VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

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

COVID19 Lot Number

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

Incidents per State

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

ID: 1004564
Sex: F
Age:
State: CA

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

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Date: 20210120; Test Name: Temp; Result Unstructured Data: Test Result:100.5; Comments: low grade temp 100.5

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Date: 20210120; Test Name: iron; Result Unstructured Data: Test Result:low; Test Date: 20210120; Test Name: Hematocrit; Result Unstructured Data: Test Result:3.9; Test Date: 20210120; Test Name: Hemoglobin; Result Unstructured Data: Test Result:12.6

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Date: 20201222; Test Name: Temperature; Result Unstructured Data: Test Result:Remained normal

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Date: 20210114; Test Name: Saliva PCR test; Test Result: Negative ; Test Date: 20210114; Test Name: Saliva PCR test; Test Result: Negative

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

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

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies: Sulfa drugs, macrobid, ceclor

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:

Lab Data: Test Date: 20210115; Test Name: Covid; Test Result: Negative

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Visit with NP on Tuesday Feb 3 due to extremely sick from pfeizer vaccine and called Health Nurse as well at clinic as I am a RN.

Allergies: Neomycin Latex

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Name: tested; Result Unstructured Data: Test Result:positive; Comments: States that she heard 2 other people tested positive after receiving the vaccine.

Allergies:

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:

Lab Data:

Allergies: Sulfa

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies: None

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:

Lab Data:

Allergies:

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:

Lab Data:

Allergies:

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:

Lab Data: Test Name: tested; Test Result: Positive

Allergies:

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:

ID: 1004604
Sex: M
Age:
State: CA

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

Lab Data: Test Name: COVID-19 virus test (Nasal Swab); Test Result: Negative

Allergies:

Symptoms: sore arm; headache; This is a spontaneous report from a contactable pharmacist reporting for self's father. A 57-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number and expiration date unknown as not available/provided to reporter at the time of report completion), intramuscular at left arm on 20Jan2021 14:30 at single dose for COVID-19 immunization at a Nursing Home. The patient's medical history included hypertension and increased blood cholesterol. For concomitant medications, there was no other vaccine in four weeks. The father experienced sore arm and headache on 20Jan2021 after his first dose vaccination. He was scheduled for 2nd dose on 10Feb2021. Overall, the father was fine with the vaccine. Treatment was received for the events included Tylenol. The outcome of the events was recovered (in Jan2021). The father had no COVID-19 prior to the vaccination. The father had tested post vaccination, included COVID-19 virus test (Nasal Swab) on an unspecified date: Negative. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1004605
Sex: F
Age: 51
State: WI

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

Lab Data:

Allergies: Sulfa. Long list of pain meds

Symptoms: Fever body pain freezing even when room temp 80 & dressed & heating blanket. 99.9 when just in pjs. Did layers after temp. Nauseous none

Other Meds: Lantus victoza

Current Illness:

ID: 1004606
Sex: F
Age:
State: DC

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

Lab Data:

Allergies:

Symptoms: tired; mildly sore arm; This is a spontaneous report from a contactable nurse (patient). The 73-years-old female patient received bnt162b2 (BNT162B2, lot number: EL3302, Expiry Date: 31May2021) via an unspecified route of administration in Left arm on 21Jan2021 10:45 at SINGLE DOSE to gain immunity against Covid-19. Medical history included asthma well controlled Diagnosed 6 years ago. No Prior Vaccinations within 4 weeks. There were no concomitant medications. The patient experienced mildly sore arm on 21Jan2021, tired on an unspecified date. The AEs did not require a visit to emergency room or physician office. The outcome of the event mildly sore arm was recovering. No follow-up attempts possible. No further information expected.

Other Meds:

Current Illness:

ID: 1004607
Sex: M
Age:
State: OH

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Knee swelling/has swelling in his right knee as if like water is in there almost; This is a spontaneous report from a contactable Consumer. This 87-year-old male consumer received the first dose of BNT162B2 (COVID Vaccine, lot number: EL9261, Expiry Date: 31May2021), via an unspecified route of administration on 21Jan2021 at 11AM at single dose on right arm for COVID-19 immunisation. Medical history included cardiac pacemaker placed about 12 years before. There were no concomitant medications. The consumer previously received the shingles shot in Nov2020 at the age of 87-year-old for immunization and at that time the in Nov2020 fingers were so sore but after a couple days it went away in Nov2020. The patient experienced knee swelling on 22Jan2021. He got up this morning and noticed that he had swelling in his right knee as if like water is in there almost. He had not had a problem with the knee before and all the sudden this morning he saw his knee. The knee swelling looks like its getting better, he did put a gel on it and he doesn't know if that did it or if its getting better on its own. The outcome of the event was recovering. Pfizer is a marketing authorization holder of COVID Vaccine in the country of incidence or the country where the product was purchased (if different). This may be a duplicate report if another marketing authorization holder of COVID Vaccine has submitted the same report to the regulatory authorities.

Other Meds:

Current Illness:

ID: 1004608
Sex: M
Age:
State: OR

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Waves of weakness; dizziness and lightheadedness; Feels like I am about to pass out while sitting/resting.; Fading vision approx 24hr post admin of second vaccine; This is a spontaneous report from a contactable other hcp, the patient. This 30-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (Lot number: Unknown), first dose, via an unspecified route of administration in the left arm on 21Jan2021 at 13:30 (at the age of 30-years-old) as a single dose for COVID-19 vaccination. Medical history included prehypertension from an unknown date and unknown if ongoing and attention deficit hyperactivity disorder from an unknown date and unknown if ongoing. The patient had no history of syncopal events. The patient did not have any known allergies. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) and lisinopril (LISINOPRIL). Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient previously received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine) (lot number: Unknown), dose #1, via an unspecified route of administration on an unspecified date in the left arm as a single dose for COVID-19 vaccination. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 22Jan2021 at 15:30, the patient experienced lightheadedness, dizziness and waves of weakness and fading vision approximately 24 hours post administration of the second dose of the vaccine. He stated it felt like he was about to pass out while sitting/resting. No therapeutic measures were taken as a result of the events. The clinical outcomes of the lightheadedness, dizziness, waves of weakness, fading vision and felt like he was about to pass out while sitting/resting were unknown. 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: ADDERALL; LISINOPRIL

Current Illness:

ID: 1004609
Sex: F
Age:
State: TX

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: type 2 diabetes mellitus; herpes pain has disappeared; This is a spontaneous report from a contactable nurse (patient). A 64-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, at the first dose on 28Dec2020 (lot number: EJ1686, Expiry Date: Mar2021) at single dose in Left arm, via an unspecified route of administration at the second dose on 19Jan2021 (Lot Number: EL3249, Expiry Date: Mar2021) at single dose for prevent infection from Coronavirus. Medical history included ongoing essential hypertension and allergy, patient had genital herpes virus since age 26 and ongoing. Ongoing concomitant medications included chlortalidone from Oct2020 at 25mg daily for essential hypertension, montelukast sodium (SINGULAIR) from Oct2020 at 10mg at bedtime for Allergy and took vitamins, immunity booster and natural remedies. The patient had no history of all previous immunization with the Pfizer vaccine considered as suspect. No additional vaccines administered on same date of the Pfizer suspect. No prior vaccinations (within 4 weeks). The patient experienced herpes pain has disappeared in Jan2021 and was reported to serious due to Medically significant. The reporter considered the event herpes pain has disappeared was related to BNT162B2. Caller was reporting a positive effect with Covid-19 vaccine. She had had genital herpes virus since age 26. She had always had pain and flares. 4-5 days after receiving the first dose the pain has disappeared. She received the second dose on Tuesday 19Jan2021. She had no pain. She felt normal. She didn't get medical attention for this. She used an immunity booster and natural remedies. Caller was working at a clinic administering the vaccine to residents to a long term care facility. After the residents were vaccinated she was offered the vaccine since she is also a nurse. She went to a drive thru clinic for the second dose. The patient reported she had type 2 diabetes mellitus from 19Jan2021 (also reported it was medical history from 19Jan2021). The patient had no relevant tests. The outcome of the event herpes pain has disappeared was not recovered, the outcome of the type 2 diabetes mellitus was unknown.; Sender's Comments: The event type 2 diabetes mellitus was most likely an underlying condition and unrelated to suspect vaccine BNT162B2. 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: CHLORTHALIDONE; SINGULAIR

Current Illness: Allergy; Essential hypertension; Genital herpes (had genital herpes virus since age 26.)

ID: 1004610
Sex: F
Age:
State: HI

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

Lab Data:

Allergies:

Symptoms: I had two episode of uncomfortable chest tightness about 7-8 hours after receiving the second dose; This is a spontaneous report from a contactable Other HCP (patient). A 52-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL 1284), via an unspecified route of administration in left arm on 12Jan2021 15:15 at second single dose for COVID-19 immunization. The patient medical history was not reported. No COVID prior vaccination. No known allergies. Concomitant medication included sertraline. No other vaccine received in four weeks. The patient previously tool first dose BNT162B2 (Lot number: EL 1284) on 22Dec2020 03:30PM in left arm for COVID-19 immunization. The patient had two episode of uncomfortable chest tightness about 7-8 hours after receiving the second dose. Adverse event start date/time: 12Jan2021 10:15 PM. No treatment received for AE. No COVID tested post vaccination. Outcome of the event was recovered in Jan2021.

Other Meds: SERTRALINE

Current Illness:

ID: 1004611
Sex: F
Age:
State: NC

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

Lab Data:

Allergies:

Symptoms: chest tightness; This is a spontaneous report from a contactable physician reported for herself. A 67-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3249), intramuscular on left deltoid on 17Jan2021 at SINGLE DOSE for covid-19 immunisation. Medical history included ongoing asthma well controlled. There were no concomitant medications. The patient experienced chest tightness on 17Jan2021 with outcome of recovered on 17Jan2021. Event reported as serious with medically significant. It is reported that the patient wanted to report a side effect she had when she and her husband got their first Covid vaccine from Pfizer on 17Jan2021. She had chest tightness 15 minutes later. She asked for her husband's albuterol inhaler and was back within baseline within minutes. Stated that she used her husband's albuterol inhaler once and recovered completely. Clarified the name as Albuterol HFA 90mcg Inhaler (90mcg; one box has 200 puffs). Sender's Comments: A causal association between BNT162B2 and the reported event cannot be excluded based on a compatible temporal relation. 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 RAs, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness: Asthma

ID: 1004612
Sex: F
Age:
State: LA

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

Lab Data: Test Date: 20210119; Test Name: Blood pressure; Result Unstructured Data: Test Result:Low Blood pressure; Test Date: 20210119; Test Name: Blood pressure; Result Unstructured Data: Test Result:blood pressure was 88/60; Test Date: 20210119; Test Name: Blood pressure; Result Unstructured Data: Test Result:BP rechecked 118/82; Test Date: 20210119; Test Name: Blood pressure; Result Unstructured Data: Test Result:blood pressure was taken again 120/84; Test Date: 20210119; Test Name: Pulse; Result Unstructured Data: Test Result:pulse was 78; Test Date: 20210119; Test Name: Pulse; Result Unstructured Data: Test Result:pulse 80; Test Date: 20210119; Test Name: O2; Result Unstructured Data: Test Result:O2 sat 88 on room air; Test Date: 20210119; Test Name: O2; Result Unstructured Data: Test Result:Sat 98%

Allergies:

Symptoms: low blood pressure; pale and diaphoretic; pale and diaphoretic; Pain injection site; nausea and feeling faint; nausea and feeling faint; This is a spontaneous report from a contactable nurse and a contactable consumer. A 44-year-old female patient received 1st dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot: EL3247, Expiration Date: 31May2021), via an unspecified route of administration on 19Jan2021 at 14:00 at 0.3 mL, single on deltoid left for covid-19 immunisation. Medical history included panic attack. There were no concomitant medications. Patient received the vaccine on 19Jan2021 at around 14:00 in her left deltoid. Pain at injection site started at 14:10 on day of injection, patient came to observation area with pain at injection site, nausea and feeling faint. After that, the nurse in observation area took blood pressure (BP) at 14:12 and blood pressure was 88/60 and pulse was 78 and O2 sat 88 on room air, pale and diaphoretic at this time. Treatment: patient legs elevated, offered juice and water. Patient was able to swallow. Nurse in observation placed call to 911 at this time. 14:17 BP rechecked 118/82 and pulse was 78 and Sat 98% and starting to feel better. 14:20, blood pressure was taken again 120/84 pulse 80 and O2 Sat 98%, patient was returned to upright position and stated they felt so much better, cancelled EMS (Emergency Medical Services). Patient stated at this time that she had a history of panic attacks and she felt that she worked herself thinking about the vaccine. Did call doctor in charge of clinic and checked out the patient. Checked on patient the following day and stated that she was fine and going back to work. Outcome of the events was resolved.

Other Meds:

Current Illness:

ID: 1004613
Sex: F
Age:
State: OH

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

Lab Data: Test Date: 202101; Test Name: heart rate; Result Unstructured Data: Test Result:too fast; Comments: overnight; Test Date: 20210121; Test Name: heart rate; Result Unstructured Data: Test Result:156; Comments: increased; Test Date: 20210122; Test Name: heart rate; Result Unstructured Data: Test Result:67-70

Allergies:

Symptoms: felt dizzy and sick; felt dizzy and sick; increased heart rate; This is a spontaneous report from a contactable consumer (patient). A 82-year-old female patient received the first dose of bnt162b2 (Lot Number: EL9261), via an unspecified route of administration in left arm on 21Jan2021 14:30 at single dose for covid-19 immunization. Medical history included Thyroid issues, whole body hurts, car accident in 2006 (lost her arm and husband, she only has part of her right arm), A-Fib, cardioversion (about a little over a month ago), heart disorder. Concomitant medication included apixaban (ELIQUIS) for heart, thyroid medication. The patient previously received the Shingle shots for immunization and experienced tired the next day. The patient experienced increased heart rate, felt dizzy and sick on 21Jan2021. She got the shot on 21Jan2021. She was ok at first but then about 4pm when got home she felt dizzy and sick. She took her heart rate and it was 156. She had A-Fib but just had a cardioversion about a little over a month ago so this really scared her. She felt really sick and didn't want to go into the hospital. She was ok overnight other than her heart was beating too fast. She took her heartrate this morning (22Jan2021) and it was back to 67-70. Today she is just taking it easy. The events did not require a visit to Emergency Room/Physician Office. The second dose is due on 13Feb2021. She is leery of getting it but is going to talk her heart doctor about it and will also see her primary care doctor on Monday. She had a Thyroid issues, things like that. Basically her whole body hurts, this is something that was going on prior to the shot. The only issue with the shot is the increase in her heart rate. There was no treatment, she had nothing to take for this, she doesn't think Tylenol would have helped but she doesn't know. The patient's mom had cancer. The outcome of the events was recovered on 22Jan2021.

Other Meds: ELIQUIS

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm