd dose of the vaccine last Tuesday (Jan2021). Outcome of the event was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004531
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: experienced an improvement in her arthritis pain in her shoulder; This is a spontaneous report from a contactable consumer via a Pfizer Sales Representative. A female patient (reporter's mother-in-law) of unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) on an unspecified date at a single dose for COVID-19 immunization. Medical history included arthritis pain in her shoulder. Concomitant medications were not reported. The reporter's mother-in-law received the first dose of the Pfizer Covid vaccine and experienced an improvement in her arthritis pain in her shoulder. The outcome of the event was unknown. No follow-up attempts are needed, no further information is expected. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004532
Sex: U
Age:
State:

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sick; This is a spontaneous report from a non-contactable healthcare professional reporting similar events for 6 patients. This is the 5th of 6 patients. A patient of an unspecified age and gender received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 20Jan2021 as a single dose for COVID-19 IMMUNIZATION. Relevant medical history and concomitant medication were not provided. On an unknown date, the patient was sick. The outcome of the event sick was unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021076652 same drug and event, different patient

Other Meds:

Current Illness:

ID: 1004533
Sex: M
Age:
State: KY

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Her father also got the vaccine, and 1 day after had heaviness in his chest. He felt like his chest was trembling; Her father also got the vaccine, and 1 day after had heaviness in his chest. He felt like his chest was trembling; This is a spontaneous report from a contactable consumer. This consumer reported for a 72-year-old male patient (father) that he received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. It was reported her father got the vaccine, and 1 day after had heaviness in his chest, he felt like his chest was trembling (medically significant) on an unspecified date with outcome of unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004534
Sex: F
Age:
State: MS

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: cough; Temperature of 99.8; This is a spontaneous report from a contactable consumer. This consumer reported similar events for two patients. This is the first of two reports. An 83-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration injected in the right arm on 16Jan2021 at a single dose as COVID vaccine to avoid getting the virus. Medical history included high blood pressure. The patient had no other patient history. Concomitant medications included warfarin which started maybe 10 years ago and an unspecified medication for high blood pressure. The reporter took her mother, who's 83, and herself, on Saturday morning and got the COVID vaccine. Her mother woke up Sunday with a 99.8 temperature and she has been coughing real bad (cough) on 17Jan2021. The reporter asked if this was a side effect of the vaccine. This was her mother's first dose. Her underlying question was, after all this, she heard the second dose was worse, so the reporter wanted to know, should her mother get the second one if her mother has these symptoms, the reporter heard the second dose was worse and would give some symptoms. Investigation assessment was noted as no. The outcome of 'temperature of 99.8' was recovered on Jan2021 as she did not have it anymore and of cough was not recovered. Information about lot/batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021072457 same reporter, same product, similar events, different patient

Other Meds: WARFARIN

Current Illness:

ID: 1004535
Sex: F
Age:
State: IL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash; Fever of 101; Anxiety; more anxiety each day after the shot; Anxiety was reported as worsened; Rash at injection site; This is a spontaneous report from a contactable consumer, the patient. This 49-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: EJ1685), single dose via intramuscular route of administration in the left arm between 5:30-6pm on 15Jan2021 (at the age of 49 years-old) for COVID-19 vaccination. Relevant medical history includes ongoing nervous bad anxiety attacks, spinal stenosis (diagnosed 2-3 years ago), two stomach surgeries, so she had problems going to the bathroom and experienced bloody discharge, hiatal hernia surgeries (one surgery was 4 years ago and the other was 3 years ago), appendix taken out 3 years ago, ongoing insomnia diagnosed 10-11 years ago, shellfish allergy to lobster, pinched nerve and nerve issues and took Krill pills and had an allergic reaction. Relevant drug event included increased anxiety and her hands would fall asleep when she took trazodone and quetiapine (SEROQUEL). The patient did not receive any concomitant medications. On 17Jan2021, the patient experienced rash at the injection site. On 18Jan2021, the patient experienced a fever of 101 and more anxiety each day after the shot. Anxiety was reported as worsened. On an unknown date the patient experienced rash. The patient was treated for rash with diphendydramine (BENADRYL). The clinical outcome of fever was recovered on 19Jan2021, recovering for rash at injection site, unknown for rash and not recovered for anxiety.

Other Meds:

Current Illness: Anxiety (anxiety issues her whole life, bad anxiety attacks); Insomnia (10-11 years ago was diagnosed); Nervous; Spinal stenosis (diagnosed 2-3 years ago)

ID: 1004536
Sex: F
Age:
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Runny nose; feeling unwell; muscle & joint aches; muscle & joint aches; chills; tired; stomach cramps; acid reflux; vomiting; This is a spontaneous report from a contactable consumer, reporting for herself. A 66-year-old non-pregnant female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number: EK9231, via an unspecified route of administration on 20Jan2021 at 09:15 (at the age of 66 years old) as a single dose in the left arm for COVID-19 vaccination. Medical history included obese from an unspecified date, and cancer in 1998 & 2015. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included letrozole, vitamin (unspecified), Omega, 'TransResve', calcium, 'eld'. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 20Jan2021 at 12:00PM, the patient experienced runny nose, feeling unwell, muscle & joint aches, chills, tired, stomach cramps, acid reflux, and vomiting. The patient did not receive treatment for the events. The clinical outcome of runny nose, feeling unwell, muscle & joint aches, chills, tired, stomach cramps, acid reflux, and vomiting was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

Other Meds: LETROZOLE; CALCIUM; OMEGA [OMEPRAZOLE]

Current Illness:

ID: 1004537
Sex: F
Age:
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Arm aching/arm started aching on 20Jan2021, little by little and was worsen on 21Jan2021; arm aching, it is just like when got a flu shot three months ago, arm hurts happened; Got the COVID Vaccine on 20Jan2021. second dose will be on 17Feb2021.; This is a spontaneous report from a contactable consumer (patient). A 56-year-old female patient received the first dose of BNT162B2 (Pfizer-BIONTECH Covid-19 Vaccine, lot number: EL929), via an unspecified route of administration at site of left arm on 20Jan2021 at single dose for COVID-19 immunization. Medical history included ongoing Type 2 diabetes (diagnosed about 10 years ago) and ongoing high cholesterol (diagnosed about 10 years ago). Concomitant medications included ongoing unspecified blood pressure medication to protect her organs. She did not have any issues with her blood pressure. The only thing she was experiencing is her arm aching. But it was just like when she got a flu shot, her arm hurts happened. She got the flu shot on Oct2020 (about 3 months ago), along with the shingles shot and the pneumonia shot. Her second dose will be on 17Feb2021. Her arm started aching on 20Jan2021 little by little and was worsen on 21Jan2021. No treatment received for adverse events. She did not like to take medication and pain pills. The outcome of events was not recovered.

Other Meds:

Current Illness: High cholesterol (Diagnosed about 10 years ago); Type 2 diabetes mellitus (Diagnosed about 10 years ago)

ID: 1004538
Sex: F
Age:
State: LA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Fever; Ache; Chills; Feeling miserable; Fever/Ache/Chills/Feeling miserable; This is a spontaneous report from a contactable consumer. This 67- year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE Lot number: EL3246), via intramuscular route of administration, on 19Jan2021 at 10:30AM (at the age of 67-years-old) as a single dose for COVID-19 vaccination. The facility where COVID-19 vaccine was administered was at a hospital and anatomically located on the left arm. The medical history included: Blood pressure high, Diabetes, Hypothyroidism, High cholesterol, all from unspecified dates and ongoing. Patient's Medical History (illness at time of vaccination): States that she was concerned because she thinks she has had a sinus infection for the last week; hasn't been feeling well. She told her doctor about it and asked if it was still okay to get the vaccine and was told that it would be fine. Concomitant medications included FLUTICASONE PROPIONATE (FLONASE) and montelukast sodium (SINGULAIR), both for Allergy. The patient received first dose BNT162B2 on 28Dec2021, (Lot: EJ1685, Expiry/NDC: Unknown), in right arm (Her arm hurt for about a week). Patient's Medical History (illness at time of vaccination): States that she was concerned because she thinks she has had a sinus infection for the last week; hasn't been feeling well. She told her doctor about it and asked if it was still okay to get the vaccine and was told that it would be fine. Prior vaccination included: Pneumonia vaccine - States that her arms swelled up and turned red the day she got the vaccine. The next day she had chills, fever, and body aches; and she had a rash on her arm that started the day after the vaccine. Her doctor told her not to get the vaccine again. She does not have the Lot/NDC/Expiry to provide because it was many years ago. Prior vaccination: Flu shot - She swells up and turns red at injection site; she also gets fever, chills, and body aches with it as well. She does not have the Lot/NDC/Expiry to provide; she got it back in Oct2020 at the Hospital where she works. On 20Jan2021 03:00 AM, the patient experienced fever, aches, chills, and feels miserable. States that she reacts to the flu shot too, but nothing like this. Stated that all the events started in the early hours of the morning, around 3:00AM. She pushed herself to go to work, and it just got worse throughout the day. States that she has been alternating Tylenol and Ibuprofen since early this morning. The outcome of events fever, aches, chills, and feels miserable was not recovered, got worse through the day was unknown. No follow-up attempts are possible. No further information is expected.

Other Meds: FLONASE [FLUTICASONE PROPIONATE]; SINGULAIR

Current Illness: Blood pressure high; Diabetes; Hypothyroidism (Verbatim: Hypothyroidism)

ID: 1004539
Sex: F
Age:
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: left arm discrete soreness; This is a spontaneous report from a contactable Other HCP. A 66-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number EL1283, via an unspecified route of administration on 15Jan2021 18:45 at SINGLE DOSE Vaccine location: Left arm, dose number: 1 for covid-19 immunisation. Medical history is none. Concomitant medication included bisoprolol (BISOPROLOL), rosuvastatin (ROSUVASTATIN), asa (ASA). The patient experienced left arm discrete soreness on 15Jan2021 21:30 with outcome of recovered in Jan2021. The action taken was not applicable.

Other Meds: BISOPROLOL; ROSUVASTATIN; ASA

Current Illness:

ID: 1004540
Sex: F
Age:
State: TX

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Fever; Chills; Joint pain; Headache; Body Aches; Swelling of the Throat; This is a spontaneous report from a contactable consumer (patient). A 44-year-old female patient (not pregnant) received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), via an unspecified route of administration on 18Jan2021 14:00 at single dose for COVID-19 immunization. Medical history included Ulcerative colitis, no Known allergies. No concomitant medication. The patient previously took the first dose of bnt162b2 in right arm for COVID-19 immunization. Facility type vaccine was Hospital. No other vaccine in four weeks. No Other medications in two weeks. On 19Jan2021 08:00, the patient experienced Fever, Chills, Body Aches, Joint pain, Headache and Swelling of the throat. No treatment received for the events. No covid prior vaccination. No covid tested post vaccination. The outcome of the events was recovered on an unspecified date in Jan2021. No follow-up attempts are possible. Information on lot/batch cannot be obtained.

Other Meds:

Current Illness:

ID: 1004541
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore arm, not too bad, maybe a little worse than other vaccines; This is a spontaneous report from a non-contactable consumer (patient). This This adult female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at single dose on an unspecified date for COVID-19 immunization. Medical history and concomitant medication were not reported. It was unknown if other vaccine was in four weeks; other medications in two weeks were unknown. Known allergies was unknown. If covid prior vaccination was unknown. If covid tested post vaccination was unknown. Patient experienced sore arm, not too bad, maybe a little worse than other vaccines. No treatment received. The outcome of event was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004542
Sex: F
Age:
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: right deltoid where the injection site has a local redness. Its warm touch and appears swollen. It appears to be getting bigger everyday.; right deltoid where the injection site has a local redness. Its warm touch and appears swollen. It appears to be getting bigger everyday.; right deltoid where the injection site has a local redness. Its warm touch and appears swollen. It appears to be getting bigger everyday.; This is a spontaneous report from a contactable Nurse. A 35-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) lot number EL0142, intramuscular on 18Jan2021 14:45 at SINGLE DOSE second dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The first dose of vaccine bnt162b2 was administered on 28Dec2020 lot number=EJ1685 vaccine location left arm. The patient reported that "right deltoid where the injection site has a local redness, it is warm touch and appears swollen and is getting bigger everyday" on 18Jan2021 16:00 with outcome of not recovered. The action taken was not applicable.

Other Meds:

Current Illness:

ID: 1004543
Sex: F
Age:
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: After injection, patient was lightheaded for a brief period of time; This is a spontaneous report from a contactable consumer reporting for a patient. A 65-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 21Jan2021 12:00 at single dose for COVID-19 immunisation. Medical history included covid-19 (had COVID prior vaccination) from an unknown date. The patient's concomitant medications were not reported. After injection, patient was lightheaded for a brief period of time on 21Jan2021 12:00. Feeling went away fairly quickly. The patient was not pregnant at the time of vaccination. It was unknown if COVID was tested post vaccination. There was no treatment for the event. The event outcome was recovered. Information on Lot/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1004544
Sex: F
Age:
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Chills with body shaking; Chills with body shaking; Body soreness; Nausea; Fatigue; Swollen lymph nodes; Headache; Joint pain; This is a spontaneous report from a non-contactable other health professional reporting for herself. A 27-year-old female patient received the 2nd dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech, lot# EL3246), via an unspecified route of administration in left arm, on 20Jan2021 at 12:15, at single dose, for COVID-19 immunisation. The patient's medical history was not reported. Patient did not have COVID-19 prior to vaccination. Concomitant medication included minerals nos, vitamins nos (PRENATAL VITAMINS). The patient previously received the 1st dose of bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech, lot# EL0140) on 30Dec2020 at 11:00 AM in left arm. The patient experienced chills with body shaking, body soreness, nausea, fatigue, swollen lymph nodes, headache and joint pain all on 21Jan2021 at 12:00 with outcome of recovered on unknown date. No therapeutic measures were taken as a result of the events. The patient underwent lab tests and procedures which included COVID-19 virus test (nasal swab) on 21Jan2021 (pending result). No follow-up attempts are possible. No further information is expected.

Other Meds: PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]

Current Illness:

ID: 1004545
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Chills; Myalgia; Low-grade fever (100.4F); Headache beginning 8 hours after 2nd dose administration; This is a spontaneous report from a non-contactable Nurse (patient). A 28-year-old female patient not pregnant received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on unknown date as a single dose for COVID-19 immunisation, lot number: EL5247. Medical history was reported as none. Concomitant medications were not provided. Patient had no known allergies (NKA). Patient received first vaccine dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on unknown date for COVID-19 immunisation, lot number: unknown. Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Prior to vaccination the patient was not diagnosed with COVID-19. On unknown date patient experienced Low-grade fever (100.4F), chills, myalgia, headache beginning 8 hours after second (2 nd) dose administration. Resolved in 48 hours. No treatment was received for the events. Patient was tested for Covid post vaccination with Covid_test (Other) with negative result on 20Jan2021. Patient recovered from the events. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1004546
Sex: F
Age:
State: MD

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache; Nauseous; This is a spontaneous report from a contactable consumer (patient's daughter). This 48-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EH9899 with Expiration Date 31Mar2021), via intramuscular, on 05Jan2021 at 0.3 mL single dose on the right arm for COVID-19 immunisation. Relevant medical history included ongoing thyroid problems (did not remember but she thought it was about 4 years ago that this was diagnosed), and menopause from Aug2020. No relevant concomitant medications were provided. On 06Jan2021, the patient developed headache. She had a really bad headache for about 9 days she ended up going to urgent care because of that, she was nauseous and went to the urgent care and they said they were side effects from the vaccine, she said the headache was extreme. She is wondering if it is okay to even take the second dose after having side effects. The patient had recovered from 'nauseous' on 10Jan2021 and from headache on 14Jan2021.

Other Meds:

Current Illness: Thyroid disorder (Does not remember but she thinks it was about 4 years ago that this was diagnosed.)

ID: 1004547
Sex: F
Age:
State: NC

Vax Date: 01/04/2021
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: bilateral sharp leg muscle pain; difficulty to move around; severe fatigue; This is a spontaneous report from a non-contactable Other Healthcare Professional reporting for herself. An adult female patient received the 1st dose of bnt162b2 (BNT162B2) at single dose on 04Jan2021 for Covid-19 immunisation, administered at hospital. Medical history included corticosteroid lower lumbar injections. Patient was healthy. Vaccine Facility information available. Concomitant medication within 2 weeks of vaccination included 1 dose of over the counter ibuprofen (manufacturer unknown) on 03Jan2021 a day prior to vaccination. The patient experienced bilateral sharp leg muscle pain, difficulty to move around, severe fatigue in Jan2021. The events lasted daily for more than 1 week. The adverse events resulted in Doctor or other healthcare professional office/clinic visit. The events were considered non serious by reporter. 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. Since the vaccination, the patient has been tested for Sars-cov-2 test nasal swab: negative in Jan2021. As result of the events the patient took TYLENOL after vaccination. The outcome of recovered in Jan2021. the 2nd dose will be administered the week of 25Jan2021. Information on the lot/batch number has been requested.

Other Meds: IBUPROFEN

Current Illness:

ID: 1004548
Sex: F
Age:
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Big toes hurt, gout; Big toes hurt, gout; Glands in her neck on the right side swollen; Arm is very sore; This is a spontaneous report from a contactable consumer (patient). A 81-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EL8982) via an unspecified route of administration in left arm on 20Jan2021 mid-afternoon at single dose for COVID-19 immunisation. Medical history included ongoing atrial fibrillation diagnosed about 25 years ago, Canker sore on 18Jan2021 (she did go the doctor for that and the doctor urged her to rinse it with salt water to she's been doing that), some soreness in her month on 18Jan2021, gout reaction. The patient concomitant medications were not reported. No Pfizer vaccine was administered on the same date. Prior Vaccinations (within 4 weeks) was none. The patient got a reaction that she thought should be noted. She has had a very slight history of gout. She woke up this morning on 21Jan2021 and her big toes hurt. She knew that this was a symptom of what she had had in the past which was gout. The patient confirmed her big toes hurting was pretty much staying the same. It's not that uncomfortable. She knew from past experience that this was what happens, like when she ate certain foods like seafood or whatever, she would have this kind of gout reaction. This morning on 21Jan2021, she also felt the glands in her neck on the right side were swollen. The swelling seemed to have gone down. Her army was also very sore. She stated the soreness began last night, in the evening on 20Jan2021. The soreness had pretty much stayed the same. She expected the soreness, but she didn't expect her toes to hurt. It was important to note "she is able to able the gout". She had only had gout really bad time once and then she's had a little bit every so often. The gout just seems to be connected to the vaccine- she could not say nothing that she ate would indicate other wise. The events did not require visit Emergency Room or Physician Office. She had an appointment for 10Feb2021 to get the second COVID-19 vaccine. The outcome of event glands in her neck on the right side swollen was recovering, outcome of events was not recovered.

Other Meds:

Current Illness: Atrial fibrillation (Diagnosed about 25 years ago)

ID: 1004549
Sex: M
Age:
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Diarrhea; irritable bowel syndrome; Medical history included ongoing HIV positive; Medical history included ongoing HIV positive; This is a spontaneous report from a contactable consumer reported for himself. This 75-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number unknown) via an unspecified route of administration on 15Jan2021 at 14:00 PM at single dose in left arm for COVID-19 immunisation. Medical history included ongoing HIV positive from an unspecified date for 26 years, ongoing AFib from an unspecified date for 8 years, ongoing diabetes from an unspecified date for 15 years. Concomitant medications included lisinopril for the heart, warfarin as blood thinner, cobicistat, elvitegravir, emtricitabine, tenofovir alafenamide fumarate (GENVOYA) for HIV, atorvastatin as a statin. The patient experienced diarrhea on 17Jan2021. The patient started to get like irritable bowel syndrome, diarrhea on 17Jan2021 like 2 AM. He stated he felt good all day long, but then at night he has the bouts of these bowls. The diarrhea got okay after imodium, but then it continued. He was calling to see if this was a side effect. It was reported no emergency room and physician office involved. He is scheduled to get second vaccine on 05Feb2021. The patient mentioned in Dec2020 he had a complete lipid panel and everything was within range except one or two things. However, he was informed it was not that bad. The outcome of the events irritable bowel syndrome, diarrhea was not resolved. Information on the lot/batch number has been requested.

Other Meds: LISINOPRIL; WARFARIN; GENVOYA; ATORVASTATIN

Current Illness: AFib (Has had for 8 years); Diabetes (Diagnosed 15 years ago); HIV positive (Has had for 26 years)

ID: 1004550
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fifteen to thirty minutes later she was extremely warm inside; Started sweating a little bit; All she can taste is metal; 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, via an unspecified route of administration on an unspecified date at 7:15, at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that, fifteen to thirty minutes later, the patient stated she was extremely warm inside, she started sweating a little bit and all she could taste was metal. She could drink coffee but it tasted like a penny. At the time of the report the events outcome was unknown. Information on the Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1004551
Sex: M
Age:
State:

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: sciatica; muscle spasms from his lower back to his toes on the right side; This is a spontaneous report from a contactable Consumer (patient's wife). A 71-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Jan2021 at single dose in the left arm for COVID-19 immunisation. The patient's medical history included twinge in his hamstring in Jan2021. Concomitant medications were not reported. The patient experienced a twinge in his hamstring 2 days before the vaccine but continues to play (reporter mentioned her husband is athletic). He received the first dose of the vaccine on 12Jan2021, played on the 13Jan2021 and could not play on 14Jan2021 two days after vaccine he experienced muscle spasms from his lower back to his toes on the right side and could not get out of bed (shot was in the left arm). Husband went to the hospital on 16Jan2021 and they discharged him and he went back on 17Jan2021 and did a magnetic resonance imaging (MRI) and diagnosed with sciatica and gave him oxycodone 10mg 1 mg 1 four times a day as needed, cyclobenzaprine 10 mg 1 every 8 hours, and gabapentin 100 mg 2 three times a day and a prednisone 6 pack. Reported not getting any better so took him to pain management and could not get comfortable and screamed the whole way over which was 20 minute ride and went in the office in a wheelchair. They gave him a steroid and told him to wait 1/2 hour. When leaving he experienced the worst spasm ever and they gave him Toradol and then additional steroid injections. Husband was able to walk out with a walker. Can only lay down, can not sit up and is bedridden. Spasms have stopped at the time of the phone call but still in pain. Having physical therapy (PT) come for consult. Husband insists on getting second dose. Husband was told at the hospital that another patient his age came in with the same symptoms as his after a dose of the COVID-19 vaccine. The events had not resolved. Information on the lot/ batch number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021058075 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1004552
Sex: F
Age:
State: MD

Vax Date: 01/04/2021
Onset Date:
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: has a problem with her teeth; This is a spontaneous report from a contactable consumer. A 70-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 04Jan2021 at single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient said she got the first dose of the Pfizer COVID-19 Vaccine and was doing fantastic. She said she was now getting ready to get her second Pfizer COVID-19 Vaccine dose, but had a problem with her teeth and needs to take an antibiotic, and will need to see a dentist. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004553
Sex: M
Age:
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm; mild fatigue for 24 hours; mild shortness of breath upon exertion (persists); cough began within 1 hour of 2nd vaccination; This is a spontaneous report from a contactable nurse, the patient. A 58-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number EL3248), via intramuscular route in the right arm on 19Jan2021 16:30 as a single dose for COVID-19 immunization. Historical vaccine data included the first dose of BNT162B2 on 29Dec2020 at 16:30 (at the age of 58-years) via intramuscular route in the right arm. Medical history included rheumatoid arthritis. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included tofacitinib citrate (XELJANZ XR), methotrexate, atorvastatin (LIPITOR), lansoprazole (PREVACID), and celecoxib (CELEBREX). The patient had not received any other vaccine within 4 weeks prior to the vaccine. On 19Jan2017 at 17:30, the patient experienced sore arm, cough began within 1 hour of 2nd vaccination and persisted 2 days later, mild shortness of breath upon exertion which persisted, and mild fatigue for 24 hours. The patient did not receive any treatment for the events. The patient was not tested for COVID-19 post vaccination. The clinical outcome of the events sore arm, fatigue, shortness of breath, and cough was reported recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: XELJANZ XR; METHOTREXATE; LIPITOR [ATORVASTATIN]; PREVACID; CELEBREX

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm