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: 1018803
Sex: M
Age: 42
State: AZ

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

Lab Data:

Allergies: Minor mold allergy

Symptoms: Redness, pain, and small amount of swelling.

Other Meds: Nasacort

Current Illness: None

ID: 1018804
Sex: M
Age:
State: OK

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 20210121; Test Name: Body temperature; Result Unstructured Data: Test Result:over 100

Allergies:

Symptoms: Headache; Muscle pain for 36 hours; Fever over 100; chills; joint pain for 36 hours; This is a spontaneous report from a contactable consumer reporting for himself. A 50-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9262), via an unspecified route of administration on 21Jan2021 11:30 AM at single dose in Left arm for COVID-19 immunisation. Medical history included ulcerative colitis and lactose intolerance, both from an unknown date. Concomitant medication included minerals nos, vitamins nos (CENTRUM) daily vitamin received within 2 weeks of vaccination. The patient previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK9231), on 31Ded2020 10:30 AM in Left arm for COVID-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced Fever over 100, chills, muscle and joint pain for 36 hours after second dose on 21Jan2021 10:00 PM. Headache has persisted and not subsided since second dose on 21Jan2021 10:00 PM. The patient underwent lab tests and procedures which included body temperature: over 100 on 21Jan2021. Since the vaccination, the patient has not been tested for COVID-19. The treatment was not received for the adverse event. The outcome of the events was recovering. The case was reported as non-serious.

Other Meds: CENTRUM [MINERALS NOS;VITAMINS NOS]

Current Illness:

ID: 1018805
Sex: F
Age:
State: NC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very sore right arm; Very sore right arm, right underarm; right breast pain; Tender lymph nodes under the right arm, and the right side of the neck; Tender lymph nodes under the right arm, and the right side of the neck; tender right breast; This is a spontaneous report from a contactable consumer (patient). A 54-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Lot number: EL3248) via an unspecified route of administration in right arm on 12Jan2021 10:15 at single dose for COVID-19 immunization. Medical history included HTN (hypertension) hereditary. Concomitant medication included hydrochlorothiazide, valsartan (VALSARTAN HCTZ), verapamil hydrochloride (VERAPAMIL). The patient previously received the first dose of bnt162b2 (Lot number: EK5730) on 22Dec2020 11:00 in right arm for COVID-19 immunization. Events started from 12Jan2021 18:00 included very sore right arm, right underarm, and right breast pain onset the evening of the second dose, tender lymph nodes under the right arm, and the right side of the neck, also, tender right breast. All symptoms still present 13 days later, but better. The adverse event result in Doctor or other healthcare professional office/clinic visit. This is a non-serious report per reporter. No treatment received for the adverse events. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient was not pregnant at the time of vaccination. The outcome of the events was not recovered.

Other Meds: VALSARTAN HCTZ; VERAPAMIL [VERAPAMIL HYDROCHLORIDE]

Current Illness:

ID: 1018807
Sex: F
Age:
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 20210125; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Pending

Allergies:

Symptoms: Joint pain; Nausea; This is a spontaneous report from a contactable consumer (patient). A 57-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL 1283), via an unspecified route of administration at Left arm on 22Jan2021 11:45 at SINGLE DOSE for COVID-19 immunization. The patient's medical history was not reported. Concomitant medication included duloxetine. The patient was not pregnant. No known allergies. The patient experienced joint pain and nausea on 24Jan2021 10:00. No treatment received for the events. No COVID prior vaccination. Nasal Swab performed on 25Jan2021, but result was pending. The outcome of the events was not recovered.

Other Meds: Duloxetine

Current Illness:

ID: 1018808
Sex: F
Age:
State:

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

Lab Data: Test Date: 202101; Test Name: Body temperature; Result Unstructured Data: Test Result:Fever

Allergies:

Symptoms: injection site pain; tiredness; headache; nausea; bad chills; fever; muscle pain; no motivation; This is a spontaneous report from a contactable consumer (patient). A 63-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on an unspecified date in Jan2021 at single dose for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient stated that she and her mother took the Pfizer covid vaccine on Saturday. Patient's mother (94-year-old female) did not experienced any side effects but the patient experienced tiredness, headache, nausea, bad chills, fever, muscle pain, no motivation, injection site pain on an unspecified date in Jan2021. She took Tylenol, Aleve, feeling better tonight but still have few chills. The patient wanted to know if it is safe to take the second dose, if the second dose is worse and if is it the same medication. Chills had not resolved, while the remaining events were resolving. Information on Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018809
Sex: F
Age: 32
State: MI

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

Lab Data:

Allergies:

Symptoms: Extremely muscle fatigue, low grade fever, nausea, shaking, headache, stomach discomfort.

Other Meds:

Current Illness: Staff infection last week. Last day of antibiotics yesterday

ID: 1018810
Sex: F
Age:
State: NY

Vax Date: 01/12/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: COVID antibody testing; Result Unstructured Data: Test Result:No antibodies; Test Date: 20210106; Test Name: SARS coronavirus 2-VITALAXIS; Test Result: Negative

Allergies:

Symptoms: extreme nausea; body aches; headache; chills; I did not have antibodies; This is a spontaneous report from a contactable consumer reported for herself. A 30-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), from lot# 3246 on 12Jan2021 16:00 at single dose for COVID-19 immunization, via unspecified route of administration at the left arm in the hospital. Relevant medical history was not reported. Concomitant medications included lisdexamfetamine mesilate (VYVANSE) for birth control. The patient had received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, on 24Dec2020 02:00 PM from Lot number#5730 at single dose for immunization, via intramuscular route at the left arm. The patient is not pregnant. No COVID prior vaccination. On 06Jan2021 the patient done a SARS coronavirus 2-VITALAXIS test (Nasal Swab) with negative result. On 13Jan2021 the patient experienced extreme nausea, body aches, headache, chills. The outcome of the events was reported as recovered on unspecified date in Jan2021. No treatment received. The patient received an antibody test two weeks after second dose and it indicated that she did not have antibodies.

Other Meds: VYVANSE

Current Illness:

ID: 1018811
Sex: F
Age:
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache; extreme muscle aches; joint pain; nausea; burning sensation all over body; This is a spontaneous report from a contactable consumer (patient). This 25-year-old female patient (not pregnant) received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot#: EL1283) at single dose in left arm on 22Jan2021 at 07:30 A.M. for COVID-19 immunization. Medical history included fibromyalgia; GERD (gastrooesophageal reflux disease); known allergies to wheat and coconut oil. Patient had known allergies to cefprozil (CEFZIL), amoxicillin, acetylsalicylic acid (ASPIRINE), aripiprazole (ABILIFY). Concomitant medications in two weeks included escitalopram oxalate (LEXAPRO), venlafaxine, omeprazole, diphenhydramine hydrochloride (UNISOM), ibuprofen (ADVIL). There was no other vaccine in four weeks. There was no COVID prior vaccination, no COVID tested post vaccination. Patient experienced headache, extreme muscle aches, joint pain, nausea, burning sensation all over body on 22Jan2021 at 07:00 P.M. There was no treatment received for the adverse events. The outcome of events was unknown.

Other Meds: LEXAPRO; VENLAFAXINE; OMEPRAZOLE; UNISOM [DIPHENHYDRAMINE HYDROCHLORIDE]; ADVIL [IBUPROFEN]

Current Illness:

ID: 1018812
Sex: F
Age: 72
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None ( reported to spectrum today 2/9/2021. Will notify my primary care tomorrow 2/10/2021

Allergies: Statins, lisinopril, janumet

Symptoms: Upon awakening the next day, I began to have extremely painful deep chest spasms starting in outer right side ribs and quickly radiating under breast and up into nipple. Happened in a succession of maybe 2-3 spasms then stopped. Occurred maybe 6 times over the course of about 5 hours, then totally stopped around the 24 hour mark of the injection.

Other Meds: Nexium, Carvedilol, Unithroid , zolpidem, tricor, magnesium oxide, omega 3, milk thistle, xifaxin

Current Illness: None

ID: 1018813
Sex: F
Age:
State: NY

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 20210124; Test Name: fever; Result Unstructured Data: Test Result:fever; Comments: 03:00; Test Date: 20210108; Test Name: Nasal Swab; Test Result: Negative

Allergies:

Symptoms: Pain at injection site; swelling at injection site; fever; chills; body aches; muscle pain; nausea; This is a spontaneous report from a non-contactable consumer (patient). A 32-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: EL3247) via an unspecified route of administration in the left arm, on 23Jan2021 14:30 at single dose for COVID-19 immunisation. Medical history was unknown. Patient is not pregnant. Patient did not have COVID prior vaccination. Patient did not have other vaccine in four weeks. Concomitant medications included Ibuprofen and Acetaminophen. Patient previously received first dose of BNT162B2 (Lot number: EK9231) via an unspecified route of administration in the left arm on 02Jan2021 11:15 at the age of 32 years for COVID-19 immunisation. Patient experienced pain at injection site, swelling at injection site, fever, chills, body aches, muscle pain, nausea on 24Jan2021 03:00. The patient did not receive treatment for the events. Patient tested COVID post vaccination through nasal swab which revealed negative on 08Jan2021. Outcome of the events was recovering. No follow-up attempts are possible. No further information is expected.

Other Meds: IBUPROFEN; ACETAMINOPHEN

Current Illness:

ID: 1018814
Sex: F
Age:
State: MN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Loose stools; stomach ache; body became hot up to her head then red haze seen in room/Body became hot like a hot flash again; This is a spontaneous report from a contactable consumer (patient). A 79-years-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3247), via an unspecified route of administration at Left arm on 21Jan2021 15:45 at SINGLE DOSE for COVID-19 immunization. The patient was not pregnant. Medical history included high blood pressure, arthritis, known allergies: sulfa drugs, dust, mold. Concomitant medication included atenolol, atorvastatin, lactobacillus nos (CULTURELLE), ascorbic acid, biotin, boron, calcium, calcium pantothenate, chloride, chromium, colecalciferol, copper, cyanocobalamin, folic acid, iodine, lycopene, magnesium, manganese, molybdenum, nickel, nicotinamide, phosphorus, phytomenadione, potassium, pyridoxine hydrochloride, retinol acetate, riboflavin, selenium, silicon dioxide, sodium metavanadate, thiamine mononitrate, tocopheryl acetate, xantofyl, zinc (CENTRUM SILVER ADULTS 50+). No other vaccine in four weeks. The patient's body became hot up to her head then red haze seen in room on first day 21Jan2021 07:00 PM. Body became hot like a hot flash again, no color haze on the second day (22Jan2021). Loose stools and stomach ache on third day (23Jan2021). No treatment received for the events. No COVID prior vaccination, no COVID tested post vaccination. The outcome of the events was recovered in Jan2021.

Other Meds: ATENOLOL; ATORVASTATIN; CULTURELLE; CENTRUM SILVER ADULTS 50+

Current Illness:

ID: 1018815
Sex: M
Age: 59
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea, body aches, low grade fever and chills.

Other Meds: Metformin, Lisinopril, Wellbutrin, Atorvastatin, Omeprazole, Januvia, Lantus, Trulicity, Flaxseed oil, Calcium, Vitamin C, Vitamin D and Vitamin B12.

Current Illness: None

ID: 1018816
Sex: F
Age:
State: OH

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bell's Palsy; This is a spontaneous report from a contactable physician and consumers reported that a 75-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: not reported), via an unspecified route of administration on 09Jan2021 at a single dose for Covid-19 immunization. The vaccine was administered at a nursing home. Medical history included dementia, hyperlipidemia, hypothyroid, and drug allergy to penicillin; all from an unknown date. Patient is not pregnant. The patient's concomitant medications were not reported. The patient previously took iodine and experienced drug allergy. The patient experienced bell's palsy on 15Jan2021. The reported event was resulted in Emergency room/department or urgent care. No treatment was provided for the event. The outcome of the event was recovering. Information on the lot/batch number has been requested.; Sender's Comments: A possible contributory effect of suspect BNT162B2 on reported event 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: 1018817
Sex: F
Age:
State: NY

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fatigue; myalgias; This is a spontaneous report from a contactable physician (patient). A 37-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration in the left arm, on an unspecified date in Dec2020 at single dose for COVID-19 immunisation. Medical history and concomitant medications were none. Patient has no known allergies. Patient is not pregnant. Patient did not have Covid prior vaccination. Patient did not have other vaccine in four weeks. Patient had fatigue and myalgias for 3 days after the 1st dose in Dec2020. No treatment received for the events. Patient did not test Covid post vaccination. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018818
Sex: F
Age:
State: CA

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain in her arms and legs; This is a spontaneous report from a contactable consumer. An elderly non-pregnant female patient (reporter's mother) received the first dose of COVID-19 vaccine (UNSPECIFIED TRADE NAME), via an unspecified route of administration on 18Jan2021 at single dose for covid-19 immunization. The patient medical history was not reported. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient's concomitant medications were not reported. The patient received the 1st dose of the vaccine on 18Jan2021. 4 days later she experienced pain in her arms and legs on 22Jan2021. This resolved 24 hours later. No treatment was received. The outcome of the event was recovered on 23Jan2021. Since the vaccination, the patient had not been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018819
Sex: M
Age: 83
State:

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

Lab Data:

Allergies: None

Symptoms: sudden dizziness

Other Meds: Na

Current Illness: none

ID: 1018820
Sex: F
Age:
State: NC

Vax Date: 01/20/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: has a big ol round spot on her arm; really sore for a day or two; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 20Jan2021 second dose at SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient "has a big ol round spot on her arm" on Jan2021 with outcome of unknown and "really sore for a day or two" on Jan2021 with outcome of unknown. The action taken was not applicable. The reported stated "my sister actually, she took it. She took her second one about two days ago and she is been going through it with it. You know nothing terrible but you can tell she took it. You can tell her immune system is really working. She has a big ol round spot on her arm and she was really sore for a day or two". Information on the lot/ batch number has been requested.

Other Meds:

Current Illness:

ID: 1018821
Sex: F
Age:
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills; severe body aches; headache 24 hours later; headache and dizziness described as vertigo 48 hours and still continuing 5 days later: ongoing vertigo; dizziness; This is a spontaneous report from a non-contactable physician. An adult female patient received second dose of bnt162b2, intramuscularly in right arm on 20Jan2021 12:30 at single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient previous received first dose of bnt162b2 for covid-19 immunization. Not pregnant at the time of vaccination. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced chills, severe body, headache 24 hours later, headache and dizziness described as vertigo 48 hours and still continuing 5 days later: ongoing vertigo all on 21Jan2021. Exactly 12 hours after second dose: chills, severe body aches, headache, 24 hours later: headache and dizziness described as vertigo 48 hours and still continuing 5 days later: ongoing vertigo. The outcome of events was not resolved. The adverse event was not resulted in a visit to doctor or other healthcare professional office/clinic or Emergency room/department or urgent care. No treatment received for the adverse event. The events were reported as non-serious. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient hadn't been tested for COVID-19. Not allergies to medications, food, or other products. Not known allergies. No other medical history. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1018822
Sex: F
Age:
State: IN

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: administration_date=22Jan2021, dose_number=2/administration_date=30Dec2020, dose_number=1; Swollen and tenderness in tongue; Swollen and tenderness in tongue; Tender gums; soreness on right side of neck under ear; This is a spontaneous report from a contactable other hcp (patient). A 40-year-old female patient received second dose of bnt162b2 (lot number: EL3246), intramuscularly at arm left on 22Jan2021 15:00 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient historical vaccine included first dose of bnt162b2 (lot number: EH9899) intramuscularly at left arm on 30Dec2020 15:00 for covid-19 immunisation. Not Pregnant at the time of vaccination. The patient receive no other vaccines within 4 weeks prior to the COVID vaccine. No any other medications the patient received within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient experienced swollen and tenderness in tongue. Tender gums and soreness on right side of neck under ear, from 24Jan2021 08:00 AM. The adverse event result in doctor or other healthcare professional office/clinic visit. Treatment received for the adverse event included Prednisone and Pepcid. The outcome of the events was recovering.

Other Meds:

Current Illness:

ID: 1018823
Sex: F
Age: 80
State: CA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: levofloxacin, penicillins

Symptoms: Developed rash on her arm at the site of vaccine administration 6 days after vaccination, has not had pain nor itching associated with the rash.

Other Meds: Diazepam as needed

Current Illness: none

ID: 1018824
Sex: F
Age:
State: TN

Vax Date: 01/11/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: little bit of headache and colds; little bit of headache and colds; feels more like a sinus; This is a spontaneous report from a Pfizer-sponsored program from a contactable consumer (patient). A 79-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 11Jan2021 at single dose for COVID-19 immunisation. Medical history included the patient only had one lung (ongoing). The patient's concomitant medications were not reported. The patient got the vaccine on 11Jan2021, and would be back in Feb for the 2nd dose. The patient wanted to know if she would still need to take the 2nd dose even though she had symptoms and a little bit of headache and colds, it feels more like a sinus. The outcome was unknown. Information about batch/lot number has been requested.

Other Meds:

Current Illness: Lung disorder

ID: 1018825
Sex: F
Age:
State: TN

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

Lab Data: Test Name: Heart rate; Result Unstructured Data: Test Result:Fast

Allergies:

Symptoms: fast heart rate; dizziness; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that 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 was experiencing fast heart rate and dizziness after received bnt162b2 on unspecified date. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018826
Sex: F
Age: 45
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Unknown blood and assessed

Allergies: No

Symptoms: Throat right and coughing a lot

Other Meds: Throat thick, tight. Allergic reaction and went to ER and got steroids

Current Illness: No

ID: 1018827
Sex: F
Age:
State: LA

Vax Date: 01/21/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: Body temperature; Result Unstructured Data: Test Result:Low-grade Fever

Allergies:

Symptoms: headache; diarrhea; low-grade fever; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that: A female patient of an unspecified age receive first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, lot number and expiration date not provided), via an unspecified route of administration on 21Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The caller has a doctor's appointment for blood work and asked if it's okay since she already took the 1st dose on the 21Jan2021. She had a headache, diarrhea, and low-grade fever after the 1st dose in Jan2021. The patient underwent lab test which included body temperature: with result low-grade Fever on Jan2021. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018828
Sex: F
Age:
State:

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

Lab Data: Test Date: 202101; Test Name: COVID; Result Unstructured Data: Test Result: unknown result.

Allergies:

Symptoms: no appetite; chills; cough; fatigue; shortness of breath; This is a spontaneous report from a contactable consumer (patient). A 50-year-old female non-pregnant patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date unknown), via an unspecified route of administration on 02Jan2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced chills, cough, fatigue, shortness of breath, no appetite on 02Jan2021. The events resulted in: Doctor or other healthcare professional office/clinic visit. Event treatment included antibody IgG. Covid was tested post vaccination in Jan2021 with unknown result. The outcome of the events was recovering. Information on Lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018829
Sex: F
Age:
State: CO

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

Lab Data: Test Date: 202101; Test Name: Covid; Result Unstructured Data: Test Result:Unknown result; Comments: was still waiting for the result; Test Date: 202101; Test Name: Covid; Test Result: Negative

Allergies:

Symptoms: sick; diarrhea; some chills and headaches and symptoms like covid; some chills and headaches and symptoms like covid; This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient) of an unspecified age reported she received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration on an unspecified date at SINGLE DOSE for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient experienced sick, diarrhea, some chills and headaches and symptoms like covid on Jan2021. She tested negative for covid in Jan2021. But she had a second test and was still waiting for the result of that in Jan2021. The event outcome of sick was not recovered; outcome of other events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018830
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient started feeling itching of the tongue 20 minutes after the injection. Stabilized, discharged to home.

Other Meds:

Current Illness:

ID: 1018831
Sex: F
Age:
State: CO

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

Lab Data: Test Name: creatinine; Result Unstructured Data: Test Result:went up

Allergies:

Symptoms: creatinine went up; creatinine went up; This is a spontaneous report from a contactable consumer reporting for her mother from a Pfizer-sponsored program. A female patient of an unspecified age received first dose of bnt162b2 (BNT162B2) , via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The reporter stated that, the patient had kidney problems. Her creatinine went up after taking the vaccine. She was asking if her mother should still take the 2nd dose of the vaccine? The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018832
Sex: F
Age:
State: MN

Vax Date: 01/22/2021
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache and muscle aches and joint pain; Headache and muscle aches and joint pain; Headache and muscle aches and joint pain; I woke up feeling sore. But then, as the day progressed I started feeling more achy; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported that a 31-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, batch/lot number EL3247), via an unspecified route of administration on 22Jan2021 at single dose for covid-19 immunisation. Medical history included none. There were no concomitant medications. After she took the 1st dose she had a headache and muscle aches and joint pain. The patient stated, " I received the vaccine about 24 hours ago. At this point, I am just wondering if I can take Ibuprofen to help with some of the symptoms that I am feeling. If I do take Ibuprofen, is that going to like impact the response of the how the vaccine is working? I woke up feeling sore. But then, as the day progressed I started feeling more achy. So, like more muscle ache and headache." The outcome of the events was unknown.

Other Meds:

Current Illness:

ID: 1018833
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: No

Symptoms: Covid Arm - red lesion around the injection site not very itchy. Appeared 8 days after moderna first dose which is the day i am submitting this form. Size 3" long

Other Meds: Tylenol, Mutli-Vitamins

Current Illness: No

ID: 1018834
Sex: F
Age:
State: PA

Vax Date: 12/23/2020
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flushing; palpitations; diaphoresis; This is a spontaneous report from a contactable other HCP reported for self. This 30-year-old female non-pregnant patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) via intramuscular on 23Dec2020 at 12:30 at single dose in right arm for COVID-19 immunization. The patient's medical history included asthma, environmental allergies, eczema, anxiety/depression. The patient's concomitant medications included ethinylestradiol, norethisterone acetate (JUNEL FE 24) 1/20, bupropion hydrochloride (WELLBUTRIN XL), fluoxetine hydrochloride (PROZAC), rizatriptan, salbutamol (ALBUTEROL) inhaler, fluticasone propionate (FLONASE), levocetirizine dihydrochloride (XYZAL), betamethasone topical. The patient had none known allergies although possible rash with acetylsalicylic acid (ASPIRIN) in the past- other NSAIDs are fine. The patient experienced flushing/palpitations/diaphoresis about 5 minutes after she received the vaccine, but this resolved quickly and spontaneously. Information on lot/batch number has been requested.

Other Meds: JUNEL FE 24; WELLBUTRIN XL; PROZAC; RIZATRIPTAN; ALBUTEROL [SALBUTAMOL]; FLONASE [FLUTICASONE PROPIONATE]; XYZAL; BETAMETHASONE

Current Illness:

ID: 1018835
Sex: M
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: mild arm soreness; This is a spontaneous report from a contactable physician (patient) via Pfizer sales representative. A male patient of an unspecified age received the first dose of bnt162b2 (Lot/batch number and Expiration date were not provided), via an unspecified route of administration on an unspecified date at single dose for covid-19 immunization. The patient medical history and concomitant medications were not reported. The patient experienced mild arm soreness on an unspecified date (a day or two after vaccine). The outcome of event was recovered on unspecified date. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1018836
Sex: F
Age: 32
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Walnut pecan

Symptoms: Tightness in throat. Headache. Ongoing dizziness 2 weeks after shot.

Other Meds:

Current Illness: No

ID: 1018837
Sex: M
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: mild arm soreness for a day or two; low fever; fatigue; This is a spontaneous report from contactable Physician (patient) via Pfizer Sales Representative. A male patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. He received the first dose on an unknown date for COVID-19 immunisation. The patient medical history was not reported. The patient's concomitant medications were not reported. The patient received the Pfizer COVID vaccine, had mild arm soreness for a day or two after both injections. After the second injection he felt low fever, fatigue for 2 days. He feels fine now. Events outcome was recovered. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1018838
Sex: F
Age:
State:

Vax Date: 01/22/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body ache; Redness; Swelling; hard time breathing/shortness of breath/Difficulty breathing; This is a spontaneous report from a Pfizer Sponsored Program. A contactable consumer reported that a female patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiration date unspecified), via an unspecified route of administration on 22Jan2021 at single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that her mother took the first dose of vaccine last Friday 22Jan2021, and was now experiencing side effects, she was having a hard time breathing, body aches, swelling and redness in Jan2021. Reporter also mentioned that the patient was having shortness of breath and she was having difficulty breathing. The consumer wanted to know how long the side effects were expected to last and if they can worsen as the days go on. Because the patient had it on Friday, and it's already been almost 48 hours. Reporter stated that she needs to get off the phone because she need to call her mother's doctor's office and have to call the EMS for her. Outcome of events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018839
Sex: M
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: headache, fatigue, no energy and gets tired easily; headache, fatigue, no energy and gets tired easily; headache, fatigue, no energy and gets tired easily; This is a spontaneous report from a Pfizer Sponsored Program from a contactable consumer. An 81-years-old male patient received first dose 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's medical history and concomitant medications were not reported. The patient said he had headache, fatigue, no energy and got tired easily after the first dose on an unspecified date. The outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018840
Sex: F
Age: 0
State: TX

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lasting rash, on neck, torso and genitals.

Other Meds: None

Current Illness: None

ID: 1018841
Sex: F
Age:
State: MN

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

Lab Data:

Allergies:

Symptoms: Pain at the injection site; This is a spontaneous report from a contactable consumer (patient) via the Pfizer-sponsored Program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on an unspecified date (reported as "Monday"), at single dose, for covid-19 immunization. The patient's medical history and concomitant medications were not reported. The patient reported that she took her 1st dose of vaccine on Monday (unknown date) and had a side effect which was pain at the injection site. The outcome of the event was unknown. Information about the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018842
Sex: F
Age:
State: MN

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

Lab Data:

Allergies:

Symptoms: Cough; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) at single dose, with route of administration and therapy date unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on an unspecified date for COVID-19 immunization. On an unspecified date, 5 days after the vaccination, the patient had cough. The outcome of the event, cough, was unknown. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018843
Sex: F
Age:
State:

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: throat is a little sore; UTI; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer reported that a female patient of an unspecified age received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) lot number and expiration date not provided, via an unspecified route of administration on 23Jan2021 at a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient stated that her throat is a little sore and asking if that is normal. Also, the patient was running to the bathroom to pee because of UTI, and every time she has that, she needs to take antibiotics. The patient asked if it's okay for her to take antibiotics. The outcome of the event was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018844
Sex: F
Age:
State: CA

Vax Date: 01/19/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Felt a bit dizzy and weak; Felt a bit dizzy and weak; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number and expiration date were not reported) on 19Jan2021 at a single dose, with route of administration unspecified, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 23Jan2021, the patient had felt a bit dizzy and weak. The outcome of the events, 'dizzy' and 'weak', was unknown. Information on the batch/lot number has been requested.

Other Meds:

Current Illness:

ID: 1018845
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies: Allergic to iodine-based dye and specifically to shrimp

Symptoms: Minimal soreness in arm; nothing more immediately after vaccination Day 5: rash on right leg below knee, no itchiness. Day 8: injection arm red very, very, itchy rash; also rash om left leg below knee, not itchy

Other Meds: Multi vits, vit D, folate, zinc, turmeric, baby aspirin,

Current Illness: None

ID: 1018846
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Headaches; Bad chills; Diarrhea; Extreme tiredness; Sleeping a lot; This is a spontaneous report from a non-contactable consumer (patient's wife). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number/expiration date not reported), via an unspecified route of administration on unspecified date at a single dose, for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient's wife called in because her husband (the patient) was experiencing side effects like headaches, bad chills, diarrhea, extreme tiredness, and was sleeping a lot after the vaccine. She was asking how long the side effects last. The outcome of the events was not recovered. No follow-up attempts are possible. Information about batch/lot number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1018847
Sex: M
Age:
State: KS

Vax Date: 01/23/2021
Onset Date: 01/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm is sore; This is a Spontaneous report from a Pfizer sponsored program via a contactable consumer (patient's wife). A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number unknown), via an unspecified route of administration on 23Jan2021 at SINGLE DOSE for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient's arm was sore on an unspecified date on Jan2021 and she was asking if they can take cold or warm to get rid of the sore. Outcome of the event was unknown. information on the LOT/Batch number has been requested.

Other Meds:

Current Illness:

ID: 1018848
Sex: F
Age:
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: common colds symptoms; flu-like symptoms; This is a spontaneous report from a Pfizer-sponsored program, received from a contactable healthcare professional (patient). A female patient of an unspecified age received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot/batch number and expiry date unknown), via an unspecified route of administration on 04Jan2021 at a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. On 23Jan2021, the patient experienced flu-like symptoms. On 24Jan2021, the patient had common cold symptoms. She was asking if she can take the vaccine tomorrow or she have to wait. Outcome of the events was unknown. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1018849
Sex: M
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Syncope right after injection given. Of note, he has a history of fainting episodes with injections. BP 131/83, pulse 79. Laid on floor with legs elevated. Given water, juice, and crackers. Resolved.

Other Meds:

Current Illness:

ID: 1018850
Sex: F
Age:
State:

Vax Date: 01/23/2021
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain on the injection site; This is a spontaneous report from a Pfizer-sponsored program via a non-contactable female Consumer (patient). A female patient of an unspecified age receive BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number unknown.) via an unspecified route of administration on 23Jan2021 at SINGLE DOSE (first dose) for covid-19 immunisation. The patient medical history was not reported. There were no concomitant medications. Patient was asking if it is okay to take ALEVE PM because there was pain on the injection site after she got the 1st vaccine during the morning on an unspecified date. Outcome of the event pain on the injection site was unknown. No follow up attempts are possible. Information on lot/batch cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1018851
Sex: F
Age:
State: TN

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Test Date: 20190226; Test Name: Biopsy; Result Unstructured Data: Test Result:Known to be cutaneous; unknown if systemic lupus e; Comments: Known to be cutaneous; unknown if systemic lupus erythematosus (SLE)-not officially diagnosed as SLE yet but keep monitoring to see.; Test Date: 202009; Test Name: CT scan; Result Unstructured Data: Test Result:unknown results

Allergies:

Symptoms: This is a spontaneous report from a contactable consumer (patient) from the Pfizer-sponsored program. A 78-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) (Batch/lot number: EL3248, expiration date: Apr2021) via an unspecified route of administration in left arm on 24Jan2021 13:30 at single dose for COVID-19 immunization. Medical history included lupus from 26Feb2019 and ongoing, biopsy done/diagnosed 26Feb2019, known to be cutaneous, unknown if systemic lupus erythematosus (SLE)-not officially diagnosed as SLE yet but keep monitoring to see, patient sister has possibly compromised immune system with lupus; ongoing allergies, included ongoing allergies/reactions to insect stings, wasp stings-that was first reaction 8-9 years ago-carried EpiPen since then, dye in a contrast medium for CT scan in Sep2020; had serious surgery, 2 subsequent surgeries, couldn't remember anything within last couple of years, 1st surgery: fall or beginning of 2019; scheduled to have surgery to repair abdominal surgery as a result of all the other stuff, had to cancel it and reschedule for spring due to rash, rash diagnosed as lupus; compromised immune status; respiratory illness; genetic / chromosomal abnormalities; endocrine abnormalities (including diabetes) and obesity; overweight. No allergies/reactions to vaccines historically. Concomitant medications included ongoing hydroxychloroquine (Zydus Pharmaceuticals, Lot number: E003901, Expiry date: 31May2022, NDC: Unknown, UPC: 4181077301, repeatedly verified dispensed in standard amber/orange pharmacy bottle; but had manufacturer label on bottle-no NDC) for lupus. The patient previously used epinephrine (EPIPEN, reported as Epi-pen) first/only time 2020: maybe summer/fall/Sep2020 for anaphylactic reaction to yellow jacket sting. On 24Jan2021 around 2:30pm she had onset of extreme fatigue (just like kind of an overwhelming fatigue). She had not even discussed having the vaccine with her PCP and did not consider extreme fatigue to be serious or something she needed to contact the doctor about. She ended up getting home, eating something, going upstairs and going to sleep (went "straight to bed"). She slept really well. Outcome improved, she was better, ok. She wondered if this was an extreme reaction to the vaccine or was this normal because this was the first shot, she read that the second dose creates even more pronounced side effects. She was asking if that was a normal reaction and can she expect that after the second dose? No vaccines administered on same date of the Pfizer suspect. The adverse event did not result in Emergency Room or Physician Office, and patient was not hospitalized. No other vaccinations within four weeks prior to the first administration date of the suspect vaccine. The outcome of the event was recovering.

Other Meds: Hydroxychloroquine

Current Illness: Allergy; Allergy to insect sting (wasp stings-that was first reaction 8-9 years ago-carried Epi-Pen since then); Lupus syndrome (Patient sister has possibly compromised immune system with lupus).

ID: 1018852
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Soreness on her upper shoulder; This is a spontaneous report from a Pfizer-sponsored program. A contactable consumer (patient) reported that a female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number and Expiration Date were not reported), via an unspecified route of administration, on an unspecified date, at a single dose, for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. The patient was wondering why her mother did not experience any reaction after getting the first dose of COVID-19 vaccine today unlike her. After getting the COVID-19 vaccine on an unspecified date, the patient experienced a reaction which was soreness on her upper shoulder for a couple of days. The patient recovered from the event on an unspecified date. Information about lot number and expiration date for the suspect product will be requested in follow-up attempts.

Other Meds:

Current Illness:

ID: 1018853
Sex: M
Age: 70
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Abnormal bleeding in mouth and gums. Should I be seen by someone for this adverse reaction? Please contact asap. Thank you Wm. Bisceglia

Other Meds: Depakote Keppra Zocor Synthyroid Fish oil Multivitamin daily

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm