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






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: 1004554
Sex: F
Age:
State: AR

Vax Date: 01/14/2021
Onset Date: 01/20/2021
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: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dry rash around injection site; This is a spontaneous report from a contactable Other Health Professional (patient). A 23-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 14Jan2021 at 15:00 at single dose for COVID-19 immunisation. Medical history included known allergies: lavender and trees. Concomitant medications included magnesium, birth control, elder berry. Nasal swab on unknown date was negative. It was unknown if treatment received or not. Outcome of the event was unknown. Information on the lot/ batch number has been requested.

Other Meds: MAGNESIUM

Current Illness:

ID: 1004555
Sex: F
Age:
State: GA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Diarrhea; upset stomach; nausea; fatigue; fever; This is a spontaneous report from a contactable pharmacist, the patient. A 50-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: El3248), via an unspecified route of administration in the left arm on 19Jan2021 at 10:45 (at the age of 50-years-old) as a single dose for COVID-19 immunization. Medical history was reported as none; the patient had no known allergies. The patient was not diagnosed with COVID prior to the vaccination. Concomitant medications included unspecified multivitamins. The patient previously took the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: Ek5730) on 30Dec2020 at 10:30 (at the age of 50-years-old) in the left arm for COVID-19 immunization. The patient did not receive any other vaccinations within 4 weeks of the vaccination. On 19Jan2021 at 16:00, the patient experienced diarrhea, upset stomach, nausea, fatigue and fever. The patient did not receive treatment for the events. Since the vaccination, the patient was not tested for COVID. The clinical outcome of diarrhea, upset stomach, nausea, fatigue and fever was resolving.

Other Meds:

Current Illness:

ID: 1004556
Sex: M
Age:
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Metallic taste in my mouth; This is a spontaneous report from a contactable Physician (patient). A 32-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 12Jan2021 07:00 AM at single dose in left arm for COVID-19 immunisation. The first dose of BNT162B2 was administered on 22Dec2020 at 06:00 AM at single dose in left arm. The patient was vaccinated at hospital. Patient age at vaccination was 32 years. No other vaccine was given within 4 weeks prior to the COVID vaccine. Medical history included psoriatic arthritis. The patient has no known allergies. Concomitant medication included adalimumab (HUMIRA). On 13Jan2021 the patient experienced metallic taste in mouth occurring daily but intermittently, started after first dose but now worse after second dose. No treatment was received for the event. The event had not resolved. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination, has been tested for COVID-19 (nasal swab performed on 19Jan2021 which resulted negative). Information on the lot/batch number has been requested.

Other Meds: HUMIRA

Current Illness:

ID: 1004557
Sex: F
Age:
State: NC

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Felt crummy; Felt funny and started to get hot and chills at the same time; Felt funny and started to get hot and chills at the same time; Tired; Had increase temperature; Hot and flushed and bright red in face; Hot and flushed and bright red in face; immunocompromised; Slept 14 hours; This is a spontaneous report from a contactable consumer (patient). A 55-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number: EL3248), intramuscularly in right arm on 15Jan2021 14:27 at single dose for covid-19 immunisation. Medical history included Lupus may make her immunocompromised which diagnosed in 2011, Raynaud's, hypertension which was completely managed, irritable bowel and reflux. All were diagnosed prior to the vaccine. Family medical history was none. There were no additional vaccines administered on same date of the Pfizer suspect. Concomitant medication included hydroxychloroquine for Lupus for many years, tadalafil (CIALIS) took for years for secondary reynauds associated with lupus, amlodipine from Jan2019 for blood pressure abnormal. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient only had the first vaccine and at the time she received it, she got hot and flushed and went bright red in the face. That lasted 2 hours. She was literally bright red on her face. She got it Friday at 2:27 pm on 15Jan2021. Friday night, she slept 14 hours, which was unusual. She only got out of bed to walk her dogs. Saturday (16Jan2021), she felt funny and she started to get hot and chills at the same time. She took her temperature and temperature started in mid 99 degrees Fahrenheit and popped up to 100 degrees Fahrenheit. Then same thing again Saturday night. She slept 14 hours, which was unusual. Sunday (17Jan2021), she felt crummy. Her temperature spikes to 100.3 on Sunday. She contacted her manager who advised her to contact Employee Health the next morning and employee health told her that if her temperature spiked again on Monday to get a COVID test. She said it never went above 99 degrees Fahrenheit. Today (21Jan2021) was the first day she did not feel crummy. The sleepiness improved but only because she had to go to work. She was still tired. Feeling funny lasted 2-3 days. Her temperature on Saturday (16Jan2021) was 100 degrees Fahrenheit and on Sunday (17Jan2021) was 100.3 degrees Fahrenheit. She never took her temperature on 15Jan2021. The temperature had improved, but it was still hanging out around 99.4 and 99.6. Feeling crummy persisted through yesterday (20Jan2021). Today (21Jan2021) was the first day she felt normal again. She felt crappy all week. She took a fair amount of medication and did not know if it was relevant or not. She had other medications and had been on them for a long time. No ER or physician's office required. She contacted with employee health but had not seen a provider. She planned to discuss with her provider because she wanted recommendation if she should receive vaccine 2. She realized it was a judgment call because she was only 50% covered after having the first dose. She was not sure if she will have a worse reaction with the second. Most people she talked to have no reaction but a significant reaction to the second one. She did not have any information on any of those that had a significant reaction. Details and time of onset provided as: Hot and flushed and bright red in face 14:28, Slept 14 hours 21:00-23:00, tired - she felt it the day before and said it started at 10:00 on Saturday morning, Felt funny and started to get hot and chills at the same time: 12:00, had increase temperature shortly after 12:00, because that was when she checked her temperature, felt crummy 10:00. The outcome of event hot and flushed and bright red in face, felt funny and started to get hot and chills at the same time, felt crummy was recovering. The outcome of event slept 14 hours, tired, increase temperature was not recovered.

Other Meds: HYDROXYCHLOROQUINE; CIALIS; AMLODIPINE

Current Illness:

ID: 1004558
Sex: F
Age:
State: AL

Vax Date: 01/01/2021
Onset Date: 01/19/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Fever of 101.8 F approx 72 hours after vaccination; This is a spontaneous report from a contactable consumer. A 51-year-old female patient (not-pregnant) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 19Jan2021, the patient experienced fever of 101.8 F approximately 72 hours after vaccination. The patient underwent lab tests and procedures which included SARS-COV-2 test: negative on 20Jan2021. The patient outcome of the event was recovered on Jan2021. The information on the batch number has been requested.

Other Meds:

Current Illness:

ID: 1004559
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Lower left eyelid swelling; This is a spontaneous report from a contactable nurse (patient). A 35-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number: EL3249), intramuscular in left arm on 20Jan2021 16:00 at single dose for COVID-19 immunization. Medical history was none. Concomitant medication included calcium, ergocalciferol (VITAMIN D), ascorbic acid, colecalciferol, nicotinamide, pyridoxine hydrochloride, retinol, riboflavin, thiamine hydrochloride (MULTIVITAMIN) in two weeks. Historical Vaccine included the patient received first dose of BNT162B2 (lot number: EK9231), intramuscular in left arm at the age of 35-year-old on 02Jan2021 10:00 at single dose for COVID-19 immunization. The patient experienced lower left eyelid swelling on 20Jan2021 19:00. No treatment received for the event. The patient was no pregnant. The patient did not receive other vaccine in four weeks. The patient had no COVID prior vaccination. The patient had not been tested for COVID-19 post vaccination. The outcome of the event was not recovered.

Other Meds: CALCIUM; VITAMIN D [ERGOCALCIFEROL]; MULTIVITAMIN [ASCORBIC ACID;COLECALCIFEROL;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL;RIBOFLAVIN;

Current Illness:

ID: 1004560
Sex: F
Age:
State: IL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: racing heart rate around 48 hours after vaccine; Headache for 24 hours (mild); Intermittent shortness of breath for 48 hours; This is a spontaneous report from a contactable consumer, the patient. This 55 year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), dose 2 , single dose via an unspecified route of administration in the right arm on 19Jan2021 at 09:30 AM (at the age of 55 years-old) for COVID-19 vaccination. The patient was not pregnant. Prior to the vaccination, the patient was not diagnosed with COVID-19. Medical history included allergy to codeine. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown ), dose 1, single dose via an unspecified route of administration in the right arm on 29Dec2020 at 03:45 PM. Concomitant medications were not reported. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. The patient did not receive any other medication in two weeks. On 19Jan2021 at 05: 00 PM, the patient experienced mild headache for 24 hours and intermittent shortness of breath for 48 hours. On an unknown date, the patient had racing heart rate around 48 hours after vaccine. There was no treatment received for the events. The clinical outcome of events, mild headache and shortness of breath was recovered on an unknown date in Jan2021. The outcome of the event racing heart rate was recovered on an unknown date. It was also reported that since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1004561
Sex: F
Age:
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: pain; Non-sexually transmitted severe genital sores; genital aphthous ulcers of unknown etiology with consequent severe dysuria; genital aphthous ulcers of unknown etiology with consequent severe dysuria; This is a spontaneous report from a contactable physician, the patient. A 37-years-old female patient (physician) received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot Number: EK9231), via an unspecified route of administration 13Jan2021 as a single dose for COVID-19 vaccination. It was Unknown if the patient was pregnant at Time of Vaccination. The facility in which the vaccination was administered was a Hospital. The patient had no medical history. The patient did not have any allergies to medications, food, or other products. Concomitant medication included Vitamins. No other vaccines were given within 4 weeks. Since the vaccination the patient had not been tested for COVID-19. On 14Jan2021 at 22:15, The patient experienced non-sexually transmitted severe genital sores/genital aphthous ulcers of unknown etiology with consequent severe dysuria, pain, disabling from walking, sitting. The adverse events resulted in a physician's office/clinic visit. No treatment was given for the events. The clinical outcome of the events non-sexually transmitted severe genital sores/genital aphthous ulcers, severe dysuria, pain, disabling from walking, sitting was not recovered.

Other Meds: VITAMINS NOS

Current Illness:

ID: 1004562
Sex: F
Age:
State: SC

Vax Date: 01/12/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: her wrist is swollen/just above the bone on her wrist it is swollen; it is like a burning; she has really bad arthritis like she has had a knee replacement/her arthritis is really bad/it just flared up; She had a little pain in her leg; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received bnt162b2 (Pfizer BioNTech COVID 19 vaccine, Batch/lot number: EL0142, Expiry Date: Mar2021), via an unspecified route of administration on 12Jan2021 09:30 at single dose in Left upper arm for covid-19 immunization. Vaccination Facility Type was at a hospital, they had a vaccine clinic set up. Vaccine Administered at Facility was No. Medical history included arthritis, she has had a knee replacement, she was allergic to anti-inflammatory medicines. Family history was none. There were no concomitant medications. No other vaccines was administered on same date of the bnt162b2. Prior Vaccinations (within 4 weeks) was None. No events occurred following prior vaccinations. Patient was calling about a question with the COVID-19 vaccine. She got it on Tuesday 12Jan2021 and she wanted to know if she could get a reaction now. Yesterday (20Jan2021) she noticed, she had really bad arthritis like she has had a knee replacement and she has it her hands and yesterday she noticed her wrist was swollen and she didn't know if it could have been where she had arthritis or could it be side effect? She just didn't know if she should call her orthopedic doctor. She said the joint at the wrist, it was like the side of her hand, it was the side where your pinky was, just above the bone on her wrist it was swollen. It was swollen normally but it usually didn't hurt like this, it was like a burning but it maybe her arthritis acting up but she did not know. She said the pain and swelling began yesterday 20Jan2021. Her wrist was swollen and it was like a burning was reported as worsened. She had a little pain in her leg the other day on 17Jan2021 but just coughed it up. It was all on the left side which was the same side she got the injection on. She didn't think anything of the leg pain and it went away. The pain in her leg has resolved completely. The only other thing was her arthritis was really bad, it just seemed that it just flared up but she was wondering if it could be a side effect. The events didn't require a visit to emergency room or physician office. The outcome of "She had a little pain in her leg" was recovered in Jan2021, while outcome of other events was unknown.

Other Meds:

Current Illness:

ID: 1004563
Sex: M
Age:
State: IL

Vax Date: 01/20/2021
Onset Date: 01/01/2021
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: excruciating headaches; He had no sleep; This is a spontaneous report from a contactable consumer reporting for himself. A 75-year-old male patient received bnt162b2 (BNT162B2, Manufacturer Pfizer-BioNTech), via an unspecified route of administration in left arm, on 20Jan2021 at 08:45, at single dose, for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications were none. The patient experienced excruciating headaches on 20Jan2021 at 23:00 with outcome of not recovered, he had no sleep in Jan2021 with outcome of unknown. The information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004564
Sex: F
Age:
State: CA

Vax Date: 01/17/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Left-arm numbness, tingling, itching (vaccine administered on right-arm).; Left-arm numbness, tingling, itching (vaccine administered on right-arm).; Left-arm numbness, tingling, itching (vaccine administered on right-arm).; This is a spontaneous report from a contactable Pharmacist. A 45-years-old female patient received the first dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EL3249), intramuscular on 17Jan2021 at single dose for covid-19 immunisation . Medical history reported as none. The patient's concomitant medications were not reported. The patient experienced left-arm numbness, tingling, itching on 17Jan2021. vaccine administered on right-arm. The outcome of events was recovering.

Other Meds:

Current Illness:

ID: 1004565
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Migraine; This is a spontaneous report from a non-contactable consumer (patient). A 39-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EJ1686), via an unspecified route of administration on 20Jan2021at single dose for covid-19 immunization. Medical history included allergies: penicillin, iodine, shellfish; asthma. Patient did not have COVID prior vaccination. Patient did not test COVID post vaccination. Concomitant medications were not reported. Patient experienced migraine on 21Jan2021 07:00 AM with outcome of recovered. No treatment was received for the event. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1004566
Sex: M
Age:
State: OK

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:
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: Cotton ball and ban aid stained but not solid blood and unsure if he got the full vaccine or it came back out with the blood; This is a spontaneous report from a contactable consumer. This consumer (patient's wife) reported for a 73-year-old male patient that received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), from lot# EL9262, via unspecified route of administration in upper left arm on 20Jan2021 at single dose for COVID-19 immunization. Medical history included high cholesterol, high blood pressure and he was overweight and had a large gut like most men his age. He had previous lung surgery. No further details provided. Concomitant medications were not specified but the patient had high cholesterol and high blood pressure and took medications for those. The consumer reported that when the patient took cotton ball and band aid off, it was stained and it was not solid blood.

Other Meds:

Current Illness:

ID: 1004567
Sex: F
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: pain at injection site; Ten min after dose my arm felt cold. felt my hands to my cheeks, both hands felt same temp but injected entire arm felt a cold sensation like my nerves were cold throughout arm; ten min after dose, tingling also like it was colder than the other arm; This is a spontaneous report from a non-contactable Pharmacist (patient). A 37-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 20Jan2021 at 18:00 at single dose in arm for COVID-19 immunisation at the age of 37-year-old. Medical history included anxiety and depression. It was unknown if the patient was pregnant. Concomitant medications were unknown. The patient reported that on 20Jan2021, ten min after dose, arm felt cold; the patient felt her hands to her cheeks (as reported), both hands felt same temp but injected entire arm felt a cold sensation like nerves were cold throughout arm.; tingling also like it was colder than the other arm. It lasted about 30 min, then it got about 50% less intense. Intensity continued till the time of report. The morning of the report on 21Jan2021, the patient woke up with dull pain at injection site. The patient was not treated for the events. The patient did not have COVID prior vaccination, and she was not COVID tested post vaccination. The patient was recovering from the events. No follow-up attempts are possible. Information about Lot/Batch number cannot be obtained. No further information expected.

Other Meds:

Current Illness:

ID: 1004568
Sex: F
Age:
State: NC

Vax Date: 01/19/2021
Onset Date: 01/21/2021
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: Chest pain; numb hands; This is a spontaneous report from a contactable consumer, reporting for herself. A 38-year-old non-pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 19Jan2021 at 10:30 (at the age of 38 years old) as a single dose in the right arm for COVID-19 vaccination. Medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 21Jan2021, the patient experienced chest pain and numb hands. The patient did not receive treatment for the events. The clinical outcome of chest pain and numb hands was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds:

Current Illness:

ID: 1004569
Sex: F
Age:
State: MI

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

Symptoms: 24 hours post injection chills, low grade temp 100.5, generalized achiness lasting 8-10 hours.; 24 hours post injection chills, low grade temp 100.5, generalized achiness lasting 8-10 hours.; 24 hours post injection chills, low grade temp 100.5, generalized achiness lasting 8-10 hours; Injection site red, swollen and warm to touch extending 4"x2"; Injection site red, swollen and warm to touch extending 4"x2; Injection site red, swollen and warm to touch extending 4"x2; This is a spontaneous report from a contactable nurse reporting for herself. A 52-years-old female patient received the second dose of BNT162B2 Pfizer-BioNTech COVID-19 Vaccine, Lot number EL0142, via intramuscular route in left arm on 19Jan2021 at 11:45 at single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Vaccination history included first dose of BNT162B2 Pfizer-BioNTech COVID-19 Vaccine, Lot number EJ1685, via intramuscular route in left arm on 29Dec2020 at 12:00 PM, administered in Hospital. Medical history included allergy to sulfa drugs from an unknown date. The patient was not diagnosed with COVID-19 prior vaccination and was not tested positive for COVID-19 post vaccination. Unspecified concomitant medications were administered. On 20Jan2021 at 03:00 the patient experienced injection site red, swollen and warm to touch extending 4"x2". Twenty-four hours after vaccination the patient experienced chills, low grade temperature at 100.5 and generalized achiness lasting 8-10 hours. No treatment was administered for the reported events. The event "Generalized achiness" resolved on 19Jan2021, whereas the other reported events were resolving at the time of the report.

Other Meds:

Current Illness:

ID: 1004570
Sex: F
Age:
State:

Vax Date:
Onset Date:
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: Hard of hearing; This is a spontaneous report from a contactable consumer (patient). A female patient of unspecified age received 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 stated she was hard of hearing that was one of her problems on an unspecified date. Patient reported she made an appointment to receive the bnt162b2 vaccine but now she realized it was 45 minutes away from her house. She wanted to change it. Investigation Assessment was not provided. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004571
Sex: F
Age:
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: sore arm within 4hrs; fatigue; joint pain; fever; This is a spontaneous report from a contactable healthcare professional (patient). A 41-year-old female received her second single dose of BNT162B2 (Pfizer-BioNTech Covid-19 vaccine, lot EL3302) at left arm 08:30AM on 20Jan2021 for Covid-19 immunization. The patient had first shot 08:00AM on 30Dec2020 at right arm and experienced sore arm within 12hrs, fatigue, joint pain, skin itch, and enlarged right supraclavicular lymph node. The patient had no known allergies and other medical history was not reported. Concomitant medications included metformin. The patient experienced sore arm within 4hrs, fatigue, joint pain, fever around 12:15PM on 20Jan2021. No treatment received for the events. The patient had no Covid prior vaccination and not Covid tested post vaccination. The event did not resolve at the time of reporting.

Other Meds: METFORMIN

Current Illness:

ID: 1004572
Sex: M
Age:
State: LA

Vax Date: 01/19/2021
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: Nose bleed; Anemic; her husband's hemoglobin and hematocrit were low; her husband's hemoglobin and hematocrit were low; low on iron; This is a spontaneous report from a contactable consumer (wife of patient). An 87-year-old male received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 19Jan2021 at 16:00 at single dose in right arm for COVID-19 immunisation at the age of 87-year-old. Lot number was EL3249. Medical history included atrial fibrillation, by-pass surgery in 1999 then high blood pressure in 1999, gout (diagnosed before 1999, it was an on and off thing, he had flare ups, the last one was at Christmas time), High cholesterol (diagnosed in 2000 or 2001), diabetes, anemia. Concomitant medications included rivaroxaban (XARELTO) in 2014 for atrial fibrillation. Historical vaccine included flu vaccine in Sep2020 for immunization. On 20Jan2021, the patient was anemic. On 21Jan2021 at 02:30, nose bled. The patient just kept wiping his nose for thirty minutes before it stopped. On 20Jan2021, hemoglobin resulted 12.6, hematocrit was 3.9. The patient went to the hematologist the day before the report who said the patient was low on iron, hemoglobin and hematocrit were low, so he had to get an iron infusion the day of report for that (the patient went every three months and if his iron was low he got an infusion). The patient recovered from nose bled on 21Jan2021, the outcome of other events was unknown.

Other Meds: XARELTO

Current Illness:

ID: 1004573
Sex: F
Age:
State: NV

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Extreme tiredness; This is a spontaneous report from a non-contactable consumer (patient). A 66-years-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 21Jan2021 13:30 at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. There was no other vaccine in four weeks. The patient did not get COVID prior vaccination and COVID was not tested post vaccination. The patient experienced extreme tiredness on 21Jan2021. No treatment was received. The outcome of the event was resolving. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004574
Sex: F
Age:
State:

Vax Date: 01/22/2021
Onset Date:
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: pain at the top of my spine, at the base of my neck; pain at the top of my spine, at the base of my neck; This is a spontaneous report from a non-contactable consumer (patient). A 67-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 22Jan2021 at first single dose for COVID-19 immunization. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient previously received the flu shot for immunization and her arm was sore. The patient got first Pfizer vaccine this morning (reported on 22Jan2021). She had been feeling fine. She didn't even have pain at the injection site. The patient had a pain at the top of spine, at the base of neck. She didn't know if it's related to the vaccine. The patient also stated the site couldn't change her appointment which was exactly 3 weeks from today but unfortunately, she had surgery scheduled that day. Outcome of the event was unknown. No follow-up attempts are possible. Information about lot/batch number could not be requested. No further information is expected.

Other Meds:

Current Illness:

ID: 1004575
Sex: F
Age:
State: OR

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: Unevaluable event

Symptoms: Severe bilateral headache that woke up from sleep; Light and sound affected like a migraine; Also extreme fatigue and weakness (climbing stairs makes short of breath).; Also extreme fatigue and weakness (climbing stairs makes short of breath).; Also extreme fatigue and weakness (climbing stairs makes short of breath).; This is a spontaneous report from a contactable pharmacist (patient). A 33-year-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number El 9262), via an unspecified route of administration from 20Jan2021 14:00 at left arm at single dose for covid-19 immunization. Patient received the first dose of vaccine on 31Dec2020 10:00 AM (lot number Ek5730) at left arm for covid-19 immunization, the first dose age was also 33 years old. Patient is not pregnant. The facility type vaccine was workplace clinic. Medical history included asthma, eczema. known allergies included Metronidazole, SSRIs. Patient was not diagnosed with COVID-19 prior to vaccination nor tested for COVID-19 since the vaccination. The patient's concomitant medications included bupropion, birth control, multivitamin, esomepaz. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced severe bilateral headache that woke up from sleep, treated with ibuprofen and Tylenol but still remained. Light and sound affected like a migraine. Also extreme fatigue and weakness (climbing stairs makes short of breath). The event onset date was reported as 21Jan2021 02: 00 AM. The treatment included ibuprofen and Tylenol. The outcome of events was reported as not recovered.

Other Meds: BUPROPION; ESOMEPRAZOL

Current Illness:

ID: 1004576
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: fatigued; aching; This is a spontaneous report from a non-contactable consumer (patient). A adult female patient received the first dose and second dose of bnt162b2 (Lot/batch number and Expiration date were not provided), all via an unspecified route of administration on an unspecified dates at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. Patient felt fatigued and had aching for several hours after the vaccine was given. Patient was no pregnant. The outcome of the events was recovered on unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004577
Sex: F
Age:
State:

Vax Date: 12/21/2020
Onset Date: 12/22/2020
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: After vaccines I get hotflashes all day and night. My temperature has remained normal; This is a spontaneous report from a Non-contactable Other-HCP (patient). A 56-years-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), lot number EH9899, via an unspecified route of administration from 21Dec2020 16:00 to 21Dec2020 16:00 (at the age of 56-years-old) as a single dose in the right arm, for COVID-19 vaccination. The patient received the 2nd dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration from 11Jan2021 as a single dose in the right arm lot number EK9231, for COVID-19 vaccination. Medical history included autoimmune illnesses from an unknown date and unknown if ongoing , many allergies from an unknown date and unknown if ongoing , occasional hot flashes (before vaccines I got only occasional hot flashes) from an unknown date and unknown if ongoing Before vaccines I got only occasional hot flashes. There were no concomitant medications. The patient was administered the vaccine in hospital. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient experienced before vaccines she got only occasional hot flashes. After vaccines she got hot flashes all day and night on 22Dec2020. Her temperature has remained normal. No treatment was received for the event. The patient underwent lab tests and procedures which included temperature: remained normal on 22Dec2020. Prior to the vaccination the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. The clinical outcome of the event was not recovered. No follow-up attempts are possible. No further information is expected.

Other Meds:

Current Illness:

ID: 1004578
Sex: F
Age:
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: tunnel vision; Muscle fatigue; joint pain; This is a spontaneous report from a contactable other healthcare professional (HCP) communicated to a Pfizer colleague. A 38-years-old female patient (not pregnant) received her first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on right arm on 04Jan2021 at single dose for covid-19 immunisation. Medical history was None. The patient's concomitant medications were not reported. On 04Jan2021 the patient experienced tunnel vision, muscle fatigue, joint pain. No treatment was received for the events. The outcome of the events was not resolved. Information on the lot/batch number has been requested.; Sender's Comments: Based on the information currently available, a possible contributory role of the suspect BNT162B2 in triggering the onset of tunnel vision 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: 1004579
Sex: F
Age:
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
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: chills; Body aches; fever; This is a spontaneous report from a contactable healthcare professional (HCP) reporting for herself. The 29-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (lot number EL3247, expiry date unknown) on 17Jan2021 15:30 at single dose via an unspecified route of administration in the left arm for COVID-19 immunization. The patient's medical history was not reported. She had received her first dose of BNT162B2 (lot number ECO140, expiry date unknown) on 29Dec2020 at single dose via an unspecified route of administration in the left arm for COVID-19 immunization. She had not had COVID prior to the vaccination, not tested post the vaccination. She had no known allergies. Concomitant medication included escitalopram oxalate (LEXAPRO), cetirizine hydrochloride (ZYRTEC), ethinylestradiol/etonogestrel (NUVARING). No other vaccine received in four weeks. The patient experienced body aches, fever and chills on 18Jan2021 09:00. No seriousness criterion reported. No treatment for events was received. The events were resolved on an unspecified date in Jan2021.

Other Meds: LEXAPRO; ZYRTEC [CETIRIZINE HYDROCHLORIDE]; NUVARING

Current Illness:

ID: 1004580
Sex: F
Age:
State: PA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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 Fatigued; Fevers; Chills; Headache; Pressure in head; Muscle aches; soreness in whole body; Weakness; Stomach ache with diarrhea; Stomach ache with diarrhea; Injection site pain; Armpit pain & swelling; Armpit pain & swelling; This is a spontaneous report from a contactable healthcare professional, the patient. A 35-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EL3246) solution for injection intramuscular in the left arm on 18Jan2021 at 03:30 (at the age of 35-years-old) as a single dose for COVID-19 vaccination. The patient was not pregnant at the time of vaccination. Medical history included chronic spontaneous urticaria. Concomitant medications included omalizumab (XOLAIR), lisdexamfetamine mesylate (VYVANSE), famotidine (PEPCID AC), fexofenadine hydrochloride (ALLEGRA), valacyclovir, fish oil, probiotic, medical marijuana. The patient had no known allergies. Historical vaccine included BNT162B2 (Pfizer, Lot EJ1685) in Dec2020 at 06:15 intramuscular in left arm for COVID-19 vaccination for 1st dose with no adverse event. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 18Jan2021 at 11:00, the patient experienced very fatigued, fevers, chills, headache, pressure in head, muscle aches & soreness in whole body, weakness, stomachache with diarrhea, injection site pain, armpit pain & swelling. No treatment was provided for the events fatigued, fever, chills, headache, pressure in head, muscle aches & soreness in whole body, weakness, stomachache with diarrhea, injection site pain, armpit pain & swelling. The outcome of the events fatigued, fever, chills, headache, pressure in head, muscle aches & soreness in whole body, weakness, stomachache with diarrhea, injection site pain, armpit pain & swelling was recovered in Jan2021. Since the vaccination, the patient has not been tested for COVID-19.

Other Meds: XOLAIR; VYVANSE; PEPCID AC; ALLEGRA; VALACYCLOVIR HCL; FISH OIL; PROBIOTICS; MARIJUANA

Current Illness:

ID: 1004581
Sex: F
Age:
State: CA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Left arm got a little sore; This is a spontaneous report from a contactable consumer (patient). A 79-year-old female patient received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/lot number: EL8982), via an unspecified route of administration on left arm on 19Jan2021 at single dose for COVID-19 immunization. Medical history included ongoing high blood pressure, had had all her life. There were no concomitant medications. The patient experienced left arm got a little sore on 20Jan2021. She went for her second dose by 10Feb2021. The patient did not receive any treatment from event. The outcome of event was recovered on 20Jan2021.

Other Meds:

Current Illness: Blood pressure high (Verbatim: High Blood Pressure Additional Information for Other Conditions: Has had all her life.)

ID: 1004582
Sex: F
Age:
State: SC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: rash on her stomach/spread to back,neck and arms,trunk; This is a spontaneous report from a contactable other hcp(patient). The 21-year-old female patient(not pregnant) received first dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at left arm on 12Jan2021 15:00 at single dose for COVID-19 immunization. Medical history included none. She had no known allergy. Concomitant medication included ethinylestradiol/levonorgestrel (SEASONIQUE), ergocalciferol (VIT D), vitamin b complex (VIT B COMPLEX). There was no other vaccine in four weeks. The patient experienced a rash on her stomach on12Jan2021 17:00. By the next day, it spread to back. It had now been 8 days since she received the first dose, and it had spread to neck and arms (still on trunk as well). The rash showed no signs of improvement and seemed to be spreading. Event was assessed as non-serious by reporter. Outcome of event was not recovered. There was no treatment. There was no COVID prior vaccination. Lab data included two Saliva PCR tests: negative both on 14Jan2021. Information on the Lot/Batch Number has been requested.

Other Meds: SEASONIQUE; VIT D; VIT B COMPLEX

Current Illness:

ID: 1004583
Sex: F
Age:
State: TX

Vax Date: 01/01/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: skin was bruised; skin was scraping off; skin underneath is super white; This is a spontaneous report from a contactable consumer (patient). A 43-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in Jan2021 at single dose for Covid-19 immunization. Medical history and concomitant medications were not reported. Patient stated that she got the first dose of vaccination two weeks ago (as of 21Jan2021). Supposed to get second dose on Monday. Stated that she was bruised (skin was bruised) and after two weeks skin was scraping off and skin underneath was super white, in Jan2021. Stated was a reaction. Wanted to know if should get it again. Stated that she worked at hospital (stated that she does vascular and echo on heart and legs) and needed to get immune. Wanted to know if there was an email to show her pictures. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004584
Sex: F
Age:
State: NJ

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: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: chills; injection site pain; This is a spontaneous report from a non-contactable other hcp. An elderly female patient of an unspecified age received 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 vaccination. The patient's medical history and concomitant medications were not reported. The patient did not have any known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unspecified date, the patient experienced injection site pain and chills. No therapeutic measures were taken as a result of the events. The clinical outcomes of the injection site pain and chills were resolved on an unspecified date. It was also reported that since the vaccination, the patient had not been tested for COVID-19. No follow-up attempts are possible. Information about batch/ lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1004585
Sex: F
Age:
State: HI

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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: tired; achy; chills; stiff neck; can not turn her head; This is a spontaneous report from a contactable consumer (patient's husband). 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 immunisation. The patient medical history and concomitant medications were not reported. The patient had no problem after receiving the first dose of the COVID-19 vaccine; and felt a little tired and achy, with chills after the second dose. The patient also has a terribly stiff neck and can not turn her head. The outcome of events was unknown. Information on the Lot/Batch Number has been requested.

Other Meds:

Current Illness:

ID: 1004586
Sex: M
Age:
State: NC

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: sinus headache; Headache; This is a spontaneous report from a contactable Pharmacist. This Pharmacist reported for a 76-year-old male patient (husband) received BNT162B2 (COVID-19 VACCINE, Batch/lot number: EL1283) on 19Jan2021 at about 10:30 AM on Arm Left for covid-19 immunization. Medical history was ongoing chronic sinusitis. Concomitant drug was warfarin. Reported that both her and her husband had a headache all day long after receiving the COVID-19 Vaccine. She said her husband believes his headache was from the COVID-19 Vaccine. Reported her husband developed a headache during his sleep the night of receiving the COVID-19 Vaccine. She said her husband and her have chronic sinusitis. She said her husband's headache went away after he started moving around. She said because of having other conditions, her husband's headache was worse than with only his sinus issues. She clarified his whole head hurt. She said his headache was not a frontal headache like a person may get from their sinuses. Reported her husband thinks the COVID-19 Vaccine contributed to his headache, because his headache was a little different from what he normally experiences. She said his headache only lasted 1 day. She clarified her husband had a little sinus headache this morning. She said he blows his nose, and the headache goes away. She said his headache was short lived after getting the COVID-19 Vaccine. She said both her husband's and her headaches were mild. Outcome of the event headache was Recovered on 20Jan2021, for sinus headache was unknown. Reporter considered Related causality. No follow-up attempts possible. No further information expected.

Other Meds: WARFARIN

Current Illness: Chronic sinusitis

ID: 1004587
Sex: M
Age:
State: CA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
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: Tested positive for COVID; Tested positive for COVID; first dose was 28Dec2020, wondered when he should get the second dose; This is a spontaneous report from a contactable health professional, the patient. A 45-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot: EH9899), via an unspecified route of administration on 28Dec2020 (at the age of 44-years-old) as a single dose for COVID-19 immunization. The patient medical history and concomitant medications were reported as none. On 13Jan2021, the patient tested positive for COVID. The patient was on his 10th day of quarantine "tomorrow" and wondered when he should get the second dose. The clinical outcome of "Tested positive for COVID" and "first dose was 28Dec2020, wondered when he should get the second dose" was unknown.; Sender's Comments: Based on the information available, a possible contributory role of the suspect BNT162B2 cannot be excluded for the reported tested positive for COVID based on the known safety profile. However the short duration since the vaccine first dose is given it is unlikely patient would have fully developed immunity.

Other Meds:

Current Illness:

ID: 1004588
Sex: F
Age:
State: SC

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Nauseous; nervous; This is a spontaneous report from a contactable consumer(patient). An 82-year-old female patient received first dose of BNT162B2(PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 20Jan2021 at single dose for covid-19 immunization, fish oil, lactobacillus casei (RESTORA RX), via an unspecified route of administration from 21Jan2021 08:30 to an unspecified date at unknown dose and frequency for an unspecified indication. The patient's medical history and concomitant medications were not reported. The patient was calling in regards to the Covid Vaccine. She had the shot(covid vaccine) on 20Jan2021 at about 10 or 10:15AM. After her First dose, She had a doctor appointment at 11:20, 20Jan2021, the doctor put her on a new medicine, the Restora RX was in capsule form, she started that on 21Jan2021 at 8:30AM. She was nervous. She was nauseous on 21Jan2021 at about 8:30AM. She was a little nauseous and was basically trying to find out which one was causing it, the vaccine or the new medication. The name of the new medication was "Restora Rx". The action taken in response to the event for fish oil, lactobacillus casei was unknown. 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: 1004589
Sex: F
Age: 27
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Sulfa drugs, macrobid, ceclor

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

Symptoms: Hives all over body, itchy all over body, fever

Other Meds: Birth control (Blisovi 24 FE)

Current Illness:

ID: 1004590
Sex: F
Age:
State: LA

Vax Date: 01/12/2021
Onset Date: 01/15/2021
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: assume she had covid as well; assume she had covid as well; Feeling bad; Upper respiratory infection; This is a spontaneous report from a contactable consumer (patient). This consumer reported different events for two patients (herself and her husband), this is the first of two reports. A 71-year-old female patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1283), intramuscular in left arm on 12Jan2021 16:30 at single dose for preventing covid. Medical history and concomitant medications were none. No prior vaccinations (within 4 weeks). She and her husband both received their first dose on 12Jan2021. Stated they both have covid. She was feeling bad last Friday (15Jan2021) and she went to urgent care and had a rapid test done that day that came back negative. Her husband went to urgent care this morning and had a rapid test that came back positive. She was told to assume she had covid as well. When she went to physician office for urgent care last Friday (15Jan2021), she was given medication for what they thought was an upper respiratory infection since her test last week came back negative. She was feeling better. The patient underwent lab tests and procedures which included Covid: negative on 15Jan2021. The outcome of feeling bad was recovering, for the rest of events outcome was unknown. No emergency room visit.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021078480 same reporter/drug, similar events, different patient.

Other Meds:

Current Illness:

ID: 1004591
Sex: F
Age:
State: MI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: stated that her gland is swollen on her right side; stated that she has a noise in her ear and can hear her jaw moving on her right side; This is a spontaneous report from a contactable consumer (patient). A 69-year-old female patient received the first dose of BNT162B2 (COVID-19 MRNA VACCINE BIONTECH, Batch/lot number: EL3249), via an unspecified route of administration into right arm on 22Jan2021 9:10 at a single dose for covid-19 immunization. The patient medical history and concomitant medications were none. The patient stated that she had the Pfizer Covid 19 vaccine this morning at 9:10 to her right arm. Her gland was swollen on the right side and she had a noise in her ear and can hear her jaw moving on her right side on 22Jan2021 and when she talked and ate that it sounds like someone was crunching rubber. No investigation assessment and no treatment received. She wanted to know if it is something that she should be worried about. The outcome of the events was not recovered.

Other Meds:

Current Illness:

ID: 1004592
Sex: M
Age:
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
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: tired; flu like symptoms after 2nd dose. Only lasted for 1 day; This is a spontaneous report from a contactable consumer. A 46-years-old male patient received the second dose of bnt162b2 (BNT162B2) vaccine , via an unspecified route of administration on Jan2021 at single dose for Covid-19 immunisation . The patient medical history and concomitant medications were not reported. On an unknown date, the patient received the first dose of BNT162B2 vaccine. On Jan2021, after 2nd dose, the patient was tired and had flu like symptoms only lasted for 1 day with outcome of recovered. Lot and batch number has been requested.

Other Meds:

Current Illness:

ID: 1004593
Sex: F
Age: 37
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Neomycin Latex

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

Symptoms: Fever 102 from 4 hours after vaccine with severe chills, severe bone and joint pain,dizziness, headache, nausea and vomiting and major fatigue from 4 hours after vaccine until Friday Feb 5th for 9 days. I was in the bed so sick for 9 days could not even sit up in bed without being extremely sick. Tylenol 1000mg every 8 hours for 9 days. Prescribed Phenergan 25mg and written out of work until 2/6 by physician due to vaccine reaction to first dose of pfeizer covid vaccine. Instructed to not take second dose or any subsequent dose of vaccine. And listed as adverse vaccine reaction in EMR. Was followed by Physician at clinic and health nurse. They also reported this vaccine reaction to hospital.

Other Meds: Buspar 5mg BID Ativan 0.5mg BID prn Ambien 5mg QHS Vit D 25000 IU Daily Vit B12 po daily Immitrex as needed for migrane Zofran 4mg as needed for vomiting and nausea due to migrane

Current Illness: None

ID: 1004594
Sex: M
Age:
State: IL

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: Pain in extremity

Symptoms: Has been feeling sick; This is a spontaneous report from a contactable consumer (patient). A male patient of an unspecified age received BNT162B2 Pfizer-BioNTech COVID-19 Vaccine, via an unspecified route of administration in left deltoid 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 stated that he has been feeling sick. The event outcome was unknown at the time of the report. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004595
Sex: F
Age:
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: Swollen lymph nodes; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (Patient) reported a 42-years-old female patient started to receive the second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number EJ1686 ) , via an unspecified route of administration on 19Jan2021 at SINGLE DOSE right Arm for covid-19 immunisation. The first dose bnt162b2 was received on 28Dec2020 for covid-19 immunisation. Medical history included severe allergies, hypothyroidism. There were no concomitant medications. The patient experienced swollen lymph nodes on 20Jan2021. The patient has done no treatment for the swollen lymph node, not even applying heat. The outcome of event was unknown.

Other Meds:

Current Illness:

ID: 1004596
Sex: U
Age:
State: LA

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

Symptoms: Tested positive after receiving the vaccine; Tested positive after receiving the vaccine; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 2 patients. This is 1st of two reports. A patient of an unspecified age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 vaccination. Medical history and concomitant medication were not reported. On an unspecified date, the reporter stated that she heard 2 other people tested positive after receiving the vaccine. The clinical outcome of she heard 2 other people tested positive after receiving the vaccine was 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-2021082667 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1004597
Sex: F
Age: 66
State: MI

Vax Date: 01/24/2021
Onset Date: 02/02/2021
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: Sulfa

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

Symptoms: Pain-5, swollen, red,itchy, raised skin margin, initially- 1.5? by 2.5? then tripled in area within 4 hrs. Nurse noted injection given I low and in back edge of arm (subcutaneous Dr prescribed ZPack Arithromycin 6 tabs and Benydril

Other Meds: Losartan

Current Illness: None

ID: 1004598
Sex: M
Age:
State: NC

Vax Date: 01/20/2021
Onset Date: 01/01/2021
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: Chills; Tired/ tiredness/exhausted; achy; This is a spontaneous report from a contactable consumer (patient). This 81-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) intramuscular in the left arm on 20Jan2021 at 10:30 at the age of 81-year-old at single dose for COVID-19 immunisation. Vaccination facility type was hospital. Relevant medical history was none. There were no concomitant medications. On 20Jan2021, the patient experienced chills and in Jan2021 he experienced tired/ tiredness/exhausted and achy. The patient specified that he was not panicked. He got the first dose on 20Jan2021 and he was really tired. He had the chills in the night. He was just exhausted. He did not have a fever. Corrective treatment taken as a result of the events included acetylsalicylic acid (ASPIRIN). The patient was recovering from chills and he had not recovered from fatigue and pain. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004599
Sex: F
Age:
State: IL

Vax Date: 01/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: pain is excruciating, it has been terrible, the pain in left arm; she can hardly move her arm, she cannot dress, states she cannot do anything; she can hardly move her arm, she cannot dress, states she cannot do anything; This is a spontaneous report from a contactable consumer reporting for herself. An 86-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via intramuscular on 19Jan2021 at 13:30 (at the age of 86 years old) as a single dose in the left arm for COVID-19 vaccination. Medical history was not reported. Concomitant medication included tramadol 50mg tablet by mouth every 8 hours as needed for pain from 19Jan2021, and she stated it does not do any good. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unspecified date, the patient experienced excruciating pain in left arm, it has been terrible, the pain in left arm. The pain is between her elbow and shoulder, she can hardly move her arm, she cannot dress, states she cannot do anything. woke her up in the middle night hurting. The patient received treatment of excruciating pain in the left arm. The clinical outcome of excruciating pain in left arm was not recovered, and for she can hardly move her arm, she cannot dress, states she cannot do anything was unknown. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.

Other Meds: TRAMADOL HCL

Current Illness:

ID: 1004600
Sex: F
Age: 27
State: KY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: Fever, Chills, Headache, Fatigue

Other Meds: Adderall XR, Vitamin D, Biotin, Acyclovir, Elderberry, Probiotic

Current Illness: None

ID: 1004601
Sex: F
Age: 33
State:

Vax Date: 01/18/2021
Onset Date: 01/26/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: A large, red, inflamed rash began to develop near the injection site approximately 7.5 days after the injection. The rash burned more so than it itched. It remained very red and inflamed for approximately 36 hours and then began to subside. I did not treat the rash with anything, as it began to improve on its own fairly quickly.

Other Meds: Microgestin Fe 1/20 birth control

Current Illness:

ID: 1004602
Sex: M
Age:
State: WV

Vax Date: 12/23/2020
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: RA

Lab Data:

Allergies:

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

Symptoms: Rash; Welts; This is a spontaneous report from a contactable consumer (patient). A 70-year-old male patient received the first dose of bnt162b2 (lot: EX9231), via an unspecified route of administration in left arm on 23Dec2020 08:30 at single dose for covid-19 immunization. Medical history included allergic to Sulfate, diabetes, blood pressure, cholesterol, "helps regulate heart", thyroid, stomach. Concomitant medication included ongoing atorvastatin for Cholesterol, acetylsalicylic acid (BAYER ASPIRIN) as blood thinner, cyanocobalamin for Vitamin Supplementation, dofetilide to help regulate heart, glipizide for Diabetes, iron as Supplementation Therapy, ongoing insulin glargine (LANTUS) for Diabetes, ongoing levothyroxine for thyroid, lisinopril for Blood pressure, magnesium for Supplementation therapy, metformin for Diabetes, metoprolol for Blood pressure, insulin aspart (NOVOLOG) for Diabetes, ongoing omeprazole for stomach, dabigatran etexilate mesilate (PRADAXA) as blood thinner, colecalciferol (VITAMIN D3) for Vitamin Supplementation. The patient previously took amiodarone, carafate, nexium [esomeprazole magnesium] and all experienced allergic. After the first vaccine, 9 days later (01Jan2021) he broke out in a rash. He states a lot of them are pretty good size welts. He did call the health department and they said it was just a rash, they didn't act like they were really concerned about it. Patient confirmed he noticed the rash 9 days after the first vaccine. He received his shot on a Wednesday (23Dec2020) and the Friday of the next week (01Jan2021), he noticed the rash. Patient confirmed the rash is still ongoing. He stated it seems like the rash is getting better but then he breaks back out in welts, the welts are the size of a quarter or so. The events did not require a visit to Emergency Room/Physician Office. The patient received the second dose of bnt162b2 (lot: EL8982), via an unspecified route of administration in left arm on 13Jan2021 11:00 at single dose for covid-19 immunization. The outcome of the event rash was recovering, the event welts was unknown.

Other Meds: ATORVASTATIN; BAYER ASPIRIN; CYANOCOBALAMIN; DOFETILIDE; GLIPIZIDE; IRON; LANTUS; LEVOTHYROXINE; LISINOPRIL; MAGNESIUM; METFORMIN; METOPROLOL; NOVOLOG; OMEPRAZOLE; PRADAXA; VITAMIN D3

Current Illness:

ID: 1004603
Sex: U
Age:
State: LA

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: RA

Lab Data:

Allergies:

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

Symptoms: she heard 2 other people tested positive after receiving the vaccine; she heard 2 other people tested positive after receiving the vaccine; This is a spontaneous report from a contactable consumer. This consumer reported similar events for 2 patients. This is second of two reports. A patient of an 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 immunisation. Medical history and concomitant medication were not reported. On an unspecified date, the reporter stated that she heard 2 other people tested positive after receiving the vaccine. The clinical outcome of the event was unknown. Information about batch/lot number has been requested.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021082649 same reporter/drug/event, different patient

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm